New guideline for the treatment of vertigo

NewsGuard 100/100 Score

A new guideline developed by the American Academy of Neurology found that the best treatment for vertigo is the easiest and quickest one. The guideline on benign paroxysmal positional vertigo (BPPV), an inner ear disorder that is a common cause of dizziness, is published in the May 27, 2008, issue of Neurology, the medical journal of the American Academy of Neurology.

The disorder causes a feeling of spinning or whirling when the head is moved in certain ways, such as looking up or bending. The feeling lasts a short time but can be severe.

The guideline determined that in many cases the vertigo can be treated with simple maneuvers-a series of head and body movements performed by a doctor or therapist while the patient sits on a bed or table.

"The good news is that this type of vertigo is easily treated," said guideline author Terry D. Fife, MD, of the University of Arizona College of Medicine and Barrow Neurological Institute. Fife is also a Fellow of the American Academy of Neurology. "Instead of telling patients to 'wait it out' or having them take drugs, we can perform a safe and quick treatment that is immediate and effective."

Several maneuvers are in use for vertigo. The guideline found that canalith repositioning procedure, also called the Epley maneuver, is safe and effective for people of all ages. The Semont maneuver is possibly an effective treatment. To develop the guideline, the authors analyzed all available scientific studies on the topic.

The disorder is believed to be caused by loose calcium carbonate crystals that move in the sensing tubes of the inner ear. The maneuvers move the calcium crystals out of the sensing tube and into another inner chamber of the ear, from which they can be absorbed.

The guideline also evaluated whether restrictions on activity are needed after the maneuvers are performed. "There is no clear evidence to support these restrictions, which include sleeping upright and wearing a cervical collar," Fife said.

The guideline also reviewed whether patients can perform the maneuvers safely and effectively at home. "Having patients treat themselves using home exercises seems to pose little risk, but there is not sufficient evidence that this is as effective as maneuvers done by a doctor or therapist," Fife said.

The American Academy of Neurology, an association of more than 21,000 neurologists and neuroscience professionals, is dedicated to improving patient care through education and research. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as epilepsy, dystonia, migraine, Huntington's disease, and dementia.


  1. Alan Alan United States says:

    Advances in homotoxologic, resonance homeopathic, nutraceutical and bio-energetic therapies, whose curative properties have been recorded in very reputable medical literature have now made it possible to effectively manage vertigo and its underlying causes. Indispensable kits for the treatment of vertigo are available from Biogetica (C115, C13, C5, etc.).  These products not only take care of vertigo and other symptoms (such as headaches, dimness of vision, nausea, nervousness and vomiting) associated with it, but also try to correct the underlying pathology that could be responsible for causing the problem.*

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Needle pain is a big problem for kids. One California doctor has a plan.