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Vestibular First · Chiswick W4, West London
Vestibular First at Omnia Lifestyle in Chiswick, West London, is specialist assessment and rehabilitation for vertigo, BPPV and balance problems, including repositioning manoeuvres such as the Epley and structured balance retraining.
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At Omnia Lifestyle
Does the room spin when you roll over in bed, look up or get out of a chair? That pattern is typical of BPPV, the most common cause of vertigo, and it is one of the most treatable conditions we see. Vestibular First at Omnia Lifestyle in Chiswick, West London, is specialist assessment and rehabilitation for vertigo, dizziness and balance problems.
Treatment includes repositioning manoeuvres such as the Epley for BPPV, which can resolve symptoms in one or two sessions, and structured balance retraining for vestibular dysfunction, post-concussion imbalance and persistent dizziness. Every assessment screens first for causes that need medical referral.
Two minutes from Turnham Green station on the District line, with home visits across West London for anyone too dizzy to travel.

Why Omnia Lifestyle
Why people come
The mechanism
Your sense of balance comes from three sources: the inner ear, your eyes and the sensors in your muscles and joints. When one of them sends faulty signals, the brain receives a mismatch and you feel dizzy or unsteady. In BPPV, tiny calcium crystals have moved into the wrong part of the inner ear, triggering spinning with certain head positions.
Repositioning manoeuvres such as the Epley guide those crystals back to where they belong, often with immediate relief. For other vestibular problems, rehabilitation exercises gradually retrain the brain to recalibrate, reducing dizziness and restoring confident movement over a structured programme.

Who it helps

What to expect
Your first appointment begins with a detailed history of your dizziness: what triggers it, how long it lasts and what else you notice. Your practitioner then carries out positional, eye movement and balance tests to identify the cause, and screens for any signs that need medical referral first.
If BPPV is confirmed, treatment usually starts in the same session with a repositioning manoeuvre; expect brief dizziness during it and relief soon after. For other causes you leave with a structured home programme and a follow-up plan. Bring someone to drive you home if you are prone to strong vertigo.

Step by step
Fees
Call 020 4515 0000 for courses, packages and anything not listed here.
Safety and suitability
Assessment screens for causes of dizziness that need medical referral first, including neurological signs, before any repositioning or rehabilitation begins.
Reviews
Questions
Yes, when the dizziness comes from the balance system. Vestibular physiotherapy treats BPPV with repositioning manoeuvres and treats inner ear disorders, post-concussion dizziness and chronic unexplained dizziness with graded exercises that retrain the brain. It is the recommended first-line treatment in UK and international guidance for these conditions, and it works where medication typically does not.
A vestibular assessment starts with a detailed history of your dizziness, then tests of eye movement, positional tests such as the Dix-Hallpike, and balance and walking tasks. It takes around 45 to 60 minutes and identifies whether the inner ear, the neck or the brain's processing is driving symptoms. Where BPPV is found, treatment usually happens in the same appointment.
Yes. BPPV recurs in a meaningful proportion of people, with studies suggesting around one in five within a year and roughly half over several years. Recurrence is treated the same way, with a repositioning manoeuvre, and usually resolves just as quickly. Checking vitamin D levels, managing migraine and learning a clinician-guided home manoeuvre for your affected side all help reduce the impact.
BPPV causes brief spinning, usually under a minute, triggered by specific head movements such as turning over in bed or looking up, with normal hearing and little or nothing between episodes. Dizziness that is constant, lasts hours, comes with hearing loss, headache or visual disturbance, or happens without moving points to a different cause. A positional test confirms BPPV in minutes.
The Epley manoeuvre is a sequence of four head and body positions, each held for around 30 seconds, that uses gravity to move displaced inner ear crystals out of the semicircular canal and back to where they belong. It is the first-line treatment for BPPV, takes a few minutes, and resolves vertigo in around 80 per cent of people after one treatment. It should be done after a positional test confirms which ear is affected.
BPPV, benign paroxysmal positional vertigo, is the most common cause of vertigo. Tiny crystals in the inner ear become dislodged and drift into one of the semicircular canals, causing brief, intense spinning when you turn over in bed, look up or bend down. It is treated with a repositioning manoeuvre, such as the Epley, that guides the crystals back out of the canal, often resolving it in one or two sessions.
At Omnia, Vestibular First is delivered as part of a personalised, integrated approach.
We focus on identifying the underlying cause and supporting long-term improvement, not just symptom relief.
Yes. Dizziness, imbalance and visual sensitivity are among the most common lasting symptoms after concussion, and vestibular rehabilitation is a recommended part of recovery. Assessment identifies whether the inner ear, the neck, or the brain's processing is driving symptoms, and graded exercises retrain balance and gaze stability. Trials show faster return to normal activity and sport with treatment.
Yes, and it is often the treatment that finally works. Chronic or unexplained dizziness frequently follows an inner ear event that the brain never fully adapted to, or has become persistent postural-perceptual dizziness. Vestibular rehabilitation identifies the pattern and uses graded exercises to retrain the brain's processing of balance signals, with good evidence for reducing dizziness and improving function where medication has not helped.
The vestibular system is the balance system of the inner ear and brain. Tiny organs in each inner ear sense head movement and position and send signals to the brain, which combines them with vision and information from the joints and muscles to keep you steady and your vision stable when you move. When it is disrupted, by infection, displaced crystals, migraine or injury, the result is vertigo, dizziness, imbalance or unsteady vision.
Vestibular rehabilitation is a specialised form of physiotherapy for dizziness, vertigo and balance problems caused by the inner ear and the brain's balance system. It uses assessment to find the cause, repositioning manoeuvres for conditions such as BPPV, and graded exercises that retrain the brain to process balance signals correctly. It is the evidence-based treatment for most persistent dizziness.
Chiswick, West London
Two minutes from Turnham Green station on the District line.
Vestibular First near me: Omnia Lifestyle is a short walk from Turnham Green station and serves Chiswick, Hammersmith, Ealing, Acton, Brentford, Kew, Richmond and the wider West London area, with home visits available.