Vestibular Rehab

You may experience an increase in symptoms during and shortly after treatment. This is normal and typically resolves within a reasonable amount of time. Your Physiotherapist will discuss what to expect before any treatment.

Vestibular issues can recur, though they don't always. The severity of future episodes can vary, but if they were treatable before, they're likely treatable again.

Absolutely. Feeling like the world is spinning can understandably cause anxiety, and we know the treatment itself can be nerve-wracking. Your Physiotherapist will work with you at a comfortable pace and address any concerns before proceeding.

Vestibular disorders can occur without a direct cause — as with Meniere's disease — or they can result from infections, head trauma, aging, or other factors. A thorough assessment will help identify the source of your symptoms.

It depends on the diagnosis. BPPV often resolves in one to three visits, because the treatment is a repositioning manoeuvre — most commonly the Epley — that moves displaced crystals out of the affected canal. Vestibular hypofunction, PPPD, and post-concussion dizziness take longer, usually six to eight weeks of gaze stabilization, habituation, and balance work.

You don't need a referral to book with us, though some extended health plans ask for one before they'll reimburse. An ENT workup isn't a prerequisite either. Our assessment includes positional testing such as the Dix-Hallpike, which identifies BPPV directly. If your presentation suggests something that needs medical investigation first — sudden hearing loss, neurological signs — we'll tell you and help you get to the right place.

Vertigo is a specific kind of dizziness — the false sense that you or the room is moving, usually spinning. Dizziness is the broader term and covers lightheadedness, swaying, floating, or a vague sense of being off. The distinction matters because it narrows the diagnosis. Spinning that lasts seconds and is triggered by rolling over or looking up points toward BPPV. Constant unsteadiness that worsens in busy environments points elsewhere — often PPPD or vestibular hypofunction. Telling us exactly what the sensation feels like, and how long an episode lasts, is one of the most useful things you can bring to the first visit.