Dizziness and vertigo are common symptoms that can interfere with daily activities and significantly affect your quality of life. Whether it’s the sensation of the room spinning, feeling unbalanced, or simply feeling lightheaded, these conditions can leave you feeling disoriented and frustrated.
In many cases, dizziness and vertigo are linked to a problem with the vestibular system – that is, the part of your inner ear and brain that helps control balance.
If you’re struggling with these symptoms, vestibular therapy may be the solution you need.
In this blog post, we will explore how vestibular therapy works, the conditions it can treat, and how it can help alleviate dizziness and vertigo.
What is Vestibular Therapy?
Vestibular therapy, also known as vestibular rehabilitation therapy (VRT), is a specialized form of physical therapy designed to alleviate dizziness, vertigo, and balance disorders. It focuses on exercises that help retrain the brain and the vestibular system, which includes the inner ear and the parts of the brain responsible for visual stability, balance and posture.
The vestibular system plays a crucial role in helping your body maintain balance and orientation in space. When this system is disrupted due to an injury, illness, or other conditions, it can lead to symptoms like dizziness, vertigo, and imbalance. Vestibular therapy uses specific exercises and techniques to help the body compensate for these issues and improve balance.
Vestibular therapy is typically provided by trained physical therapists who specialize in treating balance disorders. Through a tailored treatment plan, therapists can help patients alleviate or manage symptoms, improve mobility, and reduce the risk of falls.
How Does Vestibular Therapy Work?
The goal of vestibular therapy is to help the brain adapt to the changes in the vestibular system that are causing symptoms. Since the vestibular system is responsible for sending signals about balance to the brain, any disruption in its function can lead to confusion in how the body perceives movement. Vestibular therapy works to retrain the brain to interpret these signals correctly, which can help reduce dizziness and vertigo.
1. Repositioning Maneuvers
One of the most common causes of vertigo is a condition called BPPV, where tiny crystals that are naturally found in the inner ear, become displaced and can cause brief bouts of vertigo when changing positions (such as lying down or rolling over in bed). One of the most effective treatments for this condition involves a physical therapist taking you through a series of guided head movements in order to move these crystals back into the proper position within the inner ear, and thereby alleviating these bouts of intermittent vertigo.
2. Gaze Stabilization Exercises
Another important aspect of vestibular therapy is gaze stabilization exercises. These exercises are designed to help improve the ability to focus on objects while the head is moving. Often, people with vestibular disorders struggle to keep their vision clear and focused when moving their head, which can lead to further dizziness.
Gaze stabilization exercises work by training the eye muscles to maintain focus while the head is in motion. For example, a common exercise involves focusing on a stationary object while turning the head from side to side. This helps improve the coordination between the eyes and the vestibular system, making it easier to maintain clear vision and reduce the sensation of dizziness.
3. Balance Training Exercises

Balance training is another key component of vestibular therapy. These exercises are designed to improve coordination, posture, and overall stability. They focus on strengthening the muscles that support balance, especially in the lower body. Balance training can also involve exercises to improve proprioception, or the awareness of where your body is in space.
Balance exercises may include tasks like standing on one leg, walking in a straight line, or performing weight-shifting activities. These exercises challenge your balance system and help the body learn to compensate for any issues with the vestibular system. Over time, balance training can help reduce the risk of falls and make it easier to perform daily activities without feeling unsteady.
4. Vestibular Rehabilitation for Specific Conditions
Vestibular therapy is tailored to each patient’s specific needs and symptoms. Depending on the underlying cause of dizziness or vertigo, therapists may focus on different techniques. Other conditions that can be treated with vestibular therapy include:
- Meniere’s Disease: A disorder of the inner ear that can cause vertigo, hearing loss, and ringing in the ears. Vestibular therapy can help with the dizziness and balance issues associated with Meniere’s disease.
- Labyrinthitis: Inflammation of the inner ear that can cause sudden vertigo. Vestibular therapy can help manage balance issues and retrain the brain to adapt to the inflammation.
- Vestibular Neuritis: An infection of the vestibular nerve that causes sudden dizziness or vertigo. Vestibular rehabilitation can help restore balance function and reduce symptoms.
- Post-concussion Syndrome: Following a head injury or concussion, many people experience balance issues and dizziness. Vestibular therapy can help individuals recover from these symptoms and regain normal balance.
5. Habituation Exercises
Another group of techniques used in vestibular therapy is habituation exercises. These exercises involve exposing the brain to movements or positions that trigger dizziness in a controlled way. Over time, the brain becomes less sensitive to these triggers, and the symptoms of dizziness or vertigo subside.
Habituation exercises help the brain become accustomed to the movement patterns that initially caused discomfort. For example, if you experience dizziness when turning your head, a therapist may guide you through exercises that involve gentle head turns to desensitize the vestibular system. With repeated exposure, your brain can learn to adjust and reduce the dizziness response.
The Benefits of Vestibular Therapy for Dizziness and Vertigo
Vestibular therapy offers a wide range of benefits for those experiencing dizziness, vertigo, or balance problems. Here are some of the key advantages:
1. Reduced Symptoms of Dizziness and Vertigo
The primary goal of vestibular therapy is to alleviate the symptoms of dizziness and vertigo. By retraining the brain to interpret balance signals correctly, individuals often experience a reduction in the frequency and intensity of their symptoms. Many patients report a significant improvement in their ability to function normally, whether it’s walking, driving, or performing daily tasks.
2. Improved Balance and Coordination
For individuals who experience balance problems, vestibular therapy can improve overall stability and coordination. Balance training exercises help strengthen the muscles involved in maintaining posture and movement, which makes it easier to stand, walk, and engage in physical activities. Improved balance also reduces the risk of falls, which can be a major concern for older adults or those with vestibular disorders.
3. Faster Recovery from Vestibular Disorders
By starting vestibular therapy early, patients can often recover more quickly from vestibular disorders. The exercises and techniques used in therapy are designed to accelerate the brain’s adaptation process, allowing patients to return to their normal activities with fewer complications. Early intervention is especially important for conditions like BPPV, where specific maneuvers can resolve symptoms quickly when performed by a trained therapist.
4. Personalized Treatment Plan
One of the key advantages of vestibular therapy is that it is personalized to each patient’s needs. Therapists conduct thorough assessments to understand the specific nature of the dizziness or vertigo and develop a customized treatment plan. This individualized approach ensures that patients receive the most effective treatment for their particular condition and symptoms.
5. Non-Invasive Treatment Option
Unlike medications or surgical treatments, vestibular therapy is a non-invasive approach to managing dizziness and vertigo. It does not rely on drugs to mask symptoms but instead focuses on addressing the root causes of the imbalance. This makes it a safe and effective option for many individuals, particularly those who want to avoid the side effects or risks associated with medication or surgery.
Who Can Benefit from Vestibular Therapy?
Vestibular therapy can be beneficial for a wide range of people experiencing dizziness or vertigo. Some individuals who may benefit from vestibular therapy include:
- People with BPPV
- Those suffering from Meniere’s disease or other inner ear conditions
- Individuals recovering from a concussion or head injury
- Older adults who experience balance issues or falls
- People with vestibular neuritis or labyrinthitis
- Anyone with chronic dizziness or vertigo that affects daily life
Conclusion
Dizziness and vertigo can be debilitating conditions that interfere with your ability to live an active, fulfilling life. Fortunately, vestibular therapy offers a safe, effective, and non-invasive treatment option for managing these symptoms. Through a combination of habituation exercises, gaze stabilization techniques, and balance training, vestibular therapy helps retrain the brain and vestibular system to restore normal function. Whether you’re dealing with a vestibular disorder like BPPV or recovering from a head injury, vestibular therapy can provide significant relief and help you regain control over your balance and well-being.
👉 If you’re ready to take the next step in your recovery or health journey, give Momentum Physiotherapy in Maple Ridge a call at 604 459 2223 and one of our staff will be happy to get you moving in the right direction! See some of our other Services>>