This is a question we are frequently asked in our specialist ‘Dizziness and Balance Clinic’ at Physio-Life, and the answer is - ‘there could be several reasons’! 

Some of the most common symptoms presented are balance issues; motion sensitivity; the floor moving around; foggy head; headaches and nausea. 


Some of the most common conditions we come across are Benign Positional Paroxysmal Vertigo (BPPV); Labyrinthitis; Vestibular Neuritis; Meniere’s Disease; Vestibular Migraine; Vestibular Hypofunction and Mal de Debarquement Syndrome.  However, this list is not exhaustive. Sometimes, it may simply be that a cough or cold that has left a patient with residual dizziness.  Whatever the cause, there is treatment and diagnosis available.

How can we help? 



At Physio-Life, we offer Vestibular Rehabilitation Therapy (VRT).  VRT uses specific head, body and eye exercises designed to retrain the brain to recognise and process signals from the vestibular system* and coordinate them with information from vision and proprioception.**

VRT also includes the use of the Dix-Hallpike test to assess the patient for BPPV and use of the Epley manoeuvre (amongst others) to treat BPPV if necessary.


Rebecca attended Physio-Life suffering from dizziness:


‘I have been having episodes of dizziness on and off for many years.  Symptoms eventually clear up, but this past year I’ve had almost constant low-level dizziness when turning my head or looking up or down.  It has limited my activities considerably - for example; I have been unable to do yoga that I had been practising three times a week.


Another therapist recommended the Epley manoeuvre and suggested seeing Rachel at Physio-Life. I realise now that I didn’t really understand my condition, so having it patiently explained by Rachel, with the help of a super-scale model of the inner ear was very useful!

Rachel was able to see when I was getting dizzy by watching the movement of my eyes. She performed the Epley manoeuvre on the first visit and subsequent visits, and on each visit my symptoms had improved. She showed me a series of rehabilitation exercises to do between visits. I have now been able to return to my beloved yoga.


I know that the symptoms may return, but feel confident that if they do, Rachel will be able to help me in a very short time. I just wish that I had known about this years ago!’


By Rachel Canning


 *Sensory system in the ear for motion, equilibrium & spatial orientation

** Ability to sense our joint movement & know where our limbs are without looking

at them.