Your doctor will ask questions about your symptoms, including the times they occur. This will help to determine what’s causing them. They’ll also do a physical examination, including tests to determine your hearing and balance.
Peripheral vertigo occurs due to issues with the ear’s inner. This is usually triggered by head movement, and lasts just some minutes.
Particles that move in a repositioning motion
The Epley maneuver is a sequence of head movements that relieve BPPV symptoms. The movements help relocate the calcium carbonate crystals in your utricle back into your semicircular canals, where they belong. The calcium carbonate crystals that have escaped may then dissolve or be absorbed by your body.
You can practice the Epley maneuver at home, although it is important to have a doctor or audiologist show you how. The wrong technique can worsen your dizziness.
Another option for treating BPPV is a procedure called canalith repositioning procedures (CRP). The particles that cause vertigo are moved out of the semicircular canals stuffed with fluid inside your ear, to a part that doesn’t cause dizziness. After a couple of treatments the procedure is typically successful. There is also surgery where a bone plug is put in your inner ear. This option is only used when other treatments fail.
Home balance exercises
Various home balance exercises can help to improve vertigo symptoms such as dizziness or instability. They could include marching in place, eye movement control and other exercises. Your healthcare provider will customize these exercises to meet your specific needs. Medication may also be prescribed to help ease nausea or motion sickness.
If your vertigo is due to BPPV, you can do the Epley maneuver at home to aid in repositioning calcium crystals inside the semicircular canals. This could reduce or even eliminate vertigo-related attacks. The method involves reclining on the bed and then turning your head 90 degrees to one side (for example to the left). After 30 seconds, you need to get up on the opposite side of the table.
Vertigo can be caused by a number of ailments, including diabetes and heart disease. In these cases treating the underlying cause usually eliminates vertigo. For other causes, treatment for the symptom may help with medication to calm nausea or anxiety.
Most often, you can eliminate dizziness caused by benign positional vertigo by a couple of quick movements. These involve quick head shifting. The technique is called canalith repositioning, also known as Epley maneuvers. You can learn to do it on your own or have your doctor demonstrate it to you. The maneuvers are designed to move otoconial agglomerates from the semicircular space into the utricular area and they are able to no longer cause vertigo due to positioning.
Other treatments may be required, depending on the underlying issue that is causing your symptoms. If you suffer from a condition in your ear that triggers BPPV your doctor might prescribe medication to relieve the symptoms. They might also suggest counseling or physical therapy.
If you are suffering from vertigo, it is important to take the appropriate precautions. For instance, you must remove any tripping hazards in your home. When symptoms are apparent, you should lie down or sit down and not read or work until the symptoms subside.
The surgical treatment
The most frequently cited cause of vertigo is benign paroxysmal positional vertigo (BPPV). It occurs when tiny calcium particles (canaliths) get dislodged from the utricle within your inner ear and into one of the semicircular canals in a place where they aren’t. Dizziness can be caused by the shift of your head or the change in the position of your body. Canalith methods for repositioning like the Epley maneuver, can help to shift crystals back into your Utricle. These are specific head movements that your healthcare provider may perform in their office, or instruct you on how to perform these at home.
Your doctor could also suggest tests to determine the root cause of your vertigo. These may include electronystagmography (ENG) or videonystagmography (VNG), which measure involuntary eye movements while you move your head and try to maintain a steady gaze. Magnetic resonance imaging (MRI) is a method to examine the structure of your head and ear. You could be prescribed medication to help reduce nausea and vomit.