Vestibular Physical Therapy

Vestibular physical therapy treats vertigo, dizziness, and balance disorders. Physioactif assesses the cause—whether it’s BPPV, an inner ear condition, or a concussion—and then develops a treatment plan to help you regain your stability through vestibular rehabilitation.

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Man wearing vestibular assessment goggles during a Physioactif physical therapy session for balance disorders and dizziness

How does Physioactif treat patients with vestibular disorders through physical therapy?

Physioactif evaluates the vestibular system using eye movement and inner ear tests. BPPV (benign paroxysmal positional vertigo), the most common cause, responds to repositioning maneuvers; other cases require a customized exercise program. Our physical therapists combine several techniques to restore balance:

This approach seeks to identify the actual cause, not just the sensation of dizziness: positional vertigo differs from a condition of central origin. This rigorous approach is provided by a team that teaches and publishes research, offering a personalized treatment plan.

Repositioning maneuvers to move the crystals in cases of BPPV;

Specific exercises for inner ear and eye rehabilitation;

A progressive balance exercise program tailored to your condition.

What is the treatment process like at Physioactif?

Vestibular rehabilitation treatment follows four clear steps, from assessment to follow-up:

1
Step 1

Vestibular Evaluation

The physical therapist observes your head and eye movements, tests your inner ear, and assesses the cause of your dizziness and lightheadedness.

2
Step 2

Treatment plan

an approach tailored to your specific situation, including specific maneuvers and a carefully structured exercise program designed to address the identified cause.

3
Step 3

Active rehabilitation

Repositioning exercises, specific eye exercises, and balance training, tailored to your progress.

4
Step 4

Follow-up

Reassessment of symptoms and progression of exercises to improve balance and prevent recurrence. Each reassessment confirms that head movements no longer trigger dizziness and that your treatment plan is working.

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Customer satisfaction is our top priority

At Physioactif, excellence guides everything we do, but our patients are the best ones to tell you about it. Take a look at their verified reviews to get a real sense of their experience.

4.7/5
Quick relief
4.9/5
Expertise
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J'ai de l'arthrite au genou. À la fin de ma journée de travail, je boitais et j’avais l’impression que mon genou pesait 100 livres. Mon médecin m'a prescrit des injections et m'a proposé une physiothérapie avant de recourir à la chirurgie. Avant de programmer une injection, je suis allée voir Hayley chez Physio Actif. J'ai été évalué et on m'a demandé ce que je voulais accomplir avec le traitement. Chaque visite a vu une amélioration. On m'a donné des exercices à réaliser à la maison avec des détails de plus en plus précis. À chaque visite, Hayley évaluait mes progrès et manipulait mon genou pour améliorer ma flexibilité. Au fur et à mesure que je m'améliorais et que mon inconfort disparaissait, nous avons modifié les objectifs. J'ai rarement mal. Je n'ai pas besoin de lever physiquement mon genou pour monter dans la voiture à la fin de ma journée. Je n'ai reçu aucune injection et j'ai rarement mal. Ma flexibilité est bien améliorée. Hayley était/est disponible par e-mail à tout moment. Elle me surveillait entre les rendez-vous. Les délais entre les rendez-vous s'allongeant, j'ai pu appeler pour obtenir des conseils ou des informations. Mon mari est également client de Hayley. Chaque fois qu'il a un nouveau mal, il l'appelle ou lui envoie un SMS. Elle fixe parfois un rendez-vous. D’autres fois, elle lui enverra un lien vers un exercice ciblant la zone. Et la réceptionniste (Annick) est super aussi. Je recommanderais Physio Actif à mes amis.
Anita Stevens

What many patients discover after a few sessions

Pain doesn't always originate from the place where it's felt
Waiting can slow down recovery
Knowing what to do and why often makes a bigger difference than the treatment alone

Which insurance plans cover physical therapy?

Physioactif offers services covered by more than 30 insurance providers, including Beneva, Desjardins, Canada Life, Manulife, Sun Life, and Green Shield. You’ll receive an official receipt for your reimbursement, and direct billing is available through several insurers, which simplifies the claims process. CNESST claims for work-related accidents and SAAQ claims for traffic accidents are also accepted.

Over 30 insurance plans accepted for physical therapy services

We handle the claim directly so you can focus your energy on your recovery, not on paperwork.

Why choose Physioactif for vestibular physical therapy?

Here's what sets our approach to vestibular physical therapy apart:

Our physical therapists teach at the university, present at conferences, and are experts in the most up-to-date vestibular rehabilitation techniques.

From VPPB to Ménière's disease, including vertigo following a concussion or a neck injury, each condition is evaluated separately.

A senior physical therapist reevaluates persistent dizziness or rehabilitation that has plateaued.

6 clinics in the Greater Montreal area, a 4.9 out of 5 rating on Google, coverage by more than 30 insurance plans, and direct access without a referral.

Our clinics

We have locations in several areas to better serve you.

Make an appointment now

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Frequently Asked Questions About Vestibular Physical Therapy

What are your rates for a consultation?

The initial consultation costs $150, or $166 with a senior physical therapist, and lasts about 60 minutes. This time is used to assess your symptoms, identify the cause of your dizziness, and develop a treatment plan. Follow-up appointments cost $110, or $119 with a senior physical therapist. Physioactif offers services covered by more than 30 insurance providers, and CNESST and SAAQ claims are accepted, which simplifies the reimbursement process.

What types of dizziness and vertigo does physical therapy treat?

Vestibular physical therapy treats benign paroxysmal positional vertigo (BPPV), the most common cause of vertigo, as well as dizziness associated with Ménière’s disease, concussion, or cervical spine injury. Whether your symptoms are caused by head movement, a change in position, or an inner ear disorder, Physioactif assesses the root cause of the problem. Our physical therapists are skilled at treating both benign paroxysmal positional vertigo and more complex conditions.

How is a vestibular evaluation conducted?

A vestibular evaluation is based on tests that monitor eye movement, vision, and gaze coordination during changes in head position. These tests provide accurate information about the inner ear and the balance system, leading to a clear diagnosis. Physioactif uses this analysis of the visual response to identify the maneuver or exercise best suited to your specific case.

How many sessions are needed for vestibular rehabilitation?

The number of sessions depends on your specific situation. Simple BPPV often resolves quickly—sometimes in just one or two sessions of maneuvers—while other conditions require an exercise program lasting several weeks with follow-up care. The duration varies depending on your condition, and many people notice their dizziness improving as early as the first few sessions.

Is a reference required, and do you accept the CNESST and the SAAQ?

In Quebec, physical therapy is available through direct access: no doctor’s referral is required to schedule an appointment at Physioactif. However, some private insurers may require a referral for reimbursement, so be sure to check the terms of your plan. Physioactif also accepts cases from the CNESST for work-related injuries and from the SAAQ for traffic accidents, and handles the paperwork on your behalf.

Physical therapy or another treatment for dizziness?

A physical therapist is a healthcare professional trained to assess and treat vestibular vertigo. As a member of the OPPQ, they conduct the assessment, identify the cause, and apply the appropriate maneuver or program—a practice based on clinical assessment and rehabilitation. Other disciplines exist in Quebec, each with its own framework; Physioactif guides you toward the care that best suits your condition.