Vestibular issues refer to problems affecting the vestibular system, which is responsible for maintaining balance, spatial orientation, and coordination of movement. This system processes sensory information from all parts of your body and surrounding environment.
Common symptoms with vestibular issues:
- Vertigo (spinning sensation)
- Dizziness
- Unsteadiness or imbalance
- Nausea or vomiting
- Blurred vision or difficulty focusing
- Motion sensitivity
- Disorientation
Common causes of vestibular issues:
- Benign Paroxysmal Positional Vertigo (BPPV) – sudden onset of dizziness triggered by specific head movements.
- Vestibular Neuritis or Labyrinthitis – inflammation of the inner ear, often caused by a virus.
- Persistent Postural Perceptual Dizziness (PPPD) – described as a sense of unsteadiness worsened by stress, emotional distress, or environment triggers.
- Meniere’s Disease – buildup of fluid in the inner ear; causing vertigo, hearing loss, tinnitus.
- Vestibular Migraine – dizziness and vertigo associated with migraines.
- Acoustic Neuroma – benign tumour on the vestibular nerve.
- Head Injury – can damage vestibular structures.
- Age-related decline – balance issues become more common with age.
At Neurological Physiotherapy we provide a vestibular service to diagnose and treat vestibular symptoms in a specially adapted clinic room.
We will start by taking a full clinical history and detailed review of your symptoms prior to completing a physical examination. The assessment will include specific vestibular tests depending on your individual symptom pattern. Some of these tests may increase some of your symptoms. Your physiotherapists will discuss the relevant tests with you and the expected outcome before completing the assessment.
We may recommend arranging a hearing test or a referral to a neurologist for an MRI or CT scan to identify any structural issues.
Following your assessment your physiotherapist will discuss the outcome and clinically appropriate treatment options for your presentation. This may include specific vestibular exercises, treatment of your neck and jaw, postural alignment and/or canalith repositioning manoeuvres.
We may additionally recommend making lifestyle changes, speaking to your GP about prescribed medication or a neurologist about surgery options if this is clinically indicated.
For more information about our vestibular service or to book an assessment, please click here
Neurological Physiotherapy
Oak House
2 Gatley Road
Cheadle
Stockport
Cheshire
SK8 1PY
Email: reception@neurologicalphysiotherapy.co.uk
Tel: 0161 491 4151
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