Positional Vertigo, or BPPV is the most common causes of vertigo. It is an inner-ear disorder that causes a sense of spinning, also called vertigo; nausea or imbalance when the head is put into certain positions, lasting only seconds, up to a minute.

It can occur at any age, but is more commonly seen in older individuals.

The most common positions that reproduce vertigo in BPPV are bending forward, reaching and looking up, lying down and rolling in bed.

Positional Vertigo most often occurs spontaneously, but can also occur after a viral inner ear infection, or post trauma, such as after a fall, post concussion, post Motor Vehicle Accident (MVA).


Panorama Physiotherapy's Individualized Treatment for BPPV vertigo:

  • The most common treatment for BPPV is a repositioning maneuver. It returns the debris to it originating space where the body can absorb it in a few days.

  • This is not a cure, but a treatment. BPPV may recur in a few months, a few years, or it may never recur.

  • You do not need to restrict your positions or movements after a treatment, except in cases where there is an increased recurrence rate (10% or less of patients with BPPV).

Patients often have significant improvement within the first session, with some patients requiring more than 1-2 sessions. Cases of traumatic onset can have a higher recurrence rate and may require additional sessions.

Vestibular Rehabilitation Therapy (VRT)

At Panorama Physiotherapy, we can provide Vestibular Rehabilitation for individuals who have suffered from vertigo.

Vestibular Rehabilitation is well established as the gold standard for the management of non compensated vestibulopathy. Vestibulopathies often occur after the acute onset of an inner ear condition or vestibular migraine.

  • An acute episode of vertigo lasting 30 minutes or more
  • Vertigo, or a sense of spinning with movements
  • Motion intolerance
  • Sense of blurred vision or trouble reading with head movement
  • The feeling that the eyes need shock absorbers.
  • Possible hearing loss in some instances
  • Imbalance or disequilibrium
  • Staggering or veering with walking


Vestibular Rehabilitation Therapy (VRT) provided at Panorama Physiotherapy & Sports Injury Clinic will need to be supplemented with daily home exercises to gain the maximum results and optimal outcomes.

VRT programs can take as little as a few weeks, but can take significantly longer depending on each individual case, health history, home program and symptoms.

At Panorama Physiotherapy, we strive to provide the most current treatment forms to aid you in regaining function after suffering with vertigo.

Your assessment may take from 45-60 minutes, with follow up appointments last 30-45 minutes.



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I have nothing but praise for Panorama Physiotherapy and the staff. Kudos to the receptionists for always accommodating me, quite often on short notice. Physiotherapists, Mila and Natasha are two of the most personable, knowledgeable and professional individuals I have ever met. If Physiotherapy has been recommended for you, do yourself a huge favor, have your doctor refer you to Panorama Physiotherapy & Sports Clinic. Believe me, you will not regret it!


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