Man having a Vertigo attack.

Physiotherapy for Vertigo: Types of Treatments, The Process, and Benefits

Physiotherapy offers a unique and effective approach to managing Vertigo, a condition characterized by a sensation of spinning or dizziness. This article delves into the various physiotherapeutic treatments available for Vertigo, detailing their types, the processes involved, and the benefits they offer.

By understanding these treatments, individuals suffering from Vertigo can gain insights into how physiotherapy can help alleviate their symptoms, improve balance, and enhance overall quality of life.

So, let’s get started.

Understanding Vertigo

Vertigo is a medical condition characterized by a sensation of spinning or swaying, even when one is stationary. It often feels as if either the person or the surrounding environment is moving, which is not the case. This sensation can be mild and barely noticeable or severe enough to affect daily activities and cause nausea.

Symptoms of Vertigo include a sense of spinning, tilting, swaying, unbalanced, or being pulled in one direction. These can be accompanied by nausea, vomiting, headache, sweating, abnormal eye movements (nystagmus), hearing loss, or ringing in the ears (tinnitus). Symptoms can last a few minutes to several hours or more and may come and go.

Vertigo is most commonly caused by problems in the inner ear. These include benign paroxysmal positional Vertigo (BPPV), where tiny calcium particles clump in the canals of the inner ear; Meniere’s disease that involves a buildup of fluid and changing pressure in the ear, and Vestibular neuritis, an infection-related inflammation of the inner ear nerves. Less commonly, Vertigo can be a symptom of a more serious neurological problem, such as a stroke or brain tumor.

While vertigo is most commonly caused by problems in the inner ear, it’s important to note that the upper cervical spine nerves, joints, and muscles also play a role in vertigo and dizziness. Dysfunction or misalignment in this area can affect the nerves responsible for maintaining balance and spatial orientation. Conditions like cervical vertigo or cervicogenic vertigo can arise when there are issues in the upper cervical spine, contributing to vertigo symptoms.

Now let’s learn how Physiotherapy can help with Vertigo.


Women doing excersise to help her vertiago.

Physiotherapy for Vertigo

Physiotherapy can be highly effective in treating Vertigo, particularly when it’s caused by issues in the inner ear. The primary goal of physiotherapy in this context is to improve vestibular functioning and help the brain adapt to changes in the inner ear.

Physiotherapy offers several techniques to address Vertigo, particularly those stemming from vestibular disorders.

Here are some key methods:

1.     Vestibular Rehabilitation Therapy (VRT):

VRT is a specialized form of therapy focusing on the vestibular system, which is responsible for balance and spatial orientation. This therapy includes exercises to improve balance, reduce dizziness, and increase general activity levels. The exercises might involve head and eye movements, walking, and balance training. VRT works by promoting central nervous system compensation for inner ear deficits, thereby reducing vertigo symptoms.

2.     Canalith Repositioning Maneuvers (CRM):

This includes the Epley Maneuver, a common treatment for benign paroxysmal positional Vertigo (BPPV). BPPV occurs when tiny calcium particles (canaliths) clump up in the canals of the inner ear. The Epley Maneuver involves sequential movement of the head into specific positions to move these particles out of the semicircular canals of the ear and into an area where they won’t cause dizziness. This technique often provides immediate relief from vertigo symptoms.

3.     Brandt-Daroff Exercises:

These are a series of movements that a person can do at home. They involve sitting on the edge of a bed and moving into a lying position on one side with the nose pointed upward, then sitting up and moving into a lying position on the other side. These exercises are designed to dislodge the canaliths from the semicircular canal and encourage the brain to adapt to the confusing signals it’s receiving from the inner ear.

4.     Gaze Stabilization Exercises:

These exercises help improve control of eye movements so that vision can remain focused while the head is moving. This is particularly useful for people who experience dizziness or unsteadiness because their eyes and inner ear signals are not coordinated.

5.     Balance Training:

This involves a range of exercises to improve steadiness and prevent falls. These exercises might include standing on one foot, walking heel-to-toe, or other activities that challenge the balance system.

6.     Supplementary Treatments:

Additionally, physiotherapy may include heat therapy, manual therapy to restore normal joint position and motion, IMS needling to decrease abnormal muscle tone, and posture correction. These supplementary treatments can help address the underlying causes of vertigo by promoting musculoskeletal health and reducing tension in the upper cervical spine muscles. Usually, by the time upper cervical spine issues are corrected, individuals may no longer require other treatments for their vertigo.

Each of these techniques plays a specific role in managing Vertigo. The choice of technique depends on the underlying cause of Vertigo and the individual patient’s condition. A trained physiotherapist assesses the patient and tailors a treatment plan that includes one or more of these techniques. Regular follow-up and adjustment of the therapy program are crucial for achieving the best results.

Benefits of Treating Vertigo via Physiotherapy

While there are other ways to cure Vertigo, but physiotherapy is considered a highly effective method. This preference for physiotherapy in treating Vertigo is due to several benefits, such as:

  • Targeted Treatment: Physiotherapy offers specific treatments like Vestibular Rehabilitation Therapy (VRT) and the Epley Maneuver that are directly aimed at the common causes of Vertigo, such as BPPV. These treatments are tailored to address the individual’s unique symptoms and causes.
  • Non-Invasive and Safe: Unlike some medical treatments that might involve medication or surgery, physiotherapy is non-invasive. It typically has fewer risks and side effects, making it a safer option for many patients, particularly those who may have contraindications to certain medications.
  • Long-Term Benefits: Physiotherapy not only helps in immediate symptom relief but also works on the underlying imbalance issues. By training the brain to cope with changes in the inner ear, it offers long-term solutions to prevent recurrence.
  • Holistic Approach: Physiotherapy often involves a holistic approach to treatment, incorporating lifestyle advice, exercises to improve overall balance and coordination, and strategies to manage symptoms. This comprehensive approach can lead to better overall health and well-being.
  • Empowers Patients: This therapy empowers patients to manage their condition through exercises and strategies that can be practiced at home. It encourages active participation in the treatment process, which can improve outcomes.

While physiotherapy is effective for many people with Vertigo, it’s important to note that treatment should be individualized. The best approach depends on the underlying cause of Vertigo, the severity of symptoms, and the patient’s overall health.

In some cases, other treatments, such as medication, surgery, or lifestyle changes, may also be necessary. Consulting with healthcare professionals is essential to determine the most appropriate treatment plan for Vertigo.


In summary, Vertigo, often caused by inner ear disorders, can significantly impact quality of life. Physiotherapy, with techniques like Vestibular Rehabilitation Therapy and the Epley Maneuver, offers a targeted and non-invasive approach to treatment.

These methods focus on improving balance and aiding the brain in adapting to vestibular changes, providing both immediate relief and long-term management. The holistic nature of physiotherapy, emphasizing patient empowerment and overall wellness, makes it a preferred choice for many.

However, individualized treatment plans, developed in consultation with healthcare professionals, are essential for effective management.