Tag Archives: vertigo


Labyrinthitis is an inner ear disorder. The two vestibular nerves in your inner ear send your brain information about your spatial navigation and balance control. When one of these nerves becomes inflamed, it creates a condition known as labyrinthitis.


  • dizziness
  • vertigo
  • loss of balance
  • nausea and vomiting
  • tinnitus, which is characterized by a ringing or buzzing in your ear
  • loss of hearing in the high-frequency range in one ear
  • difficulty focusing your eyes


  • respiratory illnesses, such as bronchitis
  • viral infections of the inner ear
  • stomach viruses
  • herpes viruses
  • bacterial infections, including bacterial middle ear infections
  • infectious organisms, such as the organism that causes Lyme disease

If you would like to learn more about Labyrinthitis, please check out this link.

Tests to check for the condition may include:

  • hearing tests
  • blood tests
  • a CT or MRI scan of your head to record images of your cranial structures
  • electroencephalogram (EEG), which is a brain wave test
  • electronystagmography (ENG), which is an eye movement test


Most of the time, labyrinthitis and vestibular neuritis go away on their own. This normally takes several weeks. If the cause is a bacterial infection, your doctor will give you antibiotics. But most cases are caused by viral infections, which can’t be cured with antibiotics. In those situations, your doctor may prescribe steroid medicines, which may help you get better sooner.

  • Avoid television, computer screens, and bright or flashing lights during a vertigo attack.
  • If vertigo occurs while you’re in bed, try sitting up in a chair and keeping your head still.

Low lighting is better for your symptoms than darkness or bright lights.

If your vertigo continues for a long time, physical therapists can teach you exercises to help improve your symptoms

If you have any further queries please call PhysioNow. Our experienced physiotherapists would be happy to clear your doubts.


Benign paroxysmal positional vertigo(BPPV)


Vestibular Systems
• Comprises five sensory organs that provide your brain with information about head position and movements including head rotation, linear movements and static positions of the head relative to gravity
• Five sensory organs including 3 semicircular canals and 2 otoliths


BPPV is a mechanical problem in the inner ear. It occurs when some of the  crystals that are normally embaded in gel in the ear become dislodged.  They then can move into one or more of the 3-fluid filled semicircular canals.

Benign paroxysmal positional vertigo(BPPV) is  one  of the most common causes of vertigo. It creates a false sensation of spinning.
• Benign: it is not life threatening
• Paroxysmal: it comes in sudden, brief spells
• Positional: it gets triggered by certain head positions or movements
• Vertigo: a false sensation of rotational movement


a)      Dizziness
b)      Vertigo (sensation of spinning)
c)       Nausea
d)      Sense of imbalance or unsteadiness
e)      Poor gaze stability
f)       Vision disturbance

Visual Coordination screening



• The relationship between the inner ears and the eye muscles are what normally allows us to stay focused on our environment while the head is moving.  The dislodged crystals make the brain think you are moving when  you are not. This mistakenly causes the eyes to move, which makes it look like the room is spinning. This is called Nystagmus.

• The Nystagmus will have different characteristics that allow the practitioner to identify which ear the displaced crystals are in and which canal is involved.
• The most common tests are DIX hall pike and Roll test.
• There are two types of  BBPV.  One type, where the loose crystals can move freely in the fluid of the canal(canalithiasis). The more rare type is one where the crystals are thought to be hung up on the bundle of nerves that sense the fluid movement(cupulolithiasis).

Physiotherapy Treatment
• One maneuver that is used for the most common location and type of BPPV is called the Epley maneuver. However , that will not work for all people . Often people have tried the Epley maneuver themselves or had it performed on them without success.
• In the vast majority cases, BPPV can be corrected mechanically by a Registered Physiotherapist. Once your  provider knows which canal is involved and what type it is , we can take you through the appropriate treatment maneuver.

Check out this video for an example of the  Epley Maneuver.  Please do not attempt this yourself until you have been properly assessed and screened by one of our Registered Physiotherapists to see if this maneuver will be appropriate for your condition!

If you have any further questions, please call PhysioNow today! Our experienced Vestibular Physiotherapists would be happy to help you.

Falls Prevention

Falls Prevention

Seniors are one of the most at risk groups of people for falls. This can be due to many different factors. Some of the most widely recognized are poor health, decreased strength, poor balance, poor vision and altered mental state. Any one of these factors can result in a fall. In most cases it’s a combination of several of these factors that puts seniors at most risk. A fall can lead to a whole range of different injuries. This includes sprains and strains. It also includes more serious injuries such as dislocations, or fractures. Falls can exacerbate pre-existing health conditions. This could lead to heart attacks or strokes from the trauma. Previous falls can also lead to substantial fear of falling. This can prevent people from venturing outside the home and being active. This in turn, can lead to a poor quality of life.

Preventing Falls

Falls prevention is a very important type of rehabilitation that can be provided by a Registered Physiotherapist. The major parts of this Registered Physiotherapy program would include: education and an exercise program. The program would work to increase overall strength and improve balance for those at risk. Education needs to bring awareness about specific risk factors and how to minimize them.

Falls Prevention

The Physiotherapist would also assess balance and look for the presence of Vertigo. In the case of poor balance, a gait aid, such as a cane or walker may be recommended. Special exercises for vertigo may be given if it is present. Footwear may also be assessed.
Lastly, the type of home, the number of stairs, the presence of area rugs and any other types of clutter would be addressed to make the home a safer place. The physiotherapist would design a specific strengthening program. This would aim to improve endurance, function and mobility. It would also work to improve balance so that an individual is less likely to fall.

All of our qualified physiotherapists at PhysioNow can provide falls prevention Physiotherapy and prevent serious injury. This can really improve the overall wellness and quality of life for seniors. Our goal for you is to keep you doing all of the things that you enjoy doing! Call today for your Falls Prevention Assessment 289-724-0448.

Registered Physiotherapists Mississauga

Registered Physiotherapists Mississauga

Registered Physiotherapists Mississauga are health professionals who specialize in recovery of the body from an illness or injury to the highest level of function possible. Registered Physiotherapists Mississauga can also be called physical therapists. This means the same thing.

Registered Physiotherapists Mississauga

Registered Physiotherapists Mississauga

To become a registered physiotherapist you must attend a university and graduate with a physiotherapy degree. The degree has changed over the years. You may meet some therapists who have an occupational and physiotherapy degree. These therapists are called POTS.

Registered Physiotherapists Mississauga that graduated before the late nineties have a bachelor of science (physical therapy). After the late nineties and more recently, physiotherapist graduates are awarded with a Masters of Science. Regardless of the degree they earned, all Registered physiotherapists in Canada must pass a licensing exam. This allows them to use the term Registered Physiotherapist (RPT). Make sure when you are seeking help, you ask for a Registered Physiotherapist Mississauga.

If you are interested in becoming a Physiotherapist of Physiotherapy Assistant, check out this link.

After Physiotherapists graduate

After graduating, registered physiotherapists will choose to specialize in a certain area. All the Mississauga Registered Physiotherapists at Physionow are orthopedic therapists. This means that they are experts in examining how bones, joints and muscles work. When you arrive for an assessment, they will look at specific movement patterns and strength to determine the best possible treatment program for you. As everyone has different goals, and different injuries, each program is created individually with your needs in mind.

Some of our Mississauga Registered Physiotherapists have secondary specialities including sports, vertigo, acupuncture and sports taping. A sports therapist has extra training to maximize performance including fitness protocols, concussion treatment and nutrition. Acupuncture treatment can be very effective for certain types of injuries such as Tennis elbow, Golfers elbow or Rotator cuff pain. Sports Taping can reduce the load on injured muscles to allow proper healing. Vertigo treatment focuses on reducing dizziness and nausea caused by inner ear and eye problems.

If you have any questions or are wondering if we could help you, please feel free to call our office and ask to see one of our highly skilled Registered Physiotherapists Mississauga.