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Three Pillar Health

Vertigo and dizziness are real. You deserve a clear answer.

Dizziness is a whole body and capacity problem, so we start with a really accurate assessment and define exactly what's going on. Then you get the plan, written down, and the same clinician every visit until you're moving forward.

Zac with a patient wearing the Vesticam goggles

First, we find the cause.

Your first session starts with a detailed interview, where we ask questions around your symptoms, when they started, how long they last for, and other factors that influence them. Then the assessment. We use Vesticam goggles to properly assess dizziness.

The goggles block your vision so your eyes have nothing to fix on, and a camera records what they do while we move your head and body through the positions that matter. That's how we find the cause instead of guessing at it, and it's why the assessment gets its own 45 minutes.

Vestibular assessment
$170
45 minutes with vision-denied Vesticam goggles, so we can see what's actually happening.
Physiotherapist Zac Cronk fitting the Vesticam goggles before a vestibular assessment

These are the conditions we see most.

The assessment is what tells them apart.

BPPV
Benign paroxysmal positional vertigo. Tiny crystals in the inner ear move into the wrong canal, and turning over in bed or looking up sets off short, intense spinning, often with nausea. The most common cause of vertigo.
Vestibular neuritis and labyrinthitis
Inflammation of the balance nerve or the inner ear, usually after a viral infection. Labyrinthitis often comes with hearing change. Rehab matters here so one side doesn't stay switched off.
Vestibular migraine
Vertigo episodes that sit on a pattern of migraine. Symptoms come and go and can look like every other cause, so a careful history is the whole game: find the triggers, then build the plan around them.
Persistent postural-perceptual dizziness (PPPD)
Constant, non-spinning dizziness or unsteadiness for three months or more, often with movement sensitivity, visual triggers and a rise in anxiety. Treated with graded, habituation-based rehab.
Cervicogenic dizziness
Dizziness and unsteadiness that come from the neck, usually with headaches alongside. Hands-on treatment of the neck and muscle retraining sit at the centre of the plan.
Meniere's disease
Recurrent vertigo with tinnitus and hearing loss. We work alongside your GP and ENT doctor on the symptoms that physiotherapy can help with.
Third window syndrome
An opening in the bony inner ear, usually after a head knock, a fall, pressure trauma or surgery. Recognising it is the point: it changes what we do next.

Frustrated that vertigo or dizziness is running your life?

Zac Cronk leads our vestibular work.

The dizzy and anxious

Vertigo and dizziness are real, and they respond to the right treatment. Dizziness is a whole body and capacity problem, so we start with a really accurate assessment and define exactly what is going on.

Sent by your GP

Bring your referral and we'll keep your doctor in the loop, with the assessment findings and the plan. You don't need a referral to book with us.

Spinning when you roll over

If turning in bed or looking up sets off short bursts of spinning, that pattern has a name and a specific treatment. Book a vestibular assessment rather than a general one, so the right time is set aside.

Meet Zac, who leads vestibular rehab here

How we treat it.

We start with a proper assessment to find the cause, then combine exercises, techniques and manual therapy to reduce symptoms, improve balance and coordination, and help you regain your independence. What you need depends on what we find.

A patient balancing on the pad with Zac behind her
A patient's feet on the balance pad

Want some help?

Book a vestibular assessment online, or call the clinic and we'll talk it through first. Bring your GP referral if you have one.