Canalith Repositioning Procedure

The Canalith Repositioning Procedure (CRP) is a non-invasive treatment used to alleviate symptoms of Benign Paroxysmal Positional Vertigo (BPPV). BPPV is a condition characterized by brief, intense episodes of vertigo triggered by specific head movements.

What happens during the procedure?

The CRP involves a series of gentle maneuvers performed by a healthcare professional to help relocate the calcium particles (canaliths) in the inner ear that are causing the vertigo. The procedure typically takes about 15-30 minutes to complete.

Steps involved in the procedure:

1. The patient is seated or lying down, and the healthcare professional performs a series of tests to confirm the diagnosis of BPPV and identify the affected ear.
2. The patient is then positioned in a way that allows the canaliths to move out of the affected semicircular canal and into a less sensitive area of the inner ear.
3. The healthcare professional performs a series of slow and gentle movements, including rotations and tilts of the patient's head, to help guide the canaliths through the inner ear.
4. The patient may be asked to remain still for a short period after the procedure to allow the canaliths to settle in their new position.

Effectiveness and benefits:

The CRP has been shown to be highly effective in treating BPPV, with success rates ranging from 70-90%. The benefits of the procedure include:

• Relief from vertigo symptoms
• Improved balance and reduced risk of falls
• No surgical incisions or anesthesia required
• Low risk of complications
• Can be performed in a clinical setting

Precautions and potential risks:

While the CRP is generally considered safe, there are some precautions and potential risks to be aware of:

• Mild discomfort or nausea during the procedure
• Temporary worsening of vertigo symptoms in some cases
• Rarely, the procedure may not be effective, and additional treatments may be needed
• Pregnant women and individuals with certain medical conditions (e.g., neck or back problems) should consult their healthcare professional before undergoing the CRP

Post-procedure instructions:

After the CRP, patients are typically advised to:

• Avoid heavy lifting, bending, or strenuous activities for 24-48 hours
• Sleep with their head elevated using extra pillows
• Avoid sleeping on the affected side
• Follow up with their healthcare professional to monitor progress and address any concerns

Frequently Asked Questions (FAQs)

What is the Canalith Repositioning Procedure?
It is a non-invasive treatment for Benign Paroxysmal Positional Vertigo (BPPV).

What is the goal of the procedure?
To move calcium particles out of the semicircular canals in the inner ear.

How is the procedure performed?
A series of specific head and body movements are used to relocate the calcium particles.

Is the procedure painful?
Typically not, but some discomfort may be experienced during the maneuver.

How long does the procedure take?
Usually around 15-30 minutes.

What are the success rates of the procedure?
Generally high, with approximately 80-90% of patients experiencing relief from vertigo symptoms.

Are there any potential risks or complications?
Rarely, the procedure may cause temporary worsening of symptoms or trigger other inner ear problems.

Can the procedure be repeated if necessary?
Yes, it can be repeated if symptoms persist or recur.

Is the Canalith Repositioning Procedure suitable for everyone with BPPV?
Most people can undergo the procedure, but certain conditions, such as neck or back problems, may require caution or modification.

How soon can normal activities be resumed after the procedure?
Typically within a day, although some patients may need to avoid heavy lifting, bending, or strenuous activities for a short period.