Physiotherapy For Benign Paroxysmal Positional Vertigo (BPPV) in Toronto
Vertigo & dizziness symptoms commonly can be triggered by rolling over in bed, getting out of bed, and lifting head to look up or bending forward. BPPV or vertigo is a false sensation of movement caused by head or body movement. It feels like you or the objects around you are spinning or moving. It is important to understand that vertigo or dizziness is not a disorder or disease in itself. Instead, it is a symptom of an underlying condition.
To treat BPPV, physiotherapists determine which one of the three canals of the inner ear are the particles floating in and then apply a re-positioning maneuver specific to that canal to return the crystals to their original position. The most common type is loose crystals moving freely in the ear’s fluid canal and the second type is crystals clinging on the bundle of nerves responsible for fluid movement. Usually, one or two treatments are enough.
Quick Guide
What Causes Dizziness or Balance Problems?
Dizziness is not a diagnosis — it is a symptom.
Common causes include:
- BPPV (Benign Paroxysmal Positional Vertigo) – spinning when turning in bed
- Vestibular neuritis – sudden severe dizziness after a viral illness
- Vestibular migraine – dizziness with or without headache
- Persistent postural-perceptual dizziness (PPPD)
- Concussion-related dizziness
- Age-related balance decline
- Neck-related dizziness (cervicogenic dizziness)
Many of these conditions are highly treatable with vestibular physiotherapy.
Dizziness & Vertigo Symptoms We Treat
You may benefit from assessment if you experience:
- Spinning sensation (vertigo)
- Rocking or floating feeling
- Feeling off-balance when walking
- Dizziness when turning your head
- Unsteadiness in the dark
- Fear of falling
- Motion sensitivity in busy environments
- Feeling worse in grocery stores or malls
- Head pressure with imbalance
If these sound familiar, early treatment leads to better outcomes.
Physiomobility’s Dizziness & Vertigo Treatment Approach
At Physiomobility, we take a structured, evidence-based approach.
Step 1 – Comprehensive Assessment (45–60 minutes)
Your physiotherapist will assess:
- Eye movements
- Head movement tolerance
- Positional testing for BPPV
- Balance and gait
- Neck mobility
- Fall risk
- Contributing factors (migraine, anxiety, deconditioning)
You will receive a clear explanation of your diagnosis in simple language.
Step 2 – Targeted Treatment Plan
Depending on your condition, treatment may include:
✔ Canal Repositioning Maneuvers
For BPPV to stop spinning episodes quickly.
✔ Gaze Stabilization Exercises
To improve visual stability when moving your head.
✔ Habituation Exercises
To reduce motion sensitivity.
✔ Balance Retraining
Progressive exercises to improve steadiness and prevent falls.
✔ Nervous System Regulation Strategies
Especially helpful for vestibular migraine and PPPD.
✔ Neck Treatment (If Needed)
Manual therapy and mobility work for cervicogenic dizziness.
Why Choose Physiomobility for Dizziness & Vertigo Treatment?
Located inside CF Shops at Don Mills, Physiomobility has served the community for over 20 years.
Patients choose us because:
✔ Experienced vestibular physiotherapists
✔ One-on-one assessments
✔ Evidence-based treatment
✔ Clear recovery plans
✔ Supportive, professional environment
✔ Convenient parking & accessibility
We don’t just manage symptoms — we improve how your balance system functions.
What Happens at Your First Visit?
1️⃣ Detailed assessment
2️⃣ Clear explanation of findings
3️⃣ Diagnosis discussion
4️⃣ First treatment session
5️⃣ Personalized home exercise program
Most appointments are 45–60 minutes.
You will leave with clarity and a plan.
