Dizziness & Balance Service

Dizziness & Balance Service


Adults who experience dizziness and imbalance know just how disabling it can be.  Unlike a broken leg it is a mostly invisible disability which can provoke feelings of anxiety and a lack of control.

Vestibular treatment falls into several categories: manoeuvres which are specific series of head movements for BPPV conditions which cause vertigo, habituation exercises which are designed to provoke small amounts of manageable dizziness to re-programme your brain, substitution exercises which use different processes to enable you to function, or gaze stabilisation exercises to improve the function of the reflexes involved with eye movement and balance.


 Vestibular rehabilitation may involve one of the following components:

  • Manoeuvres.  These are a series of specific head movements designed to move debris in the inner ear so that it no longer causes dizziness.  You will be assessed to determine which semicircular canal(s) are affected and which manoeuvres would be most suitable.
  • Habituation exercises are used to slowly retrain your brain.  By exposing you to small chunks of manageable dizziness, your brain learns how to modulate its response to the movement stimulus.
  • Substitution Exercises.  These are used to train other processes and reflexes to take over when your inner ear is damaged.
  • Gaze stabilisation exercises.  These are exercises given to stabilise the images on your retina when your head is moving to prevent blurring and dizziness.
  • Strength and balance retraining.  This must also take into account your 'sensory weighting'.  This is how much reliance your brain places on different aspects of your balance systems.

Retrain your brain

Habituation exercises can be used to allow your brain to react differently to the same stimulus over time.



Reduce Nausea

Dizziness is often accompanied by disabling symptoms of nausea.  A tailored programme can reduce or eradicate these symptoms.



Improve Balance & Strength

Specific balance retraining exercises for all levels of fitness are needed to restore your balance and strength and get you back to doing what you love best.



Improved Tolerance to Crowds & Visually Confusing Environments

Visual vertigo often displays as an inability to function when the world around you is moving or is otherwise visually confusing.  Tailored vestibular rehabilitation can help you.