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VERTIGO & VESTIBULAR PHYSIOTHERAPY
Our physiotherapists will perform a screening for any vestibular problems that may be causing your vertigo, nausea, difficulty with maintaining gaze stability (particularly when using a phone or reading while in the car, flying, or walking), involuntary eye movements (nystagmus) or vertigo.
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HOW IT WORKS
We will conduct a thorough history and a series of tests to ascertain whether the vestibular system is causing your symptoms because there are many factors other than the vestibular system that can cause dizziness, such as problems with the cardiovascular system, neurological dysfunction, and visual dysfunction. We will make sure a proper referral is made if we don't believe the vestibular system is the primary contributor.
Vestibular system disorders are frequently associated with head trauma (such as whiplash or concussion), ageing, vestibular neuritis (infection), Meniere's disease, or those who have experienced direct ear damage due to pressure trauma, acoustic neuroma, or ototoxicity.
After evaluating your condition, we will prescribe exercises that are specific to your deficit (these may involve vision exercises, vision and head movements, balance and much more) and that can easily be performed at home.
The most common cause of vertigo is BPPV (Benign Paroxysmal Positional Vertigo), which is often triggered by looking up, lying down flat quickly, bending forward and rolling in bed. It is a biomechanical problem that is assessed in the clinic, and if confirmed to be BPPV, can often be treated in 1-3 vestibular physiotherapy sessions.
Your symptoms will be triggered during the assessment, which may make driving challenging. We advise that you bring a friend or family member with you to your first session.
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HOW LONG DOES VESTIBULAR PHYSIOTHERAPY TAKE?
Patients with vestibular disorders who require vestibular physiotherapy are often advised to complete the recommended rehab program in 6 to 8 weeks. Keep in mind that there are a few things to take into account when determining how long a patient should get vestibular therapy. The patient's diagnosis, the intensity of their symptoms, and how they respond to treatment will all influence how many physiotherapy sessions they require.
WHAT DOES A VESTIBULAR PHYSIOTHERAPIST DO?
A vestibular physiotherapist has received specialised training that helps to identify the problem in one’s vestibular (vestibular apparatus), or the sensory mechanism in our inner ears that help us keep our balance while walking or moving. A vestibular physiotherapist will make a comprehensive clinical assessment, check the patient’s medical history and symptoms to find out the cause of their vertigo, perform different tests to evaluate the patient’s condition, suggest a therapy that suits you best (manual therapy, or therapeutic exercise, occupational therapy, etc.) create a rehabilitation plan that can help the patient's symptoms and balance issues while also promoting compensatory changes in the central nervous system through exercise-based methods.
The patient will then be advised on how they can manage, improve, and adapt to the symptoms of dizziness or vertigo in their daily life. Part of vestibular rehabilitation therapy is a home exercise program that should be done regularly. This treatment plan is personalized to the patient’s condition and will be prescribed to ease the symptoms of his vestibular disorder. The symptoms should subside with time if these exercises are performed consistently, allowing one to return to daily activities.
