Dr. Vaishali Suri (P.T.)
Vertigo and Vestibular Rehabilitation: Physiotherapy in Faridabad
Vertigo — the sensation that you or your surroundings are spinning — is one of the most alarming and disabling symptoms a patient can experience. The most common cause, BPPV (benign paroxysmal positional vertigo), is highly responsive to physiotherapy canalith repositioning manoeuvres and can be completely resolved in 1–3 sessions.
Other vestibular disorders — vestibular neuritis, Menière's disease, and cervicogenic dizziness — also benefit noticeably from specialised vestibular rehabilitation physiotherapy.
At Realign Rehab Clinic, NIT-5, Faridabad, our expert physiotherapists provide personalised, evidence-based care. Serving NIT, Green Field Colony, Ballabhgarh, Sector 21–82, and across Faridabad. Contact us: +91 9818185589.
Causes and Risk Factors
- BPPV: displaced otoconia (calcium crystals) in the semicircular canals — most common cause
- Vestibular neuritis: viral inflammation of the vestibular nerve
- Menière's disease: endolymphatic hydrops causing episodic vertigo and hearing loss
- Cervicogenic dizziness: dizziness originating from the upper cervical spine (C0–C3)
- Post-concussion vestibular dysfunction
- Labyrinthitis: inner ear inflammation affecting balance and hearing
- Central causes: cerebellar or brainstem pathology (requires urgent neurological referral)
Signs and Symptoms
- Spinning sensation (true vertigo) triggered by head position changes (BPPV pattern)
- Constant unsteadiness and imbalance (vestibular neuritis pattern)
- Episodic vertigo with hearing loss and tinnitus (Menière's pattern)
- Dizziness provoked by neck movements (cervicogenic pattern)
- Nausea and vomiting during acute episodes
- Increased fall risk and reduced confidence with movement
- Visual blurring during head movement (vestibulo-ocular reflex impairment)
Physiotherapy Treatment at Realign Rehab, Faridabad
- Semont manoeuvre and half-somersault manoeuvre: alternative BPPV techniques
- Vestibular rehabilitation exercises: gaze stabilisation, habituation, balance retraining
- VOR (vestibulo-ocular reflex) retraining: head-eye coordination exercises
- Progressive dynamic balance training: static to dynamic to perturbation-based
- Cervicogenic dizziness management: upper cervical manual therapy
- Home exercise programme for chronic vestibular compensation
- Falls prevention programme for patients with persistent balance impairment
Frequently Asked Questions
What is BPPV and can physiotherapy cure it?
It is highly curable.
How do I know if my dizziness is from BPPV?
BPPV causes brief (10–60 second) episodes of severe spinning triggered by specific head positions — turning over in bed, looking up, or bending forward. It is not constant dizziness.
A physiotherapist can confirm with the Dix-Hallpike test.
Can physiotherapy treat vertigo?
Yes — physiotherapy is the primary treatment for BPPV (canalith repositioning), vestibular compensation exercises for vestibular neuritis, and cervicogenic dizziness management. Most vestibular disorders respond well to physiotherapy.
How many sessions of vestibular physiotherapy do I need?
BPPV: typically 1–3 sessions. Vestibular neuritis compensation: 6–12 sessions over 4–8 weeks. Chronic vestibular disorders: 8–16 sessions with a home exercise programme.
Can neck problems cause dizziness?
Yes — cervicogenic dizziness from upper cervical spine dysfunction is a common and underdiagnosed cause of dizziness. It is provoked by neck movements, accompanied by neck pain, and responds to upper cervical physiotherapy.
Book Your Consultation
Contact Realign Rehab Clinic today:
- 📍 NIT-5, Faridabad (near Green Field Colony, Ballabhgarh Road)
- 📞 +91 9818185589
- 🕑 Mon–Sat: 8 AM–8 PM