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Alpha Physio

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CONDITION · VESTIBULAR & BALANCE

Vertigo treatment in Sumner.

The sudden sense that the room is spinning — on rolling over, looking up, or turning your head — can be unsettling and disruptive. Alpha Physio is well known across Brisbane’s western suburbs for vestibular assessment and management of vertigo and dizziness, including BPPV. Anisha, who has a clinical interest in concussion and vertigo, and Nia lead this work at our Sumner clinic.

AT A GLANCE
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AFFECTED AREA
Inner ear & balance
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PREVALENCE
Common
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FIRST STEP
Assessment + plan
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FUNDING PATHWAYS
NDIS · DVA · WorkCover
Information shown is general and not a substitute for assessment. Your physiotherapist will discuss your specific presentation at your initial appointment.
COMMON SIGNS

Symptoms you may recognise.

If two or more of these apply to you, a vestibular assessment is a sensible next step.

Spinning sensation

A sense that you or the room is moving when it isn’t

Triggered by head movement

Rolling over in bed, looking up, or turning quickly

Brief, intense episodes

Often lasting seconds, characteristic of BPPV

Unsteadiness or imbalance

Difficulty walking straight or standing still

Nausea with episodes

Often accompanying the spinning sensation

Visual disturbance

Trouble keeping gaze steady during head movement

COMMON DRIVERS

Why it might be happening.

Vertigo has several possible causes. A vestibular assessment helps identify the most likely contributor and the right approach.

CAUSE 01

BPPV (inner-ear crystals)

Benign paroxysmal positional vertigo occurs when small crystals move into a balance canal of the inner ear, producing brief, intense spinning with certain head positions. It is one of the most common and treatable causes.

CAUSE 02

Vestibular hypofunction

Reduced function of one or both vestibular (inner-ear) systems can cause ongoing dizziness and imbalance. A graded gaze-stability and balance program can help the system adapt.

CAUSE 03

Cervicogenic dizziness

Dizziness arising from the neck can occur alongside neck pain and stiffness. This musculoskeletal contributor is within the scope of physiotherapy assessment and management.

CAUSE 04

Post-concussion dizziness

Dizziness and balance difficulty are common after concussion. Anisha has a clinical interest in concussion and vertigo management and can guide a structured, graded recovery program.

When to seek urgent care

Some causes of dizziness require immediate medical attention rather than a physio assessment. Please seek urgent care if your dizziness occurs with:

  • Sudden severe headache or the “worst headache of your life”
  • Slurred speech, facial droop, weakness or numbness
  • Double vision or sudden loss of vision
  • Difficulty walking or sudden severe imbalance
  • New hearing loss with vertigo
OUR APPROACH

How physiotherapy may help.

A structured approach — assess the vestibular and balance systems, treat the identified cause, then retrain balance and confidence.

1

Assess

A vestibular assessment to identify the likely cause of your vertigo or dizziness.

  • Positional testing for BPPV
  • Gaze-stability & eye-movement testing
  • Balance & gait assessment
  • Cervical screen where relevant

2

Treat

An evidence-based plan tailored to the cause identified — from repositioning manoeuvres to graded retraining.

  • Canalith repositioning for BPPV
  • Gaze-stability (VOR) exercises
  • Habituation & balance retraining
  • Cervical management where relevant

3

Manage

A progressive program to restore balance confidence and reduce the impact of episodes on daily life.

  • Home exercise program
  • Graded return to activity
  • Falls-risk & safety strategies
  • Co-management with your GP
RELATED CONDITIONS

Common questions.

Yes — many causes of vertigo and dizziness respond well to vestibular physiotherapy. For benign paroxysmal positional vertigo (BPPV), specific repositioning manoeuvres are often effective. For other vestibular presentations, a tailored balance and gaze-stability program may help your system adapt. Our physiotherapists assess your presentation to determine the likely cause and the most appropriate approach, and refer back to your GP where medical investigation is needed.
BPPV (benign paroxysmal positional vertigo) is one of the most common causes of vertigo. It occurs when small calcium crystals in the inner ear move into one of the balance canals, causing brief but intense spinning sensations with certain head movements — such as rolling over in bed or looking up. BPPV is often managed effectively with specific repositioning manoeuvres performed by a trained physiotherapist.
A vestibular assessment includes a detailed history of your symptoms and triggers, positional testing to identify BPPV, and assessment of your balance, gaze stability, and gait. Anisha, who has a clinical interest in concussion and vertigo management, and Nia lead this work at our Sumner clinic. The findings guide whether repositioning manoeuvres, balance retraining, or onward GP referral is the most appropriate next step.
Seek urgent medical attention if your dizziness is accompanied by sudden severe headache, slurred speech, facial droop, weakness or numbness, double vision, or difficulty walking, as these can indicate a serious cause. For recurring vertigo or dizziness, a GP assessment is recommended to establish a diagnosis. Vestibular physiotherapy then addresses the inner-ear and balance contributors where appropriate.

Spinning or off-balance? Get assessed.