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BPPV (Vestibular) Physiotherapy

The vestibular system is located within the inner ear and contributes to our balance system and sense of moving in space. The vestibular system is important for balance, coordination, and eye control.


Benign paroxysmal positional vertigo (BPPV) is a specific inner ear (vestibular) condition that occurs when small calcium carbonate particles break loose within the inner ear. This can occur without reason or associated with an isolated incident. The particles can move into the wrong part of the inner ear and cause significant symptoms of positional vertigo when lying flat or rolling over in bed. Techniques such as the Epley manoeuvre can successfully treat BPPV and can be performed by physiotherapists with specific skills in this area. 


The Vestibular system is intricate, complicated and highly sensitive area that can cause a serious impact to your daily life and that is where the team at PROmotion is there to help should you experience an acute episode of vertigo or if you suffering from a long term vestibular impairment


What does an appointment involve? 


The initial appointment involves a detailed and thorough assessment over a 45 minute appointment. During this appointment our trained clinician will be able to decipher the main causes of your dizziness and treat it there and then. If treatment is ever out of our clinicians scope they will refer you on to appropriate practitioners.


Vestibular physiotherapy can involve:

  • Habituation exercises

  • Eye—head coordination exercises

  • Balance and gait exercises

  • Re-positioning techniques: these techniques are used for a specific inner ear (vestibular) condition known as benign paroxysmal positional vertigo (BPPV). This condition results in significant symptoms of vertigo when changing position, such as when lying down or rolling over in bed. Techniques such as the Epley manoeuvre can successfully treat BPPV but should be performed by your physiotherapist with specific skills in vestibular rehabilitation.

*Please note the initial assessment will require a 45 minute appointment and Vestibular Physiotherapy is only available with the clinicians: Paul Atkinson, Kelsey Holman, Anna O'Loughlin, Sorcha Humphreys and Amanda Simmonds.

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