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Vestibular Physiotherapy and Rehabilitation is a specialised form of therapy that addresses the problems caused by Vestibular Disorders.

What Is Vestibular Physiotherapy?

Vestibular Physiotherapy and Rehabilitation is a specialised form of therapy that addresses the problems caused by Vestibular Disorders.  If you are experiencing dizziness, vertigo and balance problems, this may be due to a problem with your inner ears, eyes and joints working together.

We need all these systems to work in harmony, to provide information that allows us to see clearly and have good balance. Other symptoms may include unsteadiness, feeling lightheaded, reduced confidence, inactivity, a loss of independence and an increased risk of falls.

We have physio practices across London and the South East to provide you with quick and convenient support and treatment. Our staff are invested in our ethos of making people better and this informs all of the work we do.

What Causes Vestibular Disorders?

There is a range of reasons as to why you may be feeling dizzy or have symptoms of vestibular disorders. The causes may come from ear infections; head injury; period of immobility; medication and increasing age.

Some people experience vertigo; a spinning sensation which can often cause nausea. This can commonly be due to a condition called Benign Paroxysmal Positional Vertigo (BPPV) where tiny fragments are floating around the fluid inside the inner ear. Benign Paroxysmal Positional Vertigo (BPPV) causes symptoms of dizziness, vertigo/spinning sensations when the head is placed in certain positions. Up to 30% of people may experience this following a head injury.

Ear infections such as viral infection of the inner ear, interfere with the function of the vestibular system. This condition is characterised by sudden onset, severe vertigo and loss of balance that persists for several hours to days. Imbalance and dizziness, particularly on fast head movements can then persist for several weeks to months. A vestibular rehabilitation program prescribed by a physiotherapist is very effective in improving the recovery of this condition.

Head injuries may affect how the inner ear, vision and balance systems work together as a system, and the brain can receive confusing signals regarding the position and movements of the head in space.

Concussion and whiplash injuries are very common with head trauma. The effects of these may be noticeable immediately, or they may take a couple of weeks to appear.

What Can You Do?

Seek advice from a physiotherapist who specialises in Vestibular Rehabilitation. We have a team of experts who will provide a thorough assessment and develop an individualised treatment programme with you.  A management plan may include:

  • Specific techniques to treat symptoms for BPPV (Benign Paroxysmal Positional Vertigo)
  • Specific positional head movement techniques
  • Eye and head movement exercises
  • Exercises to improve standing balance
  • Education and advice on activities of daily living to improve confidence and function
  • Advice on falls prevention

Our Vestibular Physiotherapy is covered by major health insurers Bupa/Nuffield/TTN.

Book an appointment

If you’re in physical pain or have an injury, call your nearest clinic or book an appointment online. We usually have same day availability if you need urgent assistance.

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What should I expect to happen at my physiotherapy assessment?

The physiotherapist will take a detailed history and then do an examination using a number of recognised tests to try to establish the nature of your problem. They will then begin treatment with you or advise you on the best course of action. This will often include a series of exercises or other self-management advice to help you recover. It is important that you follow this advice because our experience tells us that the patients who follow their plans generally respond better to treatment.  Read more about our Consent to Treatment policies below.

Do I need to pay for the Private Physiotherapy service?

If you are coming to us through an insurance company you will need to provide the following policy details at the time of booking:

      • Policy number / membership number
      • Authorisation code
      • What your policy excess is

We will deal with the insurance company directly on your behalf.

For any other patients then yes, your appointment will incur a fee, which will be taken at the time of booking. For details of our charges please contact our team on 0208 778 9050.

How do I pay for my physiotherapy appointment?

We can only accept card payments. Payment will be taken at the time of booking to confirm your appointment.

If you are coming to us through an insurance company you will need to provide the following policy details at the time of booking:

  • Policy number / membership number
  • Authorisation code
  • What your policy excess is

We will deal with the insurance company directly on your behalf.

For any other patients then yes, your appointment will incur a fee, which will be taken at the time of booking. For details of our charges please contact our team on 0208 778 9050.

Payment is required at the time of booking. A limited number of our clinics do not have on site payment facilities. So our team will follow up with you in advance of your appointment to take payment.

What do I do if I need immediate physiotherapy advice or treatment?

We are a Primary Care Musculoskeletal Outpatients Service and are therefore not equipped to deal with emergency/ urgent medical care.

If you are experiencing significant Musculoskeletal pain, please contact your GP to discuss options for pain relief. Our Physiotherapists cannot provide prescriptions for medication.

If you need urgent medical help, use the regular NHS 111 online service.

The 111 online service asks questions about your symptoms to help you get the help you need.

Call 111 if you need urgent help for a child under 5 or cannot get help online.

For life-threatening emergencies, call 999 for an ambulance.

What if I need to cancel my physiotherapy appointment?

Please call 020 8778 9050 as soon as you know you will be unable to attend an appointment so it may be offered to other patients. Cancellations must be made at least 24 hours prior to the appointment. Should you wish to cancel over the weekend or out of hours, please leave a message on our answer machine or contact us here.

Cancellations without the required notice may incur a cancellation fee.

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