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.



We do not warrant or represent that the information in this site is free from errors or omissions or is suitable for your intended use. We recommend that you seek individual advice before acting on any information in this site. We have made every effort to ensure that the information on our website is correct at the time of publication but recommend that you exercise your own skill and care with respect to its use. If you wish to purchase our services, please do not rely solely on the information in this website.

In January of 2009 at age 66, I was struck by a car while I was on the side of the road. I sustained a broken shoulder, extensive soft tissue damage in both legs and head/ neck injuries. The Physiotherapists at PPSC have worked with my physician coordinating my therapy recovery process, beginning with Physiotherapy, then bringing in Kinesiology treatments as well as Massage Therapy. The Physiotherapists work with recurring vertigo, light headedness, neck problems and lower back issues, has been like a miracle. Having all of these services in one clinic has made my recovery process much easier. I very much appreciate the effective communication not only with me as a patient but with my physician, and in this uninsured motorist case, my lawyer and an insurance company. I have made continuous progress and feel very fortunate to have found the Panorama Physiotherapy & Sports Clinic. The positive attitude shown by the respective therapists has inspired me to do my part in my healing process and gives me what I feel is a motto for the professional treatment and encouragement received at this clinic.


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