What you can expect

During the procedure

The canalith repositioning procedure involves holding four positions for about 30 seconds each, or as long as you have symptoms while you hold that position. You'll generally stay in each position an extra 30 seconds after your symptoms have stopped. Your doctor will watch your eyes for abnormal movements during the procedure. The procedure may be repeated three or more times within a treatment session.

The canalith repositioning procedure includes these steps:

1. First you move from a sitting to a reclining position with your head turned to the affected side by 45 degrees. Your doctor will help extend your head over the edge of the table at a slight angle.
2. With your head still extended over the edge of the table, you'll be prompted to turn your head slowly away from the affected side by about 90 degrees.
3. Roll onto your side. Your head should be slightly angled while you look down at the floor.
4. Finally, you return carefully to a sitting position with your head tilted down and returned to the center position. You'll likely need to sit still for about 20 minutes.

After the procedure

After the procedure, follow your doctor's instructions. Your doctor will likely teach you how to perform the procedure yourself so that you can do it at home if needed. You may need to perform these exercises for several days before your symptoms go away.