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Canalith repositioning procedure
SECTIONSFOR CANALITH REPOSITIONING PROCEDURE
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Overview
The canalith repositioning procedure can help relieve benign paroxysmal positional
vertigo (BPPV). BPPV is a condition in which you have brief, but intense, episodes of
dizziness and vertigo that occur when you move your head. Vertigo usually comes
from a problem with the part of the inner ear responsible for balance. BPPV occurs
when tiny canalith particles (otoconia) in one part of your inner ear break loose and
fall into the semicircular canals of your inner ear.
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The canalith repositioning procedure can move these particles to a part of your ear
where they won't cause dizziness. The procedure involves several simple head
maneuvers. It can be done in your doctor's office. The procedure is usually effective
and relieves vertigo in about 80% of people after one or two treatments. But the
problem may recur.
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Why it's done

The inner ear and canalith repositioningOpen pop-up dialog box

The canalith repositioning procedure is performed to relieve symptoms of BPPV. The

procedure moves the particles causing symptoms from the fluid-filled semicircular
canals of your inner ear to an area where they won't cause problems. They move to
a tiny baglike open area that houses one of the other structures in your ear. Once
there, these particles won't cause vertigo and will likely dissolve or be reabsorbed by
bodily fluids in your ear.

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Risks
The canalith repositioning procedure has certain risks, such as:

 Neck or back injury

 Movement of the particles to an unintended location which could continue to

cause vertigo

 Side effects, including feelings of nausea, dizziness and lightheadedness

Make sure you tell your doctor about any medical conditions you have, such as a
neck or back condition, or advanced rheumatoid arthritis, before beginning the
procedure. You may need to delay having the procedure.

How you prepare

There are no special preparations for the canalith repositioning procedure. Wear
clothing that will allow you to move freely through each of the maneuvers.
What you can expect
During the procedure
Canalith repositioning procedureOpen pop-up dialog box

The canalith repositioning procedure involves holding four positions for about 30
seconds each, or as long as you have symptoms while you hold that position. You'll
generally stay in each position an extra 30 seconds after your symptoms have
stopped. Your doctor will watch your eyes for abnormal movements during the
procedure. The procedure may be repeated three or more times within a treatment
session.

The canalith repositioning procedure includes these steps:

1. First you move from a sitting to a reclining position with your head turned to the
affected side by 45 degrees. Your doctor will help extend your head over the
edge of the table at a slight angle.

2. With your head still extended over the edge of the table, you'll be prompted to
turn your head slowly away from the affected side by about 90 degrees.

3. Roll onto your side. Your head should be slightly angled while you look down at
the floor.

4. Finally, you return carefully to a sitting position with your head tilted down and
returned to the center position. You'll likely need to sit still for about 20 minutes.

After the procedure

After the procedure, follow your doctor's instructions. Your doctor will likely teach you
how to perform the procedure yourself so that you can do it at home if needed. You
may need to perform these exercises for several days before your symptoms go
away.

Results
Nearly 80% of people who undergo the procedure experience relief. But if your
symptoms return, your doctor can repeat the canalith repositioning procedure. The
procedure may need to be repeated several times to relieve your symptoms. Talk to
your doctor if your symptoms don't improve.
By Mayo Clinic Staff

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Doctors & Departments
Aug. 28, 2020

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Related
 Benign paroxysmal positional vertigo (BPPV)

 Canalith repositioning procedure

 Dizziness
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