Brief Answer:
Repositioning maneuvers

Detailed Answer:
Hello,

I understand your concern. By your question I am assuming you have already been diagnosed with BPPV (Benign Paroxysmal positional vertigo), if this is not the case, and you think this is the cause of your dizziness, I recommend you see your PCP for a physical examination to rule out and narrow down the possible diagnosis.

If BPPV is an estabilished diagnosis, there are certain maneuvers you can try, such as the Semont, Brandt Daroff and Epley maneuvers for the rearrangement of calcium crystals inside the ear. Ideally, your ENT doctor should perform them initially in their office and train you how to do them at home. However, there are step by step instructions of the above mentioned maneuvers you can find online that you can do on your own.

I recommend the Semont maneuver, and is best performed by a specialist, but can also be performed by the patient himself:

The patient is seated on a treatment table with their legs hanging off the side of the table. The therapist then turns the patient's head towards the unaffected side 45 degrees.

The therapist then quickly tilts the patient so they are lying on the affected side.

The head position is maintained, so their head is turned up 45 degrees. This position is maintained for 3 minutes. The purpose is to allow the debris to move to the apex of the ear canal.

The patient is then quickly moved so they are lying on the unaffected side with their head in the same position (now facing downwards 45 degrees). This position is also held for 3 minutes. The purpose of this position is to allow the debris to move toward the exit of the ear canal.

Finally, the patient is slowly brought back to an upright seated position. The debris should then fall into the utricle of the canal and the symptoms of vertigo should decrease or end completely.

I hope this helps. You are welcome to follow up with further questions or concerns.

Take care.

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