• Benign Paroxysmal Positional Vertigo (BPPV)

This is the most common Vestibular problem that we see in our practice.  This does not mean that it is always easy to diagnose or treat appropriately. Our practice has the skills and equipment to differentiate BPPV from other similar conditions and once we have determined it is BPPV we can diagnose the of type and site of the BPPV using infra-red video goggles
The treatment that we use depends on this accurate diagnosis and can include particle repositioning manoeuvres such as the Epley, Roll, Semont or a combination of these, as appropriate
The Epley manoeuvre has been shown in recent research to be the most effective in management of BPPV & is used in this practice for posterior canal canalithiasis, which is the most common type of presentation.  You may have seen different types of treatments for BPPV on the internet, or even different applications of the Epley manoeuvre, but unless it is performed effectively it is not likely to help your symptoms and it may even make you feel more dizzy, nauseous or even cause vomiting. If performed correctly the treatment should work in one application, or very occasionally it requires a second treatment.  We can perform the treatment for you, and give you written guidelines for you to perform the treatment at home should the problem returns. We also provide advise by phone or  email, if you have problems managing any future recurrences.  Of course if you do not wish to treat the problem yourself at home we will be happy to manage it in the clinic for you

Other Vestibular conditions that we see commonly in our practice include:

  • Early stage and chronic Hypofunction or Peripheral Vestibular Weakness  following Vestibular Neuritis (commonly known as Labyrinthitis)
  • Vestibular Migraine
  • Following Vascular Insult to the labyrinth, brainstem or cerebellum
  • Pre and post surgery for Vestibular Schwannoma  (commonly known as Acoustic Neuroma)
  • Central Vestibular symptoms associated with MS, stroke or tumour
  • Bilateral Vestibular Hypofunction or Weakness secondary to ototoxicity
  • Age related vestibular problems
  • Falls or fear of falling
  • Motion Sensitivity – dizziness, imbalance, nausea, fatigue triggered by position changes or repetitive activities
  • Ocular Dizziness – dizziness, imbalance, & an array of other symptoms including nausea & fatigue triggered by visual stimuli such
    as computers, reading, crowded environments or traffic
  • Mal de Debarquement Syndrome – sometimes abbreviated to “MDDS” this is a type of vestibular problem that occurs after being on a boat for sometime (such as following a cruise) or sometimes after a long flight in a plane. Most individuals with this diagnosis are women between the ages of 40 and 50 after getting off the boat or  plane, or “debarking” (debarquement), they develop a rocking sensation which may persist for months or even years
  • Dizziness or balance disorders of unknown origin