Canalith Repositioning Procedure for BPPV

• The Canalith Repositioning Procedure is performed in a doctor's office and involves moving the head slowly into various positions. These movements help transfer the particles causing vertigo from one part of the ear to a different part where they will not be bothersome and where the inner ear fluid can more easily absorb them. Some people experience relief within one or two sessions, while others may need several visits before feeling better. The doctor will teach you how to perform the movements at home.
  
  

Canalith Procedure for BPPV

• The canalith procedure is usually effective for treating BPPV; however, it does not always work. If the method fails to work, a surgical procedure is employed using a bone plug to block off the part of the inner ear causing dizziness. This procedure keeps the semicircular canal from reacting to particle movements or any kind of head movement. Ninety percent of people are successfully treated, while fewer than 5 percent experience hearing loss.
  
  

Vertigo Medications for Meniere's disease

• Drugs used for motion sickness can help treat vertigo brought on by Meniere's disease. The most common medications are meclizine (Antivert) and diazepam (Valium). They can reduce the spinning sensation and prevent nausea and vomiting. Anti-nausea medications such as prochlorperazine are also used.
  
  

Middle Ear Injections for Meniere's Disease Induced Vertigo

• Certain medications can be injected into the inner ear to relieve symptoms of vertigo.
  
  Gentamicin is an antibiotic that can reduce the number of vertigo attacks as well as their intensity. Gentamicin is toxic to the inner ear and there is a risk of further hearing loss. Steroids also reduce episodes. Steroids are not as effective as gentamicin, but present a reduced risk of hearing loss.
  
  

Surgery for Meniere's Disease Induced Vertigo

• Many surgical options are available for people with Meniere's disease who are not experiencing relief from vertigo attacks through other treatment.
  
  Endolymphatic sacs are responsible for controlling fluid levels in the inner ear. Endolymphatic sac surgery treats vertigo by reducing fluid production and increasing absorption.
  
  Labyrinthectomy is a more drastic procedure during which part or all of the inner ear is removed. This will eliminate hearing in the affected ear and is used only in cases where a person is approaching complete hearing loss or already has it.
  
  Vestibular nerve section surgery cuts the nerve that connects sensors of balance and movement in the ear to the brain. It treats vertigo and can preserve hearing in the affected ear.