Table of Contents
Quick GuideBalance Disorders: Vertigo, Motion Sickness, Labyrinthitis, and More
What is the treatment for vertigo?
Some of the most effective treatments for peripheral vertigo include particle repositioning movements. The most well-known of these treatments is the Epley maneuver or canalith repositioning procedure. During this treatment, specific head movements lead to movement of the loose crystals (canaliths) within the inner ear. By repositioning these crystals, they cause less irritation to the inner ear and symptoms can resolve. Because these movements can initially lead to worsening of the vertigo, they should be done by an experienced health care professional or physical therapist.
Cawthorne head exercises, or vestibular rehabilitation habituation exercises, are a series of eye and head movements which lead to decreased sensitivity of the nerves within the inner ear and subsequent improvement of vertigo. These simple movements need to be practiced by the patient on a regular basis for best results.
Medications may provide some relief, but are not recommended for long-term use. Meclizine is often prescribed for persistent vertigo symptoms, and may be effective. Benzodiazepine medications like diazepam (Valium) are also effective but may cause significant drowsiness as a side effect. Other medications may be used to decrease nausea or vomiting. It is should be recognized that medications can provide symptomatic relief, but are not considered "cures" for vertigo. Continue Reading
Bhattacharyya, N., et al. "Clinical practice guideline: benign paroxysmal positional vertigo." Otolaryngology -- Head and Neck Surgery 139.5 Suppl 4 (2008): S47-S81.
von Brevern, M., et al. "Epidemiology of benign paroxysmal positional vertigo: a population based study." Journal of Neurology, Neurosurgery, and Psychiatry 78.7 (2007): 710–715.
Burmeister, D. B., et al. "Management of benign paroxysmal positional vertigo with the canalith repositioning maneuver in the emergency department setting." The Journal of the American Osteopathic Association 110.10 (2010): 602-604.
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