Physiotherapy for Dizziness and Balance Problems

A woman suffering from dizziness

Key takeaways: 

  • Dizziness can be caused by a variety of conditions and factors, some of which are considered benign in nature.
  • In cases of chronic or recurrent dizziness and balance problems, physiotherapy can help. 
  • Addressing dizziness can be crucial not just for comfort but also, safety, particularly for the elderly. 

Dizziness can be unsettling—especially when it comes out of nowhere or keeps coming back. It can make even simple tasks like walking, turning your head, or getting out of bed feel challenging and unpredictable, and can cause a great deal of stress because of the increased risk for accidents and injuries. 

The good news is that many causes of dizziness are treatable, and physiotherapy can play a key role in helping you get your balance, confidence, and independence back.

Note: The information presented in this article is for general educational purposes only and is not intended to replace the advice of healthcare professionals. If you are experiencing persistent dizziness, balance problems, and other symptoms, consult a doctor. 

What causes dizziness?

“Dizziness” is a broad term, and it can feel different for everyone — spinning, floating, tilting, or simply feeling off-balance.

It can stem from a wide range of causes, such as issues in the inner ear, neck, nervous system, or even changes in vision or blood pressure.

Normally, our sensory organs (e.g. our eyes and the vestibular system in our inner ear) and our brain constantly communicate to maintain balance. Dizziness can happen when there is some mismatch or communication between them.

Some common conditions that cause dizziness include:

  • Benign Paroxysmal Positional Vertigo (BPPV): One of the most frequent causes of dizziness. It happens when tiny calcium crystals in the inner ear become displaced, sending confusing signals to the brain about your body’s position.
  • Vestibular neuritis or labyrinthitis: Inflammation or infection in the inner ear that disrupts your sense of balance.
  • Cervicogenic dizziness: Dizziness that stems from the neck, often after whiplash or poor posture.
  • Post-concussion dizziness: Imbalance or disorientation after a head injury.
  • Postural Orthostatic Tachycardia Syndrome (POTS): A condition that affects blood circulation and causes dizziness or lightheadedness when standing up, due to an excessive increase in heart rate.
  • Age-related balance problems: As we age, balance and coordination can naturally decline, making falls and dizziness more likely.

Because dizziness can have many possible causes, it’s important to get a thorough assessment rather than trying to manage it on your own.

How physiotherapy can help with dizziness

Physiotherapy for dizziness focuses on retraining your balance system — helping your brain and body work together again so you can move with confidence.

Depending on the cause, your physiotherapist may use techniques such as:

1. Vestibular rehabilitation therapy (VRT)

A specialised form of physiotherapy that helps retrain the vestibular system (your inner ear balance mechanism). Through carefully designed exercises, VRT helps reduce dizziness, improve gaze stability, and restore balance.

2. Repositioning manoeuvres for BPPV

If your dizziness is caused by BPPV, your physio can perform specific head and body movements, such as the Epley or Semont manoeuvre, to move the displaced crystals back into place. 

3. Balance and coordination training

Targeted exercises help improve steadiness, coordination, and confidence in movement, whether that’s walking, turning your head, or navigating uneven surfaces.

4. Neck and posture treatment

If your dizziness is related to neck tension or injury, your physiotherapist may use gentle manual therapy, stretching, and strengthening exercises to relieve muscle strain and restore proper movement.

5. Education and home strategies

Learning how to move safely, avoid triggers, and manage symptoms at home is a key part of recovery. Physiotherapists also teach breathing and grounding techniques to manage anxiety related to dizziness.

The instability and unpredictability of dizziness can cause a great deal of stress. The instability and unpredictability of dizziness can cause a great deal of stress. 

 

What to expect during your physiotherapy assessment

Your first session will involve a detailed assessment to understand the root cause of your dizziness. Your physiotherapist may:

  • Ask about when your symptoms started and what movements trigger them
  • Check your balance, eye movements, and posture
  • Assess neck mobility and muscle tension
  • Run simple positional tests (for example, to check for BPPV)

From there, your physio will develop a personalised treatment plan that targets your specific cause and symptoms. You’ll also receive exercises to do at home to help reinforce your progress between sessions.

When to see a physiotherapist for dizziness

If you have been experiencing persistent or severe dizziness and balance problems, you should first consult your GP. It is important to determine the cause of your dizziness, and identify any underlying conditions that require medical intervention. 

Once other medical conditions have been ruled out or addressed, your doctor may recommend physiotherapy to help with chronic dizziness.

In general, physiotherapy for dizziness is advisable in cases wherein:

  • Dizziness affects your daily life or ability to drive
  • You feel unsteady on your feet or have had near-falls
  • You notice dizziness when turning your head or changing position
  • You’ve had a recent neck injury, ear infection, or concussion

Need physiotherapy for your dizziness? 

Living with chronic dizziness and balance problems can take a toll on your quality of life, as well as make you more susceptible to fall injuries. 

The good news is, physiotherapy can help retrain your vestibular system to gradually improve your balance, and help you regain confidence and independence.

Our experienced physiotherapy team is here to help you with specialised physiotherapy sessions in the comfort of your home. Call 02 8808 4000 or message us through this form to enquire.