Vestibular Physiotherapy in Perth

Vertigo and dizziness can make everyday movement feel unpredictable. Our highly trained physiotherapy team provides vestibular physiotherapy in Como with personalised care to help reduce symptoms and restore confidence in how you move.

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The difference the right support can make

Dizzy spells may become less frequent or easier to manage, while your balance starts to feel more reliable. Everyday movements such as walking, turning your head or getting out of bed may feel less daunting.

Over time, this can help you return to your usual routines with less worry about triggering another episode.

Common causes of dizziness and vertigo

Dizziness and vertigo can develop for several different reasons. In some cases, symptoms come from the inner ear or balance system, while other factors such as migraine, neck problems, blood pressure changes or medication may also play a role. Understanding what may be contributing to your symptoms helps guide the most appropriate next step.

Benign Paroxysmal Positional Vertigo (BPPV)

BPPV often causes short bursts of spinning when you roll over in bed, look up or change position. It happens when tiny calcium crystals move into the wrong part of the inner ear.

Vestibular neuritis or labyrinthitis

These conditions can cause sudden and intense dizziness or vertigo, sometimes following a viral illness. Labyrinthitis may also cause hearing changes or ringing in the ears.

Vestibular migraine

Vestibular migraine can cause dizziness or a spinning sensation, with symptoms often triggered or worsened by movement. Some people experience little or no headache.

Ménière’s disease

Ménière’s disease can cause recurring vertigo episodes. These episodes may occur alongside tinnitus or changes in hearing. Some people also notice pressure in the affected ear.

Neck-related dizziness

Neck pain, stiffness or restricted movement can sometimes occur alongside dizziness. Because similar symptoms can have other causes, a careful assessment is important.

Other medical factors

Blood pressure changes, dehydration, medication side effects and other health conditions can also contribute to dizziness. In some cases, medical review may be more appropriate than physiotherapy.

Our approach to vestibular physiotherapy

Vestibular physio starts with a detailed assessment of how your vestibular system responds to movement. We use the findings to understand what may be contributing to your symptoms and build a treatment plan around it. We also explain clearly what is happening to you. 

Detailed vestibular assessment

Your first appointment includes a review of your symptoms, medical history and the movements that trigger dizziness. We also assess balance, eye movements, head movements and neck function to understand how each area may be contributing.

Treatment matched to your presentation

Treatment is selected according to the cause and pattern of your symptoms. This can include repositioning manoeuvres for BPPV, vestibular rehabilitation exercises, balance retraining or hands-on treatment for neck-related dizziness.

Progressive balance and movement training

Exercises are used to improve how your balance system responds to movement. Your program is progressed gradually so you can build tolerance, improve stability and move with more confidence.

Home strategies and ongoing review

You will receive a clear home exercise program to continue between appointments, along with practical advice for managing your symptoms. We will review how you are responding and update the plan as needed.

Why choose Integrity Physio for vestibular physiotherapy?

Dizziness can be difficult to explain and even harder to manage without clear guidance. At Integrity Physiotherapy, you receive unrushed care from a physiotherapist trained in vestibular rehabilitation, who takes the time to understand your symptoms and explain the next steps clearly.

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Care from senior physiotherapists

We have a highly experienced team of Senior Physiotherapists and Physiotherapists working very closely together so you can expect quality care in managing your vertigo and balance problems. You will work directly with an experienced clinician, highly trained and well resourced to support your recovery. For complex cases, you can be confident that our team works collaboratively via multiple clinical meetings per week to ensure the highest standard of care from all of our clinicians.

A full 30 minutes at every appointment

Each consultation runs for 30 minutes, including Medicare appointments. This gives your physiotherapist enough time to assess your symptoms carefully and provide treatment without rushing.

Hands-on, patient-centred care

Where appropriate, treatment begins during your first appointment. This may include hands-on therapy or other targeted treatment based on what your assessment shows.

Clear explanations at every stage

You will be kept informed about what we find and why a particular treatment approach has been recommended. We make sure you understand the plan, what to expect and how your progress will be reviewed.

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When to book a vestibular assessment with us

If dizziness keeps coming back or starts affecting your confidence in everyday movement, it is worth getting it assessed. We can help work out what may be contributing to your symptoms and whether vestibular physiotherapy is suitable for you.

Frequently Asked Questions

Everything you need to know about physiotherapy for neck pain, from symptoms and causes to treatment.

No referral is needed for a private physiotherapy appointment. A referral or supporting paperwork may be required if you are attending through Medicare, DVA or another funded program. Contact our team if you are unsure what you need to bring.
Your physiotherapist will ask about your symptoms and when they tend to occur. They will then complete relevant balance and movement tests before explaining what the findings suggest.
Treatment begins during your first appointment and is selected according to your assessment findings. You will also be given clear guidance on what to expect next.
The number of appointments depends on what is causing your symptoms and how you respond to treatment. Some cases of BPPV may respond quickly, while ongoing balance problems can require a longer rehabilitation plan.
Your physiotherapist will give you a clearer recommendation after the first assessment.
Not every cause of dizziness is best managed with physiotherapy. If your assessment suggests that another health professional should be involved, your physiotherapist will explain the next step and refer you to the most appropriate healthcare provider.
Some people notice an early change, while others need more time. Your physiotherapist will review how you respond and adjust the plan rather than continuing with an approach that is not helping.
The first appointment is also valuable for clarifying what may be contributing to your symptoms and setting realistic expectations.
Physiotherapy rebates depend on your private health policy and level of cover. Integrity Physiotherapy is a HCF preferred provider, and on-the-spot claims may be available for eligible appointments.
Check with your health fund to confirm your rebate and expected out-of-pocket cost.
Vestibular physiotherapy appointments follow our standard physiotherapy fees. Please refer to our fees page for current pricing and information about Medicare, DVA and private health rebates.View Physiotherapy Fees
Bring any relevant referral letters, scan results or medical information you already have. It can also help to note when the dizziness occurs and which movements tend to trigger it.Wear comfortable clothing and consider arranging transport if your symptoms make driving difficult.
While some causes of vertigo (like illness) can’t be prevented, vestibular physiotherapy often reduces the number and severity of future episodes. The exercises you learn can also be used long term to help manage symptoms of dizziness and maintain steadiness.
The inner ear is central to balance. It contains fluid-filled semicircular canals and otolith organs that detect head movement and position. These signals are sent to the brain and processed by the central nervous system, which coordinates your eyes, neck, and body to keep you steady. When this system is disrupted, vertigo and balance problems can occur.
Yes. Vestibular rehabilitation almost always includes home exercises to help your balance system adapt more quickly. These are simple, targeted, and tailored to your symptoms — helping to reduce dizziness and improve control between sessions.
Take the first step towards relief

Living with dizziness or vertigo can be unsettling, but the right support can make a real difference. At Integrity Physiotherapy, we take the time to listen, assess what’s going on, and guide you through a treatment plan that’s tailored to you.

Our Como clinic is modern, welcoming, and easy to access with free parking. You’ll be supported by a team of senior physiotherapists who provide personalised care from your very first visit.

Book your appointment today and take the first step toward feeling steadier and more confident in your movement.

Physio for Neck Pain