• If you have dizziness or vertigo
  • If you have motion sensitivity
  • If you experience nausea or vomitting
  • If you noticed decreased balance
  • If you have blurred vision while in movement
  • If you are sensitive to busy environments (ex : crowds, stores)
  • Unilateral vestibular hypofonction: dysfunction in one ear only.
  • Bilateral vestibular hypofonction: dysfunction in both ears.
  • Central vestibular dysfunction: problem originates from the brain.

What is it?:

B-Benin (not life-threatening)
P-Paroxysmal (comes on suddenly but only last a few seconds)
P-Positional (provoked by certain head movements or positions)
V-Vertigo (rotational sensation)

Physiologically, a BPPV occurs when a small crystal in the inner ear starts floating in one of the three semi-circular canals. When the head moves, the brain receives two distinct information from the two vestibular systems, thus explaining why the patient perceives a brief moment of vertigo sensation.

This inner ear problem can easily be treated with vestibular rehabilitation. There are 12 different types of BPPV, so that is why it is important to consult a health professional that is trained in vestibular rehabilitation in order to help you determine the appropriate treatment.

Here is a list of different treatment techniques that can be used :

  • Positional techniques (ex : Epley manœuver)
  • Different types of exercises
  • Manual therapy if necessary
  • Education and advice

Treatment effictiveness:

For the BPPV treatment, researches have proven that the Epley manœuvre can completely eliminate the problem at 74.8% after 1st treatment and 98.4% by the third visit.

Researches show that there is improvment noted, no mater what the age and how long they have beeing suffering with symptoms. Vestibular rehabiltation is completely safe and for any age group.

How many treatments are necessary ?

It is difficult to estimate the number of treatment required because every patient is different, but in general, we can estimate between 2 and 10 visits depending on the symptoms.

Treatments provided by who ?

A registered physiotherapist that has vestibular rehabilitation post-graduate expertise and many years of experience in this field.

How long is the assessment ?

Approximately 1 hour with the physiotherapist.

How should I prepare myself ?

We recommend you arrive a good 15 minutes prior the the initial assessment because there are detailled questionnaires we ask you to fill out. We recommend that you simply wear comfortable clothes.

Should I come with someone?

It is not an obligation, but recommended on the first visit because it is possible that you may feel a little shaken after the initial assessment. Some people have no difficulty driving after the visit, it is a case by case decision.

Medical prescription?

It is not necessary for the treatments, but often insurance companies will need it for reimbursment purposes.

Yes, a physiotherapy receipt is provided for insurance or income tax purposes.