BPPV
Brief spinning triggered by turning in bed, looking up or bending over is a classic sign, and it can often be treated with repositioning.
Physiotherapist-led assessment and rehabilitation for vertigo, dizziness and balance problems, including positional testing, BPPV repositioning where appropriate, gaze and balance exercises and a home programme to help you feel steady again.
If dizziness comes with facial drooping, arm weakness, slurred speech, double vision, a severe headache or trouble walking, go to an emergency department immediately.
Vertigo is a false sense of spinning or movement, often with nausea and unsteadiness. Vertigo testing looks for the cause, and rehabilitation uses repositioning manoeuvres and exercises to reduce symptoms and help the brain adapt.
Many cases come from the inner ear balance system, for example benign paroxysmal positional vertigo (BPPV), but dizziness can also have neurological, circulatory or other medical causes. A careful assessment helps tell them apart and decide the right next step.
Physiotherapy plays a key role when the problem involves the balance system, with treatment such as canalith repositioning for BPPV, gaze stabilisation exercises, habituation, balance training and a home programme.
Your history, eye movements, positional tests and balance are examined.
Warning signs are checked, and medical referral is advised when needed.
Exercises help the brain adapt and steady vision and balance.
A clear routine to continue your recovery between sessions.
Suitability and timing depend on the cause and on any medical advice you have received. An assessment should come before treatment.
Brief spinning triggered by turning in bed, looking up or bending over is a classic sign, and it can often be treated with repositioning.
After the acute illness is medically managed, rehabilitation can help the brain compensate for an inner ear imbalance.
Recurring dizziness linked to migraine or long-standing imbalance may be assessed alongside medical care.
Dizziness and imbalance after a head injury may be addressed with graded vestibular and balance exercises once cleared by a doctor.
Feeling unsteady on your feet, or having had falls, can be assessed and improved with balance and strength training.
Dizziness that seems linked to neck stiffness may be assessed, after more serious causes have been ruled out.
Symptoms differ depending on the cause, and describing exactly what you feel and when it happens is one of the most useful parts of the assessment.
Keep a short note of triggers, how long episodes last and any hearing changes, headache or other symptoms to bring to your appointment.
A feeling that you or the room is spinning, often brief and triggered by head movement.
Feeling off balance, veering when walking or fearing a fall.
Queasiness or discomfort in vehicles, crowds or busy visual settings.
Difficulty keeping your eyes steady when turning your head or walking.
Your first visit combines a detailed conversation with bedside tests of your eye movements, positional responses and balance. These are done in clinic and need no special preparation beyond comfortable clothing.
Some people also need further tests, such as hearing tests, video nystagmography (VNG) or scans, arranged with an ENT specialist, audiologist or neurologist. Your physiotherapist will advise if this applies to you.
Symptoms, triggers, medicines, hearing and warning signs are reviewed.
Tests such as the Dix-Hallpike help check for BPPV and other inner ear signs.
Standing, walking and head-movement tasks show how well you stay steady.
The likely cause is explained, and treatment or referral is agreed with you.
Outcomes depend on the cause. BPPV often responds quickly to repositioning, while other balance problems usually improve more gradually with regular exercise.
It is natural to avoid the head movements that make you dizzy, but the brain recovers by being carefully and gradually exposed to them. Rest alone usually does not retrain the balance system.
That is why your plan includes graded exercises, taught and supervised, rather than relying on medicines or rest alone.
Rehabilitation may help when dizziness or imbalance is linked to the balance system and no urgent medical cause has been found.
Go to an emergency department immediately if dizziness comes with facial drooping, arm or leg weakness, slurred speech, double vision, confusion, a sudden severe headache, chest pain, fainting, or inability to stand or walk. These can be signs of stroke or another emergency.
See a doctor promptly for sudden hearing loss, dizziness after a head injury, a first-ever episode of severe vertigo, or fever with a stiff neck. Repositioning manoeuvres may not suit people with certain neck, spine or blood vessel problems, so tell your physiotherapist your full history.
A comprehensive plan combines different approaches according to your findings and goals.
Manoeuvres such as the Epley manoeuvre for BPPV, when testing shows they are suitable.
Exercises that train your eyes to stay steady while your head moves.
Graded exposure to triggering movements and stability work for daily tasks.
A simple routine and safety guidance to continue progress between visits.
Calm n Cure Physiotherapy Center focuses on understanding what triggers your symptoms before choosing a treatment, and is clear about when medical referral is the right step.
Book a physiotherapy assessment in Gurgaon. Our team can review your symptoms and explain what testing and a safe, realistic rehabilitation plan could look like.
Book an AssessmentCommon questions about vertigo, BPPV, vestibular rehabilitation and when to seek urgent care.
Share your basic details and concern. The Calm n Cure clinic team can discuss your symptoms, assessment requirements and the next appropriate step.
Medical note: Dizziness and vertigo can be caused by conditions that need urgent medical care, including stroke. Sudden severe symptoms should be evaluated by a doctor or emergency service without delay. Physiotherapy supports assessment and rehabilitation of balance-related causes and does not replace medical diagnosis or treatment. Treatment should be recommended and carried out by a suitably trained and qualified practitioner after an appropriate assessment. Individual treatment plans and outcomes vary.