Diagnose the disease, detect its root cause,
discern its cure and then act appropriately. (thirukkural - 948 300 BCE)

Diagnose the disease, detect its root cause,
discern its cure and then act appropriately. (thirukkural - 948 300 BCE)

Case Managers & Solicitors

Vestibular Disorders go undiagnosed/ unrecognised/untreated in patients with head injury

Does your client with head injury suffer from dizziness, vertigo, unsteadiness?

If yes, your client is most likely to suffer from vestibular disorders caused by head injury

Do you know vestibular disorders can be correctly diagnosed and successfully treated with Vestibular Physiotherapy?

Head Injury- Vestibular Facts!

Prevalence of vestibular disorders in head injury

Prevalence of dizziness in people with head injury ranges from 18% to 81%.

Vestibular disorders are the most common causes of Post-traumatic dizziness in head injury patients.

Vestibular (inner ear) organ is one of the main contributors to balance control. Head trauma could cause damage to the vestibular organ, vestibular nerve and its central control system in the midbrain, cerebellum, and other brain structures resulting in post-traumatic vestibular disorders.

Prevalence of vestibular disorders in head injury

BPPV (Benign Paroxysmal Positional Vertigo)- 28%
Imbalance/unsteadiness -27% -86%
Vestibular hypofunction - Up to 51%
Post-traumatic Vestibular Migraine/vertigo- 41%


Hoffer ME and others. Characterizing and treating dizziness after mild head trauma. Otol Neurotol 25:135-138, 2004
Griffiths MV (1979) The incidence of auditory and vestibular concussion following minor head injury. Journal of Laryngology and Otology 93(3): 253-265.

Vestibular Physiotherapy is an effective treatment method which helps to reduce dizziness, improve balance and independence in head injury patients with vestibular disorders

DizzyCare Clinic offers high quality, evidence-based individualised vestibular physiotherapy for head injury patients with vestibular disorders

Please click here for the list of vestibular conditions we deal with, the range of tests and treatment methods we use at the DizzyCare Clinic

For enquiries dizzycareclinic@gmail.com

Case managers

“Undiagnosed vestibular problems in patients with Head Injuries” Head and neck injury can cause peripheral or central vestibular system or both. Vestibular symptoms such as vertigo, dizziness, unsteadiness, nausea, and vomiting are common following head trauma (40%-60%) but vestibular disorders remain undiagnosed thereby untreated in the majority of patients with head trauma.

Benign paroxysmal positional vertigo (BPPV) is one of the most common types of peripheral vestibular disorder following a head trauma. Patients with BPPV will experience short episodes of vertigo provoked by positional changes such as lying down and turning over in bed.

Another common peripheral vestibular problem is vestibular hypofunction. Trauma to the head could damage the vestibular system, vestibular nerve connection or both due to the concussion leading to unilateral or bilateral vestibular hypofunction. Patients with bilateral vestibular hypofunction will experience constant dizziness, unsteadiness, and fear of falling

Conventional investigations such as MRI and CT are not useful to diagnose a BPPV and vestibular hypofunction; however this life-altering conditions can be correctly diagnosed and successfully treated by vestibular rehabilitation

We will be happy to assess and treat your clients with dizziness, vertigo and unsteadiness following a head trauma


Hi Samy, Your work with Jim was invaluable. His dizziness is so much better; he rarely mentions it talking more about chest pain. Your service was first rate Samy. You could not have done more for Jim and your knowledge and professionalism is second to none. I would have absolutely no hesitation in referring to you again and recommending you to patients and colleagues. Keep doing what you do so wonderfully. Kind Regards, Claire Eveson Case Manager AJ Case management
Claire Eveson Case Manager AJCM

Feb 2020
I would be happy to use you again or to recommend you to others. I found you pleasant to deal with and you always responded to requests in a timely manner. I am aware my client was comfortable with you and found your input helpful.
Alison Wright. Case Manager.

Dec 2018