Vestibular Physiotherapy

Ramsay Health Plus offers vestibular physiotherapy services for people throughout the lifespan who may be experiencing conditions resulting in dizziness and vertigo. Vestibular services include physiotherapy for:

Vestibular Conditions We Treat

  • Benign Paroxysmal Positional Vertigo (BPPV) – including assessment and repositioning techniques
  • Vestibular neuritis or labyrinthitis
  • Meniere's disease
  • Post-Concussion Symptoms
  • Persistent Postural and Perceptual Dizziness (PPPD)
  • Cervicogenic dizziness and vestibular migraines
  • Whiplash Associated Disorders (WAD) and more

Rehabilitation Programs

Vestibular physiotherapy can greatly improve dizziness, vertigo and balance in certain conditions. Our goal is to help people feel the best they can and participate in life to their full ability.

Your physiotherapist will help to develop a tailored rehabilitation program based on your assessment findings, which might include:

• Vestibular Rehabilitation Programs:

  • Strength, proprioception and control exercises aimed at the vestibular and musculoskeletal systems
  • Gaze stability exercises
  • Habituation exercises for motion sensitivity
  • Education on condition management and self-care strategies

• Balance Problems and Falls Prevention:

  • Comprehensive balance assessment
  • Balance retraining exercises
  • Strategies to reduce falls risk

Frequently Asked Questions

Benign Paroxysmal Positional Vertigo (BPPV) is a common inner ear disorder causing brief, intense spinning sensations (vertigo) triggered by specific head movements. From a vestibular physiotherapist's perspective, it's a mechanical problem with a mechanical solution. It occurs when tiny calcium carbonate crystals dislodge and migrate into the semicircular canals.

Vestibular physiotherapists diagnose the affected canal using tests like the Dix-Hallpike. Treatment involves specific canalith repositioning manoeuvres, such as the Epley manoeuvre for posterior canal BPPV, which guide the otoconia back into the utricle. These highly effective manoeuvres often resolve symptoms quickly, providing rapid relief from this debilitating condition.

VRT works by encouraging the brain to "recalibrate" and compensate for issues in the vestibular system. This process is called vestibular compensation.
Patients will get a tailored exercise program based on the types of movements and activities that people are struggling with in daily life. This program is designed to help alleviate your symptoms and improve quality of life.
The duration varies greatly depending on the condition and individual response. For BPPV, relief can often be achieved in 1-2 sessions. For other conditions like vestibular neuritis, it might take 6-12 weeks of consistent therapy. Consistency with home exercises is crucial for a successful recovery.

In Australia, a referral is not required to be able to see an allied health professional such as a physiotherapist, although it is often helpful for you to bring as much information about your health history as well as any specific medical or surgical details that relate to your reason for seeing a physiotherapist. There are a few exceptions to this, where you will need to obtain a referral from your GP prior to attending our clinic. This includes:

  • Workers Compensation Claims
  • CTP (Third Party) Road Accident Claims
  • Department of Veterans’ Affairs (DVA) Claims
  • Medicare Claims (e.g. Chronic Disease Management referral)

Other Services

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