A Doctor's View on Vertigo Treatment
Read the Comment by Charles Patrick Davis, MD, PhD
Vertigo treatment depends on the underlying cause of vertigo. Many cases of vertigo require no treatment. Other cases of vertigo may require treatment with medication, physical therapy, or other intervention. Blood tests and CT and MRI scans may be necessary to determine the underlying cause of vertigo so that the appropriate treatment can be prescribed. Read the entire Doctor's View
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.