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Is Vertigo Stopping You Lead a Normal Life?

mcvarela0
Sep 17
2 min read

As a physiotherapist, I see many patients who have quietly stopped doing the things they love because of vertigo. They avoid turning quickly, stop driving, cancel social plans or become anxious about simple tasks like bending down to pick something up. Vertigo can feel unpredictable and frightening, but in most cases it is highly treatable once the underlying cause is properly identified.


What Vertigo Really Feels Like


Vertigo is not simply feeling dizzy. It is a false sensation of movement, often described as the room spinning, tilting or swaying even when a person is perfectly still. Episodes can last seconds, minutes or hours, and may be accompanied by nausea, unsteadiness or difficulty focusing the eyes. Because these symptoms can be so disorientating, many people naturally start avoiding movements or situations that trigger them, which over time can shrink their world considerably.


Common Causes Behind the Spinning


Most vertigo cases seen in clinic stem from problems within the inner ear rather than anything more serious. Benign paroxysmal positional vertigo, often shortened to BPPV, is one of the most frequent causes and occurs when tiny calcium crystals become dislodged within the balance organs of the inner ear. Other causes include vestibular neuritis, Meniere's disease, or issues related to the neck and how it communicates with the balance system. A thorough assessment helps identify which mechanism is at play, since treatment differs depending on the cause.


How Physiotherapy Can Help


The good news is that many forms of vertigo respond extremely well to targeted physiotherapy. For BPPV, specific repositioning manoeuvres can often resolve symptoms within one or two sessions by guiding the displaced crystals back to where they belong. For other causes, vestibular rehabilitation exercises help retrain the brain and inner ear to work together again, gradually reducing dizziness and improving balance confidence. These exercises are tailored to each person, progressing steadily as tolerance improves.


Reclaiming Your Everyday Life


Living with untreated vertigo often means living smaller, avoiding activities, gatherings and even simple head movements out of fear of triggering another episode. With the right assessment and treatment plan, most people find their symptoms improve significantly, allowing them to return to work, exercise, driving and social activities without constant worry. Recovery is not always instant, but with consistent guidance, real and lasting progress is achievable.


At Smartphysio, our physiotherapists offer thorough, individualised assessments and tailored rehabilitation programmes designed to get you moving comfortably and confidently again. Get in touch today and take the first step.

 
 

About Our Expert

Sammy Margo, Chartered Physiotherapist and Founder of SmartPhysio

Sammy Margo

​Founder and Director of Physiotherapy Services
Chartered Physiotherapist
MSc, MMACP, AACP, MCSP, HCPC

 

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Sammy Margo is a Chartered Physiotherapist with over 30 years’ clinical experience. She has worked across the NHS, professional sport, and private practice, and was England’s first female physiotherapist to work in professional football.

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Her areas of clinical expertise include:

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  • Senior care and complex rehabilitation

  • Home visit and community-based physiotherapy

  • Sleep, recovery, and performance

  • Musculoskeletal and neurological rehabilitation


Sammy is a recognised sleep expert, a former spokesperson for the Chartered Society of Physiotherapy, and a regular contributor to national media including The Telegraph, The Guardian, Daily Mail, and Stylist. She is the author of The Good Sleep Guide.

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