Vestibular Physiotherapy for Vertigo and Dizziness

Yes. Physiotherapists with vestibular training assess and treat many causes of vertigo and dizziness. The most common one, BPPV, often responds to repositioning treatment within a few visits.

We also treat dizziness after vestibular infections, dizziness linked to the neck, and balance problems after concussion.

We start with your story, because the pattern of your dizziness says a lot. Short spins with rolling over point one way. Constant rocking points another.

Then we run specific tests. We watch your eye movements, test your balance, and use positional tests such as the Dix-Hallpike to check for BPPV. You leave the first visit knowing what we found and what the plan is.

BPPV stands for benign paroxysmal positional vertigo. Tiny crystals in the inner ear drift into the wrong canal, and certain head positions then set off short, intense spinning.

It is the most common inner ear cause of vertigo, and it is very treatable. Our BPPV treatment page explains it fully.

It depends on the cause. BPPV often improves within one to three visits. Retraining the system after a vestibular infection usually takes several weeks of guided exercise.

We measure where you start, so you can see your progress rather than guess at it.

Interlink is a private clinic, so our care is not billed to OHIP. Most extended health plans cover physiotherapy, and vestibular treatment counts as physiotherapy. We bill most major insurers directly.

Your first assessment and first treatment here are free, and they are not billed to any insurer.

No. In Ontario you can book a physiotherapy assessment directly. If your dizziness needs medical investigation as well, we tell you and help you take the next step.

Short spinning spells with rolling over, lying down or looking up are the classic pattern of BPPV. The spinning usually lasts less than a minute, then settles until the next trigger.

This pattern responds well to repositioning treatment. Most people improve within a few visits.

They can. The upper neck feeds position information to the brain, and after an injury such as whiplash that information can get noisy. The result is a swimmy, unsteady feeling that often comes with neck pain or stiffness.

We assess the neck and the vestibular system together, which matters because the treatments are different.

Most dizziness we see comes from the inner ear or the neck and is very treatable. Some symptoms do need urgent medical care first: sudden dizziness with double vision, slurred speech, facial droop, new weakness or numbness, trouble walking, or a sudden severe headache. If any of these happen, call 911 or go to the emergency department.

We screen for these at every first assessment.

If certain positions set off strong spinning, ask someone to drive you to your first visit if you can. After repositioning treatment we go through simple aftercare with you before you leave.

Yes. Dizziness and unsteadiness are common after concussion, and vestibular rehabilitation is one of the treatments with good support behind it. Our concussion physiotherapy page covers the full recovery process.

A full one on one hour with Dhiman. He takes your history, tests your eyes, inner ear and balance, and checks your neck. If BPPV is found, treatment usually starts the same visit.

You leave knowing the likely cause, the plan, and what to do at home.