Canalith Repositioning Procedure in Bangalore

Overview

The Canalith Repositioning Procedure, often referred to as the Epley Maneuver, is a non-surgical treatment designed to alleviate symptoms of Benign Paroxysmal Positional Vertigo (BPPV). BPPV is a common vestibular disorder caused by the displacement of tiny calcium crystals (canaliths) within the inner ear, leading to episodes of vertigo and dizziness. This blog will explore the Canalith Repositioning Procedure, its purpose, how it is performed, and its benefits.

What is Benign Paroxysmal Positional Vertigo (BPPV)?

Benign Paroxysmal Positional Vertigo (BPPV) is a condition where brief episodes of vertigo are triggered by changes in head position. The inner ear contains tiny calcium carbonate crystals known as otoconia, which can become dislodged from their normal location and move into one of the semicircular canals. This displacement disrupts the normal fluid movement in the canals, leading to dizziness and a spinning sensation.

When is the Canalith Repositioning Procedure Indicated?

The Canalith Repositioning Procedure is indicated for patients diagnosed with BPPV, particularly when:

• Classic Symptoms: Patients experience brief episodes of vertigo triggered by specific head movements.
• Positive Diagnosis: The diagnosis is confirmed through clinical tests such as the Dix-Hallpike maneuver.
• No Contraindications: There are no contraindications to performing the procedure, such as severe neck problems or other medical conditions.

The Canalith Repositioning Procedure

The Canalith Repositioning Procedure is specifically designed to move these displaced canaliths back to their original location in the utricle, a part of the inner ear where they can no longer cause vertigo. This procedure aims to provide relief from the symptoms of BPPV by restoring normal inner ear function.

How is the Canalith Repositioning Procedure Performed?

1. Initial Positioning:

• The patient begins seated on an examination table with their head turned toward the affected side. This position helps move the canaliths into the appropriate semicircular canal.

2. Head Rotation:

• The patient is then quickly moved to a supine position with the head tilted backward at a 45-degree angle. This helps the canaliths move through the semicircular canal.

3. Head Turn:

• The head is slowly rotated to the opposite side while the patient remains in the supine position. This allows the canaliths to continue moving through the canal.

4. Final Position:

• The patient is then moved to a sitting position with their head tilted downward. This final step ensures that the canaliths settle in the utricle.

5. Post-Procedural Instructions:

• Patients are typically advised to avoid lying flat or tilting their head backward for 24-48 hours after the procedure to prevent the canaliths from shifting back into the semicircular canal.

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