Benign paroxysmal positional vertigo (BPPV) may go away in a few weeks by itself. If
treatment is needed, it usually consists of head exercises (Semont and Epley maneuvers). These exercises will move the particles out of the
semicircular canals of your
inner ear to a place where they will not affect your balance.
Over time, your brain may react less and less to the confusing signals
triggered by the particles in the inner ear. This is called
compensation. Compensation occurs most quickly if you
continue normal head movements, even though doing so causes the whirling
Brandt-Daroff exercise may also be done to speed the
compensation process. This exercise takes you from sitting to lying on the side
that causes the worst vertigo. You'll remain in this position until either the
vertigo goes away or until 30 seconds have passed. This movement is then
repeated on the other side. These exercises are done twice a day for several
weeks to months, or until the vertigo goes away.
vestibular suppressants (such as
scopolamine) reduce vertigo and may be tried if your
symptoms are severe. But using medicines to control vertigo often extends the
time needed for compensation to occur.
may also be used to reduce nausea and vomiting that can occur with
In rare cases, surgery may be used to treat BPPV.
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