Living with balance impairment can have a significant negative impact on your quality of life. Everyday tasks such as walking around the house, seeing clearly, or even just getting up from bed may become much more difficult. Secondary problems such as anxiety, confusion and nausea may also arise as a result.

Vestibular rehabilitation is a customised patient-oriented physiotherapy programme, designed by our Specialist Neuro-physiotherapist, to meet your specific needs. It can help accelerate the rate at which you are able to return back to a normal level of functioning by reducing the symptoms that prevent you from living your life the way you want.

It is aimed at reducing dizziness and imbalance by facilitating central nervous system compensation, strengthening and mobilising the musculo-skeletal system and de-stressing using relaxation techniques.

It also focuses on holistic wellness and overall health which can help to reduce other symptoms and/ or medical conditions that might be contributing to your balance disorder.

During an initial session, your symptoms will be evaluated, and you will be assessed on some/ all of the following areas as appropriate:

  • Visual stability and mobility
  • Balance and/ or leg strength/ flexibility
  • Neck mobility and neck and arm strength
  • Gait
  • Positional testing

A plan of care is devised based on the findings. The goal of your treatment plan is to improve any deficits that are identified. This, in turn, will improve your ability to function in activities of everyday living, reduce your risk for falling and ultimately improve your quality of life.

It is normal that you attend for multiple sessions of balance rehabilitation to ensure that progress is being made and exercises are adapted and made more difficult as your symptoms improve. Though rates of recovery vary based on your diagnosis, severity of symptoms and response to therapy, your symptoms and overall sense of balance will certainly improve by the end of your program–often to the point where you are completely asymptomatic and feel back to your usual self.


It is estimated that a third of adults over the age of 65 will have at least one fall a year, with half of these having more frequent falls. As such, falls represent a major health hazard and a growing public health concern as they are the most common mechanism of injury, and the leading cause of death from injury, in this age group.


Our falls prevention clinic aims to reduce the risk of you having a fall and or/ further falls.

A falls assessment will include the following where appropriate:

  • Detailed clinical assessment on falls risk provided by both a Consultant Audiologist and Specialist Neuro-physiotherapist experienced in falls prevention
  • Assessment and provision of relevant aids and adaptions
  • Tailored treatment programme delivered to improve strength and balance, and to improve your confidence to get out and about
  • Direct liaison with other health care professionals such as GPs, Nurses, Occupational Therapists
  • Home exercise programme provided on an individual basis
  • Home assessment in view of falls prevention where required


Millions of people every year suffer from concussions–which are considered a mild traumatic brain injury (TBI)–or other forms of head trauma as a result of high-impact sports injury, falls or road vehicle accidents.


Head impact injuries can result in a disturbance in an individual’s sense of balance and spatial orientation–affecting their participation in sports, work or just everyday activities.


Once an individual (particularly an athlete) has sustained a concussion they are at a higher risk of an additional repeated episode.

Some signs of Concussion

  • Difficulty with balance or dizziness
  • Feeling of spinning or wavy movement, motion sensitivity and unsteadiness
  • Difficulty with focus / vision / headache / reading
  • Difficulty with dynamic movement / sports / busy environments
  • Confusion / drowsiness

Our expert team, through a comprehensive evaluation process, will provide information regarding your status, progress, and ability to resume work or play following a concussion. The evaluation protocols used are supported by the latest research and best evidence-based practice. We also offer customised balance rehabilitation programs for athletes considering return to play and those with persistent symptoms.

Contact us

For further information on the services and products we offer, please visit the relevant page from the menu. To book an appointment, please get in touch below.

The service is only available at our Canary Wharf clinic and is open to self-referrals.