Overcoming Vertigo With Vestibular Physiotherapy

 
 

Vertigo can be a disorienting and uncomfortable condition, leaving many individuals in search of effective relief. This blog post aims to familiarize you with the root causes of vertigo, explores the role of vestibular physiotherapy in managing this condition and gives you valuable insights into the treatment process.

Understanding the Root Cause of Vertigo

Vertigo is often a symptom of an underlying condition rather than a disease itself. It's characterized by the sensation of spinning or feeling like the world around you is spinning. This can be due to problems in the inner ear, where balance is regulated, or issues within the brain relating to how it processes spatial information. Common causes include Benign Paroxysmal Positional Vertigo (BPPV), Meniere's disease, vestibular neuritis, or head injuries.

The Role of Physiotherapy in Vertigo Management

Physiotherapy is an effective treatment for vertigo, particularly when it stems from vestibular disorders. A specialized form of therapy, known as vestibular rehabilitation, is designed to alleviate symptoms. Through a series of tailored exercises and manual techniques, physiotherapists can help retrain the brain to recognize and process signals from the vestibular system more effectively, reducing the frequency and intensity of vertigo episodes.

Identifying the Best Therapy for Vertigo

The best therapy for vertigo is often a personalized physiotherapy plan that considers the individual's specific diagnosis and symptoms. Techniques may include:


  • Canalith Repositioning Maneuvers: Particularly effective for BPPV, these maneuvers help move the dislodged calcium crystals that cause vertigo back to their correct position in the inner ear.

  • Balance Training: Exercises designed to improve stability and reduce the risk of falls associated with vertigo.

  • Gaze Stabilization Exercises: Aimed at improving eye-head coordination, these exercises can help minimize dizziness during head movements.

Duration of Physiotherapy for Vertigo

The duration of physiotherapy for vertigo varies depending on the severity of the condition and the individual’s response to treatment. Typically, a therapy program can last from a few weeks to several months. Progress is often seen within the first few sessions, with significant improvements noted as the individual continues with their prescribed exercises and maneuvers.

Achieving Permanent Relief from Vertigo

Permanent relief from vertigo is a realistic goal for many, especially when the underlying cause can be identified and effectively treated. A comprehensive treatment plan, often developed in collaboration with healthcare professionals, may include physiotherapy, as well as lifestyle adjustments to manage symptoms or underlying conditions. 


Lifestyle modifications may include staying hydrated, ensuring adequate sleep, managing stress, and avoiding triggers known to provoke vertigo episodes, such as certain movements or activities. Incorporating these changes can enhance the effectiveness of physiotherapy and contribute to lasting relief.

Exercises for Vertigo: A Path to Stability

Physiotherapy exercises designed for vertigo sufferers aim to improve balance, strengthen the vestibular system's functioning, and reduce the frequency and severity of episodes. Here are some exercises commonly recommended:


  • Epley Maneuver: Primarily used for BPPV, the Epley Maneuver involves sequential movements that help to reposition dislodged otolith particles in the inner ear. This maneuver should be performed under the guidance of a healthcare professional to ensure it is done correctly and safely.

  • Brandt-Daroff Exercises: These exercises involve sitting on the edge of a bed and alternately lying down to one side, then the other, with the head angled upward. The goal is to dislodge the tiny particles in the ear that cause vertigo. Regular practice can help reduce the intensity of vertigo episodes over time.

  • Foster Maneuver: Similar to the Epley Maneuver but slightly more complex, the Foster Maneuver is another exercise aimed at addressing BPPV. It involves a series of specific head and body movements designed to move the calcium deposits out of the semicircular canal of the inner ear, where they can cause vertigo.

  • Gaze Stabilization Exercises: These exercises are designed to improve vision and balance during head movements, reducing dizziness and visual instability. They involve focusing on a stationary object while moving the head from side to side or up and down.

  • Balance Training Exercises: Improving overall balance can help reduce the risk of falls and injuries associated with vertigo. Simple balance exercises, such as standing on one foot or walking heel-to-toe, can be effective in building stability.

A Balanced Future Awaits

Vertigo doesn't have to dictate the terms of your life. With the right approach and expert care, managing and overcoming vertigo is within reach. At PhysioFlow, we are dedicated to providing our clients with the tools and support they need to navigate their way to a balanced and vertigo-free life. Contact us today to schedule a consultation, and embark on your path to lasting vertigo relief.