Balance & dizziness

Vestibular rehabilitation is exercise and movement to treat dizziness and balance problems.

If you have had an inner ear disorder and your symptoms don't fully settle, or your doctor diagnoses you with 'BPPV' - a condition where you experience sudden 'spinning' sensations associated with certain physical movements - there is a lot evidence that you could benefit greatly from specialist vestibular treatment.

For our clinics you do not normally need to be referred by your doctor, but we do recommend that you see your doctor first if you are suffering from dizziness, falls, episodes of fainting, or anything unusual with your heart rate.

Vicki Downey has many years experience working with patients with vestibular disorders, including clinical service development in outpatient and private practice settings. Vicki has completed training in vestibular rehabilitation, and is a member of the Association of Chartered Physiotherapists in Vestibular Rehabilitation (ACPIVR).

What to expect

Following a general health verbal assessment, we will then look at the movement of your eyes and head, screen for a condition known as BPPV (Benign Paroxysmal Positional Vertigo), and evaluate your balance whilst standing and walking.

Interventions usually involve tailored exercises to do at home, and if appropriate some supervised movements at the clinic with the aim to optimise the function of your balance system.

After assessment or treatment there can occassionally be a temporary increase in symptoms, so we recommend that you allow some time later in the day to rest if needed, and consider bringing someone with you to drive you home.


How long will I need therapy for?

It is possible to have a very quick resolution of symptoms related to BPPV, although this can sometimes take a few sessions. Other vestibular disorders usually take time to improve, and you may have to continue doing prescribed exercises for a few months in order to see a significant improvement. At Equilibrium Physiotherapy we will support you throughout your treatment and rehabilitation, providing guidance on how to progress your exercise programme. You will be able to discuss with your physiotherapist the frequency with which you may need to have any ongoing or additional face to face treatment.