Vestibular Rehabilitation
Vertigo and Dizziness
Dizziness and vertigo are problems that can be very debilitating, leading to a significant decrease in the ability to perform even simple tasks or activities. They can be accompanied by vomiting, vision problems and consequent kinesiphobia (fear of movement). To properly treat all of these symptoms, it is important to conduct a complete evaluation of all systems that may be involved. These potential causes include benign paroxysmal positional vertigo (BPPV), labyrinthitis, Meniere’s disease and other inner ear and central nervous system conditions. Dizziness and vertigo can also be cervicogenic, which is caused by joint stiffness and muscle tension in the craniocervical region, neck and even the jaw.
Whom to Consult?
The physiotherapist is a health professional with the expertise to properly assess and treat many of the underlying causes of dizziness and vertigo. They are also equipped to refer patients to a physician for additional tests, if required, to ensure optimal management of the patient’s condition.
How Does the Physiotherapy Assessment of Vertigo and Dizziness Work?
- The assessment begins with a subjective examination during which the physiotherapist asks the patient questions about their symptoms (onset, type, duration of dizziness/vertigo, vision problems, tinnitus, etc.).
- Next, the objective examination consists of evaluating the various systems that may be involved (among others, neurological examination, cranial nerve assessment, cervical mobility, muscle tension, BPPV tests).
- Finally, the physiotherapist will inform the patient of their analysis of the assessment, and give various tips and exercises to do at home to help improve the condition.
A Little Advice Before Your First Appointment
It is recommended that you come to your appointment accompanied by someone, as some tests can cause dizziness and make driving more risky.