What Can I Do for Vertigo? A Vestibular Physiotherapist Explains

If you’ve ever experienced vertigo, you know how frightening it can be.

One moment you’re fine — the next, the room feels like it’s spinning. You might feel nauseous, unsteady, or afraid to move your head at all. Many people tell me they start questioning simple things: Is this serious? Am I going to fall? Is this ever going to stop?

As a vestibular physiotherapist at MUV Therapy Physio & Sports Medicine in Mississauga, I see people come in every week feeling anxious, confused, and frustrated by vertigo. Most have already tried to “push through it” or Googled exercises — often making things worse.

The good news is this:
Vertigo is very treatable once you understand what’s causing it.

Let’s start there.

What Is Vertigo?

Vertigo isn’t a diagnosis — it’s a symptom. And that distinction matters.

Vertigo often feels like:

  • The room is spinning or shifting when you’re still

  • Dizziness triggered by rolling in bed, bending down, or turning your head

  • Nausea, imbalance, or a “floating” sensation

  • A constant fear that movement will make things worse

For many people, the most distressing part isn’t the spinning itself — it’s the loss of confidence. You stop trusting your body. You move cautiously. You avoid things you used to do without thinking.

In most cases, vertigo comes from a problem in the vestibular system, which includes the inner ear and its connection to the brain. This system helps control balance, eye movement, and spatial awareness.

Common Causes of Vertigo (and Why Guessing Can Backfire)

One of the biggest mistakes people make is assuming all vertigo is the same.

In reality, some of the most common causes include:

  • Benign Paroxysmal Positional Vertigo (BPPV)
    Tiny crystals in the inner ear shift out of place, causing sudden spinning with certain movements.

  • Vestibular hypofunction
    One side of the vestibular system isn’t sending clear signals, often after illness or injury.

  • Vestibular neuritis or labyrinthitis
    Typically following a viral infection.

  • Neck-related dizziness
    Less common, but often confused with inner ear vertigo.

Each of these feels similar — but they require very different treatments. This is why random advice or exercises can be so frustrating.

“I Googled Vertigo Exercises… Should I Be Doing Them?”

This is one of the most common questions I hear.

People search:

  • “vertigo exercises”

  • “exercises for vertigo”

  • “what can I do for vertigo”

And I understand why. When you feel dizzy, you want something to help — fast.

But here’s the honest truth:
The wrong exercises can make vertigo worse.

I’ve seen people:

  • Do BPPV exercises for a problem that wasn’t BPPV

  • Push through dizziness when rest or gradual exposure was needed

  • Lose confidence because symptoms didn’t improve — or intensified

For example:

  • BPPV often requires very specific repositioning manoeuvres

  • Vestibular hypofunction responds best to graded exposure and balance retraining

  • Some dizziness should not be treated with exercises initially at all

That’s why assessment comes first — always.

What Can I Do for Vertigo Right Now?

If you’re dealing with vertigo, here’s what I recommend as a starting point:

  1. Pause the random online exercises until you know the cause

  2. Pay attention to triggers — movements, positions, timing, patterns

  3. Get assessed by a vestibular-trained physiotherapist

A proper vestibular assessment isn’t rushed. It looks at:

  • Eye movements

  • Head and body position changes

  • Balance and coordination

  • How your symptoms behave with specific tests

This allows us to determine:

  • Where the problem is coming from

  • Which movements are safe

  • What will actually help you recover — and what won’t

How Vestibular Physiotherapy Helps

Vestibular physiotherapy is a specialized area of physiotherapy focused on dizziness, vertigo, and balance problems.

At MUV Therapy Physio, vestibular rehab is:

  • One-on-one

  • Hands-on

  • Individualized to your specific diagnosis

There are no machines, no assistants, and no generic programs. The focus is on helping you rebuild confidence in your movement — safely and progressively.

A Free Vestibular Rehab Guide (Start with Clarity)

To help people make sense of vertigo and dizziness, we created a free Vestibular Rehabilitation Guide.

It covers:

  • Common causes of vertigo (in plain language)

  • Why some exercises help — and others don’t

  • When dizziness is likely to improve on its own

  • When it’s time to seek professional care

👉 [Download the Free Vestibular Rehab Guide]

Free Vestibular Rehabilitation Guide

Click the image to download a free copy of my vestibular rehabilitation guide.

This guide isn’t meant to replace care — it’s meant to reduce fear and confusion so you can make informed decisions.

When Should You Seek Professional Help?

You should consider booking an assessment if:

  • Vertigo keeps coming back

  • Symptoms last more than a few days

  • You feel anxious about moving

  • Dizziness is affecting work, driving, or daily life

  • You’re unsure what exercises are safe

You don’t need to “tough it out” — and you don’t need to figure this out alone.

Vestibular Therapy in Mississauga

If you’re searching for vestibular therapy or physiotherapy for vertigo in Mississauga, our clinic is located in the heart of Streetsville and focuses on calm, evidence-based, one-on-one care.

Our goal is simple:
Help you feel steady again — physically and mentally — so vertigo doesn’t control your life.

Ty Agha, DPT

Ty completed his Honours Bachelor of Science degree with high distinction from the University of Toronto. He then went on to complete his Masters in Physical Therapy at the University of Toronto as well. He was involved with clinical research with both his undergraduate and graduate degrees, including a research study investigating the effects of aging on different sensory systems and balance. This was later published in Physical Therapy, which is an American peer-reviewed medical journal. Ty has continued to enhance his clinical skills by completing his Clinical Doctor of Physical Therapy degree focusing on the advanced management of musculoskeletal disorders.

Ty practiced for several years as a physiotherapist in Victoria, BC. He has been involved with the clinical education of physiotherapists since 2013 and continues to be affiliated with the University of British Columbia as an Adjunct Professor in the Department of Physical Therapy.

Ty’s approach to physiotherapy is based on ensuring a thorough assessment and looking at the body as a whole. He uses an evidence-based approach to treatment and utilizes trigger point dry needling, manual therapy, corrective exercises and self-management strategies to ensure his patients have a comprehensive plan towards addressing their concerns. He also provides Vestibular rehabilitation to patients with dizziness or balance problems.

In his spare time, Ty enjoys travel and photography.

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