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Treating vertigo in the office Particle repositioning maneuver Vertigo is a common complaint that has traditionallybeen a management challenge for family physi-cians. The prevalence of vertigo and benign paroxys-mal positional vertigo (BPPV) increases with age,1 and the limitation imposed by dizziness puts older patients at risk of functional decline, falls, and depression. Benign paroxysmal positional vertigo is one of the most common causes of vertigo of peripheral origin.2 Working with the Regional Geriatric Program at St Mary’s of the Lake Hospital in Kingston, Ont, I have had experience with several elderly patients who suffered from vertigo due to BPPV for periods ranging from months to several years. All patients were severely compromised as a result of their dizzi