Vestibular Rehabilitation at Home
Vertigo & Dizziness Physiotherapy at Home
Persistent or recurring dizziness can affect your confidence and daily life. Many causes can be treated or managed after an appropriate assessment. Our specialist vertigo physiotherapy at home brings vestibular rehabilitation directly to you, combined with occupational therapy to manage the practical impact.
Conditions We Treat
BPPV
Epley & repositioning manoeuvres
Vestibular Neuritis
Balance & gaze stabilisation
Labyrinthitis
Vestibular rehabilitation exercises
Ménière's Disease
Management & balance work
Anxiety & Confidence
Practical coping strategies
Understanding What Causes Your Dizziness
Dizziness is rarely random; it is usually a sign that your balance system is out of sync. While Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause we treat, our vestibular physiotherapists are experienced in helping with a wide range of inner ear and balance conditions.
BPPV (Benign Paroxysmal Positional Vertigo)
The most common cause of vertigo. Tiny crystals in the inner ear become dislodged, causing intense spinning when you turn your head, roll over in bed, or look up. The good news: BPPV is often resolved in just one to three treatment sessions.
Labyrinthitis
An inner ear infection that causes inflammation, leading to intense vertigo and sometimes hearing changes. Vestibular rehabilitation helps the brain compensate as the inner ear recovers.
Vestibular Neuritis
A condition affecting the vestibular nerve that can cause prolonged spinning and imbalance without hearing loss. Sudden symptoms need medical assessment to establish the cause. After diagnosis, vestibular exercises may help recovery.
Meniere's Disease
A long-term condition affecting the inner ear, often characterised by attacks of vertigo, tinnitus, and pressure deep inside the ear. We help manage symptoms and improve balance between episodes.
For ongoing dizziness, our assessment can help identify whether vestibular rehabilitation is suitable and whether you need further medical investigation. New or sudden symptoms should follow the medical advice above before you book a routine home visit.
How Our Team Helps with Dizziness & Vertigo at Home
Our physiotherapists use clinically proven techniques to reset your balance system, while our occupational therapists help you navigate daily life safely and rebuild confidence.
Vestibular Physiotherapy
Specialist techniques to reset your balance system and retrain your brain to process movement accurately.
- BPPV Treatment (Epley Manoeuvre) — Repositioning techniques to move displaced crystals back to their correct position, often resolving vertigo in one to three sessions.
- Gaze Stability Exercises — Targeted exercises to stop the world blurring when you move your head, retraining the connection between your eyes and inner ear.
- Balance Retraining — Strengthening the connection between your eyes, ears, and feet using your own surfaces at home.
- Habituation Therapy — Gentle, repetitive movements to desensitise your brain to triggers, teaching it to tolerate movements without an exaggerated response.
Occupational Therapy
Practical support to help you navigate the world safely and rebuild trust in your body while you recover.
- Visual Vertigo Management — Strategies for coping with busy environments like supermarkets and bright lighting that can trigger dizziness.
- Anxiety & Breathing Techniques — Practical breathing and relaxation techniques to break the panic cycle that often accompanies vestibular conditions.
- Home Safety Assessment — Assessing your home environment to remove hazards like loose rugs, dim hallways, and cluttered walkways.
- Energy Pacing — Managing extreme fatigue from your brain working overtime, structuring your day to prevent exhaustion worsening dizziness.
Why Treating Vertigo at Home Makes Sense
If you are suffering from dizziness, the last thing you should do is get in a car. Travelling to a clinic can trigger nausea, spike your anxiety, and leave you too exhausted to benefit from the session.
By visiting you at home, we remove the stress of travel entirely. We can assess you in your real environment — treating you on your bed (where BPPV is often triggered), practising walking on your carpet, and helping you feel safe in the place where you spend the most time.
Home-based vestibular rehabilitation also means your exercises are immediately relevant. You practise the exact movements and routes that cause you difficulty, building real-world confidence from the very first session.
What to Expect from a Home Visit
Free phone consultation
Speak directly with our Clinical Director. They will listen to your symptoms, answer questions, and help you decide if vestibular physiotherapy at home is right for your situation.
Comprehensive vestibular assessment
Your therapist reviews your symptoms and, where appropriate, uses tests such as Dix-Hallpike to assess for BPPV. We agree a treatment plan or advise further medical assessment when needed; one positional test cannot rule out every cause of dizziness.
Treatment sessions
For BPPV, the Epley Manoeuvre can often provide significant relief in the first session. For other vestibular conditions, we typically recommend a programme of weekly sessions to retrain your balance system progressively.
Home exercise programme
We provide you with exercises to practise between sessions. These are designed to be done safely at home and are essential for long-term recovery and preventing recurrence.
What Our Patients Say
Independent reviews from patients we have helped. Read all our 5-star Google reviews.
"Thank you Medella! I was mostly bed-bound following a nasty ankle fracture when I Googled home physiotherapy near me. From the moment Naomi returned my call, I knew I had found the right match. She explained how Medella work, listened attentively, responded clearly and ensured a physiotherapist would contact me very soon. True to her word, Jo contacted me to arrange an initial visit including an assessment. From the moment of arrival, she was warm, professional, reassuring and very enabling. After each appointment, Jo emailed me a specific exercise programme which was measurable, achievable, relevant and targeted exactly what I needed including help with vestibular issues which had alarmed me. Jo responded promptly to my regular email updates providing me with further reassurance. I am now well on my way and, better still, continue with the exercises which are now a daily and enjoyable ritual with clear results! Thank you Jo, thank you Naomi. Given such high standards, professionalism and dedicated commitment, Medella is assuredly highly recommended."
Carolyn Belson
Google Review
Pricing
Vestibular physiotherapy and dizziness rehabilitation at home from £60 per home visit. Your initial assessment is a comprehensive session (usually 60–90 minutes) at £120, including full diagnostic testing. No hidden costs.
£120
Initial Assessment
usually 60–90 minutes
£60
30-min Follow-up
30 minutes
£90
45-min Follow-up
45 minutes
Meet Our Vestibular & Balance Specialists
Our team includes physiotherapists with specialist training in vestibular assessment and rehabilitation. Average 21+ years of clinical experience. View all team profiles.
Julia Pervin
Senior Physiotherapist
Physiotherapy
Helena Drummond
Senior Physiotherapist
Physiotherapy
Janet Hornby
Senior Physiotherapist
PhysiotherapyFrequently Asked Questions
How quickly can you fix vertigo (BPPV)?
If your dizziness is caused by BPPV (loose crystals in the inner ear), results can be dramatic. We can often resolve the spinning sensation in just one to three sessions using the Epley Manoeuvre. Other vestibular conditions may take longer and require a consistent exercise programme, but most patients notice improvements within the first few weeks.
Will the exercises make me feel dizzy or sick?
Sometimes, briefly. After an assessment, your therapist may prescribe movements that bring on a manageable amount of dizziness to help your balance system adapt. Follow your individual programme in a safe position, with support if needed. Feeling dizzy does not itself prove that treatment is working.
If symptoms become much worse or do not settle after the exercises, stop and seek advice from your therapist, GP or NHS 111 rather than pushing through. If dizziness comes with new difficulty speaking, arm or leg weakness, double vision or hearing loss, get emergency help through 999. NHS vestibular rehabilitation advice explains the difference between temporary symptoms and those needing medical support.
Do I need a doctor's referral or an MRI?
You do not need a GP referral to book with us. Whether you need a scan or another medical investigation is a separate question: it depends on your symptoms and assessment. The Dix-Hallpike test can help identify BPPV, but it does not rule out every cause of dizziness. We will advise on medical assessment when needed.
Call 999 if vertigo comes with new difficulty speaking, weakness or numbness in an arm or leg, double vision, loss of vision, or hearing loss. Sudden persistent vertigo with new difficulty standing or walking also needs immediate medical assessment, whether or not you are vomiting; go to A&E or call 999 if you cannot get there safely. Do not drive yourself or wait for a home visit. For vertigo with a severe headache, vomiting or feeling very sick, or a high temperature, seek urgent GP or NHS 111 advice. See the NHS advice on vertigo.
How many sessions will I need?
It depends on the cause. BPPV often responds in one to three sessions. For vestibular neuritis or labyrinthitis, we typically recommend four to eight weeks of vestibular rehabilitation with weekly sessions. Meniere’s disease and long-standing balance conditions may benefit from ongoing management. Your therapist will give you a clear idea after the initial assessment.
Which areas do you cover?
We provide home visits across Hampshire, Dorset, and Wiltshire. This includes Southampton, Bournemouth, Poole, Salisbury, Ringwood, and the surrounding towns and villages.
Stop the Spinning
Dizziness is treatable. A free phone call is the easiest way to find out whether vestibular physiotherapy at home could help you get your life back.