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If you feel the room spin, if your legs go jelly, or if your head seems to float when you turn, vestibular physiotherapy can help.
Many in Singapore live with dizziness, vertigo, unsteady walking, and neck stiffness for months or years.
They think they must “tahan” or take motion sickness tablets forever.
You do not.
A clear assessment and special vestibular rehab exercises help your inner ear and balance system learn new rules so you feel steady and safe again.
At The Pain Relief Practice, we often see this.
People with neck, shoulder, or lower back pain now also feel dizzy when they look up, roll in bed, or walk in crowded places.
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What Is Vestibular Physiotherapy – And Who Actually Needs It?
Vestibular physiotherapy is a special branch of physio.
It works on your inner ear, eyes, neck, and brain.
Its goal is to fix problems such as:
• Dizziness or vertigo (the room spins or sways)
• Imbalance or “drunk walking” even when you are sober
• A heavy head that seems unable to support itself
• Blurred vision when moving your head
• Motion sensitivity – for example, feeling giddy on the MRT, in a car, or when scrolling on your phone
Many in Singapore say it is due to “weak blood”, “low blood pressure”, or being “just tired” when they feel giddy.
But when dizziness stays, especially with head movement, it often shows a vestibular problem like:
• BPPV (Benign Paroxysmal Positional Vertigo)
• Vestibular neuritis or labyrinthitis
• Age-related balance decline
• Concussion or head injury
• Neck-related dizziness (cervicogenic dizziness)
Vestibular physiotherapy uses very specific head, eye, and balance moves.
These moves help your brain re-read signals from your inner ear, eyes, and joints.
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Why So Many Singaporeans With Joint & Muscle Issues Also Feel Dizzy
If you struggle with musculoskeletal problems such as chronic neck pain, stiff shoulders, achy knees, or weak ankles, you might notice:
• You hesitate on uneven ground (grass, park connectors, wet tiles)
• You avoid escalators or feel unsafe on MRT platforms
• You feel giddy when you turn your neck or look up
It is not “all in your head”.
When your neck joints become stiff, the body sends weak signals to your brain.
When core and hip muscles are weak, your body tenses up to hold balance.
When your ankles or knees hurt, you shorten your steps and rely on your eyes to keep steady.
Your brain tries hard to put together clues from your inner ear, eyes, and joints.
When the clues do not match, you feel dizzy, off-balance, or not right.
Vestibular physiotherapy, combined with joint and muscle work, can restore clear signals.
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How Vestibular Physiotherapy at The Pain Relief Practice Works
Since 2007, The Pain Relief Practice has helped many in Singapore.
We handle complex cases that include persistent pain, recurrent vertigo, sports injuries, and performance issues.
We have treated celebrities and national athletes who cannot “just rest” or keep taking dizziness meds.
They need their balance, speed, and confidence back quickly and safely.
A typical vestibular physiotherapy journey with us includes:
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Detailed History
• When does dizziness occur? While turning in bed, rising from sitting, or looking upward?
• Do you have neck pain, shoulder tightness, jaw clenching, or headaches?
• Have you had ear infections, hearing loss, a recent flu, or falls? -
Vestibular & Balance Assessment
• We run eye movement tests (smooth pursuit, saccades).
• We do positional tests (such as Dix-Hallpike) to check for BPPV.
• We ask you to do balance tests: standing feet together, tandem stance, single-leg stance.
• We observe your gait and how your knees, hips, ankles, and trunk move. -
Root Cause Diagnosis
We decide if your dizziness comes from:
• An inner ear/vestibular cause
• A neck and joint cause
• A reliance on vision or motion sensitivity
• A combination of factors -
Individualised Treatment Plan
We may mix vestibular exercises with:
• Manual therapy for neck, shoulders, and back
• Strength work for hips, knees, and ankles
• Posture and ergonomics advice
• Sport-specific drills for active people
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Proven Vestibular Physiotherapy Exercises (That Patients Commonly Use)
Below are examples of evidence-based vestibular exercises you might do.
Do not start these without proper guidance. Some exercises do not suit every condition.
1. Gaze Stabilisation – VOR x1 Exercise
Good when you see blurred vision with head moves, or feel giddy in supermarkets, MRT rides, or while scrolling on your phone.
• Sit or stand with a small target (such as a letter card) a few steps away.
• Keep your eyes on the target.
• Turn your head gently from side to side (a “no” motion) about 20–30 degrees.
• Keep the target clear.
• Do this for 30–60 seconds, 2–3 times a day as you can.
You should feel a mild challenge.
Your vestibular physiotherapist will set your speed, distance, and progression.
2. Brandt-Daroff-type Habituation (for Positional Dizziness)
Good when dizziness comes from rolling in bed, turning, or rising out of bed.
A simple version (your therapist will personalise it):
• Sit on the edge of your bed.
• Turn your head 45° to one side.
• Lie down quickly onto the opposite side while keeping your head turned.
• Stay down for 30 seconds or until dizziness fades.
• Return to sitting and pause for 30 seconds.
• Repeat on the other side.
This move teaches your brain to adjust to changes in position.
3. Balance Re-Training with Joint & Muscle Integration
Good if you have knee pain, ankle instability, or hip weakness along with unsteadiness.
Examples include:
• Stand with your feet together, then try a semi-tandem stand, and then a full tandem stance.
• Shift your weight to one leg while keeping your pelvis level.
• Practice head turns or add eye focus tasks between shifts.
This training helps ankles, knees, and hips work as a team.
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Simple Home Tips to Reduce Everyday Dizziness in Singapore
Along with vestibular physiotherapy, simple tips help you feel better every day:
• Move gradually.
When rising from bed or chair, pause at each step.
• Stay hydrated and keep your energy up.
In Singapore’s hot, humid weather, low fluids or low sugar can make dizziness worse.
• Ensure good lighting at home.
Dim corridors, dark toilets, or low-lit steps challenge your balance when you depend on vision.
• Take care of your neck.
Avoid long periods of looking down at your phone or laptop.
• Keep active.
Avoid complete stillness.
Guided activity lets your brain learn that movement is safe.
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When You Should NOT DIY and Must Seek Help Urgently
Dizziness is often treatable. However, seek immediate help if you have:
• Sudden, severe dizziness with chest pain, difficulty speaking, facial droop, or limb weakness.
• A new, intense headache that is unusual for you.
• Sudden hearing loss in one ear.
• Recent head injury with ongoing confusion or vomiting.
These signs may point to a stroke or another serious condition.
Visit a doctor at once (source: Vestibular Disorders Association).
For most non-emergency dizziness, a combined medical and vestibular approach works best.
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Why Choose The Pain Relief Practice for Vestibular Physiotherapy?
If you are tired of being told to “just rest” or “take anti-dizziness meds,” The Pain Relief Practice suits savvy patients who want:
• A clear diagnosis in simple language
• A structured recovery plan rather than random YouTube exercises
• Pain relief along with better performance rather than only masking symptoms
• Long-term joint and muscle protection
Patients choose us because:
• We have been established long since 2007.
• We mix vestibular and musculoskeletal expertise.
• Celebrities and national athletes trust us for their balance and coordination.
• We focus on real-life goals, like walking confidently, driving safely, enjoying time with kids, and returning to sports.
You no longer need to choose between your knees, neck, or balance.
Our approach treats your whole body as one system.
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Real Results
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Celebrities & National Athletes
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What a Typical Vestibular Physiotherapy Program Might Look Like
Every plan is unique.
A common framework over several weeks may look like:
-
Week 1–2: Reset & Reassure
• A detailed check of your history and symptoms.
• Basic gaze stabilisation and gentle habituation drills.
• Soft tissue release for a tight neck or shoulders.
• Home safety checks (lighting, footwear, fall prevention). -
Week 3–4: Rebuild Balance & Confidence
• Better head movement and gaze exercises.
• Advanced balance drills on varied surfaces.
• Strengthening exercises for hips, glutes, core, and ankles. -
Week 5–6 and Beyond: Performance & Prevention
• Sport or lifestyle-specific drills (quick turns for badminton, looking up for climbing stairs, or walking in busy malls).
• Tips and education on handling flare-ups.
• Reviewing your work and home posture to protect your neck and back.
You will see progress when:
• You turn in bed without fear of spinning.
• You walk in a mall or take the MRT without feeling “sea-sick.”
• Your neck and shoulders feel looser and headaches lessen.
• You move naturally instead of stiffly.
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FAQ: Vestibular Physiotherapy in Singapore
• 1. Is vestibular physiotherapy safe, and how long before dizziness improves?
Yes. With trained guidance, most people feel better in 2–4 weeks.
Cases with long-term symptoms or joint issues may take more time.
Consistent, guided exercise beats random home attempts.
• 2. What conditions can vestibular physiotherapy help besides BPPV?
It helps with vestibular neuritis, age-related imbalance, post-concussion dizziness, motion sensitivity in cars or MRT rides, and neck-related dizziness.
Even if you have arthritis or chronic back pain, combining joint work and vestibular therapy often helps.
• 3. How do I know if I need a vestibular physiotherapist or just a normal physio?
If your main problems are dizziness, vertigo, imbalance, or “floating” feelings when you move your head, especially with neck or joint pain, choose a clinic that tests both your inner ear balance and joint function.
At The Pain Relief Practice, we do both.
We check your ear and balance system and your muscles, joints, and posture so no hidden factor is missed.
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If you are in Singapore and tired of feeling giddy, unsteady, or “not yourself” when you move your head or neck, vestibular physiotherapy with proper joint and muscle care can help you regain control.
Instead of avoiding movement and fearing the next dizzy spell, you can retrain your system, protect your joints, and move with confidence again.
To learn more about The Pain Relief Practice or view real patient stories, check out our Google profile here:
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We are a specialized physio treatment center for savvy people who want real results.
While we are not suitable for someone looking for ‘cheap physiotherapy’ or ‘free exercises available on youtube’, our treatments are affordable and are often claimable with company flexi-benefits, company health insurance, travel insurance, personal accident insurance, and other insurance plans.
Simply whatsapp or call: +65 97821601 and let us know how to help.
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