Understanding Vertigo: Causes, Symptoms, and Effective Treatments

What is Vertigo?

Vertigo is a symptom. Like fever. 

It is not a diagnosis, but rather a symptom caused by some underlying medical issue.

 It’s more than just feeling dizzy—it sensation that makes you feel like you or your surroundings are spinning. Vertigo can range from mild to severe, impacting your ability to perform everyday activities.

A vertigo attack can last anywhere from a few seconds to several hours. Overall recovery, depending on the condition, can take weeks or months. If left untreated, chronic vertigo can cause secondary issues like nerve or thoracic outlet type problems due to neck tightness and affect mental well-being, leading to anxiety and depression.

 

The Inner ear balancing system

Common Causes of Vertigo

Vertigo is usually a result of an issue with the balancing system of the body. This is a combination of the inner ear- the nerve- and the brain. Below are the three most common causes of vertigo:

1. Benign Paroxysmal Positional Vertigo (BPPV)

BPPV occurs when crystals in the inner ear become dislodged and move into the ear canals. These misplaced crystals disrupt fluid movement, sending incorrect signals to the brain about your body’s position.

  • Symptoms: Sudden, intense dizziness triggered by head movements.
  • Treatment: Vestibular physiotherapy can help reposition the crystals using techniques like the Epley Maneuver to restore balance.

2. Meniere’s Disease

Meniere’s disease is a chronic condition caused by an excess buildup of fluid in the inner ear, affecting both balance and hearing.

  • Symptoms: Recurrent vertigo, ringing in the ears (tinnitus), with or without hearing loss, and a feeling of fullness in the ear.
  • Treatment: Lifestyle changes, including a low-sodium diet to reduce fluid retention, along with physiotherapy exercises to improve balance and recover faster.

3. Vestibular Neuritis

Vestibular neuritis is usually the most severe out of these 3. This occurs when the nerve in the inner ear becomes infected, disrupting communication between the ear and the brain. This is often caused by a viral infection.

  • Symptoms: Sudden dizziness, difficulty focusing, nausea, and imbalance.
  • Treatment: Vestibular rehabilitation to help retrain the brain’s response to movement.

 

Treatment Options: Medications

Medications can help in the short term to reduce the intensity of the symptoms; Betahistine is most common.

 

Treatment Options: Vestibular Rehabilitation for Vertigo

Vestibular rehabilitation therapy (VRT) is one of the most effective non-medical treatments for vertigo. It includes:

Balance Training – Helps the brain adjust to dizziness overall.
Gaze Stabilization Exercises – Improves brain’s adaption to the dizziness and eye control to improve balance.
Vestibular Adaptation Techniques – Teaches the brain to compensate for the imbalance.
Positional Maneuvers (e.g., Epley Maneuver) – Helps relocate dislodged calcium crystals in BPPV cases.

Studies show that vestibular physiotherapy can significantly improve symptoms, helping patients regain confidence in movement.

In Summary

Vertigo can be disruptive, but effective treatments do exist. These can help restore balance and reduce dizziness. If you’re struggling with vertigo symptoms, consulting a physiotherapist or ENT specialist can help you regain control and improve your quality of life.

If you’re experiencing persistent dizziness, please reach out to us; we’d be happy to help!

About the author

Arjun Patel, PT, MScPT, MCPA is an orthopedic, neuro, and vestibular physiotherapist. He is the director of Blue Space Clinic Physiotherapy and sees complex cases on a daily basis. He is also an adjunct lecturer at the faculty of medicine at University of Toronto.

To learn more about Arjun and our clinic, click here!