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Vertigo: Finding Balance Again

Laith Cunneen
Peak Physio

Vertigo is more than just feeling a little dizzy. For those who experience it, the sensation can be quite unsettling, as though the world around them is spinning uncontrollably.

 

It’s surprisingly common, affecting approximately 30% of people at some point in their lives, with higher rates in older adults. Whether it occurs when you stand up, turn your head, or even lie down, vertigo can interfere with daily life in unexpected ways. The good news is that understanding its causes and treatment can help you regain balance and confidence.


What Is Vertigo?

Vertigo is a symptom, not a condition itself. It refers to the sensation that you or your surroundings are moving when they’re not. This spinning or swaying feeling is often accompanied by nausea, sweating, or difficulty for using. Vertigo

arises from issues in the vestibular system, which includes the inner ear and parts of the brain responsible for balance and spatial orientation.


Two broad types of vertigo are:

1. Peripheral Vertigo: This more common form originates in the inner ear. Conditions such as Benign Paroxysmal Positional Vertigo (BPPV), Meniere’s disease, or Vestibular Neuritis can trigger it.


2. Central Vertigo: This rarer type stems from problems in the brain, such as migraines, multiple sclerosis, or a stroke.


Understanding what triggers your vertigo is the first step towards managing it effectively.


Common Causes

The causes of vertigo can vary widely, but certain factors stand out:


• BPPV: Often triggered by specific head movements, BPPV occurs when tiny crystals in the inner ear become dislodged, confusing your balance sensors.


• Infections: Viral or bacterial infections, such as vestibular neuritis, can inflame the inner ear.


• Meniere’s Disease: This condition is thought to be caused by fluid buildup in the inner ear, leading to vertigo, ringing in the ears, and hearing loss.


• Head Injuries: Trauma can disrupt the vestibular system, triggering long-lasting symptoms.


Even stress or dehydration can exacerbate vertigo, making it crucial to identify patterns and triggers in your daily life.


The Inner Ear: Tiny calcium crystals move within these canals and provide information to the brain about the position of the head.  Credit: Bruce Blaus, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons. Supplied by Peak Physio
The Inner Ear: Tiny calcium crystals move within these canals and provide information to the brain about the position of the head. Credit: Bruce Blaus, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons. Supplied by Peak Physio

How Physiotherapy Can Help

People are often surprised to learn that physiotherapy is one of the most effective treatments for vertigo. A physiotherapist can carefully evaluate your condition and create a personalised treatment plan to address your needs. For BPPV, they may use techniques like the Epley manoeuvre, which involves a series of guided head movements to reposition dislodged crystals in the ear.


Clinicians may also prescribe specific exercises designed to retrain your brain to adapt to balance disturbances. Depending on your symptoms, these exercises could include head movements, balance training, or even gaze stabilisation techniques.


Many patients notice improvements quickly, though consistency is key. By working with a physiotherapist, you can reduce vertigo episodes, regain confidence, and return to your usual activities.


The Importance of Expert Guidance

While vertigo can feel overwhelming, it’s treatable with the right support. Self-diagnosing or ignoring symptoms can lead to frustration and unnecessary disruptions to your lifestyle. If vertigo is affecting you, reach out to a qualified physiotherapist. With expert guidance and targeted treatment, you can get back to enjoying life - without the spin.


This article is for informational purposes only and does not constitute medical advice; always consult a qualified healthcare provider for personalised care.

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