Neurological
Vertigo & Balance Disorders
Stop the spinning. Find your footing again.
What is Vertigo & Balance Disorders?
Vertigo and balance disorders arise when the inner-ear balance system, the brain or the eyes send conflicting signals. The most common cause, BPPV, is due to displaced crystals in the inner ear and responds quickly to repositioning manoeuvres. Vestibular rehabilitation therapy retrains the system to restore steady balance.
Dizziness and vertigo are disorienting and frightening, but highly treatable. Vestibular rehabilitation retrains the balance system and, for BPPV, simple repositioning manoeuvres often bring rapid relief.
Signs & Symptoms
- A spinning or tilting sensation (vertigo)
- Dizziness or lightheadedness
- Unsteadiness and loss of balance
- Nausea triggered by head movement
- Blurred vision or difficulty focusing
- Fear of falling, especially in older adults
Our Approach
After identifying the cause, we use canalith repositioning (such as the Epley manoeuvre) for BPPV, plus gaze-stabilisation, habituation and balance-retraining exercises for other vestibular conditions. Programmes are progressed to rebuild confidence in daily movement.
Rapid Relief
BPPV often improves within a few sessions.
Steadier Balance
Move and turn without dizziness.
Clearer Vision
Reduce blur during head movement.
Renewed Confidence
Less fear of falling.
Your Treatment Journey
- 1
Vestibular Assessment
Specific tests to pinpoint the cause of your dizziness or imbalance.
- 2
Repositioning (BPPV)
Epley and related manoeuvres to clear displaced inner-ear crystals.
- 3
Gaze Stabilisation
Eye-and-head exercises to steady vision during movement.
- 4
Balance Retraining
Progressive challenges to rebuild steadiness and confidence.
- 5
Falls Prevention
Strategies and home advice to stay safe and independent.
Recommended Exercises & Home Care
Simple activities that often support recovery between sessions — your therapist will tailor and progress these for you.
Gaze stabilisation
Focus on a fixed point and turn your head slowly side to side, keeping the target in view, to retrain the balance system.
Seated-to-standing balance
Practise standing steadily with eyes open, then briefly with eyes closed (with support), to rebuild stability.
Slow head turns
Gentle, controlled head movements help the brain adapt and reduce dizziness over time.
Things to Be Aware Of
- Always have something sturdy to hold during balance exercises.
- Repositioning manoeuvres (e.g. for BPPV) should be done or taught by a trained therapist.
- Move slowly when changing position to avoid sudden dizziness.
- Stop if symptoms become severe and let your therapist know.
General guidance only — always follow the personalised plan from your physiotherapist before starting any exercise.
Frequently Asked Questions
BPPV frequently resolves in one to three sessions with repositioning manoeuvres. Other vestibular conditions improve over a few weeks of targeted exercises.