Vestibular rehabilitation is a structured, exercise-based treatment for dizziness, vertigo and balance problems arising from the inner ear or its connections to the brain. It works by retraining how the brain interprets balance information.
Availability varies by centre. Please contact your nearest centre to confirm this is offered there before you travel.
Conditions it is used for
- BPPV (benign paroxysmal positional vertigo) — brief spinning triggered by head position, often treated with repositioning manoeuvres
- Vestibular neuritis and labyrinthitis — after a sudden loss of inner-ear function
- Persistent dizziness and unsteadiness following a vestibular event
- Balance problems and falls risk, particularly in older adults
- Dizziness associated with neurological conditions — see also vertigo and vestibular rehabilitation
Important: dizziness has many causes
Vestibular rehabilitation treats balance and inner-ear dysfunction. It is not a substitute for medical diagnosis. If dizziness comes on suddenly and severely, or occurs alongside symptoms such as sudden weakness, speech difficulty, vision loss, sudden hearing loss or a severe headache, please seek urgent medical assessment rather than booking physiotherapy. We will also refer you for a medical opinion if anything in your assessment suggests it is needed.
What assessment involves
- A detailed history — what the dizziness feels like, how long it lasts, what triggers it
- Examination of eye movements, positional testing where appropriate, and balance and walking assessment
- An explanation of the likely cause and whether vestibular rehabilitation is appropriate for you
- A plan, including exercises to continue at home
What treatment involves
- Repositioning manoeuvres for BPPV, such as the Epley manoeuvre
- Gaze stabilisation exercises to improve steadiness of vision during head movement
- Habituation exercises — controlled, repeated exposure to provoking movements
- Balance and walking retraining, progressed as you improve
Some temporary increase in symptoms is normal in habituation work. Your therapist will explain this before you start.
How long it takes
BPPV often responds quickly, sometimes within one to a few sessions. Recovery after vestibular loss, or where dizziness has persisted for a long time, usually takes longer and depends on consistency with home exercises. Your therapist will give you a realistic expectation after assessment rather than a fixed promise.
Frequently asked questions
Do I need a diagnosis before starting?
Not necessarily, but dizziness has many possible causes. We assess whether your symptoms fit a vestibular pattern, and advise you to see a doctor where they do not.
Will the exercises make me feel worse?
A temporary increase in symptoms is common early on and should settle. Tell your therapist if it does not.
Can older adults benefit?
Yes. Balance retraining is a core part of reducing falls risk and is often combined with strength work.
References
- National Institute for Health and Care Excellence. Falls in older people: assessing risk and prevention (CG161).
Medical disclaimer: this page is general information and is not medical advice, diagnosis or treatment. See our medical disclaimer.
Find an APARC centre near you
APARC Health & Motion has 12 centres across Delhi NCR and Pune. Services, equipment and clinical teams vary by centre — please contact your nearest centre to confirm what is available there.
Medically reviewed by Anuj Kumar Mishra, MPT · Last reviewed: 2 August 2026 · Our clinical team
Where this is available
Specialist neurorehabilitation is provided at four designated APARC Advanced Neurorehabilitation Centres — ACNR Pitampura, Greater Noida (ShardaCare HealthCity), Janakpuri and Rohini Sector 22. Each provides specialist neurological assessment, technology-assisted rehabilitation and a multidisciplinary team, alongside the full range of APARC physiotherapy and rehabilitation services. APARC's other centres continue to provide general physiotherapy and rehabilitation. More about our neurorehabilitation service · All APARC centres.
Balance training and fall prevention
Exercises used in vestibular rehabilitation to improve stability.
Balance and fall prevention exercises
Top exercises to improve stability and prevent falls.
These videos are general education, not a substitute for individual assessment. Exercise selection after injury, surgery or a neurological event should be confirmed with a qualified physiotherapist before you begin.
More videos on the Dr Dharam Pandey & Team YouTube channel.