Treatments
Vestibular rehabilitation is a specialised form of therapy designed to reduce dizziness, improve balance and restore confidence in movement. Treatment plans are tailored to each individual based on the cause of their symptoms, assessment findings and personal goals. There is no one-size fits all but below are some of the key treatment approaches used in vestibular therapy:
Canal Repositioning Manoeuvres for BPPV
These manoeuvres are highly effective for individuals diagnosed with Benign Paroxysmal Positional Vertigo (BPPV). They work by guiding displaced calcium crystals within the inner ear back to their correct location. Techniques such as the Epley, Semont or Gufoni manoeuvres may be used depending on the presentation. Positional testing will help confirm which side, which canal and the type of BPPV that requires treating, this will then indicate the most appropriate Manoeuvre.
Gaze Stabilisation Exercises
These exercises help improve the ability to maintain clear vision during movement. When the Vestibulo-Ocular Reflex (VOR) is not functioning properly, activities such as reading signs while walking or focusing on objects during head movement can become challenging. Gaze stabilisation exercises train the brain to coordinate eye and head movement more efficiently.
Habituation Exercises
Habituation exercises are used when certain movements, environments, or positions consistently trigger dizziness. Repeated, controlled exposure helps the brain become less sensitive to these stimuli, reducing symptoms over time. These exercises are tailored to each individual's symptom triggers and gradually progressed as tolerance improves.
Adaptation Exercises
When the vestibular system is damaged or weakened, adaptation exercises help the brain recalibrate and compensate. By repeatedly challenging the balance and visual systems in a structured way, the nervous system can reorganise and improve overall stability and coordination.
Balance Exercises
Balance training helps restore confidence and prevent falls. Exercises may include standing on unstable surfaces, walking tasks, coordination drills and progression to dual-task or functional activities. These exercises not only improve physical stability but also enhance body awareness and postural control.
Optokinetic Stimulation
This specialised visual training helps individuals who become dizzy in busy visual environments such as supermarkets, crowds, motion triggers or fast-moving screens. By gradually exposing the brain to controlled visual movement patterns, tolerance improves and symptoms lessen.
Cervical Proprioception Exercises
Neck-related dizziness can result from tension, stress, injury, or postural dysfunction. Cervical proprioception exercises help retrain the connection between the neck, eyes, and balance system. Gentle mobility work, postural retraining, deep neck strengthening, and joint position sense exercises may be included.
Lifestyle Modification Advice
Managing vestibular disorders often requires adjustments beyond exercise. Guidance may include: Reducing stress and fatigue triggers, improving sleep hygiene, hydration and nutrition guidance, safe activity pacing, managing screen time and sensory fatigue and fall prevention strategies. These modifications help support progress and reduce flare-ups.
Mindfulness Techniques
Stress, anxiety, and emotional responses can intensify dizziness symptoms. Mindfulness-based techniques such as breathing exercises, grounding strategies and relaxation training can help regulate the nervous system, reduce symptom intensity, and improve overall well-being.
Education
Understanding your diagnosis and how the vestibular system works is a key part of recovery. Education empowers patients to take an active role in their rehabilitation and reduces fear around symptoms.
Links to Resources
We provide access to trusted educational materials, community support groups, exercise guidance and reputable organisations specialising in vestibular care. These resources help support long-term understanding and self-management.