Vestibular Physiotherapy and Rehabilitation


Vestibular Physiotherapy and Rehabilitation
Vestibular Physiotherapy and Rehabilitation Langley

Do you suffer from chronic dizziness? Are you tired of relying on medication that may or may not work? Come see us for Vestibular Rehab!

Your body relies on balance to help you do just about everything. If you’re experiencing dizziness, balance problems, or even a ringing in your ears, it could be a sign that your vestibular system is in trouble. Our therapists are here to help you with your symptoms of dizziness and get back on your feet, regain your balance with our vestibular rehabilitation services.

Vestibular Physiotherapy is provided at Opal Physiotherapy in Langley, BC. Our team has widespread experience in vestibular rehabilitation treatment that is customized to meet your needs.

At Opal Physiotherapy, we offer Vestibular Rehabilitation to help clients with dizziness, vertigo, and other vestibular symptoms.  Physiotherapist at Opal Physiotherapy is trained in vestibular rehabilitation and physiotherapy, using a personalized approach to help clients achieve their goals. Treatment is provided with the aim to teach patients how to regain their balance through a variety of exercise methods.

We have helped many of our clients regain their balance and function.

Vestibular Rehabilitation  Langley

Benign paroxysmal Positional vertigo or BPPV

Benign paroxysmal Positional vertigo (BPPV) is the most common cause of vestibular dysfunction. BPPV is a disorder where the crystals in an individual’s semicircular canal become dislodged. This may occur from physical trauma or following a head injury. In the most common type of BPPV, these crystals attach to one side of the vestibular nerve and cause a disruption in the transmission of signals between the ear, cerebrum, and brainstem. This can lead to dizziness and vertigo which is usually worse when the head is tilted to one side. An electrophysiologic test may also be used to rule out causes of vertigo such as Meniere’s disease, benign paroxysmal positional vertigo, and vestibular migraine.

Vertigo Treatment

Have you ever experienced symptoms of vertigo or dizziness?

Benign paroxysmal positional vertigo, most commonly known as BPPV, is a vestibular source disorder in the ear, most often related to a problem with displaced otoconia ( crystals of calcium carbonate ). This can occur on one side, with intermittent and transient symptoms lasting for a shorter duration of time, usually less than one minute. The symptoms may include feeling off-balance when standing or walking, nausea symptoms and sometimes can even induce vomiting.

Vertigo attacks are more likely to occur after waking up, when looking up or down, sitting to lying /lying to sitting postures. Vertigo can also happen when you change your position suddenly, like moving around in bed and turning head.

 In most cases, there is no apparent cause for BPPV or vertigo. However, sometimes it may be a result of an underlying condition or trauma. It is more common in older adults less than 60 yrs of age, often being a gradual onset with previous episodes, trauma, and having inner ear infections. It is also more common with central conditions like MS and traumatic brain injuries. Symptoms can also be attributed to vestibular dysfunctions like labyrinthitis and migraines.

A Vestibular physiotherapist with special training in vestibular dysfunctions can accurately assess the cause of the disorder and apply the proper treatment techniques to help address your vertigo. Vestibular Rehabilitation with an understanding of vestibular dysfunction often has a high success rate. Depending on the severity of the issue, one to a few vestibular physiotherapy sessions may be necessary.

Frequently Asked Questions:


What is a vestibular system?

The vestibular system is a peripheral system comprised of several structures, but the main component is the vestibular labyrinth found in the inner ear. This vestibular labyrinth consists of semicircular canals and the otolith organs.

The semicircular canals function to detect any angular displacement of the head through the anterior, posterior, and horizontal canals. Each canal detects the motions to provide the representation of angular head displacement.

The otolith organs detect the acceleration/deceleration and tilt or gravitational pull through the otoconia, which are the calcium carbonate crystals that deflect the hair cells in the macula. These give us feedback on motion sense, whether you are up/down or forward/backward.

What are the vestibular system functions?

The vestibular system provides the brain with constant information about movement, head position, and body orientation through the vestibular ocular reflex mechanism (VOR). The VOR acts to maintaining a stable vision during movements.

The vestibular system primary functions are to maintain postural stability, gaze stability and sensory-motor control by providing:

  • balance and equilibrium.
  • Stability.
  • Posture

If anything goes mismatch in the vestibular system, symptoms like:

  • Loss of balance
  • Vertigo
  • Nausea/vomiting
  • Blurred vision
  • Falls/near falls
  • Motion sensitivity

might occur with a wide range of severity from mild symptoms to being debilitating with day-to-day functions.

What can cause problems in the vestibular system?

Peripheral vestibular dysfunction causes can include:

  • BPPV – Benign paroxysmal Positional vertigo
  • Unilateral or bilateral vestibular hypofunction – for example, from Inner ear infection
  • Meniere’s disease
  • Perilymphatic fistula

Central vestibular dysfunction causes

  • Vestibular Migraines
  • Trauma/head injury
  • Neurological disorders including stroke, MS etc

Neck-related / Cervicogenic dizziness.

What is Vestibular Rehabilitation?

Vestibular Rehabilitation is an exercise-based physiotherapy treatment program for balance and dizziness problems caused by vestibular disorders, including central or peripheral. It is aimed at reducing the problems caused by vestibular pathology.

The goals of vestibular rehabilitation are to reduce dizziness, improve stability, balance, reduce falls and improve neuromuscular coordination and function.

Your treatment program will be personalized to your condition and may include any form of exercises from – positional treatments, balance training, habituation, and gaze stability exercises as appropriate for you.

How long is the vestibular physiotherapy treatment program?

Vestibular physiotherapy treatment time frame can vary from few days to months depending on the underlying cause and severity of your symptoms.

It is essential for the individual to consistently participate and perform the exercises at home for a better outcome.

If you need help with your vestibular physiotherapy needs, call us at 604-532-7887 to book your appointment with our physiotherapist today.