🌀 Vestibular & Dizziness Physiotherapy (London)
Feel steady again. Specialist vestibular physiotherapy for dizziness, vertigo, imbalance, and “spinning” episodes — with fast relief strategies and a clear plan to get you moving with confidence.
Face‑to‑face appointments in London only. Pricing is arranged individually based on your exact location and needs.
- ✅ Sudden or recurring spinning (vertigo), lightheadedness, or ongoing imbalance
- ✅ Motion sensitivity in shops, transport, screens
- ✅ BPPV, vestibular neuritis/labyrinthitis, PPPD, migraine‑related vertigo, cervicogenic dizziness
Currently face‑to‑face in London only.
What We Treat
BPPV (positional spinning), vestibular neuritis/labyrinthitis, PPPD, migraine‑associated vertigo, cervicogenic dizziness, and age‑related imbalance.
- 🌀 BPPV — room spins when rolling in bed, looking up, or bending
- 🦠 Neuritis — post‑viral vertigo + nausea (days)
- 🎯 PPPD — ongoing non‑spinning dizziness worsened by motion/visuals
- 💡 Migraine‑related vertigo — with light/sound sensitivity or aura
- 🧠 Cervicogenic — dizziness with neck pain/stiffness
What to Expect (45–60 min)
- History, red‑flag screening (neuro/cardiac)
- Vestibular exam: eye movements, VOR, head‑impulse, DVA
- Positional tests: Dix‑Hallpike (gold standard for posterior BPPV)
- Balance & gait: Romberg, tandem, turning, dual‑task
- Clear diagnosis + first treatment / rehab plan
Dix‑Hallpike sensitivity ~82%, specificity ~71%; manoeuvre takes ~2 minutes.
Treatment Approaches
- 🔄 Canalith repositioning (Epley, Semont, BBQ roll, Gufoni)
- 👀 Gaze stabilisation (VOR x1/x2), habituation
- ⚖️ Balance retraining (static → dynamic → dual‑task)
- 🧘 Cervical mobility, proprioception, deep neck strength
- 🖥️ Visual/motion sensitivity training (optokinetic/VR patterns)
BPPV success: 68–74% in one session; up to ~90% with a follow‑up.
Your Recovery Plan
- Week 0: Assessment + first treatment
- Weeks 1–2: Review & progressions (BPPV often resolves fast)
- Weeks 3–6: Vestibular rehab progression (neuritis/PPPD)
- Weeks 6–12: Full activity + relapse strategy
You’ll receive a personalised exercise plan (video‑guided).
Facts That Matter
- 👵 1 in 3 over‑65s fall each year; up to 42% if over 75
- 📊 Fallers are ~12× more likely to have vestibular dysfunction
- 🧪 80% of older fallers show vestibular impairment; most don’t report dizziness
- 💷 Hip fractures ≈ £1bn/year to the NHS; ~£14k per patient
- ⏱️ Dix‑Hallpike ≈ 2 min; Epley ≈ 15 min — high impact
Safety First
Seek urgent care for sudden severe headache, weakness, speech/vision change, chest pain, fainting, irregular heartbeat, new one‑sided hearing loss with vertigo, continuous vomiting, or head trauma with worsening symptoms.
🌀 60‑Second Vestibular Self‑Check
This is not a diagnosis. It helps you spot patterns and decide next steps.
⚠️ Red Flags – Seek urgent medical attention if you experience:
- Sudden hearing loss (especially in one ear)
- Severe or sudden-onset headache (“the worst headache ever”)
- Weakness, numbness, facial droop, slurred speech, or sudden vision changes (incl. double vision)
- Chest pain, palpitations, fainting, or irregular heartbeat
- Continuous vomiting or inability to keep fluids down
- Recent serious head trauma with worsening dizziness
🚑 If any of these apply, do not wait for a physiotherapy appointment — seek urgent medical help immediately.