Vestibular physiotherapy at home

Labyrinthitis and vestibular neuritis in Worthing

Labyrinthitis and vestibular neuritis usually start with a sudden, severe bout of vertigo. Most people recover over the following weeks, but some are left dizzy and unsteady for much longer. That's where vestibular rehab comes in.

An older man wearing a blindfold, standing with his arms stretched out to keep his balance
Common signs of labyrinthitis and neuritis

A sudden start

Severe vertigo that came on over hours, often after a cold or virus.

Unsteady weeks later

Still wobbly walking, especially in the dark or on uneven ground.

Blurring when you move

The world seems to jump when you turn your head or walk.

Hearing changes

With labyrinthitis, some hearing loss or ringing in the ear.

An older woman with her eyes closed and both hands pressed to her forehead

What it is

Inflammation in the inner ear

Vestibular neuritis is inflammation of the balance nerve, and labyrinthitis affects the inner ear itself, so it can affect hearing too. Both often follow a virus.

The first few days are usually the worst: strong vertigo, sickness and difficulty standing. Recovery depends on your brain learning to work with a balance system that may not be quite the same as before.

An older man standing with his arms held out to the sides in a bright living room

How I help

Helping your brain compensate

If dizziness or unsteadiness hangs on after the first few weeks, it's often because the brain hasn't fully adapted. Gaze stabilisation and balance exercises give it the practice it needs.

I also check for other causes, because not every case of 'labyrinthitis' turns out to be labyrinthitis.

Google review

In a patient's words

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

Questions about labyrinthitis

Most people improve over a few weeks. If you're still dizzy or unsteady after that, it's worth an assessment.

Sometimes. Dizziness gets labelled as an inner ear infection when it's actually something like BPPV. The assessment checks for that.

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.