The Vestibular System and Balance
The vestibular system -- the inner ear balance organs -- works with vision and proprioception to maintain balance and spatial orientation. When vestibular function is disrupted, patients experience dizziness, vertigo, nausea, and difficulty walking or performing daily tasks.
Conditions Treated with Vestibular Physiotherapy
- BPPV (Benign Paroxysmal Positional Vertigo): The most common cause of vertigo. Calcium crystals (otoconia) become displaced in the ear canals, causing intense brief vertigo with position changes. The Epley manoeuvre resolves BPPV in 80-90% of patients in 1-3 sessions.
- Vestibular neuritis and labyrinthitis: Viral inflammation causing acute severe dizziness that persists for weeks without treatment.
- Meniere's disease: Episodic vertigo, tinnitus, and hearing loss requiring long-term management.
- Post-concussion balance problems
- Age-related balance decline
Vestibular Rehabilitation Exercises
Vestibular rehabilitation uses specific gaze stabilisation, habituation, and balance training exercises that retrain the brain to compensate for vestibular dysfunction.
Results and Timeline
BPPV resolves rapidly with repositioning manoeuvres. Compensation for vestibular neuritis typically takes 4-8 weeks of structured rehabilitation.
Book at Realign Clinic Faridabad
Our physiotherapists are trained in vestibular rehabilitation. If you experience dizziness or balance problems, book your assessment today.
