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Vertigo: How Physio Can Help

29 July 2026 · By Nhlamulo Khosa, BSc Physiotherapy (UCT)

Some types of vertigo respond dramatically to a single physiotherapy session. Benign paroxysmal positional vertigo (BPPV) is one of them, and it is often overlooked.

What BPPV feels like

Sudden brief episodes of spinning triggered by rolling over in bed, looking up or bending forward. Each episode usually lasts under a minute but can be very distressing.

Why physiotherapy helps

BPPV is caused by tiny crystals dislodging into the wrong part of the inner ear. Specific repositioning manoeuvres, like the Epley manoeuvre, guide them back where they belong. Most patients feel dramatically better after one to three sessions.

Other causes we can help with

Cervicogenic dizziness from the upper neck, and post concussion dizziness, both respond well to targeted physiotherapy. Vestibular migraine and Meniere's disease need medical management first.

When to see a doctor first

Any dizziness with new headache, weakness, slurred speech, hearing loss or double vision needs urgent medical review before physiotherapy.

If you're in Centurion or Midrand and want personal guidance, our physiotherapist offers same day appointments in clinic in Eco Park, Centurion, or at your home.

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Frequently asked questions

How many sessions does BPPV usually need?+

Often just one to three. Some patients need one session with a short home programme.

Will I need scans?+

Not for classic BPPV. Scans come in when the presentation does not fit.

Can vertigo return?+

It can recur. If it does, another short course of physiotherapy usually resolves it quickly.

Book with N S Physiotherapy

In clinic in Eco Park, Centurion, or home visits across Centurion and Midrand.

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