PPPD

How Can Physiotherapy Help with Persistent Postural-Perceptual Dizziness (PPPD)?

Persistent Postural-Perceptual Dizziness (PPPD) is a chronic balance disorder that causes ongoing dizziness, unsteadiness, and a sensation of movement without true vertigo. Symptoms are often worse when standing, walking, moving through busy environments, or being exposed to visual stimuli such as supermarkets, crowds, traffic, or scrolling on screens.

PPPD can significantly affect confidence, mobility, work, social activities, and overall quality of life. Although symptoms can be persistent and frustrating, physiotherapy, particularly vestibular rehabilitation, can play an important role in helping individuals manage symptoms and regain confidence in movement.

At Community Physio, we provide specialist assessment and treatment for individuals experiencing:

• Persistent dizziness or feelings of unsteadiness
• Sensations of swaying, rocking, or imbalance
• Symptoms that worsen when standing or walking
• Difficulty in busy visual environments
• Motion sensitivity
• Balance and coordination difficulties
• Fear of falling
• Reduced confidence with mobility
• Avoidance of activities due to dizziness
• Difficulties with work, shopping, travel, or social activities

Our experienced physiotherapists deliver personalised, evidence-based rehabilitation programmes designed to reduce symptoms, improve balance, and help individuals return to their normal daily activities.

Whether your goal is to reduce dizziness, improve confidence, return to work, manage busy environments, or regain independence, we are here to support you throughout your recovery journey.

Your Physiotherapist’s Role

Your physiotherapist will complete a detailed vestibular and functional assessment to understand your symptoms and develop a personalised rehabilitation programme tailored to your needs and goals.

This may include:

• Assessment of balance, mobility, walking ability, coordination, and vestibular function.
• Vestibular rehabilitation exercises to improve balance and reduce dizziness.
• Habituation exercises to reduce sensitivity to movement and visual stimuli.
• Gaze stabilisation exercises to improve visual focus during movement.
• Balance and coordination training to improve stability and confidence.
• Graded exposure programmes to help you gradually return to challenging environments and activities.
• Walking and mobility retraining to improve safety and independence.
• Education on symptom management and recovery strategies.
• Advice on maintaining activity levels and avoiding unnecessary restrictions.
• Ongoing monitoring and progression of rehabilitation to maximise long-term outcomes.

Our rehabilitation approach focuses on helping individuals retrain the balance system, build confidence, and regain control over their daily lives.

Why Choose Community Physio?

At Community Physio, we are dedicated to delivering high-quality vestibular rehabilitation within the comfort of your own environment.

We understand how challenging PPPD can be and how significantly it can impact daily life. Our physiotherapists provide personalised support to help you manage symptoms and return to the activities that matter most.

What Makes Us Different?

• Experienced Chartered Physiotherapists with expertise in vestibular rehabilitation and chronic dizziness conditions.
• Registered with the Health & Care Professions Council (HCPC) and Chartered Society of Physiotherapy (CSP).
• Enhanced DBS-checked clinicians for safe and trusted care.
• Physiotherapy delivered in your home, care home, workplace, or community setting.
• Prompt access to treatment with minimal waiting times.
• Flexible appointment availability, including evenings and weekends.
• Personalised rehabilitation programmes tailored to your symptoms and goals.
• Close collaboration with GPs, ENT specialists, neurologists, psychologists, and other healthcare professionals where appropriate.
• Continuity of care from a dedicated physiotherapist whenever possible.
• Clear communication and ongoing support for clients, families, and carers.
• Evidence-based treatment focused on meaningful and measurable outcomes.

We believe that every person’s experience of PPPD is unique. Your assessment, treatment plan, and rehabilitation programme will be specifically designed around your symptoms, lifestyle, and goals.

Whether your symptoms began after a vestibular condition, illness, injury, or a period of significant stress, our team is here to help you reduce dizziness, improve balance, and regain confidence in your daily activities.

“Personalised Care. Delivered in Your Community.”