How do I know if my dizziness is caused by a vestibular problem?

If your dizziness is triggered by movement, changes in position, or visual environments (e.g. supermarkets or screens), it’s likely vestibular in origin. A specialist assessment can confirm this.

Is vestibular rehabilitation safe?

Yes, it’s a non-invasive, medication-free therapy guided by a trained physiotherapist. Exercises are tailored to your comfort level. You might feel variations in your levels of dizziness through the treatment, but you'll be supported and advised of this fully by your Vestibular Physiotherapist.(https://www.jrphysiotherapy.com/about)

Can you treat Benign Paroxysmal Positional Vertigo (BPPV) at home?

Yes, we can offer home visits in Cardiff and Penarth (https://www.jrphysiotherapy.com/home-and-domicillary-physio)if you can not travel to the physio clinic in Cardiff Bay.(https://www.jrphysiotherapy.com/)

How long does recovery take?

Benign Paroxysmal Positional Vertigo (BPPV) often resolves within 1 to 2 sessions. Other vestibular conditions such as Persistent Postural-Perceptual Dizziness (3PD / PPPD) or vestibular neuritis may require a few weeks to a couple of months of progressive therapy.

Can anxiety make dizziness worse?

Absolutely, anxiety can heighten vestibular symptoms. That’s why our approach also includes stress management, breathing and pacing strategies. Our approach is very holistic and considers you as a person, as a whole, not just the dizziness as a condition.

Vestibular Rehabilitation Therapy
in Cardiff & South Wales

Request a Call Back to Find Out More

Regain Balance, Confidence, and Control

Vestibular rehabilitation therapy (VRT) is a highly effective, evidence-based treatment for dizziness, vertigo and balance problems caused by inner ear and brain disorders. At James Rind Physiotherapy, we specialise in helping people recover from Benign Paroxysmal Positional Vertigo (BPPV), Labyrinthitis, Vestibular Neuritis and Persistent Postural-Perceptual Dizziness (3PD) through a combination of tailored physiotherapy techniques and holistic wellbeing approaches.

What is Vestibular Rehabilitation?

Vestibular rehabilitation therapy is a specialist form of physiotherapy designed to retrain your balance system. It helps your brain and body adapt to inner ear dysfunction so that dizziness, unsteadiness and visual sensitivity reduce over time.

Through guided exercises and manoeuvres we can help you:

Improve balance and stability
Reduce dizziness and motion sensitivity
Restore confidence with movement
Manage anxiety and fatigue related to vestibular symptoms

Conditions We Treat

We provide assessment and treatment for a range of vestibular conditions, including:

Benign Paroxysmal Positional Vertigo (BPPV)

A common cause of dizziness triggered by head movement. We use specific repositioning techniques such as the Epley manoeuvre to move loose calcium crystals (otoconia) within the inner ear, often providing immediate or rapid relief.

Labyrinthitis & Vestibular Neuritis

These conditions involve inflammation of the inner ear or vestibular nerve, often following a viral infection. Treatment focuses on balance retraining, gaze stabilisation and graded activity to restore normal movement and reduce dizziness.

Persistent Postural-Perceptual Dizziness (3PD)

A chronic dizziness condition linked with heightened visual motion sensitivity, stress and anxiety. Treatment includes vestibular rehabilitation, gentle exposure exercises and holistic stress and anxiety management strategies to calm the nervous system and restore confidence.

What to Expect in a Session

Comprehensive Assessment: We’ll begin by discussing your symptoms, medical history, and how dizziness affects your daily life.
Specialist Testing: Balance and eye movement assessments help identify whether your dizziness is due to BPPV, vestibular neuritis or another cause.
Personalised Treatment Plan: This may include:
- Epley or Semont manoeuvres (for BPPV)
- Balance and gaze stabilisation exercises
- Graded movement re-training
- Relaxation, breathing and mindfulness techniques (especially for 3PD)
Home Exercise Programme: You’ll receive simple, progressive exercises to continue your recovery at home.

Frequently Asked Questions

Why Choose James Rind Physiotherapy for your Vestibular Rehabilitation?

Specialist physiotherapist experienced in vestibular and rehabilitation
Evidence-based treatments including Epley manoeuvre and vestibular retraining
Holistic approach addressing stress, anxiety, and lifestyle
Home visits and clinic appointments available often within 24 hours.
Supportive, patient-centred care focused on long-term recovery

Book a Vestibular Assessment

Take the first step towards feeling steady again.

Book your vestibular rehabilitation session today - available in Bute Street, Cardiff Bay or at your home.