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The most well-known of these treatments is the Epley maneuver or canalith repositioning procedure. During this treatment, specific head movements lead to the movement of the loose crystals (canaliths) within the inner ear. By repositioning these crystals, they cause less irritation to the inner ear and symptoms can resolve. Because these movements can initially lead to worsening of vertigo, they should be done by an experienced health care professional or physical therapist.
Medical professionals often prescribe meclizine for persistent vertigo symptoms and may be effective. Benzodiazepine medications like diazepam (Valium) are also effective but may cause significant drowsiness as a side effect. Other medications may be used to decrease nausea or vomiting. It is should be recognized that medications treat the symptoms but do not "cure" vertigo.
This helps to decrease some of the fluctuations of fluid within the vestibular system, diminishing some of the symptoms caused by Ménière's disease. Betahistine is a prescription medication that has been used since the 1970s as a treatment of Ménière's disease. The most well-known of these treatments is the Epley maneuver or canalith repositioning procedure.
The vestibular rehabilitation exercises (Brand-Daroff exercises, along with the other exercises listed above) are meant to be done on a regular basis by patients. Source: Getty Images Is it possible to prevent vertigo? Most cases of vertigo occur spontaneously, and it is difficult to predict who is at risk. Prevention may not be possible.
Treatment for vertigo depends on the cause and severity of your symptoms. During a vertigo attack, lying still in a quiet, darkened room may help to ease any symptoms of nausea and reduce the sensation of spinning. You may be advised to take medication. You should also try to avoid stressful situations, as anxiety can make the symptoms of vertigo worse.
You may need emergency treatment to restore your hearing. Labyrinthitis may also be treated with vestibular rehabilitation – also called vestibular rehabilitation training or VRT (see below). See treating labyrinthitis for more information Vestibular neuronitis Vestibular neuronitis, also known as vestibular neuritis, is inflammation of the vestibular nerve (one of the nerves in your ear that's used for balance).
The symptoms of vestibular neuronitis often get better without treatment over several weeks. However, you may need to rest in bed if your symptoms are severe. See your GP if your symptoms get worse or don't start to improve after a week. You may find your balance is particularly affected if you: drink alcohol are tired have another illness Avoiding these can help to improve your condition.
Until the symptoms disappear or the condition is treated, you should: get out of bed slowly avoid activities that involve looking upwards, such as painting and decorating or looking for something on a high shelf BPPV can be treated using a procedure called the Epley manoeuvre. The Epley manoeuvre The Epley manoeuvre involves performing four separate head movements to move the fragments that cause vertigo to a place where they no longer cause symptoms.
You may experience some vertigo during the movements. Your symptoms should improve shortly after the Epley manoeuvre is performed, although it may take up to two weeks for a complete recovery. Return to your GP if your symptoms haven't improved after four weeks. The Epley manoeuvre isn't usually a long-term cure and may need to be repeated.
Your ENT specialist can give more advice on this. Ménière's disease If your vertigo is caused by Ménière's disease, there are a number of treatment options for both the vertigo and other symptoms caused by the condition. Possible treatments for Ménière's disease include: dietary advice – particularly a low-salt diet medication to treat attacks of Ménière's disease medication to prevent attacks of Ménière's disease treatment for tinnitus (ringing in your ears) – such as sound therapy, which works by reducing the difference between tinnitus sounds and background sounds, to make the tinnitus sounds less intrusive treatment for hearing loss – such as using hearing aids physiotherapy to deal with balance problems treatment for the secondary symptoms of Ménière's disease – such as stress, anxiety and depression See treating Ménière's disease for more information Central vertigo Central vertigo is caused by problems in part of your brain, such as the cerebellum (which is located at the bottom of the brain) or the brainstem (the lower part of the brain that's connected to the spinal cord).
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