How should otolithic vertigo be treated?

The treatment for otolithic vertigo is to reset the otolith, as follows: 1. Epley method: It is the most common technique for treating posterior semicircular canal otoliths. This method is used to make the otoliths move under the action of gravity and discharge from the posterior semicircular canal by changing the patient’s head position. The patient is seated on the examination bed with the head turned 45 degrees to the affected side. With the help of the therapist, the patient is quickly placed in a supine position with the head hanging over the side of the bed and the head turned 90 degrees to the healthy side, which is equivalent to the Dix-Hallpike position on the healthy side at this time, and the patient’s head is continued to be turned 90 degrees to the healthy side along with the body so that he or she is supine on the treatment bed. At this point, the head deviates from the supine position up to 135 degrees and returns to the sitting position, completing a treatment cycle.2. Barbecue method: Also known as the tumbling method, it is used to treat horizontal hemianopsia otoliths.3. Otolith repositioner: It can be used as a repositioning treatment option for patients with difficulties in manipulative repositioning operations.