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Vestibular Physiotherapy

Vestibular Physiotherapy

Vestibular Physiotherapy is an evidence-based treatment for inner ear and balance disorders. In fact, there are many different types of inner ear problems that can develop. Each problem is approached differently. Vestibular Rehabilitation Therapy can involve repositioning movements, eye exercises, inner ear exercises, head and body movement exercises, and balance exercises. 

Physiotherapy for vestibular rehab is mainly exercise-based. It is often used to bring on symptoms. This is so that your brain is forced to adapt to whatever problems you are experiencing. In some cases, a repositioning movement may be able to help your dizziness quickly. However, in other cases, you may need to complete a consistent home program for months. Therefore everyone’s program is different. We will guide you every step of the way. 

What to Expect During Vestibular Physiotherapy
  • History Review – We’ll start by discussing your symptoms, medical history, and any factors that may be contributing to your dizziness or balance issues.
  • Screening for Serious Conditions – Your physiotherapist will rule out any underlying medical concerns that may require further medical attention.
  • Neck Assessment – Since the neck plays a key role in balance and dizziness, we may assess your neck mobility and function.
  • Eye Movement & Inner Ear Testing – We’ll evaluate how your eyes and inner ear are working together, as they play a crucial role in balance and spatial awareness.
  • Balance Assessment – We’ll test how well you maintain stability in different positions and environments to identify any weaknesses.
  • Motion & Position Sensitivity – Your response to head movements, positional changes, and motion will be assessed to determine triggers and guide treatment.

Your treatment plan will be based on these findings, focusing on exercises and techniques to improve balance, reduce dizziness, and restore confidence in movement.

How to Prepare for Vestibular Physiotherapy
  • Take Your Medications – If you use medication to manage dizziness, take it as prescribed before your appointment. We’ll still be able to assess everything we need.
  • Manage Nausea – If you experience nausea, avoid a large meal before your visit. If your doctor approves Gravol, you may take it beforehand.
  • Arrange a Ride – If possible, have someone drive you to your first appointment, especially if dizziness is a concern.
  • Plan for Rest – The assessment may temporarily bring on symptoms. Depending on severity, it may be best to take the rest of the day off to allow for recovery.

Vestibular Physiotherapy Treatments

Repositioning Maneuvers

For BPPV (vertigo caused by loose inner ear crystals), we use specific techniques to move them back into place, often providing fast relief.

Eye & Head Coordination (Gaze Stabilization)

If dizziness affects your vision or makes it hard to focus, we use exercises to train your brain to stabilize your gaze, even while moving.

Habituation Exercises

Gradual, controlled exposure to dizziness-provoking movements helps your body adapt and reduces symptoms over time.

Balance & Falls Prevention

We improve your ability to stay steady on your feet with balance exercises, challenging you in different positions.

Neck Treatment

Tension, stiffness, or poor posture can contribute to dizziness. We address any neck-related issues that may be affecting your balance and symptoms.

Vestibular Physiotherapy

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