VESTIBULAR REHABILITATION
Did you know that dizziness affects around 15% of all people. Dysfunction to the vestibular system is one of the more common reasons for dizziness.
Vestibular rehabilitation is an effective way of reducing symptoms of vertigo, dizziness and unsteadiness that results from a dysfunction in the balance system.
Balance range from mild vertigo to disabling symptoms and affect everyone slightly differently.
Our experienced physiotherapists assist with hands on vestibular rehabilitation.
Physica offers small group balance classes to help maintain and improve your balance and reduce falls.
At Physica, we understand the challenges and disruptions that vestibular disorders like vertigo and dizziness can cause in your daily life. Our specialized Vestibular Physiotherapy service, led by Nevine, offers comprehensive care designed to restore your balance and enhance your overall quality of life.
Our Approach: Nevine and our team of experienced physiotherapists, in collaboration with leading neurologists in Melbourne, provide targeted treatments for a wide range of vestibular conditions. Utilizing the latest diagnostic tools and evidence-based therapies, we aim to significantly reduce symptoms of vertigo, dizziness, and unsteadiness.
Conditions We Treat:
- Benign Paroxysmal Positional Vertigo (BPPV)
- Vestibular neuritis/labyrinthitis
- Post acoustic neuroma removal
- Vestibular migraine
- Ototoxicity
- Age-related balance dysfunction and falls risk
- Balance issues resulting from MS, Stroke, Parkinson’s disease
- Post concussion syndrome
Symptoms Addressed:
- Dizziness related to head movement
- Unsteadiness and imbalance
- Increased risk of falls
How is the Vestibular System involved in balance?
The Balance system is composed of the inner ear eye and specific areas of your brain.
Information is relayed between these areas to maintain an upright posture and maintain gaze stability whilst moving your head. When there is a problem in any of these three components it can lead to symptoms of dizziness.
Why Choose Physica for Vestibular Physiotherapy?
- Expert care led by Nevine, with a team specializing in vestibular conditions
- Comprehensive assessments and personalized treatment plans
- Collaborative care with leading neurologists
- Small group balance classes to maintain and improve balance and reduce falls risk
Meet Our Specialist: Nevine Eskander 18 years of specialization in vestibular rehabilitation and leadership in managing a team of physiotherapists ensure the highest standard of care and effective results for our patients.
Below is a list of our Physiotherapists across all locations who have a special clinical interest in the assessment and treatment of vestibular conditions.
To book a time to see one of the practitioners, click on the 
image and select your appointment time.
PROFESSIONAL INTERESTS:
- Vestibular conditions i.e. BPPV
- Sporting injuries
- Post-operative rehabilitation
- Foot and ankle
- Shoulders
- Neck and Back Pain
- Dry Needling
To read more about Josh click here
- Nevine is an experienced Physiotherapist with over 28 years of clinical experience. She has a special interest in vestibular rehabilitation for 18 years and continence and pelvic floor physiotherapy for 22 years.
- She is bilingual in Egyptian and speaks some Italian.
- Her expertise includes spinal and musculoskeletal issues, shoulder injuries, Cervical whiplash, pelvic girdle and hip pain, sports injuries, vestibular/neurological conditions, bladder and bowel health, gerontology, OA, balance or mobility problems, and vertigo/dizziness, gaze stabilisation training & blurred vision.
- Well-versed in a broad range of Physiotherapy programs: Spine Care rehabilitation programs: Core stability, Pilates & functional restoration programs for Chronic Low Back Pain, Cervical headaches & vertigo, Continence rehab for bladder & bowel conditions, falls prevention, vestibular & balance rehabilitation, BPPV, Vestibular neuritis, & strength training.
- Nevine has excellent interpersonal skills and is proficient in source- oriented patient assessments, time management and therapy-program design/execution.
Nevine’s experience in Vestibular rehab (having attained 4 vestibular certificates and an intensive competency based Vestibular course at Monash Uni ) spans over 18 years. Nevine can diagnose and treat:
- Dizziness, head spinning, light-headedness, balance disorders and associated double vision, mal de barque, vertigo and vestibular migraines
- BPPV – posterior, or horizontal- she uses FRENZEL goggles which record eye movements during the Dix Hallpike testing.
- Vestibular neuritis and hypofunction
- Cerebellar ataxia
- Cervical instability, headaches, and associated vertigo and vestibular migraines
- Persistent perceptual postural Vertigo.
With a Post Grad. Certificate in Continence and Pelvic Floor Rehabilitation attained at Melbourne Uni and many conferences run by the Continence Foundation of Australia Nevine helps women and men manage:
- Bladder conditions: Urinary urgency, Urge and Stress Incontinence, voiding dysfunction: incomplete bladder emptying, Pelvic Organ Prolapse, Bladder pain syndrome, and overactive bladder, and for men obstructed voiding associated with prostate enlargement or post Radical Prostatectomy.
- Bowel conditions: Constipation, IBS, Dyssynergic defaecation, Anismus, Incomplete bowel emptying and faecal/anal incontinence, Pelvic Organ Prolapse, post Obstetric Anal Sphincter injuries
- Vaginal conditions: vaginismus, dyspareunia which may or not be associated with gynaecological surgery.
- Musculoskeletal pain associated with ante/postnatal clients: Pelvic Girdle pain, symphysis pubis and SIJ dysfunction and Lumbosacral instability, DRAM, Perineal tears Grade 2-4, Tx dysfunction.
Nevine uses best practices and outcome measures to find the root causes of clients’ issues. She educates them on relieving pain, stiffness, weakness, leakage, and vertigo, aiming to improve strength, mobility, continence, balance, and reduce their dizziness.
For more information, please call PHYSICA – Chirnside Park on 9726 9977, or RINGWOOD on 9870 8193
In 2018, Maddie successfully completed her studies at La Trobe University, and she is currently pursuing her Masters of Musculoskeletal Physiotherapy at the same institution. Additionally, she has received training in pilates through the Australian Physiotherapy and Pilates Institute (APPI) and consistently incorporates movement principles into her treatment approaches.
Throughout her career, Maddie has been dedicated to working in private practice, prioritizing patient-centered care. Her focus is on ensuring her clients achieve their maximum potential during their rehabilitation process.
Maddie possesses a particular passion for women’s health and specializes in treating spinal conditions, with a particular emphasis on neck pain, cervicogenic headaches, and thoracic (upper back) pain. Her expertise also extends to effectively managing vertigo and handling complex cases involving underlying health conditions.
Beyond her professional life, Maddie enjoys engaging in various activities. She relishes socializing, camping, hiking, and playing netball. Additionally, she has a love for baking. To stay active, Maddie frequents the gym and enjoys long walks with her groodle, Otis.
Clinical interests:
- Spinal conditions
- Neck and Lumbar pain
- Women’s health Neck pain
- Cervicogenic headaches
- Mid back pain
- Vertigo
- Clinical Pilates
M. Physio | B. Physio (Hons)
Special Interests:
- Shoulder injuries
- Knee & ankle injuries
- Low back pain
- Pre- and post-operative rehabilitation
- Vestibular conditions & dizziness
- Neck pain
To read more about Joshua click here
Clinical Interests
- assessment and management of head/neck disorders especially headache
- treatment of neck-related nerve pain
- thoracic spine
- knee pain
To read more about Greg Collis-Brown click here