Tiny calcium crystals (otoconia) drift into the semicircular canals, triggering brief, intense spinning when you roll over in bed or look up. We confirm the affected canal with Dix-Hallpike testing, then clear it using Epley or BBQ roll repositioning maneuvers — most patients improve significantly within 1-3 sessions.
Vestibular Nerve
Vestibular Neuritis & Hypofunction
After a viral inflammation of the vestibular nerve, the brain receives unbalanced signals — leaving constant unsteadiness and motion sensitivity. We use graded gaze stabilisation and habituation exercises to retrain the brain to recalibrate, restoring steady vision and confident movement.
Cervical Spine
Cervicogenic Dizziness
Stiff, painful upper-neck joints can distort the position sense your brain relies on for balance, causing dizziness that worsens with neck movement. We combine manual therapy for the upper cervical spine with proprioceptive retraining — treating the neck to resolve the dizziness.
Clinical Strategy
Our 3-Step Vestibular Recovery Protocol
From identifying the exact cause of your dizziness to walking out steady and confident — see what happens at each step.
Step01
Clinical Vestibular Assessment
We take a detailed dizziness history, then perform positional testing — including the Dix-Hallpike maneuver — to identify whether your vertigo is BPPV, vestibular hypofunction, cervicogenic dizziness, or a pattern that needs medical referral. The cause determines everything that follows.
Once the spinning settles, we rebuild steadiness — progressive balance retraining in our Virtual Rehab Lab, Redcord Neurac neuromuscular control work, and real-world walking, turning and head-movement practice — so you return to daily life without fear of the next episode.
Vertigo pills only suppress symptoms — they do not clear displaced crystals or retrain your balance system. DakshinRehab's advantage is cause-specific treatment: hands-on repositioning maneuvers, measurable balance technology, and a structured retraining plan.
Dix-Hallpike & Positional Testing
Clinical gold-standard testing to confirm BPPV and identify exactly which semicircular canal is affected.
Canalith Repositioning (Epley & BBQ Roll)
Precise, guided head-movement sequences that return displaced crystals to where they belong — most patients improve significantly within 1-3 sessions.
DakshinRehab clinical pathway
Gaze Stabilisation & Habituation Therapy
Structured vestibular exercises that retrain the brain to keep vision steady and desensitise motion-triggered dizziness.
Virtual Rehab Lab & EMG Biofeedback
Technology-assisted balance retraining with real-time feedback, so your progress is measured — not guessed.
Clinical comparison
Repositioning & Retraining vs. Long-Term Vertigo Medication
Vestibular suppressant medication can help in the first days of an acute episode, but taken long term it actually delays the brain's natural compensation. Our approach treats the cause — repositioning maneuvers physically clear BPPV crystals, and graded vestibular exercises drive the neural recalibration that medication cannot.
Insight 1
Redcord Neurac & Cervical Care
Suspension-based neuromuscular control training and upper-cervical manual therapy for cervicogenic dizziness and postural steadiness.
Insight 2
Local & Accessible
Located in Moosapet, Hyderabad — serving Kukatpally, KPHB, Miyapur, and Gachibowli.
“Vertigo is one of the most treatable problems we see. When testing confirms BPPV, a few minutes of precise repositioning can achieve what months of medication cannot — the key is treating the canal, not just the symptom.”
A structured path from your first assessment in Moosapet to steady, confident movement — confirmed BPPV cases often improve significantly within the first 1-3 repositioning sessions.
Final positional re-testing and balance outcome measures
Independent home maintenance programme
A clear self-help plan for recognising and responding to any recurrence
WhatsApp access for quick triage if symptoms ever return
You leave steady, independent — and know exactly what to do if vertigo ever comes back.
When to Act Fast
When Dizziness Needs a Doctor First
Most vertigo is benign and highly treatable, but some patterns signal a medical emergency. If any of these accompany your dizziness, seek emergency medical care immediately — then visit DakshinRehab in Moosapet once you are cleared for vestibular rehabilitation.
Sudden Severe Headache — A thunderclap headache with dizziness needs emergency evaluation to rule out a serious brain event.
Double Vision, Slurred Speech or Facial Droop — Classic stroke warning signs; call emergency services immediately, do not wait for the dizziness to pass.
New Hearing Loss with Vertigo — Sudden one-sided hearing loss alongside spinning may indicate labyrinthitis or Meniere's disease and needs prompt ENT assessment.
Vertigo with Severe Neck Pain After Trauma — Dizziness following a fall, accident or neck injury must be medically cleared before any repositioning or manual treatment.
Fainting or Loss of Consciousness — Blacking out is not vertigo; it points to cardiovascular or neurological causes that require urgent medical work-up.
Progressive Unsteadiness with Limb Weakness — Worsening balance combined with weakness, numbness or clumsiness in the arms or legs needs neurological evaluation first.
Dizziness rarely travels alone — neck dysfunction, headaches and neurological conditions often overlap with vestibular problems. We assess the whole balance system, not just the inner ear.
“Every treatment page should help patients understand what is safe, what is urgent, and what care path fits their condition. Clinical review keeps that advice practical and trustworthy.”
The clinical content on this page is written and independently reviewed by qualified physiotherapists at DakshinRehab, Moosapet, Hyderabad.
Vertigo & BPPV FAQs
Answers About Your Dizziness and Balance Recovery
Honest answers from the specialists at DakshinRehab Moosapet.
What exactly is BPPV, and why does rolling over in bed set it off?
BPPV (Benign Paroxysmal Positional Vertigo) happens when tiny calcium crystals in your inner ear drift into a semicircular canal. Specific head positions — rolling in bed, looking up, bending forward — make the crystals move and falsely signal spinning. It is benign, and it is one of the most treatable causes of vertigo we see at DakshinRehab Moosapet.
How many sessions does it take to fix BPPV?
Is the Epley maneuver safe, and does it make you dizzy during treatment?
Can I just take vertigo tablets instead of doing vestibular rehab?
Can neck problems really cause dizziness?
What do gaze stabilisation and balance retraining actually involve?
Can I drive or work with vertigo, and when is it safe to resume?
Will my vertigo come back after treatment?
How much does physiotherapy cost at DakshinRehab?
Do I need a doctor's referral to start physiotherapy at DakshinRehab?