Vertigo & Giddiness: Complete Guide to Balance & Vestibular Recovery
Dizziness is disorienting. Whether it’s the room spinning (Vertigo) or a general feeling of unsteadiness (Giddiness), the root cause often lies in the inner ear or the upper neck. It is rarely 'just weakness'—it is a physiological mismatch in your balance system.
This guide explains the evidence-based Vestibular Rehabilitation Therapy (VRT) approach. We focus on Canalith Repositioning, Gaze Stabilization, and Cervical realignment to stop the spinning and restore your confidence.
The 3 Pillars of Vestibular Stability
The brain can be retrained. We use specific head and eye movement exercises to compensate for inner ear dysfunction and recalibrate your balance system.
For BPPV (Crystal displacement), medication doesn't work. We use precise maneuvers (like the Epley Maneuver) to guide the crystals back to their correct chamber.
Neck tension can cause dizziness. We treat 'Cervicogenic Dizziness' by mobilizing the upper cervical spine and releasing suboccipital tightness.
Regain Your Balance.
Falls are the biggest risk of untreated vertigo. Don't wait for an accident to happen. Early vestibular therapy is the safest way to stop the spinning.
Book AppointmentThe 5 Stages of Balance Restoration
Vestibular Diagnosis
Specific tests (like Dix-Hallpike) to differentiate between inner ear crystals, nerve issues, or neck problems.
Immediate Maneuvers
If crystals are displaced (BPPV), we perform immediate repositioning maneuvers (Epley) to stop the spinning.
Gaze Stabilization
Training the eyes to stay focused while the head moves (VOR reflex) to reduce blurry vision during motion.
Static & Dynamic Balance
Progressing from standing on foam pads to walking drills to regain stability and prevent falls.
Habituation
Gradually exposing the brain to dizziness triggers, teaching the nervous system to ignore error signals.
Common Causes of Vertigo
1. BPPV (Benign Paroxysmal Positional Vertigo)
The most common cause of vertigo. Loose calcium crystals (canaliths) move into the wrong part of the inner ear.
SymptomsSudden, intense spinning sensation (lasting less than a minute) triggered by changing head position.
2. Cervicogenic Dizziness
Dizziness caused by tight neck muscles, poor posture, or arthritis in the upper cervical spine.
SymptomsA vague feeling of unsteadiness or lightheadedness (not spinning) often accompanied by neck pain.
3. Vestibular Neuritis
Inflammation of the vestibular nerve, usually caused by a viral infection.
SymptomsSudden, severe vertigo, nausea, and imbalance that can last for days.
4. Meniere’s Disease
A chronic disorder of the inner ear caused by abnormal fluid buildup pressure.
SymptomsRecurring episodes of vertigo, ringing in the ear (tinnitus), and hearing loss.
Stop the Spinning. Start Living.
Vertigo is treatable. With precise canalith repositioning and vestibular rehabilitation, you can regain your stability without relying on lifelong medication.
Book Your Assessment