1. Canalith Repositioning :
As BPPV is a physical disorder caused by displacement of otoconial debris, the mainstay of treatment involves a repositioning of these particles back to their original position. Various manoeuvre have been described for treatment of BPPV. A few common manoeuvre are
A correctly done manoeuvre can provide relief to most patients of BPPV.
2. Brandt-Dariff Exercise
This exercise helps the brain cope with the confusing signals it receives, as a result of inner ear problems. Brandt-Daroff exercise is done two-three times daily, for several weeks to get the desired results.
How To Do Brandt-Daroff Exercise?
Step 1: Sit straight on the bed with your legs down.
Step 2: Turn the head 45 degrees to your left. Take the body down to the right so that the head is on the bed and nose facing upwards.
Step 3: This position is to be held for 30 seconds or until your vertigo symptoms subside.
Step 4: Sit back as in step 1.
Step 5: Now turn your head 45 degrees to your right and take the body to the left with the nose facing upwards.
Step 6: Hold this position for 30 more seconds.
Step 7: Get up and sit on the bed.
These steps are repeated 3 times twice a day. The exercise should be done in the presence of an attendant to support the patient if the Vertigo is strong.