Common Conditions Treated by Vestibular Rehabilitation Edmonton: From Vertigo to Balance Problems

Physiotherapist guiding a patient through balance exercises during vestibular rehabilitation in Edmonton


Dizziness, vertigo, and balance problems may affect everyday activities such as walking, turning your head, getting out of bed, or looking around while moving. These symptoms may make it difficult to work, exercise, drive, or feel steady during daily tasks. Vestibular rehabilitation Edmonton services focus on assessing and addressing movement-related dizziness and balance difficulties through individualized physiotherapy care.

At Turning Point Physiotherapy, vestibular physiotherapy may be considered for people experiencing certain inner-ear conditions, dizziness following a concussion, and other balance-related concerns. Understanding the possible causes of these symptoms may help you decide when to seek an assessment.

What Is Vestibular Rehabilitation?

Vestibular rehabilitation is a form of physiotherapy that focuses on dizziness, balance, and coordination concerns associated with the vestibular system. This system includes structures in the inner ear and parts of the brain that help you maintain balance and understand how your head moves.

When the vestibular system is affected, you may experience spinning sensations, unsteadiness, motion sensitivity, or difficulty coordinating head and eye movements.

Vestibular physiotherapy Edmonton services may include a physical assessment and exercises selected according to your symptoms, medical history, and functional needs. Depending on the cause of your symptoms, treatment may involve balance exercises, gaze-stabilization activities, habituation exercises, or specific head-positioning techniques.

1. Benign Paroxysmal Positional Vertigo (BPPV)

Benign paroxysmal positional vertigo, commonly called BPPV, is a frequent cause of brief episodes of vertigo. It occurs when tiny calcium crystals move into the wrong part of the inner ear, affecting the body's response to head position.

Common symptoms of BPPV

  • A spinning sensation when rolling over in bed

  • Dizziness when lying down or sitting up

  • Vertigo when looking upward or bending forward

  • Brief episodes of dizziness triggered by particular head movements

Vestibular physiotherapy may include specific assessment procedures and repositioning manoeuvres designed to move the displaced crystals into a more appropriate location. The appropriate technique depends on the affected inner-ear canal and the person's presentation.

2. Vestibular Neuritis

Vestibular neuritis involves inflammation affecting the vestibular nerve, which carries balance-related information from the inner ear to the brain. It may cause sudden, intense vertigo and difficulty maintaining balance.

Symptoms that may occur

  • Persistent spinning or dizziness

  • Nausea or vomiting

  • Difficulty walking steadily

  • Increased discomfort when moving the head

  • A feeling of imbalance after the initial episode

After medical assessment, vestibular rehabilitation may help some people adapt to changes in vestibular function. Exercises may focus on gaze stabilization, balance, and gradually improving tolerance to head movements.

Sudden severe dizziness, particularly with difficulty speaking, weakness, double vision, or a new severe headache, requires urgent medical assessment rather than assuming the cause is vestibular neuritis.

3. Vestibular Migraine

Vestibular migraine is a condition in which migraine is associated with episodes of vertigo, dizziness, or sensitivity to movement. A headache may occur during an episode, but it is not always present.

Possible symptoms

  • Episodes of dizziness or vertigo

  • Sensitivity to light or sound

  • Nausea during movement

  • Discomfort in busy visual environments

  • Difficulty tolerating quick head movements

Vestibular physiotherapy may help address balance difficulties and motion sensitivity for some individuals. Treatment is usually tailored to symptom triggers and tolerance. Medical assessment is important because vestibular migraine may require management beyond physiotherapy alone.

4. Concussion-Related Dizziness

A concussion may affect the systems responsible for balance, eye movements, and coordination. Some people experience dizziness immediately after a head injury, while others notice symptoms during activities that require concentration or movement.

Common concerns after a concussion

  • Dizziness when walking or turning the head

  • Difficulty focusing on moving objects

  • Unsteadiness during physical activity

  • Sensitivity to busy environments

  • Symptoms that increase with reading, screen use, or movement

Vestibular rehabilitation may form part of a broader concussion rehabilitation plan when appropriate. Depending on the assessment findings, exercises may address eye-head coordination, balance, walking, or gradual tolerance to movement.

Seek urgent medical care after a head injury if symptoms worsen or include repeated vomiting, increasing confusion, unusual drowsiness, weakness, seizures, or a severe headache.

5. Persistent Dizziness and Motion Sensitivity

Some people experience dizziness or unsteadiness that continues after an initial vestibular illness or injury. Symptoms may become more noticeable in supermarkets, crowded places, while scrolling on a screen, or when travelling in a vehicle.

Possible symptoms include:

  • Feeling unsteady while walking

  • Discomfort in visually busy environments

  • Increased symptoms with repeated head movements

  • Difficulty moving through crowded spaces

  • A sense of rocking or swaying

The causes of persistent dizziness vary. A vestibular assessment may help determine whether vestibular rehabilitation is appropriate or whether further medical evaluation is needed. Treatment may include gradual exposure to specific movements, balance activities, and gaze-stabilization exercises, depending on the findings.

6. Balance Problems and Unsteadiness

Balance difficulties may develop due to changes in vestibular function, ageing, neurological conditions, medication effects, or other health concerns. People may notice that they feel less steady when walking on uneven ground, turning quickly, or moving in low-light conditions.

How vestibular physiotherapy may help

A physiotherapist may assess walking, standing balance, coordination, and the ability to move the head while maintaining visual focus. Based on the results, a treatment plan may include:

  • Static and dynamic balance exercises

  • Walking and turning practice

  • Gaze-stabilization activities

  • Lower-limb strengthening exercises

  • Functional movement training

The exercises and level of difficulty should be appropriate for the person's abilities and safety needs.

7. Dizziness Related to Other Vestibular or Inner-Ear Conditions

Several other conditions may affect balance or cause dizziness, including Ménière's disease and some forms of vestibular dysfunction. Symptoms and treatment needs differ depending on the underlying condition.

For example, Ménière's disease may involve episodes of vertigo, hearing changes, ringing in the ear, or a feeling of fullness in the ear. These symptoms require appropriate medical assessment. Vestibular rehabilitation may be considered for ongoing balance difficulties in selected cases, but it does not replace medical management of the underlying condition.

Dizziness may also result from causes unrelated to the vestibular system, such as low blood pressure, medication effects, heart rhythm problems, or other medical conditions. Identifying the likely cause is an important part of choosing suitable care.

What to Expect During Vestibular Physiotherapy in Edmonton

If you are considering Vestibular Physiotherapy in Edmonton, an initial assessment may include questions about your symptoms, medical history, medications, previous injuries, and activities that trigger dizziness.

Physiotherapist helping a patient practise head movements and balance during vestibular therapy


Your physiotherapist may assess balance, walking, eye movements, head movements, and positional vertigo when appropriate. Some assessment procedures may temporarily bring on dizziness, so it is helpful to discuss your concerns and comfort level beforehand.

Depending on the assessment findings, treatment may include:

  • Gaze-stabilization exercises: Activities that help coordinate eye and head movements.

  • Balance training: Exercises designed around standing, walking, and everyday movement.

  • Habituation exercises: Gradual, planned exposure to movements that trigger symptoms.

  • Canalith repositioning manoeuvres: Specific techniques used for certain types of BPPV.

  • Functional rehabilitation: Activities related to work, home tasks, and other daily routines.

Not every person needs the same exercises. The treatment plan should reflect the likely cause of symptoms, medical considerations, and individual goals.

When Should You Seek an Assessment?

Consider seeking medical advice if dizziness or balance problems are recurring, affecting daily activities, or developing after an injury. A physiotherapy assessment may help determine whether vestibular rehabilitation is suitable for your situation.

However, sudden dizziness with new weakness, numbness, trouble speaking, double vision, inability to walk, chest pain, fainting, or a sudden severe headache requires urgent medical care. Do not delay emergency assessment to book physiotherapy.

Explore Vestibular Rehabilitation Edmonton Services

Dizziness, vertigo, and balance problems may have several different causes, so identifying the underlying issue is an important step in choosing appropriate care. Vestibular rehabilitation may include targeted exercises and techniques designed around a person's assessment findings and daily needs.

Turning Point Physiotherapy provides physiotherapy services in Edmonton. Visit https://turningpointphysio.ca/ to learn more about available services and ask whether vestibular physiotherapy may suit your needs.



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