Balance Therapy & Vestibular Rehabilitation
Dizziness, unsteadiness or recurrent falls — especially in older adults or after head injury — often respond very well to vestibular rehabilitation and balance training.
Symptoms of balance problems
- Dizziness or vertigo
- Unsteady walking
- Recent falls or near-falls
- Difficulty walking in the dark
- Nausea with head movements
Common causes
- Inner ear (vestibular) disorders like BPPV
- Age-related decline in balance systems
- Stroke or neurological conditions
- Medication side effects
Treatment approaches
Most cases of balance problems respond very well to physiotherapy. Common modalities include:
Manual Therapy
Hands-on techniques including joint mobilisation, soft tissue massage, myofascial release and trigger point therapy. Used to reduce pain, restore movement and break down adhesions in muscles and connective tissue.
Exercise Therapy
The cornerstone of modern physiotherapy. Progressive, individualised exercises restore strength, mobility and motor control — the only intervention proven to produce long-term changes in tissue and function.
Dry Needling
Fine needles inserted into trigger points to release tight muscle bands. Effective for chronic muscle tension, headaches, and stubborn pain that doesn't respond to massage alone. Different from acupuncture in approach and goal.
Electrotherapy
Modalities like TENS, ultrasound, IFT and laser used to reduce pain and inflammation, especially in the early stages of injury. Always combined with exercise — never used as a standalone treatment.
Related physiotherapy services
Frequently asked questions
- Can BPPV be cured with physiotherapy?
- Yes. Benign paroxysmal positional vertigo responds dramatically to specific repositioning maneuvers (Epley, Semont) performed by a vestibular-trained physiotherapist — often in just 1-2 sessions.