Benign Paroxysmal Positional Vertigo (BPPV) - Other Treatment
Exercises are used to treat
benign paroxysmal positional vertigo (BPPV). These
exercises help the particles in the semicircular canals of your
inner ear move around, so that they don't cause vertigo. Although the
exercises usually stop the vertigo for months or years, the problem may return
and cause your symptoms to come back.
Other treatment choices
Exercises that may be used to treat BPPV include:
- Epley maneuver and Semont maneuver. These
exercises often cure BPPV by moving the particles in your inner ear so that
they do not affect your balance. During these exercises, your doctor will help
you hold your head in a series of positions. Often, one treatment is enough.
You may be taught to do these exercises on your own at home.
- Brandt-Daroff exercise. This exercise may be tried if
the Epley or Semont maneuvers do not work. During this exercise, you
will repeatedly go from a sitting position to a lying position until the
vertigo stops. This exercise may help speed your brain's ability to adjust to
the conflicting balance signals it is getting. You need to do these exercises
several times a day for weeks for them to work.
What to think about
These exercises can get rid of
BPPV symptoms. The Epley and Semont maneuvers usually are more
comfortable than the Brandt-Daroff exercise, and they work faster—in one or two
treatments rather than being repeated several times a day for weeks. So these
maneuvers have become the first line of treatment.1