CRP (Epley maneuver) Canalith Repositioning Procedure

The Canalith Repositioning Procedure (CRP) or epley’s maneuver is a treatment for positional vertigo. CRP is very effective, with an approximate cure rate of 80%. The recurrence rate for BPPV after these maneuvers is low. However, in some instances additional treatment(s) may be necessary.

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of dizziness, most often experienced when patients lies down.

These maneuvers involve a series of specifically patterned head and trunk movements performed by a trained professional. This head position change, moves the canaliths from the problematic location in one of the semicircular canal to the utricle.

Procedure: The procedure takes approximately 20-30 minutes.

You will be placed on a table and then laid back with your head hanging over the end of the table.

If you have a “positive” response in this position you will then be moved through the procedure.


Instructions Following the Canalith Repositioning Procedure


Wait for 10 minutes after the maneuver is performed before going home. Don’t drive yourself home.

For first 48 hours

Keep Your Head in a Vertical Plane

Do not tip your head up or down or bend at the waist. Use of the cervical collar will help prevent you from tipping your chin down.

Do not visit the places that require you to lie down or tilt your head (hairdresser, dentist, chiropractor or barber).

Avoid tipping your head up or down when brushing teeth, shaving or washing your hair.

Sit down and get up from chairs while keeping your back straight, without bending forward and avoid tilting your head forward.

Housework such as cooking or cleaning should be avoided for the next 48 hours.

Do Not Lie Flat in Bed:

Sleep semi-recumbent for the next night. This means sleep with your head halfway between being flat and upright (a 45 degree angle) by using a recliner chair or by using pillows arranged on a couch

The Following Week:

Do Not Sleep on your treated side

Use two pillows when you sleep.

Avoid sleeping on the “bad” side.

Don’t turn your head far up or far down

(Like head extended positions at the beauty parlor, dentist’s office, and while undergoing minor surgery).

No “sit-ups” for at least one week and no “crawl” swimming.

After 1 week you can resume your daily activities without any restrictions. Move around as you wish.

Home Exercises for Canalith Repositioning for BPPV


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