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NCAHP: Neurosciences

Balance/Vertigo

Vestibular Physiotherapy

Stopping the world spinning — expert care for dizziness and balance.

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This page is for general information only — not medical advice. Always consult a qualified physiotherapist.

Vestibular Physiotherapy illustration

Overview

What this care covers

Vestibular physiotherapy treats problems with the inner ear and balance system. If you experience vertigo, dizziness, a feeling of unsteadiness, or a sensation that the room is spinning, a vestibular physiotherapist can identify the cause and treat it with targeted exercises and repositioning techniques. The most common condition — BPPV (benign paroxysmal positional vertigo) — often resolves in just one or two sessions.

Signs & symptoms

When to seek help

  • Spinning sensation (vertigo) triggered by head movement
  • Persistent dizziness or lightheadedness
  • Unsteadiness and loss of balance
  • Nausea and vomiting with movement
  • Difficulty focusing the eyes
  • Tendency to veer or fall to one side

Approach

How treatment is delivered

  • Canalith repositioning (Epley manoeuvre for BPPV)
  • Vestibular rehabilitation therapy (VRT)
  • Gaze stabilisation exercises
  • Balance retraining and fall prevention
  • Habituation exercises for chronic dizziness
  • Gradual return to activity and movement tolerance

Equipment used

Modalities & equipment

Infrared/video goggles (VNG assessment)Dynamic posturography platformsBalance boards and foam pads

Qualifications to look for

Relevant certifications

Vestibular Rehabilitation (IAP)BPPV ManagementVestibular Physiotherapy (advanced)

Patient benefits

What better recovery looks like

Rapid resolution of BPPV vertigo

Significantly reduced dizziness and unsteadiness

Restored confidence in daily movement

Lower risk of falls related to balance problems

Ready to start your recovery?

Browse verified physiotherapists, compare visit formats, and book the specialist support that matches your condition and recovery pace.

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