Physiotherapy for
Vertigo & Dizziness
Expert vestibular physiotherapy for vertigo, BPPV, dizziness, and balance disorders — across 15 centres in Delhi, Gurugram, Pune & Greater Noida. BPPV cured in 1–3 sessions with the Epley manoeuvre in over 90% of cases.
Why Physiotherapy Is the Most Effective Treatment for Vertigo
Vertigo — the sensation that you or the world around you is spinning — affects millions of people and is one of the most common neurological complaints seen in physiotherapy practice. The good news: most causes of vertigo respond rapidly and completely to targeted physiotherapy, often without any need for medication.
Unlike vestibular suppressant medications (which merely mask symptoms and can delay recovery), vestibular physiotherapy addresses the root cause. The result is faster, more complete, and longer-lasting relief.
⚡ Key fact: BPPV — Benign Paroxysmal Positional Vertigo — is the single most common cause of vertigo, accounting for approximately 17–42% of all vertigo presentations. It is cured in over 90% of cases with the Epley canalith repositioning manoeuvre, often in a single session.
Types of Vertigo & Dizziness We Treat
Benign Paroxysmal Positional Vertigo — caused by displaced calcium carbonate crystals (otoconia) in the semicircular canals. Brief, intense spinning triggered by head position changes. Cured with canalith repositioning manoeuvres.
Viral inflammation of the vestibular nerve causing prolonged vertigo, nausea, and imbalance. Vestibular rehabilitation therapy (VRT) promotes central compensation and restores balance.
Vertigo and dizziness arising from central nervous system conditions including stroke, MS, or cerebellar disorders. Requires specialist neurorehabilitation alongside vestibular therapy.
Persistent Postural-Perceptual Dizziness — chronic dizziness lasting months, often after an acute vestibular event. Treated with graduated exposure, VRT, and cognitive strategies.
The Epley Manoeuvre — Cure BPPV in One Session
The Epley canalith repositioning manoeuvre is the gold-standard treatment for posterior canal BPPV. It involves a precise sequence of head and body movements that guide the displaced otoconia out of the semicircular canal and back to the utricle, where they can no longer cause vertigo.
Starting position, head turned 45° towards the affected ear
Rapidly reclined with head extended — crystals enter the canal
Head turned 90° to opposite side — crystals move through the canal
Body rolled and patient sits upright — crystals deposited safely
🏁 Most patients experience complete resolution of BPPV symptoms after 1–3 Epley manoeuvre sessions. The procedure takes approximately 10–15 minutes and is performed in the clinic or during a home visit. Your physiotherapist will also teach you home exercises to prevent recurrence.
Vestibular Rehabilitation Therapy (VRT)
For conditions beyond BPPV — such as vestibular neuritis, labyrinthitis, chronic dizziness, and balance disorders — a structured programme of Vestibular Rehabilitation Therapy (VRT) is prescribed. VRT works by promoting central vestibular compensation: training the brain to reinterpret and adapt to faulty vestibular signals.
VRT Treatment Components
VOR (vestibulo-ocular reflex) exercises to reduce oscillopsia and visual blur during head movement.
Repeated exposure to dizziness-provoking movements to reduce hypersensitivity of the vestibular system.
Progressive static and dynamic balance exercises to reduce fall risk and restore postural stability.
Walking and dual-task exercises to restore confidence and safety during functional mobility.
Personalised daily exercises for continued vestibular compensation between sessions.
Understanding your condition, activity strategies, and managing anxiety around dizziness.
Ménière's Disease
Ménière's disease is a chronic inner ear condition causing episodic vertigo, fluctuating hearing loss, tinnitus, and ear fullness. While Ménière's is managed medically, vestibular physiotherapy plays a key role in managing balance dysfunction between attacks, reducing fall risk, and improving functional tolerance of dizziness. VRT is tailored to the fluctuating nature of the condition.
Cervicogenic Dizziness
Dizziness arising from the neck — cervicogenic dizziness — is caused by dysfunction of proprioceptive signals from the cervical spine, often following whiplash injury, cervical spondylosis, or prolonged poor posture. It is commonly confused with vestibular vertigo.
Treatment includes cervical manual therapy, sensorimotor exercises, gaze stability training, and postural correction. It responds well to physiotherapy when correctly identified.
Read more: Neck Pain Physiotherapy →Balance Disorders & Fall Prevention
Poor balance is the most disabling consequence of vestibular disorders, particularly in older adults. Falls from vestibular-related imbalance cause significant injury and loss of independence. Our balance rehabilitation programmes include:
- Standardised balance assessment — Berg Balance Scale, TUG, Dynamic Gait Index
- Progressive balance retraining — foam, balance boards, dynamic surfaces
- Dual-task training — combining cognitive and motor tasks to simulate real-world demands
- Home environment assessment — fall hazard identification and modification advice
- Strength and flexibility — lower limb strengthening to support postural stability
Home Physiotherapy for Vertigo — Delhi & NCR
For patients whose vertigo makes travel difficult — or elderly patients at risk of falls — our specialist physiotherapists provide home visits for vestibular assessment and treatment, including the Epley manoeuvre, across all of Delhi, Gurugram, Noida, Faridabad, and Ghaziabad.
- Sudden severe vertigo with headache, double vision, or difficulty walking (possible stroke)
- Vertigo following a head injury or fall
- Hearing loss with sudden onset vertigo
- Vertigo with facial numbness or weakness
- New vertigo in someone with a history of cancer or neurological disease
Vertigo & Dizziness — Common Questions
Questions from patients about vestibular physiotherapy.
Stop the Spinning — Get Relief Today
BPPV resolves in 1–3 sessions. WhatsApp us now for a response within 30 minutes. Home visits, centre appointments, and online consultations available across Delhi, Gurugram, Pune & Greater Noida.