Canalith Repositioning
A Canalith Repositioning Procedure (CRP) is used for treating Benign Paroxysmal Positional Vertigo (BPPV). BPPV is a condition that causes brief episodes of dizziness, also known as vertigo. It occurs when otoconia (tiny canalith particles (stones)) in a part of the inner ear move into the inner ear canals, causing sensitivity to movement.
The purpose of the canalith repositioning procedure is to relocate otoconia to a different part of the ear, thereby alleviating dizziness and other symptoms. The method can be performed in the clinic, and more than 80% of patients experience improvement in vertigo symptoms after 1 or 2 sessions. The most commonly performed CRP is the Epley maneuver, which is primarily beneficial for treating BPPV but not all forms of vertigo.
Procedure
The canalith repositioning procedure involves four positions, each held for 30 seconds or until the symptoms improve. Here are the positions in broad terms:
- Moving from sitting to reclining with the head turned to the affected side by 45 degrees.
- Moving the head to the other side by about 90 degrees.
- Rolling onto the side with the head angled so that the vision is towards the floor.
- Returning to a sitting position with head tilted in a centered position.
Patients can perform the Epley maneuver at home after receiving instructions from their healthcare provider. While time isn’t a concern, many people see the benefits at night before they sleep. If there are any lingering symptoms, they typically subside during rest.
Results
Patients usually experience relief with the canalith repositioning procedure (CRP) within 2-3 weeks. If the symptoms return, the method may be repeated at the clinic.
Benefits
CRP is a relatively safe and noninvasive procedure. You can also do the same at home, provided you understand the movements and have received instructions from your healthcare provider. The effects are almost immediate, and patients typically experience relief, although symptoms may recur. Note that doctors will usually recommend CRP only after a confirmed diagnosis of benign paroxysmal positional vertigo (BPPV). That may include ruling out other causes of symptoms, such as migraines.
Risks
Following the Epley maneuver, some patients have side effects like nausea, intense vertigo, and vomiting. If you have certain health conditions, such as neck or back injuries, or vascular disease, please inform your doctors. Please note that performing the Epley maneuver incorrectly can lead to additional discomfort and neck injury. Some patients may experience heightened vertigo symptoms. It is best to learn CRP from a certified healthcare professional to ensure the technique is applied correctly.
When to Reach Out
If you or a loved one has been dealing with symptoms of benign paroxysmal positional vertigo (BPPV) and is located in Westchester or NYC, contact us immediately. At Chester Neurology, we believe in providing comprehensive and empathetic care, and we have the most advanced testing facilities and an expert team. We can offer the canalith repositioning procedure (CRP) in our clinic and guide you on performing the movements at home.
Please call our office at (914) 816-1941 to schedule an appointment immediately, or email us at info@chesterneurology.com with any questions or concerns.
