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Acupressure Neck Massage


Kevin Mitchell, our resident specialist in Vestibular problems will be able to assess and provide appropriate treatment and management of a variety of vestibular conditions.

Vestibular facts

Dizziness or vertigo affects 20-30% of adults under 65 years of age causing occupational consequences, interference with daily activities and lower quality of life


More than 90% of patients with dizziness are treated by their GP without any involvement of a specialist


Vestibular rehabilitation and particle repositioning manoeuvres are currently the best treatment options for dizziness and vertigo


What is vestibular rehabilitation?

Vestibular rehabilitation (VR) is an exercise-based treatment approach provided by specialist physiotherapists or other health professionals to improve dizziness, vertigo and unsteadiness caused by vestibular disorders in order to improve function in activities of daily living and quality of life


What symptoms we see

  • Dizziness

  • Vertigo

  • Unsteadiness


What conditions we treat

  • Benign paroxysmal positional vertigo (BPPV)

  • Vestibular hypofunction

    • Vestibular neuritis

    • Labyrinthitis

    • Acoustic neuroma

    • Ototoxicity

    • Age-related

    • Trauma (see post-concussion syndrome)

  • Vestibular migraine

  • Meniere's disease

  • Post-concussion syndrome

  • Motion hypersensitivity


Approach to treatment

A thorough examination will be completed to identify the possible cause/causes of your symptoms from which an individualised treatment plan will be formed and may include advice and education, repositioning manoeuvres and progressive exercises to target gaze stability, balance and strength


Expected outcomes

Response to VR varies depending on the presenting disorder:

  • BPPV can be cured in 1-2 sessions with particle repositioning manoeuvres being effective

  • Vestibular hypofunction symptoms improve with customised VR

  • Unstable and fluctuating disorders such as vestibular migraine and Meniere’s disease do not respond well to VR – however VR can still be useful as education is key for the long-term management of such disorders and treatment of secondary problems may be required



A non-specific description of spatial disorientation, an umbrella term to include sensations such as vertigo, light-headedness, faint feeling, disequilibrium and others


An illusion of movement – sensation of you or your surroundings spinning around

Benign Paroxysmal Positional Vertigo (BPPV)

Positional vertigo occurs with specific head positions such as lying down or sitting up, turning in bed, looking up or bending forward, typically brief attacks lasting less than a minute


Vestibular Hypofunction

Dysfunction of the peripheral vestibular system which can occur on one side (unilateral hypofunction) or both sides (bilateral hypofunction) and may be acute or chronic 


Vestibular Neuritis

Acute onset of vertigo, nausea, vomiting and unsteadiness caused by inflammation of the vestibular nerve



Acute onset of vertigo, nausea, vomiting, unsteadiness and hearing loss caused by inflammation of the labyrinth which affects hearing


Acoustic neuroma

Also known as a vestibular schwannoma - a non-cancerous (benign) tumour of the 8th cranial nerve – typically presents with progressive one-sided hearing loss / tinnitus and possible vertigo / dizziness. VR is most beneficial following surgery to aid recovery but may also be helpful when vestibular symptoms are present with small / slow growing tumours that are being monitored



Quite simply, ear poisoning (oto = ear, toxicity = poisoning), which results from medications causing unsteadiness


Vestibular Migraine

Attacks of spontaneous or positional vertigo lasting minutes to days, history of migraine, migraine symptoms during vertigo and migraine-specific triggers of vertigo such as diet, sleep, stress and environmental factors


Meniere's disease

Vertigo attacks lasting 20 minutes to several hours with one sided tinnitus, hearing loss and aural fullness. Fluctuating hearing loss with recovery in the early stages and progressive loss over years


Post-concussion syndrome

Vestibular complaints are common following head injury or concussion and often settle within a few weeks. However, if dizziness, vertigo or unsteadiness limit function or persist longer than a few weeks it would be beneficial to have a vestibular assessment.

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