Diagnose the disease, detect its root cause, discern its cure and then act appropriately. (thirukkural - 948 300 BCE)
Frequently asked questions (FAQ)
Do I need to get a GP referral to see a Vestibular Specialist at the DizzyCare clinic?
Patients can refer themselves to our clinic without a referral from GP.
Who can refer patients to the DizzyCare Clinic?
Anyone can refer a patient to us. We get referrals from GPs, Consultants, Insurance companies, Solicitors, Case Managers, Physios and other Health Care professionals. Vast majority of our patients come to us through word of mouth and online enquiries.
How soon can I see the vestibular specialist?
Usually, we see patients within 48 hours of initial contact with us.
Do you offer appointments in the evenings and weekends?
We do offer evening and weekend appointments. Please call the clinic to check the availability.
I have both dizziness and neck pain, while physiotherapy helped reduce my neck pain it hasn't helped reduce my dizziness; could vestibular physiotherapy be helpful to get rid of my dizziness?
Neck pain could cause dizziness (cervicogenic dizziness) similarly dizziness can cause neck pain as well. In case of cervicogenic dizziness, dizziness will get better when the neck pain is treated, however if the dizziness was due to vestibular disorders then it would require vestibular rehabilitation.
I am taking tablets for dizziness for months but it's not helping me, should I continue taking it?
Vestibular medications are helpful to relieve the acute symptoms during severe attacks. In most cases, the dizziness tablets are taken for a very short period of few days to a week only. Most of the vestibular medications can interfere with natural recovery and could cause harmful side effects such as Parkinsonism when taken long-term. Only for certain such as Meniere's disease they tablets are recommended for long-term. Vestibular rehabilitation is a better alternative treatment as it can help you to get rid of your dizziness, improve balance and reduce risk of falling
My dizziness is driving me mad. I have seen several specialists and have had MRI and CT and they all came out clear. My friends and family think I am just putting it on as I otherwise look well. Can you help me?
Dizziness is equally frustrating for all parties involved (patients, family and clinicians) due to complex reasons. Firstly, for clinicians it is a great challenge to diagnose dizziness as it could be, literally, caused by hundreds of causes and it is impossible and impractical for a clinician to have extensive clinical expertise in all these areas. Secondly, it is not unusual to have normal MRI and CT usually of dizziness, these tests are not helpful usually, however are done to rule out rare sinister causes such as acoustic neuroma, MS, & stroke etc.
Vestibular disorders are one of the major causes of dizziness and these disorders can be correctly diagnosed and successfully, in most cases, treated by a highly specialised vestibular physiotherapist.
Unfortunately, sometimes family and friends struggle to comprehend what we are going through as they always look for physical evidence to confirm what we are saying (Doubting Thomas), but unfortunately dizziness can't be seen, it can only be experienced.
How long will the initial appointment last?
Both initial appointments and follow ups will last between 30 minutes to 45 minutes, however, in complex cases it could take more than an hour.
Can I drive after the treatment?
It’s advisable to have someone to drive you back as you might be advised to not to drive for a few hours after certain treatments
Ever since I had TIA/mini stroke I am experiencing dizziness; can vestibular physiotherapy be helpful?
It is not unusual to have dizziness, vertigo and unsteadiness following a stroke, particularly if the stroke happened in the brain structures that control balance. Vestibular rehabilitation can be helpful in reducing dizziness and improving balance.
My child got his head knocked while playing contact sport. She/he is complaining of dizziness, unsteadiness and difficulty concentrating in studies. MRI, CT was normal. Can vestibular physiotherapy help my child?
Sports injuries can cause damage to the vestibular due to concussion. Mild to moderate concussions will not be picked up by MRI and CT. Vestibular physiotherapy will help diagnose and treat vestibular disorders caused by head injuries.
I am quite scared to tilt my head back at the hairdressers chair and during my dental appointments as it gives me dizzy head. Can you help me?
It sounds like you have a Positional Vertigo. BPPV is one of the easiest conditions to diagnose and cure by vestibular physiotherapists. We regularly diagnose and treat patients with BPPV with around 95% success rate.
My elderly parents are in their late 80s and they both suffer from dizziness and unsteadiness and i am worried about them falling and breaking their hip. Can vestibular physiotherapy be helpful to reduce their dizziness and risk of falling?
As like other systems, balance system (vestibular/inner ear) can also deteriorate with age. A thorough examination will help with correct diagnosis. Vestibular rehabilitation is very effective in reducing dizziness, improving balance and reducing risk of falling in elderly people.
When I turn and move my neck i go dizzy and i am worried if this is due to vestibular artery (blood circulation to brain) problem?
Dizziness with head turn is usually caused by vestibular problems rather than problem with blood circulation to the brain. Vestibular problems are easily diagnosed and successfully treated with vestibular physiotherapy.
I feel uncomfortable, dizzy, hazy and unsteady when I am in crowd such as in supermarket. Could this be helped by vestibular rehabilitation?
Visual symptoms are quite common in vestibular disorders. Vestibular rehabilitation will help diagnose and treat these visual symptoms.
I had suffered a labyrinthitis a couple of years ago, my doctor told me that it would go in 3 to 6 months, but instead of getting better it’s getting worse. Can you help me?
Though complete recovery after labyrinthitis is possible, some people don't make a full recovery, instead they go on to develop a secondary problem called "chronic uncompensated unilateral vestibular hypofunction".
Research suggests that early start (within days) of vestibular rehabilitation following labyrinthitis and vestibular neuritis will help speed up the recovery process. A thorough assessment and a full course of vestibular rehabilitation should help reduce your symptoms significantly.
I don't get dizzy or vertigo but I experience unsteadiness especially when I walk, make a quick turn and move my head sharply. Could this be a vestibular problem, and could you help me with my balance?
People with certain vestibular disorders, such as bilateral vestibular hypofunction, do not experience vertigo/dizziness instead their main symptom would be unsteadiness. We can diagnose and offer customized vestibular/balance rehabilitation to improve your balance.
I can't come for a face to face appointment; can you offer me telephone/ online consultation?
Yes, we do offer consultation via Skype, telephone, mobile, WhatsApp etc.
Please complete and send our Online Consultation Enquiry Form and we will get touch with you soon.
I have tried Epley and Brandt-Daroff techniques to self-treat my dizziness but no success so far, any advice you can offer?
Epley manoeuvre is an effective treatment when it is used for the right condition by trained/skilled specialists. First of all, Epley is helpful for curing BPPV only; therefore it’s not a magic bullet that would cure dizziness of all kind.
Secondly, even for BPPV, Epley is only helpful certain canals such asposterior canal (canalolithiasis) type and not helpful for other types such as anterior and lateral canal BPPVs.
In most cases, all types of BPPVs are correctly diagnosed successfully treated in one to two sessions by skilled vestibular specialists. However, this high level of diagnosis and treatment success rate can't be expected when these highly specialised techniques carried out by non-specialists and self-management by patients watching YouTube videos.