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Vestibular Physiotherapy in Melbourne for Vertigo and Balance Disorders

Find relief from dizziness, resolve inner ear issues and improve balance and coordination with our skilled physiotherapists in Melbourne CBD.

If you’ve ever experienced dizziness, blurred vision or nausea, you’ll know the negative impact it can have on everyday life. We therefore offer comprehensive vestibular physiotherapy in Melbourne CBD – providing holistic care and tailored rehabilitation to patients with inner ear and brain mis-signalling that leads to poor balance.

Dizziness and vertigo – a sensation of spinning, rocking, or tilting when you are not moving – are common signs of vestibular disorders that we treat at The Alignment Studio. Involving thorough assessment, hands-on therapies and targeted rehabilitation, our vestibular physiotherapy treatments will retrain your body’s balance system, so you can move confidently through the world.

What Is Vestibular Physiotherapy?

Vestibular physiotherapy focuses on the vestibular system – a complex sensory system in the inner ear and brain that helps us maintain balance and spatial orientation and coordinates our eye movements.

Vestibular symptoms include dizziness, vertigo and balance problems. 

Physiotherapy for vertigo includes vestibular rehabilitation therapy, where targeted techniques help retrain the brain and body to improve balance and stability and resolve feelings of spinning, dizziness and nausea that interfere with daily life.

Signs You May Benefit From Vestibular Physiotherapy

If rolling over in bed can set the room spinning, you’re having balance problems in yoga, or you frequently feel dizzy or woozy, vestibular physio can help. 

Common symptoms of vestibular dysfunction include:

If you’re experiencing vertigo or persistent dizziness and balance symptoms, book a vestibular assessment with our caring and experienced physiotherapists today.

What to Expect During Your Vestibular Physiotherapy Assessment

At The Alignment Studio, our vestibular physiotherapists, Nursah and Michelle, will start with a comprehensive consultation to identify the root cause of your symptoms and create your personalised treatment plan.

Your initial assessment may include:

Discussion of symptoms and medical history – We’ll start by asking about your symptoms, when they began, and discuss your previous injuries, any pre-existing neurological conditions and whether you’ve had a head injury or concussion.

Balance and movement testing – This assessment helps us understand how well your vestibular system, vision and muscles are working together.

We might have you perform simple tasks and balance exercises, such as standing on one leg, walking while turning your head or turning around on the spot.

Eye movement assessment – As the inner ear plays a crucial role in maintaining steady vision when moving, we often assess how your eyes work with your balance system.

Tests include following a moving target with your eyes, quickly looking between two targets, or focusing on a point while gently moving your head.

Positional testing for vertigo – If you feel dizzy when rolling over in bed, looking up, or bending down, we perform positional testing to identify which movements trigger your symptoms. 

Nursah or Michelle will guide you into specific positions while observing your symptoms and eye movements. This helps identify which part of the inner ear is affected, which determines the most effective treatment.

Conditions Vestibular Physiotherapy Can Help Treat
Vestibular rehabilitation and physiotherapy can help with a range of acute and chronic conditions that leave you feeling off kilter. These include:

Benign Paroxysmal Positional Vertigo (BPPV)

One of the most common causes of vertigo, BPPV can occur when tiny crystals in the inner ear become dislodged during certain head movements, rolling into one of the canals in your inner ear. It causes brief spinning episodes with the brain confused about the head’s position.

Specific repositioning manoeuvres help to reposition the crystals.

Vestibular Neuritis and Labyrinthitis

Often triggered by viral infections, these inner ear conditions cause the vestibular nerve or balance structures to become inflamed. This can lead to sudden and severe dizziness, nausea, and difficulty maintaining balance.

Symptoms improve with time and vestibular rehabilitation exercises.

Persistent Dizziness and Balance Disorders

If you have ongoing balance problems or dizziness, working with a physio can help to retrain your brain to improve the processing of balance signals. A supervised program of vestibular rehabilitation exercises is most effective, supplemented by at-home balance exercises.

Dizziness After Concussion or Head Injury

A concussion or head or neck injury will often impact the vestibular system, and dizziness is a common symptom. Our physios often work alongside neurologists and other healthcare providers to support your recovery and improve balance and coordination with techniques such as gaze stability exercises.

How Vestibular Rehabilitation Can Help

  • Reducing vertigo and dizziness: Our physiotherapists will reposition displaced crystals, teach you at-home repositioning manoeuvres, and prescribe vestibular habituation exercises that help your vestibular system become less sensitive to triggering movements.

    If cervical spine stiffness and tense neck muscles are contributing to your condition, we may utilise joint mobilisation techniques and soft tissue release work to help improve neck pain and tightness.

  • Improving balance and stability: Our VALD equipment provides an objective assessment of your balance and movement quality. It can be used at the start of your rehab, then for tracking improvements, while our Clinical Pilates program is often instrumental in improving balance.

  • Restoring your confidence in daily movement: As well as supervised rehab, your physiotherapist will prescribe home exercises for you to work on each day. This may include eye coordination exercises and balance exercises to improve stability and confidence with essential activities such as walking, turning or changing direction.

Why Choose The Alignment Studio for Vestibular Physio in Melbourne

Skilled at diagnosis and treatment, TAS Physiotherapists Nursah and Michelle have completed additional training in this area. They are committed to your long-term recovery, using evidence-based vestibular rehabilitation techniques to resolve vertigo and balance issues and restore your movement confidence.

In our quiet treatment rooms and cutting-edge rehab studio, you’ll receive tailored treatments, personalised care and a clear plan for your long-term recovery.

I just had the worst experience with BPPV – woke up for three days straight feeling so nauseous and dizzy. But then I saw Nursah, and the very next day, I woke up feeling like a brand new person. No more dizziness, just a huge sense of relief. I can’t recommend Nursah and The Alignment Studio enough!
Sara E
I had shoulder pain for over 6 months and saw multiple physios with no luck before being referred to Pete. From my first session, he gave me a clear plan and path forward and finally, I felt like there was some hope. I've also been treated by his incredible (magical?) myotherapist Doris, who improved my range of motion for the first time in months, and I'm now seeing the amazing Pilates instructor/physiotherapist Nursah, who has an incredible ability to read and understand how my muscles move and respond to movements. Erin at reception is always so friendly and helpful too.

Thank you Pete and team - I am very grateful!
Lara H
The team here have been so amazing. I have been seeing Maysam for the past 8 months, and she has been amazing in helping with my injury progression. She is so understanding and listens so well, and has been wonderfully empathising with me during the really hard and painful days.

Erin, the clinic manager, is also beautiful. She always greets me by name each time with a smile, and even when I call, she is so caring too.

I highly highly recommend the alignment studio
Jessi B
I had a great myofascial session with Doris at The Alignment Studio in Melbourne. I was really impressed by how precise and intuitive her work was. She managed to release a lot of tension from head to toe, and a few days later, one of my ribs actually shifted back into place, which helped resolve a number of ongoing issues. I'll definitely book another session with her next time I'm in Melbourne. Thanks Doris!
Adrien M

See An Experienced Physiotherapist Today

Dizziness, vertigo and vestibular migraines can significantly impact your quality of life. Choose us for vestibular physiotherapy in Melbourne and enjoy tailored care and holistic programs that ensure the best treatment outcome.

FAQs

Vestibular physiotherapy treats conditions of the inner ear and brain that impact balance and can cause dizziness, including several types of vertigo. Physiotherapy clinics will often collaborate with ENT specialists, neurologists and other healthcare professionals to provide comprehensive care.

Yes, physiotherapy can be beneficial for many types of vertigo, including Benign Paroxysmal Positional Vertigo. Physios trained in vestibular rehab use targeted exercises and repositioning techniques to improve balance and reduce dizziness.

This depends on the specific condition. Patients with Benign Paroxysmal Positional Vertigo may feel better in one or two sessions once inner ear crystals have been repositioned, while more complex balance disorders may require weeks or months of rehabilitation.

You don’t need a referral for our Melbourne vestibular physiotherapy services. However, if you have any imaging, please bring it along.