Understand the dizziness before choosing the exercise.
Turning in bed, looking around a shop or walking outside can feel difficult when your balance is unsettled. We listen to the pattern of your symptoms and assess whether vestibular rehabilitation is appropriate or medical review is needed first.
Assessment firstA plan for your needsYour prioritiesPractical everyday goalsProgress reviewedCare adapted with you
Understanding your needs
Similar symptoms. Different causes.
The vestibular system helps your brain understand head movement and balance. Dizziness can also arise from other conditions, so treatment is never based on the word ‘vertigo’ alone.
01
Positional vertigo: BPPV
Benign paroxysmal positional vertigo can cause brief spinning with particular head movements, such as turning in bed.
Our focusUse suitable positional assessment. A repositioning manoeuvre may be appropriate when findings support BPPV; it is not a treatment for all dizziness.
02
Persistent dizziness: PPPD
Persistent postural-perceptual dizziness can involve ongoing non-spinning dizziness or unsteadiness, often worse when upright, moving or in visually busy places.
Our focusConsider gradual, individually paced movement and balance practice alongside appropriate medical and psychological support.
03
Balance after vestibular illness
Some people remain unsteady or sensitive to movement after an inner-ear or vestibular problem.
Our focusAssess which eye, head, balance or walking activities are suitable and how to progress them.
04
Dizziness with neck symptoms
The term cervicogenic dizziness is sometimes used when neck symptoms and dizziness occur together. Their coexistence does not establish the cause.
Our focusAssess carefully and consider other explanations before attributing dizziness to the neck. Avoid self-directed neck manipulation.
05
Walking and fall confidence
Turning, uneven ground or moving in busy surroundings may feel less secure.
Our focusPractise useful tasks with suitable support and discuss ways to reduce fall risk.
06
Symptoms needing another service
Migraine, hearing changes, medicine effects, circulation or neurological problems can also cause dizziness.
Our focusRefer for medical or specialist assessment when the history or examination suggests rehabilitation alone is not appropriate.
Your assessment and care
A plan matched to the cause.
Tell us whether symptoms are spinning, light-headedness or unsteadiness, how long they last and what brings them on.
01
Screen symptoms and safety
Review onset, hearing or vision changes, headaches, falls, medicines and existing diagnoses. Some patterns require urgent medical assessment.
02
Choose appropriate tests
Assessment may include eye and head movements, walking, balance and positional testing. Tests are explained first and adapted for neck, back or mobility restrictions.
03
Practise at a tolerable level
Where indicated, select gaze, balance or movement exercises, or a repositioning manoeuvre for confirmed positional vertigo. Explain expected sensations and when to stop.
04
Review daily function
Adjust practice according to symptoms, confidence and daily activities. Persistent or changing symptoms may require further investigation.
Do not copy a repositioning manoeuvre or dizziness routine without assessment. Arrange assistance for travel if you feel unsafe; do not drive while dizzy.
Care that listens
Experience with a personal approach.
Led by Dr. N. T. Srilatha Gubenthiran, our team brings more than 23 years of senior clinical experience to personalised rehabilitation.
BPT · MIAP · MSc Psychology
We explain the assessment, listen to your preferences and agree a plan together. Your comfort and questions matter throughout care.
Does every case of vertigo need the Epley manoeuvre?+
No. Repositioning manoeuvres are used for particular forms of BPPV after appropriate assessment. Other causes of dizziness need a different approach, and neck or other health problems may change which tests or treatments are safe.
Is PPPD just anxiety?+
No. PPPD is a recognised persistent dizziness condition. Symptoms are real, and anxiety may coexist or make them harder to manage. Care can combine rehabilitation, education and other treatment recommended by your medical team.
Will exercises make me dizzy?+
Some prescribed activities may briefly provoke familiar symptoms, but the amount should be planned and tolerable. New, severe or prolonged symptoms are not something to push through; stop and seek advice.
Can neck treatment fix my dizziness?+
Neck symptoms and dizziness can have different or overlapping causes. Assessment and sometimes specialist review are needed before choosing care. A neck diagnosis or treatment should not replace investigation of concerning symptoms.
What should I bring?+
Bring relevant ENT or neurological reports and a medicine list. Note what triggers symptoms and how long episodes last. Arrange someone to accompany you if balance or travel is difficult.
Sri Physiotherapy Clinic · Kumbakonam
Take the first step towards steadier movement.
Call to arrange an assessment and discuss travel or assistance needs. New emergency symptoms need medical care first.