Dizziness and balance problems are very common especially in older people. There are numerous causes for these symptoms with many being related to problems with the vestibular apparatus in the ear.
Symptoms of vestibular disorders can include:
- Visual disturbance
- Dizziness: light-headedness, faintness, or unsteadiness
Additional secondary problems may include:
- Nausea and/or vomiting
- Reduced ability to focus or concentrate
- Reduced quality of life
- Anxiety and depression
Many of these symptoms can be helped by physiotherapists using vestibular rehabilitation therapy. This exercise based form of therapy can alleviate both the primary and secondary problems caused by vestibular disorders. The therapy teaches the brain to use other senses (vision and somatosensory, i.e. body sense) to substitute for the deficient vestibular system. It involves specific techniques and exercises for the head, body and eyes, and for many this can accelerate the return to normal function after a vestibular disorder. It can be effective for longstanding disorders that have failed to improve with traditional medical management.
Examples of vestibular disorders are:
- Benign paroxysmal positional vertigo (BPPV) – see more information below
- Issues associated with Meniere's disease
- Issues associated with labrynthitis
- Isues associated with vestibular neuritis
- Acute or abrupt loss of vestibular function following surgery for vestibular disorders
Our specialist physiotherapists can diagnose whether your symptoms are coming from a vestibular issue and if so then choose appropriate treatments. All the treatments used have very good evidence for their effectiveness in alleviating symptoms of vestibular disorders.
BPPV – Benign Positional Paroxysmal Vertigo
This condition occurs when crystals, which are naturally present in the inner ear, become dislodged and stimulate the vestibular apparatus to send signals to the brain that the head is moving when it is not. This confuses the brain as all the other senses are signalling that the head is still . This then leads to spinning sensations or dizziness. These sensations occur only when the head moves into certain positions. The condition is not serious and may resolve by itself eventually as the crystals break down, but the symptoms are very unpleasant and disabling. Correct diagnosis is important but once confirmed, a treatment known as the Epley manoeuvre can give instant resolution of the symptoms.
What people have said about Vestibular Rehabilitation Therapy...
I chose Suzie Crellin at Physiofit after researching on line and reading about the Dizziness and Balance Clinic. I'd been struggling for several months with inner ear problems that caused difficulties with my balance, daily headaches, tiredness etc. When I read the information I immediately thought "that's me!"
Suzie was very thorough at my initial appointment, explained what I needed to do to improve my symptoms, and why. I had 3 sessions in total and graded exercises to do at home. When I was discharged I felt reassured that I could make a full recovery, plus Suzie stressed that I could ring her or email at any time if needed.
I would encourage anybody who is suffering similar problems to contact Suzie; she is professional, supportive and a light at the end of the tunnel. Thank you. - Amanda P. Oct 2021
I was bed-bound for 3 months due to severe dizziness and sickness. Due to COVID 19 I couldn't see a specialist or GP face to face. I felt very alone and lost all hope of getting better. I did some research and found Suzie. Suzie helped diagnose my BPPV and gave me courage to fight this very persistent bout of BPPV. I don't think I can find words that could best describe my appreciation towards Suzie. She is an amazing person and if it wasn't for her I don't think I would have made a full recovery.
I would recommend her to anyone suffering from any form of dizzness or any balance related issues. Suzie is very knowledgeable and skilled. She helped me to carry out the Epley mManoeuvre at home and her motivational words gave me courage to be brave enough to carry out the manoeuvre at home. The credit for my full recovery goes to Suzie for giving me a first class service. S.M.
I have recently had need to use the services of Suzie Crellin at Physiofit in Horsforth. I had been diagnosed with labarythitis, a condition that I had never heard of. It is horrendous as it destroys your balance which leaves you nauseous, dizzy and generally feeling very unwell. After reading up on the condition I approached Physiofit to see if they could carryout the Epley manoeuvre, which resolves one of the causes.
Suzie was very well aware of the condition and was able to help me with exercises that helped alleviate the symptoms. It was a great relief to find someone who was so knowledgable about the condition, who could reassure me in this testing time in addition to helping with exercises. I cannot recommend Suzie and this practice highly enough. - Shirley C. Jan 2019
Following a diagnosis of BPPV, my GP gave me some vestibular rehab exercises to do at home (Brandt-Daroff). I was very happy to have a diagnosis that explained the persistent dizziness but I wasn't really convinced that the exercises were doing any good. All I seemed to be doing was throwing my head about, which just made the dizziness worse. So I did a little research and discovered a very specific exercise that is best performed by a specially trained physiotherapist. Some reports even suggested that if performed correctly, this manoeuvre could fix the problem very quickly. I was a bit sceptical about this, but decided to give it a go and set about trying to find a physio that could help. My local therapist didn't offer the treatment in question but then I found Physiofit who confirmed that they had physios who were trained to treat BPPV.
I saw Suzie Crellin, who did a thorough assessment before performing the Epley manoeuvre - and it was like magic! The dizziness stopped immediately and hasn't returned. It was literally like a miracle cure, albeit based on sound scientific principles. I would definitely encourage anyone suffering from BPPV to go and see Suzie and it's such a shame my the GP didn't seem to be aware of this instant cure. - Andrea R. Jan 2019
I cannot thank Suzie enough for getting me back on track after suffering a very debilitating bout of Labyrinthitis. I still have a little way to go but the improvement in my balance is amazing and the horrendous symptoms I've been experiencing in my head have almost gone. This is all down to the excellent therapy I've received from Suzie and also very importantly her amazing encouragement. I honestly thought I was a lost cause and that I would have to live with the symptoms for the rest of my life. - Debbie M. June 2019
(45 min) £55.00
Follow up appointment
(up to 30 min) £40.00
(45 min) £65.00
Follow up appointment
(up to 30 min) £47.00
Initial appointment - (45min)
Includes assessment & 25-30min massage
Follow up appointment - (30min)
Includes 25min massage
80 - 90 minutes - £130.00
Missed appointments and appointments cancelled with less than 24 hours notice may be charged.
Physiofit Chartered Physiotherapists offer professional assessment, treatment and rehabilitation of a range of injuries and conditions. We have links with local GP surgeries and liaise with other consultants and specialists to provide the best pathway of care for each individual.