Q I had a canalith repositioning maneuver for my BPPV. How long will it take to fully recover?
A After the repositioning maneuver, spinning vertigo usually improves within a few days over 1-3 sessions, and residual dizziness typically settles within several weeks to a few months. Recovery is faster when you are in good condition and also manage the factors that cause recurrence.
Detailed Answer
After the canalith repositioning maneuver (Epley maneuver), spinning vertigo subsides quickly in over 80% of cases within 1-3 sessions. However, residual dizziness with a swaying or floating sensation requires time for the balance system to readapt, so it can last from several weeks to as long as a few months. Doing vestibular rehabilitation exercises consistently speeds up the brain's balance compensation and can hasten recovery. If you have underlying conditions (osteoporosis, vitamin D deficiency), these should be managed as well.
Korean Medicine Clinic Perspective
Dongjedang helps restore inner-ear blood flow and qi and blood through a three-stage cheongsang-detoxification-circulation approach during the period when residual dizziness remains after the repositioning maneuver. Recovery can be slower especially for those who also have chronic fatigue and lack of sleep, so we combine replenishing qi and blood with measures to improve sleep quality. In many cases, residual dizziness noticeably decreases with 2-4 weeks of treatment.
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