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Vestibular Physiotherapy

Is vertigo stopping you from living a normal life?

Does this describe you?

  • Are you suffering from dizziness or vertigo that is ruining your every-day life?
  • Is your dizziness or vertigo starting to take over your life?
  • Is it stopping you doing the things that you love doing?
  • Are you worried that your dizziness will reduce your independence or even stop you spending time with your family and friends?
  • Do you already find yourself avoiding social interaction and not wanting to leave the house?
  • Are you starting to worry that this will not get better and never go away?

At Wandsworth physiotherapy and osteopathy our highly experienced vestibular physiotherapists treat people just like you and help them get back to what they love doing without the fear of further episodes of dizziness or vertigo.

Balance function comes from a combination of the input from our eyes, ears (including hearing as well as the vestibular organs – the otoliths, semi-circular canals and vestibular nerves) and proprioception from the sense of our feet being on the floor and the position of our posture and our joints that are sensed in our brain. Our brain processes all this information to establish where we are in space and our balance. Dizziness can be caused by faults in these systems.

Commonly one or both of the vestibular organs (the semi-circular canals) become dysfunctional or the vestibular nerve becomes inflamed and we can suffer from sudden onset, severe, transient vertigo/dizziness. This can be extremely stressful inducing nausea, vomiting, anxiety, panic attack, dizziness and falls.

There are a number of different conditions that can affect balance and require vestibular physiotherapy. Some are more serious than others. We can help to diagnose these problems for you and where necessary, refer you to your GP or A and E. However we can help to manage the symptoms of these disorders:

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Vestibular Neuritis
  • Labyrinthitis
  • Ménière’s disease
  • Vestibular migraine
  • Persistent Postural Perceptual Dizziness (PPPD)

BPPV

BPPV is the most common vestibular disorder. This happens when crystals become dislodged in the semicircular canals in the inner ear. This causes short episodes of dizziness when moving your head from side to side, rolling in bed or when looking up or down.

BPPV can be assessed and diagnosed from your symptoms and by using a Dix-Hallpike manoeuvre or head roll test. BPPV can affect the posterior semicircular canal and is very effectively treated with The Epley manoeuvre or Semont manoeuvre to try to remove and settle the crystals from the inner ear. BPPV can also affect the lateral semicircular canal and a head roll test and BBQ roll or Gufoni manoeuvre is useful. There are home exercises that can be used as well such as the Cawthorne-Cooksey exercises or the Brandt-Daroff exercises.

Acute Vestibular Syndrome

Another condition that causes dizziness is an infection of the vestibular nerve in the inner ear disrupting your sense of balance. This is called vestibular neuritis. Viral infections of the inner ear are the most common cause of vestibular neuritis and cause anything from mild to severe dizziness, spinning and sometimes nausea and vomiting. Bouts of dizziness are distinctly different from BPPV in that they can last for longer than 24 hours and can be accompanied by nausea and vomiting. Using a head impulse test can be useful in helping to make a diagnosis with a catch-up saccades often occurring on the positive side.

Treatments can include the short term use of medication for a few days whilst the worst of the symptoms pass, mobilisation and massage to the neck area, acupuncture and the guidance through specific vestibular rehabilitation exercises such as the Cawthorne-Cooksey exercises or Feldenkrais exercises.

Labyrinthitis 

Labyrinthitis is often used to describe the same condition. However, people with labyrinthitis usually experience hearing loss as well as balance problems and dizziness. This often occurs after a upper respiratory tract infection such as sinusitis.

Ménière’s disease

Ménière’s disease is a condition of the inner ear that causes sudden attacks of vertigo (feeling like the room is spinning), tinnitus (ringing in the ear), a feeling of pressure in the ear and hearing loss and sometimes drop attacks. It can be quite debilitating and is difficult to diagnose and can often be a diagnosis by exclusion. Although there are no easy fixes to this coping and management strategies are readily used.

Find out more about Ménière’s disease here.

Vestibular migraine

Vestibular migraine involves bouts of dizziness that are accompanied by headache or migraine symptoms. Read more about migraines here.

More serious causes of sudden onset severe dizziness accompanied by unsteadiness on your feet, nausea, vomiting could be indicative of having a stroke and needs urgent assessment in A and E.

Find out more about vestibular migraine here.

 

Ready to Make a Change?

At Wandsworth Physiotherapy & Osteopathy we're focused on getting you out of pain and back to what you love doing, from simply sitting comfortably to playing with your kids, getting back into the gym or being able to run 5k again, our expert Physiotherapists, Podiatrists & Osteopaths are here to help!

 

All appointments are secured with payment. All appointments cancelled within 24 hours of the start time or not attended will not be refunded.

How can Physiotherapy help?

We will endeavour to assess your symptoms of dizziness as well as the range of motion in your shoulder, neck and jaw and put a treatment plan together to restore optimal movement in these area. This may include joint mobilisation and massage, as well as acupuncture.

We can use canal repositioning manoeuvres that are so effective for BPPV. We will also put together and guide you through specific vestibular rehabilitation exercises to help you manage the symptoms of your dizziness.

Vestibular rehabilitation is about adaptation, habituation and substitution incorporating customised physiotherapy exercises

  • Adaptation – recovery of vestibulo-occular reflex (VOR) and vestibulo-spinal reflex (VSR). Herdman’s gaze stabilisation exercises for VOR (low to high frequency – do until point of symptoms). Gaze shifting and training saccades.
  • Habituation – reduce symptoms by repetitive exposure to the movement and sensory stimulation evoking dizziness.
  • Substitution – re-weighting of the other senses (vision, proprioception, vestibular). This includes proprioception exercises such as training the VSR: stand and close eyes doing Romberg’s test and progressions.
  • Management of stress anxiety.

We can also help those with Persistent Postural Perceptual Dizziness (PPPD), which is a chronic dizziness disorder. Our latest understanding is that this develops through having an initial episode of dizziness, that then radically changes behaviour leading to fear and avoidance of dizzy spells, reinforcing a lack of movement, stress, anxiety and avoidance of everyday life.

Brilliant all round experience. After sustaining a marathon injury during training Wandsworth Physiotherapy managed to fit me in the next day and was back up and running within 2 weeks after three 30 minute sessions. Gave me exercises to go away and do in my own time too so felt like I was making the most of their and my time too.

Marina Williams

These guys are fantastic! Really quick to reply and they found me an appointment on the same day. I've since had regular treatments with Alessio who is excellent, and my torn IT band, shoulder and other ailments are much improved. Brilliant for both sports injuries and wellness.

Gerry Sweetland

Booked an appointment for the same day on a Saturday. Adele has been very welcoming and helpful, providing useful advice as well as efficient treatment. Great local clinic, will definitely come back and recommend.

Jean Reverdy

Steve was excellent. Long term/complex shoulder injury treated over a number of sessions - patient, curious and methodical. Great treatments and programme of exercises and I'm back to pain free swimming.

~ Nick Outlaw

I've been several times for several different problems and Steve has always been excellent. He listens really carefully and asks good questions to find out exactly what's wrong, and is very clear with follow-up exercises to continue the therapy at home. Highly recommend him!

Vanessa Harriss

Meet The Team

Andreas

Andreas

Senior Osteopath and Massage Therapist

Chara
Chara

Practice Manager

Christina

Christina

Senior Chartered Physiotherapist

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Foj William Olawo

Clinical Administrator & Receptionist

Jack

Jack

 Senior Podiatrist

kim-stanford
Kim

Advanced Senior Chartered Physiotherapist

Kitti Perlaki Profile

Kitti

Clinical Administrator & Receptionist

Melinda-Bernath

Melinda

Clinical Administrator & Receptionist

prapti
Prarthi

Chartered Physiotherapist

Rogel-Rios-Galeana

Rogel 

Chartered Physiotherapist

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Shreya

Senior Chartered Physiotherapist

steve-001

Steve

Clinical Lead Chartered Physiotherapist

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Sandra

Clinical Administrator & Receptionist

Wilson
Wilson

Senior Chartered Physiotherapist

Get In Touch

Request a call back - tell us about your problem… if you’re not sure what physiotherapy or osteopathy are and whether they can help your problem request a call back from one of our expert therapists.

We can listen to your problem and let you know if we can help... just leave your details using the contact form and we'll be in touch as soon as possible!

Please note: Enquiries are checked daily and will be responded to within 24 hours during clinic open hours.

Cancellation Policy

Please note we have a 24 hour cancellation policy. Please respect our therapists and give them more than 24 hours notice if you need to change or cancel an appointment. All appointments are secured with payment. All appointments cancelled within 24 hours of the start time or not attended will not be refunded. Failure to make payment on request will affect future appointments that we are able to offer you.
Thank you.

Telephone Reception

We have reception cover most of the time we are open, however if you can't get through it's quick and easy to book online. Please be aware that calls to Wandsworth Physiotherapy & Osteopathy are recorded to comply with ICO data protection and the recordings are stored for 3 months then deleted. All stored information is password protected.

Opening Hours

Monday 08:00 - 21:00
Tuesday 08:00 - 21:00
Wednesday 08:00 - 21:00
Thursday 08:00 - 21:00
Friday 08:00 - 20:30
Saturday 09:00 - 16:00
Sunday 10:00 - 15:00

No reception cover on Sundays - please book online, the door may be locked so ring the bell.

Annie Neill
Annie Neill
Rogel referred me to a consultant before treating me as he wanted to rule out a frozen shoulder before he started physiotherapy. His suspicion of my having a frozen shoulder was correct. This allowed me to get the correct diagnosis and corresponding treatment done quickly and efficiently.
Sophie Dolecki
Sophie Dolecki
I can't recommend this place and Physio Shreya enough! 10 weeks go I got referred to Wandsworth Physiotherapy by a friend after I was suffering with chronic neck and back pain. Shreya immediately found the cause, diagnosed me, and assured me of what the next steps would be. Not only does Shreya have healing hands, she continuously helped me mentally. After all of the advice, exercises, and dry needling, I am now pain free and able to return to my everyday activities (including exercise). Thank you Shreya, you are incredible!
Andreea Craciun
Andreea Craciun
This place is great! I got here with a really bad pain in my shoulder and neck and I got better really fast. I got treated by Shreya, who is AMAZING. Really good therapist, doing a mix of techniques to relieve pain, and also really empathetic. She id also specialised in sports, which means she was able to advise on how I can continue my regular workouts, despite my pain. I am always looking forward to my sessions here and I can see great progress with my injury. 10/10 would recommend!
Emma Morgan
Emma Morgan
Christina has been treating some issues with my neck, back and shoulders for 18 months now and she is the best physiotherapist I’ve ever had. She is a miracle worker with massage but also educates me about posture, injury prevention and the best forms of exercise and injury care. She is A-MAZING.
Anne-Sophie Houédé
Anne-Sophie Houédé
I've had about 8 sessions at Wandsworth Physiotherapy. Rogel did an amazing job and has been able to help me with the tendinopathy I've had for about 2 years! He created a plan especially for my own goal. I've had shockwave therapy, some exercises to do and advices on the sport I could do and when. Great place!
Kelly Hamer
Kelly Hamer
Rogel, your customer service is amazing! You took time to listen and understand issues. The treatment and exercises you provided were beneficial and helped me to continue exercising and compete at Hyrox. Thank you!
Daniel Maraffi
Daniel Maraffi
Was booked in with Rogel for a shoulder injury that has been a long term problem impacting my ability to do sport. Over 5 sessions I have seen significant improvement and have been given the tools to continue to get stronger. Hoping to book in with him again for a knee injury as well. Great guy and super knowledgeable!
Chris Storey
Chris Storey
Really friendly, knowledgeable staff - would definitely recommend!
Leanne Yates
Leanne Yates
Fantastic experience and can't recommend more! Rogel has been excellent and provided expert care.
Becks Page
Becks Page
Prarthi has been absolutely fantastic at helping me to recover from a shoulder injury over the last few months. My pain had dramatically reduced after the first session and she has continued to help throughout. She is extremely knowledgeable and has really helped me to understand the mechanics of my injury. I cannot recommend her enough! Thanks so much :)

338 Old York Road, SW18 1SS

0203 322 9455

Open 7 Days