Do’s and Don’ts After a Physiotherapy Treatment for Vertigo

So—you had vertigo. You saw your family doctor and were referred to a physiotherapist. After a few guided treatments, you're finally feeling like yourself again. But what now?

Post-treatment care is just as important as the treatment itself.

Doing the right things (and avoiding the wrong ones) can help you stay balanced and prevent your symptoms from returning.

Real Patient Story:

Melissa, 62, came to us struggling with room-spinning dizziness every time she rolled over in bed. After two physiotherapy sessions using positional maneuvers, her symptoms improved dramatically. But Melissa didn’t stop there—she followed the do’s and don’ts her physio gave her. Now? She’s back to gardening, walking her dog, and living without the fear of falling.

What Is Vertigo?

Vertigo is the sensation that either you or your surroundings are moving or spinning when there is no actual movement. It can make standing, walking, or even just sitting still incredibly difficult.

Symptoms include:

• Spinning or swaying sensation
• Nausea or vomiting
• Difficulty with balance
• Dizziness triggered by specific head movements
• Blurry vision or eye flickering (nystagmus)

What Is Benign Paroxysmal Positional Vertigo (BPPV)?

BPPV is one of the most common causes of vertigo. It occurs when tiny crystals (otoconia) in the inner ear become dislodged and float into one of the ear’s semicircular canals. When you move your head, these crystals trigger signals that confuse your brain and cause the sensation of spinning.

BPPV episodes are brief but intense and are often triggered by changing positions—like rolling over in bed, bending down, or looking up.

DO These Things After Physiotherapy Treatment for Vertigo

To protect the effects of your physiotherapy and support your vestibular system as it readjusts, follow these steps:

1. Sleep Propped Up

For the first 4–5 nights, sleep with your head elevated on 2–3 pillows. This helps prevent the crystals in your inner ear from shifting again.

2. Get Up Slowly

When getting out of bed, sit on the edge for 30–60 seconds before standing. Sudden movements can trigger dizziness in the days following treatment.

3. Stay Hydrated and Rested

Drink plenty of water and give your body time to rest. Proper hydration and sleep help regulate your nervous system and support vestibular healing.

DON’T Do These Things After Treatment

While your body is still adjusting, avoid these movements or habits for a few days:

1. Don’t Sleep on the Affected Side

Sleeping on the side that was treated can allow the dislodged crystals to fall back into the wrong canal. Follow your physio’s instructions carefully.

2. Don’t Bend Forward or Backward

Avoid picking things up off the floor or looking up to grab something from a high shelf. These movements may trigger a recurrence.

3. Don’t Make Sudden Head Movements

No quick turns, sudden jerks, or intense head tilts. Take your time when shifting positions or changing directions.

If You Follow These Do’s and Don’ts…

You’re setting yourself up for long-term relief and success after vertigo treatment. The goal is to retrain your vestibular system and give your inner ear time to heal without triggering another episode.

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Bonus: Download our “Top 5 Recovery Exercises for Vertigo” Cheatsheet today—your step-by-step guide to staying symptom-free.

FAQ

Q: How effective is a vertigo treatment?

Most physiotherapy treatments for vertigo are highly effective. BPPV often resolves in 1–2 sessions unless it’s caused by deeper inner ear disease or neurological issues.

Q: Can vertigo come back after treatment?

Yes, especially if precautions aren’t taken. That’s why following post-treatment instructions is key. If it returns, another treatment session may be needed.

Q: Can I return to normal activity after treatment?

Yes, gradually. You should be cautious for the first 24–72 hours, then slowly reintroduce regular activities based on your therapist’s advice.