Dizziness and vertigo can be very disabling, we take our balance for granted. However Vestibular rehabilitation has been clinically proven to help reduce symptoms of dizziness and vertigo through physical therapy exercises. At Dizzy Ears we take a holistic approach and your treatment plan will be incorporated with relaxation exercises as well as lifestyle changes,
What does vestibular mean?
‘Vestibular’ is the medical term for the balance organs in your inner ear. The ‘Vestibular system’ consists of not just the organs themselves but the entire system which contributes to keeping you stabilised and upright. This includes your brain, your spinal cord, your ears, your eyes and the muscles and bones in your body.
Why am I dizzy?
There are many different medical reasons that can cause dizziness, vertigo and imbalance. At Dizzy Ears we specialise in diagnosis and treatment of dizziness due to problems in the vestibular system (balance organs in your inner ear). There are many different vestibular disorders that could be making you dizzy.
This can include the following common disorders:
· BPPV benign paroxysmal positional vertigo
· Vestibular neuritis
· Vestibular Migraine
· Meniere’s disease
· Persistent, Perceptual postural dizziness
· Semi-circular canal dehiscence or fistulas
· Mal de Debarquement syndrome
· Ageing complications
Depending on your diagnosis you may suffer with different types of dizziness, sometimes these symptoms overlap making it difficult to figure out your diagnosis. Your healthcare professional can help with this. Vestibular disorders can give you lots of different symptoms. Some of these symptoms can be very confusing to describe to other people. And usually other people may not notice there is anything wrong until you tell them.
· Veering whilst walking
· Dizziness in crowds
· Feeling drunk
· Jelly legs
These symptoms can be very debilitating and may affect your quality of life. It is important you speak to your GP straight away if you are bothered by these symptoms, the earlier you can get treated the better.
What is Dizziness therapy or Vestibular Rehabilitation?
These are customised exercises that are prescribed to help reduce symptoms of dizziness, vertigo & imbalance due to problems in the inner ear.
Depending on your dizziness and symptoms, there are different exercises or manoeuvres that can be prescribed. The exercises involve moving your head, eyes and body to stimulate and retrain your balance system in order to reduce your vertigo and dizziness.
How does it work?
Your balance system is essentially made of three parts:
1. The vestibular organs in your ears
2. Your vision
3. The muscles and bones in your body
If you have a disorder in your vestibular system, your brain adapts by relying on your visual system and the receptors in your body to help you balance. In the short term this is good, because it allows your ears time to recover and once you start going back to your normal routine, your brain compensates and you feel better. Sometimes the brain finds it difficult to compensate.
This is when Vestibular rehabilitation can help you achieve “Vestibular compensation”.
These exercises help your brain to re-organise the different information coming from your ears, your eyes and your body to help you maintain your balance.
Who is it for?
Vestibular rehabilitation is for people who suffer with dizziness or vertigo due to a disorder in the balance organs (vestibular system) in the inner ears.
How long does it take?
This is a difficult question to answer because it depends on your diagnosis, symptoms and how long you have been unwell for. Vestibular rehabilitation can take weeks to several months. There are lots of different factors that help make the process quicker such as starting the treatment sooner rather than later. Doing your exercises regularly helps as well.
Who is Dizzy Ears?
Dizzy Ears was founded in 2018 and we specialise in offering treatment for vestibular disorders. For more information, click on About us.
What other services do you provide?
There are lots of different treatments options for dizzness and vertigo however it depends on your diagnosis and symtpoms. For some people dizziness can be a chronic condition and making chnages to your lifestyle can help. For other the dizziness may cause anxiety or long term depression. So it is important to treat dizziness sooner rather than later.
You may have heard of Dix-Hallpike and Epley manoeuvres that is used to treat vertigo. If you suffer with a condition called BPPV (this is when your crystals in your ears fall out of place) then these manoeuvres will work really well for you. A Hallpike manoeuvre is used to diagnose BPPV. An Epley manoeuvre can be used to treat BPPV. There are different manoeuvres for different types of BPPV so speak to your healthcare professional to check which is the right one for you.
If you suffer with dizziness or vertigo episodes, then vestibular rehabilitation therapy will be a good place to start. These exercises should be customised to your symptoms as different people are triggered by different things.
For example, if your triggers are related to movements of your head or eyes then you might be prescribed gaze stabilisation exercises. If you suffer with visual vertigo, whereby visual stimulation around you makes you feel dizzy (for eg when you are in the supermarket or car) then vestibular ocular reflex exercises would work well for you.
There are 3 principles to vestibular rehab therapy:
1. It has to be customised to your symptoms
2. It has to be gradual, and they should be made more challenging over time. This is why we recommend having follow-ups every few weeks.
3. It has to be repeated several times a day in order for your brain to adapt.
Depending on your diagnosis, research has shown certain dietary restrictions can help control your dizziness episodes and sometimes even prevent episodes occurring. For example, alcohol and caffeine can cause dizziness and vertigo and should be removed from your diet completely. At Dizzy Ears we take a holistic approach to treating your symptoms and as part of your initial assessment we will ask questions about your lifestyle as well as diet.
If your dizziness is causing you anxiety and stress, then we will incorporate relaxation and mindfulness into your exercises to help manage this. If you don’t manage the anxiety, you might create a negative emotion with dizziness which could lead to you forming bad habits over time. At dizzy ears we take a holistic approach to your treatment and will demonstrate and prescribe some relaxation strategies to you as part of your treatment plan.
If you suffer with chronic long term dizziness then we may offer cognitive behavioural therapy as part of your treatment plan to help to remove the negative emotions you may have linked to the dizziness. CBT helps to identify your negative thoughts and change it to a more positive or realistic thought. If we feel you might benefit from CBT we can offer packages.
If you are wondering if this is the right service for you, please call us to enquire.
Your appointment will include a comprehensive assessment of your dizziness symptoms including:
We recommend having a follow-up appointment every few weeks in order to advance the vestibular rehabilitation therapy and make them more challenging, in order to tackle your symptoms better.
My aim is to teach you everything you need to know about your condition and how to manage it within 3 appointments. That's why for the next two follow-ups your sessions will be £90 per appointment. If you require furthur appointments after the three sessions, the price reduces to £60 per session.
If you require long term therapy or rehabilitation with regards to your dizziness then we will reduce the price down to £60 per session.
Get 10% off your first purchase when you sign up for our newsletter!