Get Steady
PPPD treatment in Worthing
Persistent postural-perceptual dizziness (PPPD) is dizziness or unsteadiness that's there most days for three months or more. It's a recognised condition, and vestibular rehabilitation is one of the ways it's treated.
Most days, for three months or more
A persistent dizzy or unsteady feeling rather than spinning.
Worse upright and moving
Better lying down, worse standing and walking.
Busy places and screens
Supermarkets, crowds, scrolling and patterned floors make it worse.
Followed another problem
Often began after vertigo, BPPV, an inner ear infection or migraine.
What it is
Dizziness that outlasts its cause
PPPD often starts after something else, such as an episode of vertigo, BPPV, vestibular neuritis or a vestibular migraine. The first problem settles, but the brain keeps processing balance as though there's still a threat.
The result is a constant rocking, swaying or 'not right' feeling, usually worse when you're upright, moving, or somewhere visually busy.
How I treat it
Gradual, steady exposure
Treatment uses habituation exercises, gradual exposure to the situations that bring symptoms on, and balance retraining, all at a pace you can manage.
It takes time. Most people need at least six sessions, with exercises between them.
Questions about PPPD
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No. It's a recognised condition affecting how the brain processes balance, and there are treatments for it, including vestibular rehab.
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Usually at least six sessions, with an exercise programme in between.
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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.