Benign Positional Vertigo Treatment
Treatment for benign positional vertigo includes Canalith repositioning exercises, which are maneuvers to slowly move the head into certain positions. The goal is to move particles that are present inside the structures of the inner ear, into another region of the inner ear. These maneuvers can be very effective in some patients. Medications may be used to help control symptoms when they are severe, but they do not treat the cause. Surgery may be considered in those who continue to have symptoms, despite repositioning maneuvers.
Treatment options for benign positional vertigo include:
- Many cases resolve spontaneously over weeks to months.
- Exercises for benign positional vertigo
- Canalith (particle) repositioning techniques: performed by the doctor
- Epley method
- Semont method
- Medications for benign positional vertigo:
- Meclizine (Antivert)
- Dimenhydrinate (Dimetabs, Dramamine)
- Promethazine (Phenergan)
- Prochlorperazine (Compazine)
- Lorazepam (Ativan)
- Scopolamine (Transderm Scop)
- Methylphenidate (Concerta, Methylin)
- Diazepam (Valium)
- Procedures block the movement of the particles in the inner ear.
Benign Positional Vertigo Questions For Doctor
The following are some important questions to ask before and after the treatment of benign positional vertigo.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- Do I need a special exercise program?
- Will I need physical therapy?
- Will I need occupational therapy?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Benign Positional Vertigo Specialist
Continue to Benign Positional Vertigo Home Care
- Chiou WY, Lee HL, Tsai SC, Yu TH, Lee XX. A single therapy for all subtypes of horizontal canal positional vertigo. Laryngoscope. 2005 Aug;115(8):1432-5. 
- Halmagyi GM. Diagnosis and management of vertigo. Clin Med. 2005 Mar-Apr;5(2):159-65. 
- Prokopakis EP, Chimona T, Tsagournisakis M, et al. Benign Paroxysmal Positional Vertigo: 10-Year Experience in Treating 592 Patients with Canalith Repositioning Procedure. Laryngoscope. 2005 Sep;115(9):1667-1671. 
- White J. Benign paroxysmal positional vertigo: how to diagnose and quickly treat it. Cleve Clin J Med. 2004 Sep;71(9):722-8.