Together Physiotherapy provides assessment and treatment for vertigo, dizziness and balance problems in Livingston and across West Lothian.

Vestibular and balance disorders involve dysfunction within the peripheral vestibular system (inner ear) or central balance pathways.

Symptoms may include vertigo, dizziness, instability, visual disturbance or motion sensitivity. These symptoms are commonly triggered by positional changes, head movement or visually complex environments.

Dizziness is frequently attributed to non-specific causes. A structured vestibular assessment helps differentiate between positional vertigo, vestibular hypofunction, balance impairment and non-vestibular presentations.

 

Presentations Commonly Seen

Vestibular and balance physiotherapy may be appropriate for:

• Benign Paroxysmal Positional Vertigo (BPPV)
   

• Vertigo triggered by rolling in bed or looking upward
   

• Dizziness with head movement
   

• Motion sensitivity
   

• Persistent imbalance
   

• Unsteadiness when walking
   

• Reduced confidence outdoors or in busy environments
   

Symptoms are assessed systematically to determine likely origin and appropriate intervention.

 

Assessment May Include

• Detailed symptom pattern analysis
   

• Positional testing where indicated
   

• Oculomotor assessment
   

• Gaze stability testing
   

• Dynamic balance assessment
   

• Functional mobility observation
   

Where presentation falls outside physiotherapy scope, appropriate referral is advised.

 

Treatment May Include

• Canal repositioning manoeuvres for BPPV
   

• Gaze stabilisation exercises
   

• Habituation exercises
   

• Balance retraining
   

• Graduated exposure to movement
   

Many BPPV cases resolve quickly with appropriate manoeuvres. Other vestibular conditions require progressive adaptation over several weeks.