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.
Clinical interests
- Shoulder injuries and shoulder pain
- Knee and ankle injuries, including ACL rehabilitation
- Acute and sports injuries, including fractures
- Low back and neck pain
- Pre- and post-operative rehabilitation, including Achilles and ACL
- Dizziness, balance and vestibular conditions, including BPPV
Josh is an APA Titled Musculoskeletal Physiotherapist at Physica Knoxfield. He works with shoulder, knee and ankle injuries, acute and sports injuries, low back and neck pain, and rehabilitation after surgery. He enjoys helping people understand what’s causing their pain or limiting their movement, then building a clear, practical plan to get them back to the things that matter to them.
Alongside private practice, Josh works as an Advanced Practice Physiotherapist in a hospital Emergency Department. There he assesses and manages a broad range of acute musculoskeletal injuries, including fractures and more complex presentations. This has sharpened his diagnosis and clinical reasoning, and his judgement about when further investigation or referral is needed.
Josh also has additional training in assessing and treating dizziness and vestibular conditions, including BPPV and other causes of balance and dizziness symptoms.
He graduated with a Bachelor of Physiotherapy (Honours) from Monash University in 2018, and completed his Master of Musculoskeletal Physiotherapy at La Trobe University in 2024.
Outside work, Josh keeps active with running and the gym, and loves to travel.
Qualifications & roles
- APA Titled Musculoskeletal Physiotherapist
- Master of Musculoskeletal Physiotherapy, La Trobe University (2024)
- Bachelor of Physiotherapy (Honours), Monash University (2018)
- Advanced Practice Physiotherapist, Emergency Department
Consults at: Physica Knoxfield
Clinical interests
- Neck pain and neck-related (cervicogenic) headaches
- Thoracic (upper back) pain
- Low back pain
- Scoliosis
- Complex spinal presentations
- Clinical Pilates
Maddie is a Musculoskeletal Physiotherapist at Physica Yarra Valley with a particular interest in spinal health. She works with neck pain, neck-related headaches, and upper and low back pain, and has completed Level 1 Rigo Concept training in scoliosis management. She also has experience with more complex presentations, including people with underlying health conditions.
Maddie has worked in private practice throughout her career. She works closely with each person to understand their goals and build a plan to get there, combining hands-on treatment with movement-based exercise drawn from her APPI Pilates training.
She completed her physiotherapy degree at La Trobe University in 2018 and returned to complete a Master of Musculoskeletal Physiotherapy there in 2023.
Outside the clinic, Maddie enjoys time with friends and family, camping, hiking and baking. She stays active at the gym and on long walks with her groodle, Otis.
Qualifications
- Master of Musculoskeletal Physiotherapy, La Trobe University (2023)
- Physiotherapy degree, La Trobe University (2018)
- Rigo Concept Level 1 (Scoliosis)
- APPI Pilates certification
Consults at: Physica Yarra Valley, Physica Ringwood
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
- 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
Anthony graduated from La Trobe University in 2019 with a Bachelor of Applied Science and Master of Physiotherapy Practice, and is about to begin a postgraduate Master of Musculoskeletal Physiotherapy.
He has developed broad experience across the public hospital system, including outpatient services, the Community Rehabilitation Program, the Chronic Pain Clinic, and the Falls and Balance Clinic. In those settings he has treated a wide range of conditions — from post-operative rehabilitation following joint replacements and reconstructions, to back pain, chronic pain, soft-tissue injuries, falls, and vestibular and balance disorders.
Anthony combines exercise rehabilitation with targeted hands-on therapy, clear communication, and a supportive, person-centred approach. He is committed to using the latest evidence to guide his practice, and is a published researcher in acute back pain.
Outside the clinic, Anthony enjoys travelling to new places around the world, keeping fit, spending time with friends and family, and supporting the mighty Brisbane Lions.
Clinical interests
- Pre- and post-operative rehabilitation
- Falls and balance assessment
- ACL rehabilitation
- Achilles rehabilitation
- Vertigo and dizziness
- Chronic pain
- Hypermobility-related conditions (HSD/hEDS, POTS, CFS)
Clinical interests
- Sports injuries, including strains and sprains
- Hip and knee pain
- GLA:D program for hip and knee osteoarthritis
- Shoulder conditions
- Foot and ankle injuries
- Neck and back pain, including neck-related headaches
- Tendon injuries
- Pre- and post-operative rehabilitation
- Dry needling
Josh is a physiotherapist at Physica Yarra Valley with more than seven years of experience. He works with sports injuries, hip and knee pain, shoulder and foot and ankle problems, and neck and back pain. He also runs the GLA:D program for people with hip and knee osteoarthritis.
He combines hands-on treatment and dry needling with exercise, and has a keen interest in tendon injuries and in rehabilitation before and after surgery.
Josh enjoys working with people of all ages and backgrounds. He focuses on helping patients become active participants in their own care, giving them the skills and strategies to manage their condition, stay active and get back to what matters to them.
Qualifications
- Master of Physiotherapy, La Trobe University, Bendigo (2018)
- Bachelor of Applied Science
- Bachelor of Exercise Science (Human Movement)
Consults at: Physica Yarra Valley