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Vestibular rehabilitation

Specialist physiotherapy for a range of balance problems

Woman who needs vestibular rehabilitation physiotherapy feels dizzy and nauseous
If you are suffering from dizziness, vertigo, nausea or loss of balance, then you might benefit from vestibular rehabilitation treatment.

The treatment consists of exercises designed to retrain your balance system and to re-programme your brain to tune out the dizzy sensations. The goal is to gradually reduce the severity of your symptoms. Living with balance problems can be extremely debilitating and prevent you from doing usual everyday activities like driving and household chores, as well as more strenuous activities and hobbies. Feeling dizzy can lead to nausea, which can be uncomfortable and make sleeping and eating difficult – all of these factors can significantly impact your quality of life, which is why it is important to resolve issues with balance and dizziness.

At Circle Health Group, we have dedicated teams of physiotherapists who are highly skilled in building physiotherapy programmes tailored to your needs. They will work with you to understand the cause of your balance problems and develop a personalised treatment plan that will help you manage your concern, or even eliminate your symptoms and help you get back to everyday life.

Call us directly to book in with one of our physiotherapists who specialises in vestibular physiotherapy.

The cost of vestibular physiotherapy starts from £80 for your first appointment.* This is based on a 45-minute appointment and includes a full assessment and treatment plan.

The cost of follow-up appointments starts from £57.*

The cost of your total physiotherapy treatment will depend on various factors such as your condition, how many sessions you need and what type of treatment you are recommended. Some of our specialist treatments are priced separately, however you will be informed of any additional charges as part of your treatment planning. Your physiotherapist will always discuss your treatment options with you.

*This is a guide price and may vary. You’ll be told the exact cost before you book.

There are several conditions that can lead to imbalance and dizziness. These include:

Benign paroxysmal positional vertigo (BPPV)

PPV is an inner ear problem that causes vertigo when you move your head in certain positions. Vertigo causes the sensation of spinning and movement that affects your surroundings. Vertigo can happen at any time, but it mostly happens when you’re lying down, looking up, or turning over in your bed. It can come and go but can persist for long periods of time. You might also experience nausea, vomiting, sweating, and unusual eye movements with vertigo.

For those suffering from benign paroxysmal positional vertigo (BPPV), the condition can be relieved through a specific series of head movements during vestibular physiotherapy called Epley Maneuver or Canalith Repositioning Procedure. These movements should only be carried out under the supervision of a physiotherapist due to certain risks such as neck or back injury.

Ménière’s Disease

This is a rare disorder that affects your inner ear, impairing your balance and hearing. If left untreated, the condition can cause permanent hearing loss and balance problems, so it is important to have treatment such as vestibular rehabilitation to resolve it.

Vestibular neuritis

This is thought to be caused by inflammation in one of the nerves in your inner ear, causing vertigo, nausea, and imbalance when walking. It is usually accompanied by an ear infection. If your symptoms persist, you might need rehabilitation to get better.

Vestibular migraines

Vestibular migraine is a type of migraine that causes a combination of vertigo, dizziness or balance problems with other migraine symptoms. You might have vestibular migraines regularly and these might be triggered by stress and anxiety, poor sleep, and even dietary changes.

In order to move around without getting dizzy, our brain relies on the eyes, the joints and the balance organs in the ears. When the balance organ is not working properly, it causes dizziness or instability, which can be disabling and unpleasant, interfering with how you perform everyday activities.

Your physiotherapist will assess your symptoms and explain how the vestibular mechanism works. Once the assessment is complete, your physiotherapist will develop a bespoke programme of vestibular and balance exercises to address your needs. They will ensure you understand how to perform your tailored exercises at home and in sessions, so you can benefit fully from treatment. The exercises need to be done regularly throughout the day for the best outcomes.

Your physiotherapist will ensure they build a treatment plan that works specifically for your condition, so you will recover from feelings of vertigo and imbalance as quickly and safely as possible.

Vestibular physiotherapy can reduce symptoms and increase your confidence to move naturally and return to normal life.

A vestibular physiotherapy treatment plan will include:

  • Eye and head movements
  • Exercises for your standing balance and walking
  • Specific techniques if you suffer from BPPV
  • Specialist advice on how to manage your condition for daily living and how to prevent falls, improving your overall emotional wellbeing and quality of life

When you choose to go private for physiotherapy with Circle Health Group, you can expect:

  • Flexible appointment times and locations to fit your routine
  • Freedom to choose your hospital and physiotherapist
  • Specialist physiotherapy equipment and imaging facilities at your fingertips
  • Specialist advice and exercises to follow in sessions and at home
  • Tailored services (your physiotherapist will build your programme around your needs)

If you want to know more about vestibular physiotherapy and find out if it's the right treatment for you, call a member of our team directly.

Content reviewed by Circle in-house team in December 2023. Next review due December 2026.

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