Vestibular Disorders We Treat
Acoustic Neuroma (Vesibular Schwannoma)
An acoustic neuroma/vestibular schwannoma is a non-malignant brain tumour that grows on the vestibular nerve and is removed surgically. Vestibular rehabilitation is beneﬁcial after surgery has taken place and aims to improve balance, reduce dizziness and improve mobility.
Balance problems can be caused by a variety of reasons such as inner ear disorders, neurological disorders and simply getting older. Vestibular rehabilitation aims to help identify what might be causing the balance problems in the ﬁrst place and ﬁnd ways to improve balance reactions through different balance retraining exercises.
Benign Positional Paroxysmal Vertigo (BPPV)
Benign Positional Paroxysmal Vertigo or BPPV is a common vestibular disorder where tiny calcium crystals in the inner ear become dislodged, creating an imbalance which causes dizziness when moving your head. This can be diagnosed by using the Dix-Hallpike test among others. Vestibular rehabilitation aims to reposition the calcium crystals by using the Epley manoeuvre or other manoeuvres dependent on assessment findings.
Dizziness can happen to anyone, but is most common among the older generation and includes symptoms such as vertigo, imbalance and falls. Vestibular rehabilitation aims to reduce symptoms of vertigo, strengthen weakened muscles, stimulate balance reactions and advise on falls prevention.
Labyrinthitis is a condition caused by a viral infection affecting the inner ear which results in symptoms such as dizziness, nausea, visual disturbance, tinnitus and hearing loss. Vestibular rehabilitation aims to promote symptom management, improve gaze stability and promote desensitisation of the vestibular system. We will also advise on task management strategies.
Meniere’s Disease is an episodic condition affecting the inner ear causing vertigo/dizziness, balance problems, tinnitus, hearing loss and inner ear fullness. Vestibular rehabilitation aims to help symptoms of dizziness and improve balance reactions. We will also advise on self-management of the condition using various coping strategies.
Vestibular Migraine is recognised as a separate condition to migraine although the physiological process is the same. Vertigo symptoms include dizziness and imbalance and may come with the usual migraine symptoms. Vestibular rehabilitation aims to promote self-management of the condition through lifestyle changes and vestibular exercises.
Vestibular Neuritis is an inﬂammation of the vestibular nerve and is triggered by a virus which causes symptoms of vertigo, imbalance, nausea and vomiting and visual disturbance. Vestibular rehabilitation aims to help with the management of symptoms, promote improved balance, encourage coping strategies and promote gaze stability exercises.
Vertigo is a symptom rather than a condition and is a sensation that either you are moving or the environment around you is moving. Words patients tend to use to describe vertigo include: dizziness, spinning, unsteadiness, giddiness, and nausea. Vertigo is commonly caused by problems with the balance mechanism in the inner ear or may be caused by problems involving the brain. Vestibular rehabilitation can help to remove the cause of vertigo by using simple manoeuvres and/or a progressive programme of exercises.