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New Guideline Says Simplest Treatment For Vertigo is Also the Best

The next time the world starts spinning, Patti will know exactly how to stop it. But two months ago, when the 50-year-old Ocean County resident woke up spinning with vertigo for the last time, he had no idea what to do. “I felt like I was drunk,” he said. “I couldn’t stand up. I kept falling.”

Fortunately for her, she had a friend who also came to my office for vertigo, who has also been asymptomatic ever since. They, like many others, are better thanks to a simple technique that neurology experts have verified as the best way to treat benign paroxysmal positional vertigo – BPPV – a common cause of severe dizziness. A series of gentle head and neck movements known as the canalith repositioning procedure is the fastest and easiest way to treat BPPV, according to new guidelines developed by the American Academy of Neurology.

Although I only recently became aware of it, I have been using this technique for decades to successfully treat vertigo. About 3 million new patients a year in the United States are diagnosed with the problem characterized by dizziness, vertigo, imbalance and nausea that can last for days – or even months. Traditional treatments have varied widely, from drastic measures such as sedatives to nerve surgery to nothing at all. “Instead of telling patients to ‘learn to live with it’ or make them take drugs, we can make a safe and quick treatment that is immediate and effective. BPPV is caused when tiny calcium carbonate crystals called otoconia dislodge in the ‘inner ear and the ground. in the sensory tubes that detect movement and gravity. When patients move their heads, those otoconia cause severe sensations of spinning or whirling.

It can be overwhelming as those afflicted simply assume that they have had a stroke from the severity of the vertigo. The condition is typically caused by a head injury in people younger than 50, although it is much more common in the elderly, as aging causes degeneration in the structures of the inner ear. The canalith repositioning procedure works by moving the calcium crystals out of the feeling tubes and into another chamber of the inner ear, where they are safely reabsorbed. The maneuver, which solves vertigo in our office in better than 90 percent of our patients, is widely used, but only among doctors who know. The technique is not taught in medical schools and most general practitioners may have only heard rumors of a quick and easy way to treat vertigo. In the early years, the technique was ridiculed by colleagues for suggesting that such a simple treatment could have profound effects on vertigo. Our office now sees many referrals from local internists for the procedure.

Dr. Scopelliti has over 1,000 hours in post-doctoral neurology, and practices at 279 Professional Medical Arts Bldg at the rear of Monmouth Medical Center; Tel. (732) 229-5250. Information is updated weekly on the web at www.dcneuro.net

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