Can can someone please tell me which treatment maneuvers are used to treat canalithiasis vs cupulolithiasis? I’m getting them confused: For example, is semont/liberatory only used to treat cupulolithiasis and Eply for canalithiasis.
And is the BBQ roll only for horizontal canalithiasis?
Hi Tawiona,
All the examples you provided are correct. For cupulolithiasis, the goal is to displace the otoconia from being stuck in the cupula and convert the BPPV from cupulolithiasis to canalithiasis. We use a very fast movement like the Semont/Liberatory to try to break the otoconia free. Once the otoconia are free-floating in the canal (canalithiasis), we treat with the Epley.
The BBQ roll is only used for horizontal canalithiasis.