Vestibular Rehabilitation
Physiotherapy for vertigo, BPPV and persistent dizziness, treating the vestibular system directly rather than just suppressing symptoms with medication. BPPV alone typically resolves in one to three sessions.
Treating the cause of vertigo, not just the symptom.
Vertigo — the sensation that you or the room around you is spinning — is one of the most disorienting and functionally limiting symptoms a person can experience. It disrupts balance, makes safe walking difficult, causes nausea, and in many cases prevents people from working, driving, or moving around their home without fear of falling. What most people don’t know is that a significant proportion of vertigo and persistent dizziness is caused by problems in the vestibular system — the balance organs of the inner ear — and that these problems respond very well to specific physiotherapy techniques. Medication suppresses the symptoms. Vestibular rehabilitation addresses the cause.
Benign paroxysmal positional vertigo (BPPV) is the most common cause and one of the most successfully treated conditions in all of physiotherapy. Small calcium carbonate crystals become dislodged and fall into a semicircular canal, and when the head moves in certain directions they roll through the canal and falsely signal rotational movement — producing a brief but intense episode of spinning vertigo. The treatment is a repositioning manoeuvre, most commonly the Epley manoeuvre, and in most cases one to three sessions produce complete resolution, with a success rate over ninety percent.
Other vestibular conditions — vestibular neuritis, unilateral vestibular hypofunction, and persistent postural-perceptual dizziness (PPPD) — work differently and need a customised exercise programme rather than a single manoeuvre. Vestibular rehabilitation works through two mechanisms: habituation, reducing a symptom response through repeated controlled exposure to the trigger, and adaptation, the brain’s ability to reweight sensory input and recalibrate the reflex that keeps vision stable during head movement.
The root causes we look for.
Recognise any of these?
How we'll actually treat it.
The disciplines we'll combine.
Every programme braids two or three of our core services. Here's the typical pairing for this condition.
Treatment that actually holds.
BPPV — the most common cause of vertigo — resolves in one to three sessions in the large majority of cases. Other vestibular conditions take longer, but the brain's capacity to compensate through habituation and adaptation means most patients see real, measurable improvement.
Your questions, answered.
Still unsure? Our clinicians answer the questions patients ask most. You can always call the HSR Layout clinic for a straight answer first.
Ask us directly
Let's get this handled.
Book a 60-minute assessment with one of our clinicians. You'll leave with a clear diagnosis, a written programme, and a realistic timeline.
Book assessment- → Full movement assessment
- → Diagnosis & root-cause analysis
- → Written programme with milestones
- → Cost & timeline upfront
- → Same-day hands-on treatment if appropriate