{"id":5478,"date":"2026-09-22T08:32:11","date_gmt":"2026-09-22T08:32:11","guid":{"rendered":"https:\/\/aliantis.es\/?p=5478"},"modified":"2026-09-22T08:32:26","modified_gmt":"2026-09-22T08:32:26","slug":"vertigo-what-causes-it-and-which-treatments-really-work","status":"publish","type":"post","link":"https:\/\/aliantis.es\/en\/2026\/09\/22\/vertigo-what-causes-it-and-which-treatments-really-work\/","title":{"rendered":"Vertigo: what causes it and which treatments really work?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5478\" class=\"elementor elementor-5478 elementor-5476\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca98701 e-flex e-con-boxed e-con e-parent\" data-id=\"ca98701\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9de4dd2 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"9de4dd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Vertigo: what causes it and which treatments really work?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14fa1d3 elementor-widget elementor-widget-text-editor\" data-id=\"14fa1d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">Understanding why vertigo occurs is the first step toward finding the most appropriate treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bed9b52 e-con-full e-flex e-con e-child\" data-id=\"bed9b52\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6873e20 e-con-full e-flex e-con e-child\" data-id=\"6873e20\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-51cfd79 e-con-full e-flex e-con e-child\" data-id=\"51cfd79\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e56832d e-con-full e-flex e-con e-child\" data-id=\"e56832d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce2c335 elementor-widget elementor-widget-text-editor\" data-id=\"ce2c335\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Feeling as though the room is spinning. Walking as if you were on a boat. Feeling unsteady when getting out of bed or turning your head. Many people describe these sensations as \u201cvertigo\u201d, although they can actually result from very different conditions.   <\/p><p> <\/p><p>Vertigo is a symptom, not a disease. It can have many different causes and, depending on its origin, the treatment may be completely different. While some types of vertigo can be resolved within minutes using a specific manoeuvre performed by a healthcare professional, others require vestibular rehabilitation, medical treatment or a multidisciplinary approach.  <\/p><p> <\/p><p>The good news is that most patients improve once the underlying cause of their symptoms has been correctly identified.<\/p><p> <\/p><p>In this article, we explain the most common causes of vertigo, what the scientific evidence says about their treatment, and how a multidisciplinary team such as <a href=\"https:\/\/aliantis.es\/en\/\">Aliantis<\/a> can help.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45f008e elementor-widget elementor-widget-image\" data-id=\"45f008e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-1024x576.webp\" class=\"attachment-large size-large wp-image-5453\" alt=\"vertigos\" srcset=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-1024x576.webp 1024w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-300x169.webp 300w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-768x432.webp 768w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-1536x864.webp 1536w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos.webp 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34e7e91 elementor-widget elementor-widget-heading\" data-id=\"34e7e91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What do we really mean by \u201cvertigo\u201d?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-502589d elementor-widget elementor-widget-text-editor\" data-id=\"502589d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Although we often use the word vertigo to describe any feeling of dizziness, from a medical perspective there are important differences.<\/p><p> <\/p><p>Some people feel as though the room is spinning around them. Others describe unsteadiness while walking, a sensation of \u201cfloating\u201d, light-headedness or loss of balance. <\/p><p> <\/p><p>These symptoms may seem similar, but they do not always have the same cause.<\/p><p> <\/p><p>To maintain balance, the brain continuously integrates information from three different systems:<\/p><ul><li>the inner ear (vestibular system);<\/li><li>vision;<\/li><li>sensory information from muscles and joints about body position (proprioception).<\/li><\/ul><p> <\/p><p>When one of these systems is not working properly or sends conflicting information, the brain has difficulty determining where the body is in space, which may result in vertigo or balance disorders.<\/p><p> <\/p><p>For this reason, a thorough clinical assessment is essential before starting any treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3443f2f e-con-full e-flex e-con e-child\" data-id=\"3443f2f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55c9a18 elementor-widget elementor-widget-text-editor\" data-id=\"55c9a18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Did you know?<\/b><\/span><\/p><p> <\/p><p>The inner ear is not only responsible for hearing. It also contains the vestibular system, a group of specialised structures that detect head movements and help the brain maintain balance and stabilise vision while we walk or move our head. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f46127d elementor-widget elementor-widget-heading\" data-id=\"f46127d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vertigo, dizziness, imbalance or light-headedness? They are not the same thing <\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2d2050 elementor-widget elementor-widget-text-editor\" data-id=\"c2d2050\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Although these terms are often used interchangeably, they describe different sensations and may point to different causes. That is why one of the first questions we ask during an assessment is: \u201cWhat exactly are you feeling?\u201d<\/p><p> <\/p><p><strong>Vertigo<\/strong><\/p><p>A sensation that either you or your surroundings are spinning, even though no actual movement is taking place. It is usually related to a disorder of the vestibular system (inner ear) and may occur, for example, when turning over in bed or moving the head. <\/p><p> <\/p><p><strong>Unsteadiness<\/strong><\/p><p>A feeling of difficulty maintaining balance or the sensation that you may lose your balance while walking, especially on uneven ground or in visually busy environments. Unlike vertigo, there is no spinning sensation. <\/p><p> <\/p><p><strong>Balance disorder<\/strong><\/p><p>An objective difficulty maintaining posture or walking normally. It may result from vestibular disorders, but also from neurological, muscular, joint or even visual conditions. <\/p><p> <\/p><p><strong>Light-headedness or feeling faint<\/strong><\/p><p>Some people describe a sensation of an \u201cempty head\u201d, as though they were about to faint. In these situations, the cause is usually not vestibular and may involve factors such as low blood pressure, dehydration, certain medications or cardiovascular disorders. <\/p><p> <\/p><p>Although these sensations are different, they may sometimes coexist. This is why a comprehensive clinical assessment is essential to identify the underlying cause and guide the most appropriate treatment. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83ae57d elementor-widget elementor-widget-heading\" data-id=\"83ae57d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Benign paroxysmal positional vertigo (BPPV): the most common cause<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aac772 elementor-widget elementor-widget-text-editor\" data-id=\"4aac772\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Benign paroxysmal positional vertigo (BPPV) is by far the most common cause of vertigo of vestibular origin. Despite its name, it often causes considerable anxiety because the sensations are very intense, although fortunately it is not usually a serious condition. <\/p><p> <\/p><p>The most characteristic symptom is the sudden onset of intense vertigo when changing the position of the head. Many people notice it when turning over in bed, getting up in the morning, looking upwards to reach an object or bending down to pick something up. <\/p><p>The episode usually lasts only a few seconds, rarely more than one minute, but during that time the spinning sensation can be very intense. It is often accompanied by nausea and a lingering feeling of unsteadiness afterwards. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1be0117 elementor-widget elementor-widget-heading\" data-id=\"1be0117\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Why does it occur?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19c2074 elementor-widget elementor-widget-text-editor\" data-id=\"19c2074\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Inside the inner ear are tiny calcium carbonate crystals called otoconia.<\/p><p> <\/p><p>Normally, these crystals remain attached to a specific structure of the vestibular system. However, due to ageing, head trauma or sometimes for no identifiable reason, some of these crystals can become detached and move into one of the semicircular canals. <\/p><p> <\/p><p>When the head changes position, these crystals move within the canal and send an incorrect movement signal to the brain. As a result, the person experiences the sensation that the surroundings are spinning, even though the body is almost motionless. <\/p><p> <\/p><p>Understanding this mechanism helps explain why treatment is usually so effective.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e78485b elementor-widget elementor-widget-heading\" data-id=\"e78485b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How is it diagnosed?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc557b8 elementor-widget elementor-widget-text-editor\" data-id=\"fc557b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Diagnosis is mainly based on the patient\u2019s medical history and specific positional tests performed by a <a href=\"https:\/\/aliantis.es\/en\/musculoskeletal-physiotherapy-in-sitges\/\">physiotherapist<\/a> or a physician trained in vestibular disorders.<\/p><p> <\/p><p>These manoeuvres identify which semicircular canal is affected and temporarily reproduce the symptoms in a controlled manner, allowing for an accurate diagnosis.<\/p><p> <\/p><p>Imaging tests are usually unnecessary when the clinical examination is consistent with typical BPPV and there are no warning signs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d99f7e elementor-widget elementor-widget-heading\" data-id=\"4d99f7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is the most effective treatment?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17e3c10 elementor-widget elementor-widget-text-editor\" data-id=\"17e3c10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Contrary to what many people believe, the treatment for BPPV does not consist of taking medication.<\/p><p> <\/p><p>International clinical guidelines recommend repositioning manoeuvres as the first-line treatment, the best-known being the Epley manoeuvre for the most common cases.<\/p><p> <\/p><p>The purpose of this manoeuvre is simple: to guide the displaced crystals back to their original position inside the inner ear through a sequence of specific head movements.<\/p><p> <\/p><p>For many patients, a single treatment session is enough to completely resolve the symptoms, although some people may require repeated manoeuvres.<\/p><p> <\/p><p>Anti-vertigo medications may temporarily relieve nausea in certain situations, but they do not correct the underlying cause and therefore are not considered the treatment of choice for BPPV.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df0c5a1 elementor-widget elementor-widget-heading\" data-id=\"df0c5a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is the role of vestibular physiotherapy?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-952ed67 elementor-widget elementor-widget-text-editor\" data-id=\"952ed67\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Vestibular physiotherapy plays a key role in both diagnosis and treatment.<\/p><p> <\/p><p>In addition to performing positional tests and repositioning manoeuvres, the physiotherapist may prescribe specific exercises when a mild feeling of imbalance persists or when vertigo recurs.<\/p><p> <\/p><p>Vestibular rehabilitation helps the brain regain confidence in movement and promotes a faster return to normal daily activities.<\/p><p> <\/p><p>Current scientific evidence strongly supports these interventions and considers them the gold standard treatment for BPPV.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-72d2c4c e-con-full e-flex e-con e-child\" data-id=\"72d2c4c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7e0ce8 elementor-widget elementor-widget-text-editor\" data-id=\"a7e0ce8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <b>Common myth<\/b><\/p><p> <\/p><p class=\"p1\"><b>\u201cIf I have vertigo, I need medication.\u201d<\/b><\/p><p> <\/p><p class=\"p1\">Not necessarily.<\/p><p> <\/p><p class=\"p1\">In BPPV, medication does not reposition the crystals responsible for the problem. Repositioning manoeuvres performed by a trained healthcare professional are far more effective because they directly address the underlying cause of the vertigo. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1badc80 elementor-widget elementor-widget-heading\" data-id=\"1badc80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is the prognosis?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d100e92 elementor-widget elementor-widget-text-editor\" data-id=\"d100e92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The prognosis for BPPV is generally excellent.<\/p><p> <\/p><p>Most patients experience rapid improvement after treatment and are able to return to their normal activities within a few days.<\/p><p> <\/p><p>However, this type of vertigo may recur months or even years later. When it does, it usually responds very well to repositioning manoeuvres again, which is why early diagnosis allows symptoms to be resolved quickly and helps avoid unnecessary limitations. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf40ae1 elementor-widget elementor-widget-heading\" data-id=\"bf40ae1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vestibular neuritis: intense vertigo that can last for several days<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-662dfcc elementor-widget elementor-widget-text-editor\" data-id=\"662dfcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Vestibular neuritis occurs when one of the nerves that carries balance information from the inner ear to the brain stops functioning properly, usually as a result of an inflammatory process, often following a recent viral infection.<\/p><p> <\/p><p>Unlike BPPV, where vertigo only occurs with certain head movements, vestibular neuritis typically causes severe, continuous vertigo that may last for hours or even several days.<\/p><p> <\/p><p>People affected often describe an intense spinning sensation accompanied by nausea, vomiting and significant difficulty standing or walking during the acute phase.<\/p><p> <\/p><p>Although symptoms usually improve gradually, it is common for some unsteadiness, walking insecurity or discomfort when moving the head quickly to persist for several weeks.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45a7708 elementor-widget elementor-widget-heading\" data-id=\"45a7708\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How is it treated?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-154141f elementor-widget elementor-widget-text-editor\" data-id=\"154141f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>During the first few days, medical treatment may be necessary to relieve the most severe symptoms, always under the guidance of a physician.<\/p><p> <\/p><p>However, once the acute phase has passed, the most important part of treatment is usually vestibular rehabilitation.<\/p><p> <\/p><p>The brain has a remarkable ability to adapt, known as vestibular compensation. Through this process, it learns to make more efficient use of information coming from the healthy ear, vision and proprioception to restore balance. <\/p><p> <\/p><p>This adaptation does not happen through time alone: movement and appropriate exercises help make the recovery process faster and more effective.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87d6555 elementor-widget elementor-widget-heading\" data-id=\"87d6555\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What role does physiotherapy play?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a19e881 elementor-widget elementor-widget-text-editor\" data-id=\"a19e881\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Vestibular physiotherapy is one of the cornerstones of treatment.<\/p><p> <\/p><p>Following an individual assessment, the physiotherapist designs a personalised exercise programme that may include:<\/p><ul><li>gaze stabilisation exercises during head movements;<\/li><li>balance training;<\/li><li>habituation exercises to gradually reduce dizziness triggered by specific movements;<\/li><li>gait retraining and return to everyday activities.<\/li><\/ul><p> <\/p><p>International clinical guidelines consider vestibular rehabilitation to be a highly effective intervention for people with peripheral vestibular hypofunction.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46b19e9 elementor-widget elementor-widget-heading\" data-id=\"46b19e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vestibular migraine: when vertigo is part of migraine<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6dbffad elementor-widget elementor-widget-text-editor\" data-id=\"6dbffad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Many people associate migraine exclusively with headache. However, there is a specific type known as vestibular migraine, in which vertigo may become the predominant symptom. <\/p><p> <\/p><p>In some patients, headache is very mild or even completely absent during episodes of vertigo, which can make the diagnosis more challenging.<\/p><p> <\/p><p>Episodes may last from a few minutes to several hours and, in some cases, even longer.<\/p><p> <\/p><p>In addition to vertigo, it is common to experience sensitivity to light or sound, a personal or family history of migraine, a tendency to motion sickness, and increased susceptibility during periods of stress, lack of <a href=\"https:\/\/aliantis.es\/en\/2026\/04\/21\/sleep-disorders-in-women\/\">sleep<\/a> or <a href=\"https:\/\/aliantis.es\/en\/2026\/04\/21\/nutrition-and-female-hormones-understanding-their-relationship-at-every-stage-of-life\/\">hormonal changes<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39e84ea elementor-widget elementor-widget-heading\" data-id=\"39e84ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How is it treated?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-338208c elementor-widget elementor-widget-text-editor\" data-id=\"338208c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Treatment usually combines several different strategies.<\/p><p> <\/p><p>The first step is identifying potential triggers. Too little sleep, skipping meals, inadequate hydration, or excessive caffeine or alcohol intake may trigger attacks in some people. <\/p><p> <\/p><p>Depending on the frequency and severity of the episodes, a physician may recommend specific treatments to control attacks or reduce how often they occur.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48af12a elementor-widget elementor-widget-heading\" data-id=\"48af12a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Can vestibular rehabilitation help?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-520a1b6 elementor-widget elementor-widget-text-editor\" data-id=\"520a1b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Yes.<\/p><p> <\/p><p>When symptoms persist between attacks or the patient begins avoiding certain movements for fear of triggering another episode, vestibular rehabilitation can improve movement tolerance and balance.<\/p><p> <\/p><p>Although research is still evolving, current evidence shows overall positive results, especially when physiotherapy is part of a multidisciplinary treatment approach.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f35d19e e-con-full e-flex e-con e-child\" data-id=\"f35d19e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef0cd24 elementor-widget elementor-widget-text-editor\" data-id=\"ef0cd24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Did you know?<\/b><\/span><\/p><p> <\/p><p class=\"p1\">People with vestibular migraine are more likely to have experienced motion sickness in the car, on boats or on planes since childhood. This information can be particularly helpful during the clinical assessment. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d8f93f elementor-widget elementor-widget-heading\" data-id=\"2d8f93f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">M\u00e9ni\u00e8re\u2019s disease: vertigo accompanied by hearing loss<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9995dc1 elementor-widget elementor-widget-text-editor\" data-id=\"9995dc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>M\u00e9ni\u00e8re\u2019s disease is a disorder of the inner ear that causes recurrent episodes of vertigo accompanied by hearing-related symptoms.<\/p><p> <\/p><p>Although it is much less common than BPPV, it can have a significant impact on quality of life when attacks become recurrent.<\/p><p> <\/p><p>What distinguishes it from most other causes of vertigo is the presence of fluctuating hearing loss, tinnitus (ringing in the ears) and a sensation of fullness in the affected ear.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03501c1 elementor-widget elementor-widget-heading\" data-id=\"03501c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How does it present?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6d6c65 elementor-widget elementor-widget-text-editor\" data-id=\"a6d6c65\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Episodes occur spontaneously and usually last between 20 minutes and several hours.<\/p><p> <\/p><p>During these attacks, it is common to experience intense vertigo accompanied by nausea, vomiting and severe difficulty standing or walking.<\/p><p> <\/p><p>Many people also notice reduced hearing in one ear, persistent tinnitus or a feeling of pressure or fullness in the affected ear.<\/p><p> <\/p><p>Over the years, hearing may gradually deteriorate.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c01520 elementor-widget elementor-widget-heading\" data-id=\"6c01520\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Why does it happen?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d1e45b elementor-widget elementor-widget-text-editor\" data-id=\"4d1e45b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The exact cause is still not fully understood.<\/p><p> <\/p><p>The most widely accepted theory is that an increase in the pressure of the inner ear fluid (endolymphatic hydrops) temporarily disrupts the function of both the vestibular and auditory systems.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49701d8 elementor-widget elementor-widget-heading\" data-id=\"49701d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How is it treated?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d86b03c elementor-widget elementor-widget-text-editor\" data-id=\"d86b03c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Treatment usually combines several strategies.<\/p><p> <\/p><p>During attacks, a doctor may prescribe medication to relieve vertigo and nausea.<\/p><p> <\/p><p>In the long term, dietary changes (such as reducing salt intake), maintaining good hydration and, in some patients, specific medications or procedures performed by an ENT specialist may be recommended.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b494c48 elementor-widget elementor-widget-heading\" data-id=\"b494c48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Can vestibular rehabilitation help?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-144ce69 elementor-widget elementor-widget-text-editor\" data-id=\"144ce69\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Yes. Vestibular rehabilitation can be particularly beneficial when a feeling of unsteadiness persists between attacks or when the brain needs to readapt after repeated episodes. <\/p><p> <\/p><p>However, it does not prevent the characteristic attacks of M\u00e9ni\u00e8re\u2019s disease. It is therefore usually included as part of a multidisciplinary treatment plan alongside medical follow-up.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1e7f4b4 e-con-full e-flex e-con e-child\" data-id=\"1e7f4b4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-73a7c7a elementor-widget elementor-widget-text-editor\" data-id=\"73a7c7a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Did you know?<\/b><\/span><\/p><p> <\/p><p>Unlike BPPV, where only the balance system is affected, M\u00e9ni\u00e8re\u2019s disease affects both the vestibular and auditory systems at the same time. As a result, the combination of vertigo + hearing loss + tinnitus + a feeling of fullness in the ear is highly suggestive of this diagnosis. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5c2dd3 elementor-widget elementor-widget-heading\" data-id=\"f5c2dd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Persistent postural-perceptual dizziness (PPPD): when the brain remains in \u201calert mode\u201d<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1216c8 elementor-widget elementor-widget-text-editor\" data-id=\"a1216c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>For some people, the problem does not completely disappear after a vestibular episode.<\/p><p> <\/p><p>Even though the inner ear is functioning normally again, the brain continues to interpret certain situations as a threat to balance. This condition is known as Persistent Postural-Perceptual Dizziness (PPPD). <\/p><p> <\/p><p>It is now considered one of the most common causes of chronic dizziness.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ccc3854 elementor-widget elementor-widget-heading\" data-id=\"ccc3854\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How does it present?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-abae26d elementor-widget elementor-widget-text-editor\" data-id=\"abae26d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Unlike BPPV, PPPD usually does not cause an intense spinning sensation.<\/p><p> <\/p><p>Instead, people typically experience a nearly daily feeling of unsteadiness, swaying or insecurity while walking.<\/p><p> <\/p><p>Symptoms often worsen after standing for long periods, walking through shopping centres, supermarkets, train stations or other visually busy environments, using screens for extended periods, or spending time in crowded places.<\/p><p> <\/p><p>Many people describe the sensation as if they were \u201cwalking on a mattress,\u201d \u201con a boat,\u201d or \u201cas if the ground were not completely stable.\u201d<\/p><p> <\/p><p>PPPD frequently develops after a previous episode of BPPV, vestibular neuritis or vestibular migraine, although it may also appear after a prolonged period of anxiety or a particularly stressful life event.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b77e08 elementor-widget elementor-widget-heading\" data-id=\"8b77e08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Why does it happen?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d6600a elementor-widget elementor-widget-text-editor\" data-id=\"7d6600a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Our brain is designed to protect us.<\/p><p> <\/p><p>After a significant episode of vertigo, it may temporarily increase its level of vigilance to prevent future losses of balance.<\/p><p> <\/p><p>For most people, this protective mechanism disappears once the vestibular system has recovered.<\/p><p> <\/p><p>However, in some patients the brain remains in this state of heightened alertness for too long.<\/p><p> <\/p><p>As a result, it becomes overly sensitive to small movements or normal visual stimuli, creating a persistent feeling of unsteadiness.<\/p><p> <\/p><p>This does not mean that \u201cit\u2019s all in your head\u201d or that the symptoms are imagined.<\/p><p> <\/p><p>The condition is entirely real and reflects a change in the way the brain processes information related to balance.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c6d542 elementor-widget elementor-widget-heading\" data-id=\"3c6d542\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">How is it treated?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f103d1 elementor-widget elementor-widget-text-editor\" data-id=\"5f103d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Today, the most effective approach is usually a multidisciplinary one.<\/p><p> <\/p><p>Vestibular rehabilitation remains an essential part of treatment, but it is often combined with strategies aimed at reducing hypervigilance and restoring confidence in movement.<\/p><p> <\/p><p>In some cases, a physician may also recommend medication.<\/p><p> <\/p><p>Recent scientific evidence suggests that the best outcomes are achieved when different interventions are combined and tailored to each patient\u2019s individual needs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0520e2 elementor-widget elementor-widget-heading\" data-id=\"a0520e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">The role of physiotherapy and psychology<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66a143f elementor-widget elementor-widget-text-editor\" data-id=\"66a143f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In PPPD, physiotherapy is not simply about \u201cdoing balance exercises.\u201d<\/p><p> <\/p><p>The goal is to expose the brain gradually and in a controlled way to the movements and situations that trigger symptoms, promoting progressive adaptation without causing excessive symptom flare-ups.<\/p><p> <\/p><p>At the same time, <a href=\"https:\/\/aliantis.es\/en\/therapy-for-adults-in-sitges\/\">psychology<\/a> can play an important role when fear of movement, anxiety, avoidance of certain activities or a significant loss of confidence develops.<\/p><p> <\/p><p>Interventions based on cognitive behavioural therapy (CBT) have shown promising results, particularly when integrated into a comprehensive rehabilitation programme alongside vestibular rehabilitation.<\/p><p> <\/p><p>The goal is not to convince patients that \u201cnothing is wrong,\u201d but to help the brain stop interpreting situations that no longer represent a real threat to balance as dangerous.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-552ab76 elementor-widget elementor-widget-heading\" data-id=\"552ab76\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Can neck problems cause vertigo?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-446d268 elementor-widget elementor-widget-text-editor\" data-id=\"446d268\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This is one of the most common questions asked in clinical practice\u2014and also one of the most misunderstood.<\/p><p> <\/p><p>The short answer is: yes, but not always.<\/p><p> <\/p><p>For many years, a condition known as cervicogenic dizziness has been described. It refers to a sensation of dizziness or unsteadiness associated with neck pain or cervical dysfunction. <\/p><p> <\/p><p>However, the scientific community agrees that this is a complex diagnosis and, above all, a diagnosis of exclusion. In other words, before attributing symptoms to the neck, it is essential to rule out more common causes such as inner ear disorders, vestibular migraine, neurological diseases or cardiovascular conditions. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2054893 elementor-widget elementor-widget-heading\" data-id=\"2054893\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Why can the neck influence balance?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4fa8fd4 elementor-widget elementor-widget-text-editor\" data-id=\"4fa8fd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The joints, muscles and ligaments of the neck contain thousands of receptors that constantly provide the brain with information about the position of the head.<\/p><p> <\/p><p>This information is integrated with signals from the inner ear and the visual system to maintain balance.<\/p><p> <\/p><p>When there has been trauma, such as whiplash, marked restriction of movement or impaired cervical motor control, these signals may become less accurate.<\/p><p> <\/p><p>The brain then receives information that does not fully match the signals coming from the eyes or the vestibular system, which may contribute to a sensation of unsteadiness.<\/p><p> <\/p><p>However, this mechanism is still being investigated and does not explain every case of dizziness associated with neck pain.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3eea1e elementor-widget elementor-widget-heading\" data-id=\"c3eea1e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">When should a cervical origin be suspected?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3834ac5 elementor-widget elementor-widget-text-editor\" data-id=\"3834ac5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Cervicogenic dizziness may be considered when several of the following features are present:<\/p><ul><li>neck pain or stiffness clearly associated with the onset of symptoms;<\/li><li>a feeling of unsteadiness rather than intense spinning vertigo;<\/li><li>symptoms that worsen with certain neck movements;<\/li><li>a history of cervical trauma, such as a road traffic accident or a fall;<\/li><li>no other findings that better explain the symptoms after a thorough medical and vestibular assessment.<\/li><\/ul><p> <\/p><p>None of these features alone confirms the diagnosis. This is why a comprehensive clinical assessment is so important. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ba3546e e-con-full e-flex e-con e-child\" data-id=\"ba3546e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62b7cf1 elementor-widget elementor-widget-text-editor\" data-id=\"62b7cf1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <b>Common myth<\/b><\/p><p> <\/p><p class=\"p1\"><b>\u201cIf my neck hurts, my vertigo must be coming from my neck.\u201d<\/b><\/p><p> <\/p><p>Not necessarily.<\/p><p> <\/p><p>Many people experience neck pain and a vestibular disorder at the same time. In other cases, the vertigo itself causes neck stiffness because of muscle tension and fear of moving the head. <\/p><p> <\/p><p>Current international guidelines consider cervicogenic dizziness to be a diagnosis of exclusion and recommend investigating more common causes first.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ba79e1 elementor-widget elementor-widget-heading\" data-id=\"1ba79e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How can physiotherapy help?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0f598c elementor-widget elementor-widget-text-editor\" data-id=\"a0f598c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Physiotherapy plays a key role in the management of most vestibular disorders.<\/p><p> <\/p><p>The first step is a comprehensive assessment to identify the most likely cause of the symptoms. Depending on the situation, the physiotherapist may perform positional tests for BPPV, assess vestibular function, evaluate balance and gait, and examine cervical mobility. <\/p><p> <\/p><p>Based on this assessment, treatment may include a range of different strategies.<\/p><p> <\/p><p>In cases of BPPV, repositioning manoeuvres usually resolve the problem quickly.<\/p><p> <\/p><p>For other vestibular disorders, vestibular rehabilitation uses specific exercises to improve gaze stability, restore balance, reduce sensitivity to movement and support a gradual return to everyday activities.<\/p><p> <\/p><p>When a cervical impairment is also present, exercises to improve mobility, strength and motor control of the neck may also be included, always tailored to the individual patient.<\/p><p> <\/p><p>The goal is not simply to eliminate symptoms, but to help the person move again with confidence and safety.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d81669 elementor-widget elementor-widget-heading\" data-id=\"8d81669\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What role can osteopathy play?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cbff6ee elementor-widget elementor-widget-text-editor\" data-id=\"cbff6ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/aliantis.es\/en\/general-osteopathy-in-sitges\/\">Osteopathy<\/a> may form part of treatment for some patients, but it is important to understand its role.<\/p><p> <\/p><p>It is not intended to replace medical assessment or vestibular rehabilitation when these are indicated.<\/p><p> <\/p><p>However, when vertigo or feelings of unsteadiness are accompanied by neck pain, stiffness or restricted mobility, manual therapy may help improve comfort and facilitate the active rehabilitation that follows.<\/p><p> <\/p><p>At Aliantis, we view manual therapy as one component of a broader treatment plan that also includes education, therapeutic exercise and a progressive return to activity.<\/p><p> <\/p><p>Current scientific recommendations encourage a cautious approach, as the quality of evidence supporting manual therapy for cervicogenic dizziness remains limited. Treatment should therefore always be individualised and based on a comprehensive clinical assessment. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-95ce2c7 elementor-widget elementor-widget-heading\" data-id=\"95ce2c7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What about psychology?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-02b3d2b elementor-widget elementor-widget-text-editor\" data-id=\"02b3d2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>When symptoms persist for weeks or months, many people develop a fear that the vertigo will return. This is entirely understandable. <\/p><p> <\/p><p>Some stop driving, avoid going out alone, give up travelling or gradually reduce their level of physical activity.<\/p><p> <\/p><p>This cycle of fear and avoidance can keep the brain in a state of hypervigilance, particularly in PPPD.<\/p><p> <\/p><p>In these situations, psychological support can be an extremely valuable part of treatment.<\/p><p> <\/p><p>Interventions based on cognitive behavioural therapy (CBT) help people better understand their symptoms, reduce movement-related anxiety and gradually rebuild confidence in everyday activities.<\/p><p> <\/p><p>This does not mean that the vertigo is \u201cpsychological.\u201d It means that the brain and body function as an integrated system, and addressing both aspects can support a more complete recovery. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c559722 elementor-widget elementor-widget-heading\" data-id=\"c559722\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Can nutrition have an impact?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c18ba9 elementor-widget elementor-widget-text-editor\" data-id=\"7c18ba9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>There is no specific diet capable of curing every type of vertigo.<\/p><p> <\/p><p>However, <a href=\"https:\/\/aliantis.es\/en\/2026\/04\/20\/changing-your-lifestyle-habits\/\">certain lifestyle habits<\/a> may influence symptoms in some people.<\/p><p> <\/p><p>For people with vestibular migraine, maintaining regular mealtimes, avoiding dehydration and identifying personal triggers\u2014such as excessive alcohol, caffeine or lack of sleep\u2014may help reduce the frequency of attacks.<\/p><p> <\/p><p>In other cases, a balanced diet supports overall health and helps prevent factors that may worsen feelings of unsteadiness, such as dehydration or low blood sugar.<\/p><p> <\/p><p><a href=\"https:\/\/aliantis.es\/en\/vitality-and-body-composition-in-sitges\/\">Nutrition<\/a> should therefore be viewed as supportive care within a personalised treatment strategy rather than as a stand-alone treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb6c942 elementor-widget elementor-widget-heading\" data-id=\"cb6c942\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When should you seek urgent medical attention?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a7bd5e elementor-widget elementor-widget-text-editor\" data-id=\"7a7bd5e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Although most cases of vertigo have a benign cause, there are situations in which <a href=\"https:\/\/aliantis.es\/en\/2026\/03\/26\/pain-that-requires-immediate-medical-attention\/\">immediate medical assessment<\/a> is essential.<\/p><p> <\/p><p>You should attend an emergency department or call emergency services immediately if vertigo is accompanied by any of the following symptoms:<\/p><ul><li>weakness or loss of strength in an arm or leg;<\/li><li>difficulty speaking or understanding language;<\/li><li>double vision or sudden loss of vision;<\/li><li>numbness affecting one side of the body;<\/li><li>sudden and severe difficulty walking;<\/li><li>an unusually severe headache that is different from previous headaches;<\/li><li>loss of consciousness or fainting;<\/li><li>chest pain or difficulty breathing.<\/li><\/ul><p> <\/p><p>These symptoms may indicate a neurological or cardiovascular condition that requires urgent medical assessment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0936690 elementor-widget elementor-widget-heading\" data-id=\"0936690\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">At Aliantis, we believe in personalised care<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eaf807e elementor-widget elementor-widget-text-editor\" data-id=\"eaf807e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Not everyone experiencing vertigo requires the same treatment.<\/p><p> <\/p><p>Some people improve after a simple repositioning manoeuvre. Others require several weeks of vestibular rehabilitation. In certain cases, treatment may also benefit from osteopathy, psychological support or nutritional counselling.  <\/p><p> <\/p><p>That is why, at Aliantis, we believe the first step is not simply to treat the symptom, but to understand its cause.<\/p><p> <\/p><p>A thorough assessment allows treatment to be directed towards the underlying cause while supporting recovery through an evidence-based approach tailored to each individual\u2019s needs.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0acd4cc elementor-widget elementor-widget-heading\" data-id=\"0acd4cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conclusion<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-579bbaa elementor-widget elementor-widget-text-editor\" data-id=\"579bbaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Vertigo can be highly disabling and understandably worrying, but in most cases there is an explanation and effective treatments are available.<\/p><p> <\/p><p>The most important step is not to look for a universal treatment, but to correctly identify the underlying cause of the symptoms. An accurate diagnosis makes it possible to choose the most appropriate management strategy, avoid unnecessary treatments and support a faster and safer recovery. <\/p><p> <\/p><p>If you experience episodes of vertigo, dizziness or persistent unsteadiness that interfere with your daily life, an assessment by a healthcare professional can help determine what is happening and identify the most appropriate treatment for your situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5786716 elementor-widget elementor-widget-text-editor\" data-id=\"5786716\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">Understanding the cause of vertigo is the first step towards restoring balance.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-949997b elementor-widget elementor-widget-heading\" data-id=\"949997b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently asked questions about vertigo<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a3ad599 elementor-widget elementor-widget-n-accordion\" data-id=\"7a3ad599\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2050\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2050\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Why do I get vertigo when I turn over in bed? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2050\" class=\"elementor-element elementor-element-375245f9 e-con-full e-flex e-con e-child\" data-id=\"375245f9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2df04e2e elementor-widget elementor-widget-text-editor\" data-id=\"2df04e2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tThis is one of the most typical symptoms of benign paroxysmal positional vertigo (BPPV), which is caused by small crystals moving within the inner ear. In most cases, it can be treated effectively with repositioning manoeuvres. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2051\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2051\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Can stress cause vertigo? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2051\" class=\"elementor-element elementor-element-4355928c e-con-full e-flex e-con e-child\" data-id=\"4355928c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5346870b elementor-widget elementor-widget-text-editor\" data-id=\"5346870b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tStress is not usually the direct cause of a vestibular disorder, but it can worsen symptoms and contribute to conditions such as vestibular migraine or persistent postural-perceptual dizziness (PPPD).\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2052\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2052\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Can neck problems cause vertigo? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2052\" class=\"elementor-element elementor-element-1be963e3 e-con-full e-flex e-con e-child\" data-id=\"1be963e3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-273631f9 elementor-widget elementor-widget-text-editor\" data-id=\"273631f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tYes, it is possible, although it is much less common than many people believe. Before attributing symptoms to the neck, it is essential to rule out vestibular, neurological and cardiovascular causes. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2053\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2053\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> How long does an episode of vertigo last? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2053\" class=\"elementor-element elementor-element-e695ca7 e-con-full e-flex e-con e-child\" data-id=\"e695ca7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-804d56a elementor-widget elementor-widget-text-editor\" data-id=\"804d56a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tIt depends on the underlying cause. BPPV usually causes episodes lasting less than one minute, whereas vestibular neuritis may produce symptoms for several days, and PPPD can persist for weeks or even months. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2054\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2054\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Can I drive if I have vertigo? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2054\" class=\"elementor-element elementor-element-55aef3c e-con-full e-flex e-con e-child\" data-id=\"55aef3c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fccda56 elementor-widget elementor-widget-text-editor\" data-id=\"fccda56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tIt is not recommended to drive during an episode of vertigo or while symptoms could compromise your safety. If symptoms persist, seek advice from a healthcare professional before returning to driving. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2055\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2055\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Do vestibular exercises really work? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2055\" class=\"elementor-element elementor-element-eed5d00 e-con-full e-flex e-con e-child\" data-id=\"eed5d00\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37fa455 elementor-widget elementor-widget-text-editor\" data-id=\"37fa455\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tYes. Vestibular rehabilitation is supported by strong scientific evidence and is one of the most effective treatments for many disorders affecting balance and the vestibular system. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2056\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2056\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Which healthcare professional should I see if I have vertigo? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2056\" class=\"elementor-element elementor-element-01212b2 e-con-full e-flex e-con e-child\" data-id=\"01212b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1867535 elementor-widget elementor-widget-text-editor\" data-id=\"1867535\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tIt depends on the cause of your symptoms. Depending on the situation, assessment by a physician, a physiotherapist specialised in vestibular rehabilitation, an ENT specialist or a neurologist may be appropriate. In some cases, a multidisciplinary approach offers the best results.  \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0c754f3 e-con-full e-flex e-con e-child\" data-id=\"0c754f3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fec814 elementor-widget elementor-widget-text-editor\" data-id=\"1fec814\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><em>This blog article does not aim to generate new knowledge; it is based on the reading of scientific publications, blog articles and other texts.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7cc1488 e-con-full e-flex e-con e-child\" data-id=\"7cc1488\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db3466c elementor-widget elementor-widget-text-editor\" data-id=\"db3466c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sources:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f26d21 elementor-widget elementor-widget-text-editor\" data-id=\"8f26d21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngology\u2013Head and Neck Surgery.   2017.<\/p><p>Hall CD, Herdman SJ, Whitney SL, et al. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline. Journal of Neurologic Physical Therapy.   2022.<\/p><p>Smyth N, et al. Vestibular migraine treatment: a comprehensive practical review. Brain.   2022.<\/p><p>Geraghty AW, et al. The INVEST Trial: Psychologically Informed Vestibular Rehabilitation for Persistent Postural-Perceptual Dizziness. Journal of Neurology.   2022.<\/p><p>Comparative efficacy of non-pharmacological interventions for persistent postural-perceptual dizziness: a systematic review and network meta-analysis. Journal of Neurology.  2026.<\/p><p>Corna S, et al. Physical therapy interventions for older people with vertigo, dizziness and balance disorders. BMC Geriatrics.   2020.<\/p><p>Dizziness and neck pain: a perspective on cervicogenic dizziness exploring pathophysiology, diagnostic challenges, and therapeutic implications. Frontiers in Neurology.  2025.<\/p><p>The effects of physiotherapy on neck pain with associated symptoms, including cervicogenic dizziness and tinnitus: a systematic review. BMC Musculoskeletal Disorders.  2026.<\/p><p>Reid SA, Rivett DA. Comparison of Mulligan Sustained Natural Apophyseal Glides and Maitland Mobilizations for Treatment of Cervicogenic Dizziness. Physical Therapy.   2013.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Discover the main causes of vertigo, how to tell them apart, and which treatments are supported by scientific evidence to help you regain your balance.<\/p>\n","protected":false},"author":1,"featured_media":4998,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[],"class_list":["post-5478","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pain"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Vertigo: Causes, Symptoms and Effective Treatments | Aliantis<\/title>\n<meta name=\"description\" content=\"Discover the main causes of vertigo, how to tell them apart, and which treatments are 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