Vestibular / Dizziness

What is a Dizziness?

Dizziness is a broad term used to describe sensations such as light-headedness, unsteadiness, vertigo (a spinning feeling), nausea, or feeling “off-balance.” It can originate from the inner ear (vestibular system), the neck, the nervous system, or a combination of factors, and can significantly affect confidence, daily activities and quality of life.

Characteristics / Clinical Presentation 

People with dizziness may experience:

  • Sensations of spinning or movement
  • Light-headedness or feeling faint
  • Nausea or motion sensitivity
  • Balance problems or unsteadiness when walking
  • Visual difficulties, such as blurred vision or difficulty focusing, especially when moving
  • Symptoms triggered by head movement, position changes, or busy environments

Clinical Diagnosis

A physiotherapist trained in vestibular rehabilitation will carry out a thorough assessment to identify the likely cause of dizziness. This may include a detailed symptom history, balance and eye movement testing, positional testing for conditions such as BPPV, assessment of neck movement, and screening for other contributing factors. This helps ensure treatment is safe, targeted, and effective.

Treatment

Physiotherapy treatment is tailored to the individual and may include:

  • Canalith repositioning manoeuvres for BPPV
  • Vestibular rehabilitation exercises to improve balance, reduce dizziness, and retrain the brain
  • Graded exposure and movement desensitisation for persistent dizziness such as PPPD, Vestibular Migrane or Post Concussion Syndrome etc
  • Education and reassurance to help manage symptoms and reduce anxiety
  • Neck assessment and treatment where neck-related dizziness is contributing

The aim of treatment is to reduce symptoms, improve balance and confidence, and support a safe return to everyday activities.

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Anna Godfrey

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I highly recommend Donna at Blue Sky. I have found her to be kind, understanding and compassionate. She saw me at short notice for my first appointment with her and she has helped me immensely. Donna is very dedicated to her clients and in helping them recover. Thank you.

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