Vestibular rehabilitation (vertigo)

There are different causes of dizziness, vertigo or balance problems. Benign paroxysmal positional vertigo called BPPV is the most common one.

BPPV is caused by crystal detachment in the inner ear. The symptoms are brought on by sudden changes in head position such as lying down, getting up, turning over in bed, looking up or turning quickly the head. Symptoms are intense vertigo which lasts for about 20 to 30 seconds, possibly nausea and loss of balance.

Other causes of vertigo:

  • Labyrinthitis or vestibular neuritis caused by an inner ear infection
  • Acoustic neuroma, Ménière’s disease and fistula caused by various origins
  • Head concussion
  • Neck problems
  • Vestibular migraine
  • During a cerebrovascular accident (stroke), caused by lack of blood flow to a part of the brain.

A physiotherapy evaluation allows for a better understanding of the problem’s cause and allows to establish a treatment plan.


  • Repositionning techniques (Epley or Sémont manoeuvre)
  • Habituation approach for vertigo while moving
  • Oscillopsia treatment
  • Cervical mobilisations
  • Balance rehabilitation
  • Home exercises (balance, habituation, oscillopsia, Sémont…)


  • Dizziness
  • Vertigo
  • Blurred vision while walking or car ride (oscillopsia)
  • Vertigo post head concussion
  • Balance problems
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