Standard treatment for benign paroxysmal positional vertigo is therapeutic movement of the head and body to teach the brain to compensate for vertigo or to move obstructive particles out of the inner ear. The movements can be performed in a clinical setting and at home, according to Mayo Clinic.
The Epley maneuver includes positional movements of the head, and of the body and head in unison. The provider repeats the maneuver as many as six times or until the vertigo sensation is eliminated, states Johns Hopkins Medicine. In some cases, the provider places a hand-held vibrator against the bone behind the affected ear to facilitate the movement of obstructive particles.
The canalith repositioning procedure includes slow movements of the head, with certain positions held for 30 seconds after symptoms subside or abnormal eye movement ceases. Health care providers teach this movement to patients so it can be performed at home, reports Mayo Clinic. Movement restrictions for 24 hours following the in-office maneuver prevent particles from returning to the canals of the inner ear.
The Brandt-Daroff exercise teaches the brain to compensate for the vertigo sensation to reduce the severity of symptoms. The patient learns the exercise in a clinical setting and how frequently to perform it, according to WebMD. Immediate symptom relief is not common. The goal is a gradual reduction in symptoms over weeks or months.