Vertigo Physio North Lakes
Vertigo Physio North Lakes
Assessment and treatment of vertigo and dizziness, including BPPV and vestibular rehab, with physiotherapist Reuben Vanderduys.
Why physiotherapy for vertigo?
Many types of vertigo and dizziness come from the inner ear and the balance system. A physiotherapist trained in vestibular assessment can test which part of the system is involved, then use specific positioning techniques and exercises to treat it.
At Click Physiotherapy, vertigo and dizziness are assessed and treated by physiotherapist Reuben Vanderduys.
Benign paroxysmal positional vertigo (BPPV)
BPPV is one of the most common causes of vertigo. Tiny calcium crystals in the inner ear move out of place and into one of the balance canals. When you move your head in certain ways, the crystals shift and send the wrong signal to your brain, causing a short burst of spinning.
Common signs of BPPV
- Brief spinning, usually lasting less than a minute, when you roll over in bed, get up, look up or bend down.
- Symptoms triggered by changing position, rather than constant dizziness.
- Nausea during an episode.
- Feeling unsteady or off-balance afterwards.
How we test for it
We use specific positional tests, guiding your head and body into set positions while watching your eye movements. The pattern of eye movement shows which balance canal is involved and on which side.
How BPPV is treated
BPPV is treated with repositioning manoeuvres, such as the Epley manoeuvre. These are a series of guided head and body positions that aim to move the crystals back to where they belong, chosen to match the canal involved.
- Some people need more than one session.
- You may feel a little unsteady for a day or so afterwards.
- We will explain what to do, and what to avoid, between sessions.
Exercises for dizziness and balance
Not all dizziness is BPPV. After an inner ear infection, a concussion, or when dizziness has been around for a while, vestibular rehabilitation exercises help your brain adapt and recalibrate your balance system.
- Gaze stabilisation: keeping your eyes focused on a target while moving your head, to train the reflex that keeps your vision steady.
- Habituation: gently and repeatedly doing movements that bring on mild dizziness, so your brain gradually becomes less sensitive to them.
- Balance training: standing and walking challenges, progressed safely, to improve steadiness and confidence.
- Building activity back up: walking and everyday movements, progressed step by step.
These exercises can feel challenging at first, because they work by gently bringing on symptoms in a controlled way. Done regularly, they aim to reduce dizziness, improve balance and help you get back to your normal activities. Your program is set up in the Physiflow app so you can follow it at home.
Common dizziness problems
- BPPV (positional vertigo)
- Dizziness after a viral illness
- Vestibular neuritis and labyrinthitis
- Dizziness with neck problems
- Unsteadiness and balance problems
- Dizziness after concussion
Your vertigo physio
Vertigo and vestibular assessment at Click is provided by Reuben. When booking, choose Reuben as your practitioner.
What our patients say
Vertigo questions
Who treats vertigo at Click Physiotherapy?
Vertigo and dizziness are assessed and treated by our physiotherapist Reuben Vanderduys. Please choose Reuben when you book.
What is BPPV?
Benign paroxysmal positional vertigo is a common inner ear problem where tiny crystals move into the wrong part of the balance canals, causing short bursts of spinning with certain head movements.
How is BPPV treated?
BPPV is usually treated with specific repositioning manoeuvres, such as the Epley manoeuvre, chosen after testing which canal is involved.
Do I need a referral?
No referral is needed to see a physiotherapist. If you have a GP Chronic Condition Management Plan, you may be able to use it.
When is dizziness an emergency?
Call 000 if dizziness comes on suddenly with slurred speech, facial droop, weakness, numbness, double vision or a severe headache.
More ways we can help
Book with Reuben for vertigo
1/28 Flinders Parade, North Lakes · Next to Unbound Athletic · Free on-site parking