Vertigo/Dizziness/ Vestibular Physio

What is vertigo or dizziness?

The feeling of “spinning” experienced is vertigo. It may have various causes, the commonest is the one coming from your inner ear (BPPV= Benign paroxysmal positional vertigo), also commonly referred to as ‘Crystals’ in the ear causing spinning. However, not everyone experiencing vertigo would have BPPV that is causing their symptoms.

The other causes could be:

• Vestibular neuritis:

Inflammation of the vestibular nerve (a nerve in the ear as a part of the balance and hearing apparatus) causing a feeling of spinning.

• Meniere’s disease:

A chronic condition affecting the ear apparatus causing a false sense of motion.

… and many others that could be causing your symptoms that may or may not be getting helped with medications!

• Central Causes

Sometimes vertigo could be due something wrong with our brain or cranial nerves coming out of the brain. Like Migraines, Stroke (CVA), Multiple Sclerosis, Cerebellar Pathology, CANVAS Syndrome, Parkinson’s Disease, Guillain Barre, Traumatic Brain Injury, Concussion. Any pathology that affects the part of the brain responsible for the interpretation of the information from the vestibular apparatus.

• Cervicogenic Dizziness

Pain occurring in the neck with associated sensory integration issues leading to the sense of dizziness, imbalance and difficulty with vision.

• Other Causes of Vertigo

Acoustic Neuroma – Vestibular Schwannoma, Neuritis / Neuronitis /
Labyrinthitis / Third Window Syndrome

What is BPPV?

The commonest cause of vertigo, BPPV in simple terms is dislodgement of crystals from one compartment in the inner ear into the other, creating a false sense of spinning motion.

Usually, people complain of a sudden head turn (e.g., in bed turning to switch the bed lamp on/off) giving them their symptoms.

How do we know if you have a vertigo because of a BPPV?

Our physios perform a special test called as a “Dix-Hallpike” test to find out if you truly have a BPPV.

So, I do have BPPV. What’s next?

Once the physio has determined the type of BPPV, he/she will help you with a specialised manoeuvre called the “Epley’s manoeuvre” to lead you to a resolution of your symptoms.

Will I feel a 100% straight away after the manoeuvre?

May be not!

It is very normal to feel a bit nauseated after the procedure. Thus, your physio will help you with strategies and precautions around managing your own self for you to feel better, as soon as possible.

Is it just the Epley’s manoeuvre that will help me?

Mostly, yes!

However, in many of our vertigo clients, especially those who have had a long-standing issue, we have noted a decline in their balance ability, sometimes making them more vulnerable to falls.

So, can that be helped?

After a detailed balance examination, our physios would help you with an evidence-based balance re-training program, popularly known as vestibular rehabilitation therapy (VRT) which should usually help you achieve the best outcomes.

Sometimes, a further assessment is needed with the help of infra-red goggles to better assist us in understanding the issue and specifically tailoring needs.

Got more questions?

Give us a call and book in with one of our vestibular trained physios and help us help you feel better!