Dizziness and Vertigo
Dizziness and vertigo can make everyday movement frightening. Vestibular rehabilitation and repositioning techniques help settle the spinning and rebuild your balance.
Understanding dizziness and vertigo
Dizziness and vertigo describe the unsettling sense that you or the world around you is moving, spinning or tilting when it is not. Vertigo is a specific type of dizziness that usually comes from the vestibular system of the inner ear, which works with your eyes and body to keep you balanced. When this system is disturbed, even simple movements like rolling over in bed or looking up can trigger strong spinning, unsteadiness and nausea.
One of the most common causes is benign paroxysmal positional vertigo, or BPPV, where tiny crystals in the inner ear move out of place and send false signals during head movement. Other causes include inner ear inflammation, vestibular migraine and neck related dizziness. Most cases are not dangerous and respond well to treatment, but because dizziness can occasionally signal a more serious problem, a careful assessment is important before starting care.
Signs to look out for
- A spinning or whirling sensation
- Dizziness triggered by head or position changes
- Loss of balance and unsteadiness
- Nausea or vomiting with attacks
- Light-headedness or a floating feeling
- Blurred vision or difficulty focusing
- Anxiety about falling or moving
Why it happens
- BPPV from displaced inner ear crystals
- Inner ear infection or inflammation
- Vestibular migraine
- Neck stiffness and cervical dysfunction
- Low blood pressure or dehydration
- Ageing of the balance system
Treating dizziness and vertigo at Rehoboth
Every plan starts with a thorough assessment and a written plan you can actually read. Same-week appointments across five Grand Cayman clinics.
Your first visit is a thorough assessment to identify the type and source of your dizziness, including positional tests that reproduce BPPV and checks of your balance, eye movements and neck. For confirmed BPPV, canalith repositioning manoeuvres such as the Epley technique are often highly effective and can relieve symptoms in one or two sessions by guiding the displaced crystals back to where they belong.
For other causes we use vestibular rehabilitation, a programme of gaze stability, balance and habituation exercises that retrains the brain to compensate and reduces dizziness over time. Where neck stiffness contributes, manual therapy helps settle symptoms. We progress the plan as your balance improves and give you a home routine to keep. If findings suggest a medical cause, we coordinate with our general practice team and refer for further review.
Services that treat dizziness and vertigo
Physiotherapy
Magnetotherapy, robotic rehabilitation, shockwave, ultrasound and electrical stimulation, calibrated to your exact diagnosis.
General Practice
General health consultations, work-permit & taxi medicals, statutory certificates and annual health checks, with same-week appointments.
Dizziness and Vertigo questions, answered
Yes. Physiotherapy is a leading treatment for many types of vertigo, especially BPPV, which often responds to repositioning manoeuvres in one or two sessions. For other causes, vestibular rehabilitation exercises retrain your balance system and steadily reduce dizziness.
BPPV is a common inner ear problem where tiny crystals move out of place and trigger short bursts of spinning with head movement. It is treated with gentle canalith repositioning manoeuvres, such as the Epley technique, which guide the crystals back and often relieve symptoms quickly.
Many cases of BPPV improve within one to three sessions, while dizziness from other causes may need a longer vestibular rehabilitation programme. After assessing you, we give a realistic estimate and a home exercise routine to support your recovery.
No referral is needed to see our physiotherapists for dizziness or vertigo, and you can book directly. We offer same-week appointments across our five Grand Cayman clinics, and if we suspect a medical cause we coordinate with our general practice team.
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