Can manual reduction effectively treat positional paroxysmal vertigo?
Jun 05, 2025
Source: Cainiu Health
Dr. Lu Cheng
Introduction
Positional paroxysmal vertigo refers to benign paroxysmal positional vertigo (BPPV). Manual repositioning maneuvers are usually effective in treating BPPV, although treatment outcomes may vary among individuals. Manual repositioning is generally appropriate for cases caused by displaced otoconia leading to dysfunction of the semicircular canals. Through manual repositioning, physicians can help patients relocate the displaced otoconia back to their normal position within the inner ear.
Positional paroxysmal vertigo refers to benign paroxysmal positional vertigo (BPPV). Manual repositioning maneuvers are usually effective for treating BPPV, although treatment outcomes may vary among individuals. If abnormalities occur, timely medical attention is recommended. Detailed explanations are as follows:
Manual repositioning is generally suitable for cases where the dysfunction of the semicircular canals is caused by displaced otoconia (ear stones). Through manual repositioning, physicians can help return the displaced otoconia to their normal position within the inner ear, thereby restoring normal function of the semicircular canals and alleviating or eliminating vertigo symptoms.
However, if patients have other serious conditions, such as cardiovascular or cerebrovascular diseases, severe cervical spondylosis, or other significant health issues, manual repositioning may increase risks or worsen their condition. In a small number of patients, manual repositioning may have limited effectiveness, and alternative treatments such as medication or surgical intervention may need to be considered.
Prior to undergoing manual repositioning, patients should ensure adequate rest and avoid excessive fatigue and strenuous physical activity, as these factors may affect the effectiveness of the repositioning procedure.
