Clinical Insights
Evidence-based articles on vestibular rehabilitation, written for practising clinicians.
BPPV: A Clinician's Complete Guide to Diagnosis and Treatment
Master the most common — and most undertreated — vestibular disorder.
Benign Paroxysmal Positional Vertigo accounts for 20–30% of all dizziness presentations. Despite being highly treatable — often in a single session — it remains one of the most mismanaged conditions in primary care. This guide gives you a systematic, canal-by-canal framework.
Cervicogenic Dizziness: How to Diagnose It (and Stop Missing It)
A structured framework for one of the most contested — and underappreciated — diagnoses in vestibular rehabilitation.
Cervicogenic dizziness lacks a single definitive test, which is why it gets missed. A skilled clinician can identify it confidently using a layered protocol — Dix-Hallpike, cervical assessment, the Smooth Pursuit Neck Torsion Test, and vascular screening.
Vestibular Migraine: The Diagnosis Your Dizzy Patients Are Waiting For
The most common cause of recurrent spontaneous vertigo — and the most under-recognised.
Vestibular migraine affects 1–3% of adults and accounts for 7–10% of dizziness presentations. Average diagnostic delay: 5–10 years. Up to 50% of patients have no headache during their vestibular episodes — which is why everyone misses it.
Post-Concussion Dizziness: A Rehabilitation Framework for Clinicians
Five mechanisms, six assessment stages, and the sequence that gets results.
Post-concussion dizziness involves up to five concurrent mechanisms — peripheral vestibular, central, cervicogenic, autonomic, and visuo-vestibular. Treat them in the wrong order and you make things worse.
Red Flags in Dizziness Assessment: What Every Clinician Must Know
A comprehensive reference for the findings that change everything.
Posterior fossa strokes can present like labyrinthitis. Vestibular schwannomas hide as progressive imbalance. The HINTS exam beats early MRI for distinguishing central from peripheral. This guide is the reference you need.
How to Build a Vestibular Caseload: The Clinician's Growth Guide
Why vestibular is one of the best niches in rehab — and how to dominate it locally.
Dizziness affects 35% of adults over 40 — making it one of the most prevalent complaints in primary care. And yet most clinics have no vestibular clinician. The gap is not demand. It is supply.