Benign Paroxysmal Positional Vertigo (BPPV)
A common cause of dizziness due to displaced inner ear crystals, leading to brief episodes of vertigo triggered by changes in head position. Treatment is highly effective and includes adopting different head positions to complete “repositioning manoeuvres”. These move the crystals out of the inner ear canals where they were not supposed to be, restoring the usual inner ear balance input to your brain.
Vestibular Neuritis and Labyrinthitis
Inflammation of the vestibular nerve causes sudden, severe vertigo, often following a viral infection. When also impacting the cochlear component of the nerve it is called Labyrinthitis. We offer specialised objective testing called VFT’s (Vestibular Function Tests) enabling us to assess all 5 balance organs of the inner ear. Rehabilitation then focuses on using brain training, eye balance and body balance exercises to help the brain adapt to the loss that has occurred.
Meniere’s Disease
A chronic condition causing spontaneous episodes of vertigo, nausea/vomiting, tinnitus, fluctuating hearing loss, and a sensation of ear fullness. Medical management of the condition is important, and vestibular rehabilitation can assist if you experience symptoms of dizziness, imbalance, neck pain or headaches in-between the vertigo episodes.
Persistent Postural-Perceptual Dizziness (PPPD)
Chronic dizziness, present for over 3 months, and is worsened by motion, visual stimuli, or postural changes. Even if the symptoms have been present for a long time, the good news is that it can improve. We recommend a combination of Physiotherapy to provide habituation and balance exercises, and CBT (cognitive behavioural therapy) with Psychology to help re-train the brain and improve your tolerance to motion.
Vestibular Migraine
A variant of migraine where vestibular symptoms such as vertigo, dizziness, nausea and imbalance are the main complaints. Headache is not always present, although there are usually other migraine features such as light and sound sensitivity or visual auras. It is one of the most common causes of spontaneous episodic vertigo in children and in adults. Patients experiencing migraines benefit from having a team of health care professionals for diagnosis and management including Neurologists, Vestibular Physiotherapists, and dieticians. Management usually includes medication, trigger management, lifestyle adjustments, cervical spine therapy, and vestibular rehabilitation.
Post-Concussion Syndrome
Ongoing dizziness, headaches, and balance issues following a concussion. Rehabilitation includes eye and body balance exercises, cervical spine therapy, and gradual return-to-activity programs.
Cervical Vertigo
Dizziness linked to upper neck dysfunction, often contributed to by poor posture, whiplash, or muscle tension. Physiotherapy includes manual therapy, posture correction, and exercises to restore normal cervical function.
Mal de Débarquement Syndrome (MdDS)
A persistent sensation of self motion of rocking or swaying after travel, especially by boat or plane. Treatment by your health professional team can include medication, vestibular rehabilitation and motion desensitisation techniques.
Age-Related Balance Disorders
Loss of balance and increased falls risk due to aging-related changes in vision, strength, and vestibular function. Physiotherapy includes strength training, balance exercises, and falls prevention strategies.
