How Physiotherapy Helps with Vertigo

1. Re-training the Brain (Vestibular Compensation)

When the inner ear sends abnormal or mismatched signals, the brain becomes confused—leading to dizziness.
Physiotherapy uses targeted exercises that help the brain re-learn how to interpret these signals, reducing vertigo over time.

2. Canalith Repositioning Maneuvers (for BPPV)

If vertigo is caused by Benign Paroxysmal Positional Vertigo (BPPV), physiotherapists use specific techniques such as:

  • Epley maneuver

  • Semont maneuver

  • Gufoni maneuver

These maneuvers move loose calcium crystals (otoconia) out of the semicircular canals and back where they belong, often relieving vertigo immediately or within a few sessions.

3. Balance and Proprioception Training

Many people with vertigo feel unsteady or fear falling.
Physiotherapy includes exercises that improve:

  • balance

  • posture control

  • coordination

  • ability to walk safely in busy or unstable environments

This reduces fall risk and increases confidence.

4. Gaze Stabilization Exercises

Vertigo often causes the eyes to jump or blur when the head moves.
Physiotherapists use gaze stabilization exercises (e.g., VOR training) that help the eyes maintain focus during head movement.
This improves:

  • reading

  • walking

  • driving

  • daily activities

5. Motion Sensitivity Reduction

Some patients become extremely sensitive to certain movements—turning the head, bending over, or rolling in bed.
Physiotherapists use habituation exercises, which gently expose you to these movements until the brain becomes less reactive.
Over time, dizziness becomes:

  • less intense

  • less frequent

  • easier to control

6. Strength and Mobility Training

Neck stiffness, poor posture, or muscle weakness can worsen vertigo symptoms.
Physiotherapy addresses:

  • cervical (neck) mobility

  • core strength

  • posture alignment

  • flexibility

This helps reduce tension-related dizziness and improves overall stability.

7. Functional Training for Daily Life

Physiotherapists tailor rehab to your specific challenges such as:

  • bending to tie shoes

  • getting out of bed

  • turning quickly

  • looking up or down

  • walking in crowded places

This makes everyday activities feel safe and manageable again.

8. Education and Symptom Management

A key part of vestibular physiotherapy is teaching you:

  • what triggers your vertigo

  • what to avoid temporarily

  • how to manage flare-ups

  • how to breathe and stay calm during episodes

Understanding your condition reduces anxiety—which itself can worsen dizziness.