Vestibular dizziness often has clear patterns: it may be triggered or worsened by head movement, position changes (lying down, rolling over, sitting up), or visually busy environments. You might feel like the room is spinning, or like you're on a boat. You might feel unsteady on your feet, or have difficulty with busy supermarkets or screens. That said, dizziness has many possible causes — which is why a thorough assessment is the right place to start. We'll work out what's driving it and whether vestibular rehabilitation is the right approach.

BPPV stands for benign paroxysmal positional vertigo it's the most common cause of vertigo, and it's caused by small calcium crystals becoming dislodged in the inner ear and moving into places they shouldn't be. The result is brief but intense spinning, usually triggered by lying down, turning over in bed, or looking up. The good news is that BPPV responds very well to treatment - specific repositioning manoeuvres that move the calcium carbonate crystals back to where they belong.

In majority of  cases,  absolutely yes.  There can be a number of reasons dizziness lasts a long time. Sometimes people have lived with BPPV for a long period or they have an episodic condition such as vestibular migraine or meniere's disease that cause their dizziness, other times the brain has adapted in an unhelpful way.

Chronic dizziness often involves the brain adapting to a faulty signal from the vestibular system in unhelpful ways - a process called compensation. Vestibular rehabilitation works by giving the brain the right information to recalibrate. It can take longer when symptoms have been present for a while, but we've seen people make significant progress after years of dizziness. An assessment will give you a clearer picture of what's going on and what's likely to help.

Sometimes, yes and that's normal. Vestibular exercises work by gently challenging the system, which can provoke mild symptoms at first. We explain this clearly before we start, and we calibrate the exercises carefully so that you're working at the right level, challenged enough to make progress, but not overwhelmed. Most people find that symptoms settle between sessions and improve progressively over time.

Very likely, yes. Motion sensitivity and visual sensitivity are common features of vestibular dysfunction they happen when the brain is getting conflicting signals from the inner ear, eyes, and body. These symptoms can be really disruptive to daily life, and they're something we address directly in rehabilitation. Graded exposure and specific exercises can help your brain recalibrate how it handles these situations.

This is something we hear a lot.

Basic ear tests are designed to rule out specific medical issues — but they don’t always pick up how the balance system is functioning as a whole.

Your sense of balance depends on your inner ear, your eyes, your neck, and how your brain is processing all of that information together.

Sometimes the problem isn’t that something is “damaged”  it’s that these systems are no longer working together properly.

That can leave you feeling:

• Off-balance

• Foggy or not quite yourself

• Sensitive to movement or busy environments

Even when tests come back “normal”, the symptoms are very real.

A vestibular assessment looks at how these systems are working together and whether rehabilitation may help support your brain to recalibrate.

That’s a great question and sometimes, yes.

If your dizziness is being caused by BPPV again, then repositioning manoeuvres like the Epley (although its not the only maneuver)  can be very effective in settling those symptoms.

What’s important is making sure that’s actually what’s going on.

Not all dizziness that feels similar is BPPV — and treating the wrong thing can be frustrating if symptoms don’t improve or they keep coming back. 

As part of your assessment, we check:

• Whether BPPV is present

• Which canal is involved (if it is)

• Whether anything else is contributing to your symptoms

If it is BPPV, we can guide the appropriate repositioning manoeuvre.

If it’s something else, we’ll help you understand what’s driving it and what the next steps could look like.