Vertigo at Inner North Physiotherapy Thornbury

Inner North Physiotherapy provides quality care for vertigo to the local areas of the Inner North including Thornbury, Northcote, Westgarth, Brunswick, Preston, Coburg, Fairfield, Fitzroy, Collingwood, Abbotsford, Alphington and Reservoir.

About Vertigo

Vertigo is the term given to the symptom of a feeling of movement.  People who suffer vertigo often describe such things as spinning, tilting, rocking, swaying and falling.  There are many different causes of vertigo, and it is important that a thorough assessment is performed to determine the factors involved in each individuals symptoms, so that an accurate diagnosis and appropriate management can be carried out.

Physiotherapists trained in vestibular rehabilitation place important emphasis on correct diagnosis of the presenting symptoms of vertigo, and treat accordingly.  In some instances, it is appropriate to  liaise with the patient’s general practitioner to in order to arrange a neurologist review. Our Physiotherapists, Ali and Sal are specially trained and very experienced in assessing and managing Vertigo.

There are many known casuses of vertigo, these can include:

  • Benign paroxysmal positional vertigo (known as BPPV).  This involves approximately 25% cases of vertigo.
  • Vestibular neuronitis
  • Stroke
  • Migraine
  • Meniere’s disease
  • Cervical dizziness and vertigo
  • Peripheral neuropathy

A common cause of vertigo is benign paroxysmal positional vertigo (BPPV).  This involves dizziness that comes on by motion, and there is often a movement that aggravates the symptoms the most.

Common movements are:

  • Getting up from, or lying down in bed
  • Rolling in bed
  • When extending the head to look up
  • Bending over

It can come on suddenly and bouts of dizziness usually last for up to about 60 seconds before settling (until the same movement is performed again!)

BPPV is caused because of a shift in location of tiny crystals located in the inner ear.  These crystals can move to the wrong location (free floating) or clump in one spot.  Diagnosis is done by looking at symptoms and medical history, with particular attention to symptoms of dizziness as the head is moved.

BPPV is a condition that can respond well to vestibular rehabilitation.  Treatment includes prescription of specific vestibular exercises using a series of eye, head and body movements to get the body used to moving without dizziness.  Sometimes a repositioning manouevre (such as the Epley manouevre or Horizontal roll, depending on assessment findings) will be performed within the treatment session to assist in resettling of the crystals.

Education about condition, aggravating factors and self treatment strategies are important for effective management of this condition.