Signs and Symptoms of Vestibular Dysfunction

Vestibular dysfunction occurs when there’s a problem with the inner ear and/or it’s connections, which plays a crucial role in balance and spatial awareness. Those affected often experience dizziness, vertigo, unsteadiness, and blurred vision, particularly when moving their head. Nausea, difficulty concentrating, and a feeling of imbalance are also common. These symptoms can seriously impact daily life, making walking, driving, or even sitting up a challenge. 

Amanda O’Neill, founder and physiotherapist at Coffs Neuro Physio, highlights the importance of recognising these signs early: “If you’re feeling dizzy, unsteady, or have trouble maintaining balance, it’s essential to get professional advice. Vertigo and vestibular dysfunction can be overwhelming and scary, but with the right exercises and rehabilitation, you can make significant improvements.” 

Here are five simple exercises we often use to help improve balance and reduce the symptoms of vestibular dysfunction: 

Starting by sitting or standing in a stable position. Keeping the eyes fixed on a stationary object, like a mark on the wall. Slowly move the head from side to side while keeping eyes on the object. This helps retrain the vestibular system to handle movement and improve gaze stability. 

Standing near a wall or a sturdy surface for support. Lifting one foot off the ground and trying to maintain balance on the other leg for 20–30 seconds. Switch legs and repeat. This exercise improves overall balance and strengthens the leg muscles. 

Walking in a straight line by placing the heel of one foot directly in front of the toes of the other with each step. Keeping the eyes ahead and arms out if needed for balance. This helps improve coordination and balance, especially on uneven surfaces. 

Standing on a cushion or foam pad to create an unstable surface. You could try the feet closer together or closing the eyes. This challenges the balance system and builds stability. 

BPPV (Benign Paroxysmal Positional Vertigo) is the most common cause of vertigo. It occurs when small crystals (otoliths) fall off the membrane where they belong and into the inner ear canals where they shouldn’t be, resulting in momentary vertigo with head movement. Treatment involves a series of head movements to move the crystals out of the canal. Our choice of manoeuvre depends on which of 6 canals (3 each side) we’ve identified the crystal to be in. 

At Coffs Neuro Physio, we are experts in vestibular rehabilitation. “Our customised vestibular programs are designed to reduce symptoms and improve quality of life,” says O’Neill. If you’re experiencing dizziness or balance problems, contact us today to learn how we can help you recover and regain control of your balance. 

Disclaimer: The information provided in this article is for general informational purposes only and should not be considered professional medical advice. If you are experiencing the condition discussed or have any other health concerns, we recommend consulting your healthcare provider for personalised guidance. Alternatively, you may contact Coffs Neuro Physio to schedule a consultation with one of our team.