What is the particle repositioning procedure for benign paroxysmal positional vertigo (BPPV)?

The particle repositioning procedure takes about 15 minutes to complete and involves a series of physical movements that change the position of the head and body. These actions shift the otoconia out of the semicircular canals and back into their proper location in the utricle.

The particle repositioning procedure begins with the patient sitting up and then lying down on a treatment table. The procedure is very easy to perform. Patients should wear comfortable clothing that will allow them to move freely.

A single particle repositioning procedure is effective in treating about 80% to 90% of cases of BPPV. Additional exercise or repositioning maneuvers may be needed if symptoms continue.

Step-by-step instructions:

Hold each of the following positions for 1 to 2 minutes.

Step 1: Turn your head toward your affected ear.

Step 2: Lay back quickly. Hold.

Step 3: Keep your head back against the bed and turn it toward the good ear. Hold.

Step 4: Roll onto your side with your good ear down. Your nose should be turned toward the floor. Hold.

Step 5: Sit up, keeping your chin tucked in toward your shoulder. Hold. When you end, you should be sitting over the side of your bed so your feet touch the floor.

Step 6: Follow your post-particle repositioning instructions.

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