An older couple walking arm in arm along a seaside promenade beside a blue sea

Dizzy, off balance or living with vertigo?

I'm Matt Hayden, a chartered physiotherapist who specialises in dizziness and balance. I find out what's causing your symptoms and treat it in your own home, across Worthing and the surrounding area.

Looking down a spiral staircase that curls into the distance

Vestibular rehabilitation

Retraining the balance system

Most dizziness starts in the balance system: your inner ear, the nerves to your brain, and the parts of the brain that make sense of them. When injury or illness disrupts it, you get vertigo, dizziness or imbalance.

Vestibular rehabilitation uses exercises and specific manoeuvres to help that system work better, or to help your brain adapt. Everything is matched to your symptoms and to what you want to get back to.

An older man unrolling an exercise mat in his living room

Home visits

Treatment at home

Getting to a clinic is hard when the room won't keep still. I come to you instead.

It also means your exercises can be built around your own stairs, your own kitchen and the walks you actually take.

How it works

From the first phone call to getting back to the things dizziness has stopped you doing.

Free
Step 1

A phone call

Ring me and tell me what's been happening. If vestibular rehab isn't the right thing for you, I'll say so.

Before we meet
Step 2

A short questionnaire

I'll send you a link to some questionnaires to fill in online. If you'd rather not use the internet, I can post paper copies.

Up to 90 minutes
Step 3

Your first home visit

I go through your answers with you, then examine you, including your balance and how your eyes move. We agree a plan based on what you want to get back to.

Between visits
Step 4

Exercises and follow-ups

Most people do a short exercise programme on their own, and I move the exercises on at each visit so you keep progressing.

Why see a vestibular physio

Specialist training

Trained in vestibular rehabilitation since 2011, and completed King's College London's competency-based vestibular course in 2023.

NHS clinical lead

Clinical Lead for physiotherapy in the NHS Community Neuro Rehab Team in Worthing, where I've worked since 2009.

Teaching other physios

I teach vestibular rehabilitation to physiotherapists across Sussex Community NHS Foundation Trust.

Registered and accountable

HCPC registered (PH65027), and a member of the Chartered Society of Physiotherapy and the ACPIVR.

A second opinion

Some patients come to me for a second opinion when an earlier diagnosis didn't fit their symptoms.

Seen at home

No travelling while you're dizzy. Visits are free of travel charges across BN11 to BN15.

Rated 5.0 on Google

What patients say

A few words from people I've treated, most of them left as Google reviews.

Matt has such a wealth of knowledge and an incredibly thorough but gentle approach to both assessment and treatment. He has such a calm and thoughtful manner and I couldn't have asked for better care.

Sa J

Worthing, Google review

I contacted Matt to get a 2nd opinion when I was experiencing vertigo. I had previously seen my Dr who had diagnosed me with an inner ear infection which I didn't feel fitted with my symptoms. Matt suggested there may be another cause and on investigation, he was right.

M-A. S.

Shoreham-by-Sea, Google review

We are indebted to Matt for his tremendous efforts and time spent with our mum. He came into our lives at a very difficult time, and his patience and perseverance are testament to where she is now physically and mentally. Her confidence is growing each day, and she is starting to be able to leave her home on her own, which seems like a miracle.

JR

Worthing, Google review

Common questions

No. You can refer yourself by phone, or your GP or consultant can refer you.

It depends on the cause, how long you've had it and whether anything else complicates recovery, such as problems with your vision or the feeling in your legs and feet. BPPV can usually be resolved in one session. PPPD usually takes at least six.

Worthing and nearby. Visits in BN11 to BN15 have no travel charge, and further afield is charged at £2 a mile. The areas page has the detail.

I'm not registered with the insurance companies, but some insurers will let you claim back what you've paid. It's worth checking with yours.

Sometimes. If dizziness comes on suddenly together with weakness or numbness, slurred speech, a drooping face, double vision or a sudden severe headache, call 999 straight away.

Talk it through first

The first phone call is free. Tell me what's been happening and I'll tell you whether vestibular rehab is likely to help, before you book anything.