Dizziness can describe spinning, light-headedness, unsteadiness or a sense that the surroundings are moving. These symptoms can have several causes, including problems involving the inner ear, nervous system, circulation or medication.

Because the causes differ, an assessment should come before exercises.

What is vestibular physiotherapy?

Vestibular physiotherapy focuses on dizziness and balance linked to the vestibular system. An assessment may look at eye and head movements, standing balance, walking and the positions that bring on symptoms.

Treatment may include:

  • specific eye and head exercises
  • balance and walking practice
  • gradual exposure to movements that cause mild symptoms
  • repositioning manoeuvres for some forms of positional vertigo
  • advice about falls risk and daily activity

St George’s Hospital describes vestibular rehabilitation as a combination of customised eye, head, walking and balance exercises, clinical manoeuvres and education.

Do not copy exercises at random

An exercise that helps one vestibular condition may not suit another. Unsupported balance exercises can also create a falls risk. The programme should match the assessment.

When dizziness is urgent

Call 999 for sudden dizziness with facial or limb weakness, speech difficulty, severe headache, new loss of vision, chest pain, fainting or inability to walk. New hearing loss, persistent vomiting or rapidly worsening symptoms also need prompt medical advice.

Ask about vestibular physiotherapy

Crestwell Medical can assess dizziness, balance and movement where vestibular rehabilitation is appropriate. Book an appointment to discuss your symptoms.

This article provides general information and does not provide a diagnosis.