Vertigo Physiotherapy Treatment in Ahmedabad

What Causes Vertigo?

Vertigo is the false sensation that you or your surrounding environment is spinning, tilting, or rocking. It occurs when a sensory conflict develops between your inner ear vestibular system, your eyes, and sensory nerve receptors in your neck. The most common cause is Benign Paroxysmal Positional Vertigo (BPPV), where microscopic calcium carbonate crystals (otoconia) break loose and float inside the fluid-filled semicircular canals of the inner ear.

Common Symptoms of Vestibular Dysfunction

• True Rotational Spinning: A violent illusion that the room is spinning around you triggered by head position changes.
• Nausea and Motion Sickness: Severe queasiness, cold sweats, or vomiting during sudden turns or elevator rides.
• Gaze Instability (Oscillopsia): The visual field bounces or blurs when walking or moving your head quickly.
• Veering or Drifting While Walking: An involuntary tendency to veer toward one side or feeling like you are walking on a moving boat.

Vertigo Triggered by Rolling in Bed or Looking Up

Simple movements like looking up at high shelves, bending forward to tie shoelaces, or turning from left to right in bed displace the loose inner ear crystals, creating rapid fluid waves that simulate intense spinning.

Why Canalith Repositioning Maneuvers Cure BPPV Rapidly

Medications only mask vertigo symptoms temporarily. Precise clinical repositioning maneuvers (such as the Epley maneuver) use gravity to guide the dislodged crystals out of the sensitive semicircular canal back into the utricle where they dissolve, resolving BPPV in 1 to 3 sessions.

Clinical Assessment

Our assessment begins with taking a detailed history of your dizziness triggers, duration of spinning episodes, and checking for central neurological signs versus peripheral inner ear causes.

Oculomotor and Balance Assessment

We evaluate the Vestibulo-Ocular Reflex (VOR), smooth visual tracking, saccadic eye movements, and measure standing balance on stable and foam surfaces.

Identifying the Affected Canal and Side

• Dix Hallpike Positional Testing: The gold standard diagnostic test to identify posterior canal BPPV and observe characteristic torsional nystagmus eye movements.
• Supine Roll Test: Identifying horizontal canal BPPV (geotropic vs apogeotropic nystagmus).
• Cervical Spine Proprioception Testing: Differentiating inner ear crystal vertigo from cervicogenic neck dizziness.

Canalith Repositioning Maneuvers (Epley & Semont)

Our certified vestibular therapists perform precision particle repositioning maneuvers including the Epley, Semont, and BBQ Roll maneuvers to gently guide displaced inner ear crystals back to their non-sensitive resting chamber.

Vestibular Rehabilitation Therapy (VRT)

Specialized VRT exercises recalibrate the Vestibulo-Ocular Reflex (VOR), retraining your brain to coordinate eye and head movements without dizziness or blurred vision.

Habituation and Motion Desensitization

Graded exposure exercises desensitize the central nervous system to specific head movements that previously provoked dizziness.

Cervicogenic Manual Therapy

When neck joint stiffness contributes to dizziness, gentle upper cervical Manual Therapy and Class IV Laser release tight suboccipital spasms.

Personalised Physiotherapy Treatment

We customize your rehabilitation plan from crystal repositioning into dynamic balance retraining, walking stability, and total fall prevention.

Gaze Stability (VOR) Exercises

Focusing on a visual target while moving your head horizontally and vertically retrains clear vision during body movement:

• VOR x1 Gaze Stabilization: Keeping eyes focused on a letter target while moving the head side to side at varying speeds.
• Target Tracking Drills: Shifting focus smoothly between two spaced visual points to improve gaze speed and spatial awareness.

Brandt Daroff Habituation Exercises

• Bedside Habituation Drills: Rapidly transitioning between sitting and side-lying positions to break down residual crystal fragments and habituate the vestibular system.

Static and Dynamic Balance Retraining

Tandem heel-to-toe standing, foam balance pads, and walking while turning the head left and right restore confident outdoor mobility.

Home Exercise and Safety Guidance

We provide advice on proper lighting in hallways at night, avoiding sudden head thrusts immediately after crystal repositioning, and using assistive support when dizzy.

You should schedule a clinical vestibular physiotherapy evaluation if you experience room spinning when turning in bed, feel unsteady on your feet, experience nausea during head turns, or have ongoing lightheadedness after a viral ear infection.