Neck and head
Vertigo and BPPV
Positional dizziness, managed by a physiotherapist certified specifically in vestibular and BPPV rehabilitation.
What people notice
Signs that bring people in.
- A spinning sensation when rolling over in bed
- Dizziness on looking up or bending down
- Brief but intense episodes lasting under a minute
- Unsteadiness that lingers after the spinning stops
- Nausea accompanying position changes
How we approach it.
Bushra Murad holds certification in vestibular and BPPV rehabilitation, which is a specific skill set rather than something every physiotherapist offers.
Dizziness has many possible causes and not all of them are musculoskeletal or vestibular. Assessment here establishes whether this is something we should be treating, and if it is not, you get told that clearly.
What tends to be behind it.
Rarely one thing. These are the contributors the exam looks for, and the reason the assessment covers more than the spot that hurts.
01
Positional triggers
BPPV is provoked by specific head positions, which is what distinguishes it from more constant forms of dizziness.
02
Following a head impact
Symptoms sometimes begin after a knock to the head or a period of prolonged bed rest.
03
Neck movement restriction
Reduced neck movement can contribute to unsteadiness and is worth assessing alongside the vestibular system.
04
Reduced balance confidence
After a few episodes people move more cautiously, and the balance system gets less of the input it needs.
InTouch is an integrated rehabilitation centre. Care here is directed at restoring movement and function, and every plan begins with an individual assessment rather than an assumption about your diagnosis.
The care we’d likely use
Related services
At the practice
Care begins with assessment to identify the pattern, followed by repositioning techniques and graded balance retraining where these are appropriate.
What happens next
What care looks like here.
The same first visit regardless of what brought you in, and nothing is decided until the findings are in front of you.
Step 1
Assessment
A full history and physical assessment, because the discipline you booked is not automatically the one you need.
Step 2
Findings and plan
What we found, explained in plain terms, and an integrated plan that can draw on any of the five disciplines here.
Step 3
Treatment
Hands-on care from the practitioners the plan calls for, with the teams talking to each other rather than working in parallel.
Step 4
Rehabilitation
Exercise rehabilitation to rebuild strength and control, plus the prevention work that keeps you from coming back for the same thing.
What happens after the first visit
InTouch does not publish fixed course lengths, and care is reviewed as you progress rather than run to a set number of sessions. What comes next is decided from how you respond, and it can draw on any of the five disciplines in the building.
Good to know
Common questions.
Should I see a doctor about dizziness first?
If your dizziness is constant rather than positional, came with hearing changes, severe headache, or any neurological symptoms, see a medical doctor first. Vestibular rehabilitation is for specific presentations, and part of the assessment is confirming yours is one of them.
Start here
Your health deserves
better.
Whether something hurts today or you simply want to move well for a long time, it starts with one visit.