Can you explain the process/method used to rteposition chrystals in the inner ear (Canilithic Repositioning)?
I am suffering from daily bouts of vertigo.
Thank you,
Answer:
The canalith repositioning maneuver is a treatment for a condition known as Benign Positional Vertigo. This condition typically is associated with fleeting episodes (few seconds) of vertigo (actual sensation of movement or spinning). The episodes are typically triggered by head movement and often by a particular direction of head movement. The vertigo is usually not associated with vegetative symptoms such as nausea or vomiting and shortly after an episode normal activities can usually be resumed although in some the fear of an episode precludes normal activities.
This condition is caused by the dislodging of small crystals from an apparatus in the inner ear involved in maintenance of balance. The cause of the dislodging of crystals is unknown. The crystals once dislodged, float in the fluid filled chambers of the inner ear and when the head moves in a certain direction, so do the floating crystals which in turn stimulate the inner ear causing vertigo.
The canalith (crystal) repositioning maneuver is a treatment designed to remove the crystals from the chambers of the inner ear by manipulating the position of the head such that the crystals move out of the sensitive part of the inner ear. In the hands of experienced practicioners, the treatment is reportedly highly successful.
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Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
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