Vestibular Physiotherapy Wynnum, Brisbane

Dizziness, vertigo, BPPV and balance problems

Spinning or “room moving” sensations (vertigo)
Brief dizziness when rolling in bed or looking up (benign paroxysmal positional vertigo - BPPV-type)
Feeling unsteady or unsure on stairs and uneven ground
Dizziness in busy places like supermarkets or shopping centres
Blurred vision or the world “bouncing” when you walk or turn your head

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No referral necessary

Common Symptoms Experienced With Vestibular Issues

Common symptoms treatmed buy a vertigo physio include dizziness, vertigo and balance problems, often triggered by head movements or changes in position.

Spinning Sensation

Feels like you or the room is moving.
Common triggers: turning, rolling in bed

Brief dizziness with head turns (BPPV-type)

Short bursts of vertigo with position changes.
Common triggers: lying down, looking up, rolling over

Unsteadiness or veering

Off-balance when walking or on uneven ground.
Common triggers: crowds, low light

Headache with dizziness (migraine-type)

Dizziness with headache, light or sound sensitivity.
Common triggers: stress, poor sleep

Blurred vision when moving your head

Vision “jumps” during quick head movement.
Common triggers: walking, driving

Motion sensitivity

Dizziness with busy visual environments.
Common triggers: supermarkets, scrolling

Nausea with dizziness

Queasy feeling during dizzy episodes.
Common triggers: movement, car travel

Brain fog and fatigue

Mentally drained after dizzy spells or concentration.
Common triggers: long days, screen time

Vestibular Conditions we Treat

We treat a wide range of vestibular conditions that cause dizziness, vertigo, unsteadiness and balance problems, including BPPV, vestibular neuritis and vestibular migraine.

Your appointment includes a thorough assessment to identify the likely cause of your symptoms, then a tailored rehabilitation plan which may include repositioning manoeuvres, gaze stabilisation and balance retraining with clear home exercises.

Book Vestibular Physiotherapy Appointment

BPPV (benigm paroxysmal positional vertigo)

Brief spinning episodes triggered by rolling in bed, looking up or bending down. Assessment confirms which canal is involved, then we use targeted repositioning manoeuvres and advice to reduce recurrence.

Vestibular neuritis or labyrinthitis

Often follows a virus and can cause ongoing dizziness, unsteadiness and nausea. Rehab focuses on gaze stabilisation, balance retraining and graded exposure to movement to restore confidence.

Vestibular migraine

Dizziness or rocking sensations with migraine features such as headaches, light or sound sensitivity, or motion sensitivity. Treatment combines vestibular exercises with pacing strategies and a plan aligned to your triggers.

Cervicogenic dizziness

When the neck contributes to unsteadiness or dizziness, often alongside neck pain or headaches. Treatment may include neck mobility, postural control and specific exercises alongside vestibular rehab.

PPPD (Persistent Postural-Perceptual Dizziness)

Ongoing swaying, rocking or “floaty” dizziness that worsens in busy environments like shopping centres. We build a graded rehab plan to improve tolerance, reduce visual dependence and normalise movement.

Meniere’s disease

Episodes of vertigo often with hearing changes or tinnitus. Physio can help with balance retraining between episodes and improving steadiness and confidence for daily activities.

Post-concussion dizziness

Dizziness, headaches, blurred vision with movement or “brain fog” after a head knock/concussion. Assessment guides a plan for vestibular, visual and balance rehab with safe progression.

General balance decline and falls risk

Unsteadiness, slower reactions and reduced confidence with stairs or uneven ground. Rehab targets strength, balance strategies and sensory integration to improve stability.

Infrared Goggles for Vestibular Assessment

We use infrared (IR) video goggles to support more accurate assessment and treatment for BPPV (benign paroxysmal positional vertigo) and other causes of dizziness.

The goggles allow our vestibular physiotherapists to observe and record eye movements in real time, including subtle nystagmus that can be difficult to detect with the naked eye. This improves the precision of positional testing and helps confirm which inner-ear canal is involved, so treatment such as the Epley manoeuvre and other repositioning techniques can be matched more confidently to your findings.

For our Wynnum, Bayside patients, this means a clearer, more objective assessment and a treatment plan guided by what we can see on screen. Video goggles also help us track changes over time, which is helpful when dizziness symptoms are recurring, complex, or when balance rehabilitation is part of your program.

What to expect during treatment

Our vestibular physiotherapists help treat dizziness, vertigo and balance problems, including benign paroxysmal positional vertigo (BPPV). Treatment is tailored and may include repositioning manoeuvres, gaze stabilisation, balance training, habituation and cervical spine treatment.

Book Vestibular Appointment

Gaze stabilisation exercises

These exercises help you keep vision steady while your head moves. You may track a target with your eyes while moving your head, or keep your eyes fixed while turning your head. This can reduce dizziness with movement and improve confidence in daily tasks.

Balance training

Balance and coordination are trained in a range of positions and environments. This may include standing and walking drills, changes of surface, and tasks that challenge stability and timing. The goal is better control for everyday movement, stairs and uneven ground.

Habituation exercises

Habituation uses repeated, graded exposure to movements or positions that trigger dizziness. Over time, the brain learns to respond more calmly and symptoms reduce. Exercises are progressed gradually so you build tolerance without flaring symptoms.

Canalith repositioning exercises

These techniques aim to reposition displaced inner ear crystals that trigger BPPV. The Epley manoeuvre is commonly used, but other techniques such as the Semont manoeuvre may also be appropriate. We select the method based on your assessment findings.

Cervical spine treatment

The neck can contribute to dizziness, headaches and unsteadiness in some people. Treatment may include gentle hands-on therapy, mobility work and specific neck and postural exercises. This can help reduce symptoms when the cervical spine is part of the picture.

Sensory integration training

When the inner ear is underperforming, rehab can improve how the brain uses vision and proprioception for balance. This may include walking with head turns, balance tasks with reduced visual input and functional drills for busy environments. It can help with ongoing unsteadiness and post-viral vestibular hypofunction.

How the vestibular system works

The vestibular system is a complex sensory organ within the inner ear. It includes three semicircular canals, which are filled with fluid. This fluid moves in response to our head movements and gravity, sending information back to our brain for interpretation via the vestibular nerve.

The utricle and saccule in the inner ear contain tiny hairs and crystals, which help to detect positioning of the head in relation to gravity. This system is essential for maintaining our balance, coordinating eye movements and sensing spatial orientation. It works together to help us to stay balanced, upright and moving smoothly and allows us to keep our eyes focused on a target as we move.

Dysfunction may occur anywhere along this pathway from inner ear to the brain (such as crystals/debris accumulating in the semicircular canal; or inflammation of the vestibular nerve) which can lead to dizziness/vertigo or unsteadiness.

Additionally, issues may arise when there is a mismatch of information from the vestibular system and information received from other organs in the body, including the eyes, muscles & tendons and joints.

Our Vestibular Physiotherapist

Amie Rice Mooyman

Senior Physiotherapist with 10+ years clinical experience

Advanced Practice - Vestibular Physiotherapy & Paediatric Physiotherapy

Qualifications

Amie graduated with a Masters of Physiotherapy studies in 2013 after first completing a bachelor of Human Movement Studies. She has advanced training in vestibular rehabilitation.

Experience and Interests

Amie is a Senior Physiotherapist with advanced practice interests in vestibular and paediatric physiotherapy. She is known for being calm and reassuring with people experiencing dizziness, and she enjoys helping patients get back to feeling steady, confident, and in control again.

She assesses and treats BPPV, vertigo, dizziness and balance disorders using evidence-informed vestibular rehabilitation, including positional testing and canalith repositioning manoeuvres (including Epley, where indicated), gaze stabilisation, habituation, and progressive balance retraining. Her approach is thorough but gentle, with clear explanations and simple, practical home programs so progress continues between appointments.

Other Interests

Amie is a mother of two young children, keeping her busy.

Advantage Healthcare & Physiotherapy's goal is to provide the highest quality care possible to the Wynnum, Manly, Brisbane Bayside residents.