Dizziness
Dizziness
Dizziness and vertigo
Dizziness can feel like spinning, light-headedness, unsteadiness or difficulty focusing while moving. It is a broad symptom with many possible causes. Because the right approach depends on the cause, a careful assessment always comes first.
When can physiotherapy help?
Assessment may include balance, eye and head movements, walking, neck movement and the positions or activities that provoke your symptoms. Depending on the findings, treatment may include:
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repositioning manoeuvres for BPPV, such as the Epley manoeuvre;
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vestibular rehabilitation after vestibular neuritis or for persistent balance symptoms;
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tailored balance, gaze-stability and movement exercises;
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treatment of neck-related factors when the assessment supports a cervical contribution.
Dizziness can also occur alongside migraine, headache, neck pain or jaw symptoms. This does not automatically mean that the jaw or neck is the cause. We assess whether the symptoms may be related and, when appropriate, coordinate care with your GP, ENT specialist or neurologist.
Our dizziness specialists
At Mind Your Motion, Cas van Veldhuizen, Rayko Piepers and Robert Kuizenga specialise in assessing and treating dizziness. Their combined expertise includes vestibular, neck-, headache-, migraine- and jaw-related complaints.
When should you seek urgent medical help?
Contact your GP or out-of-hours service urgently if dizziness starts suddenly together with double vision, difficulty speaking or swallowing, weakness or numbness, severe difficulty walking, sudden hearing loss, fainting, or a sudden severe headache or neck pain. Call 112 in an emergency.
Sources and further reading
KNGF/NVMT: dizziness
NHS: vertigo
Thuisarts: BPPV