PACT Physio & Rehab
PACT Physio & Rehab / Injuries we treat / Vertigo and BPPV

Vertigo and BPPV

Short bursts of spinning dizziness set off by head position changes, often very treatable.

By Andrew Ellis, AHPRA registered physiotherapist · Reviewed July 2026

Book an assessment Call (02) 8330 6776
The condition

What it is

Benign paroxysmal positional vertigo, or BPPV, is the most common cause of vertigo. Tiny crystals inside the inner ear move out of place, and certain head positions, like rolling over in bed, looking up or bending forward, set off brief but intense spinning.

Not all dizziness is BPPV, so the first step is a careful assessment. We screen your symptoms and history, test the positions that trigger the spinning, and check whether the neck is contributing. If the picture does not fit BPPV, we refer you to your GP for further investigation rather than guessing.

Signs

Signs and symptoms

Everyone is different, but these are common with vertigo and bppv. You may have some and not others.

Short spinning episodes lasting seconds to a minuteTriggered by rolling in bed or lying downSet off by looking up or bending forwardNausea with the episodesUnsteadiness between episodesFeeling anxious about sudden dizziness
Treatment

How physiotherapy helps

When assessment points to BPPV, treatment uses specific repositioning manoeuvres that guide the crystals back where they belong, and many people find the spinning settles within a small number of sessions. We add balance and gaze retraining where needed, and treat the neck when it is part of the picture, so you can move, drive and sleep without bracing for the next episode.

  • Positional testing and screening
  • Canalith repositioning manoeuvres
  • Balance and gaze retraining
  • Neck assessment and treatment where it contributes
Book an assessment
Physiotherapy for Vertigo and BPPV at PACT Physio & Rehab in Miranda, NSW
Treatment options

How we treat it

The right mix depends on your assessment. These are the services we most often draw on for this.

Exercise and rehabilitation | PACT Physio Miranda

Exercise and rehabilitation

Tailored programs to rebuild mobility, strength and confidence in the movements that matter to you.

Learn more →

 Spinal and joint mobilisation | PACT Physio Miranda

Spinal and joint mobilisation

Gentle, controlled movement to improve a stiff joint and ease the pain that comes with it.

Learn more →
Fees and rebates

What you will actually pay

The full fee is $165 for an initial visit and $142 for a follow up, and every appointment is a full, unhurried session with the time to work through complex, persistent problems. Once your cover is applied, here is what you actually pay.

Full fee, no cover
Initial · 60 min $165
Follow up · 40 min $142

Before any rebate. Private paying is welcome, and your fee buys the whole session, never a rushed 20 minutes.

$165
$142
Initial
Follow up
With a Medicare plan
Initial $103.20
Follow up $80.20

A GP Chronic Disease Management referral rebates $61.80 on every visit, up to 5 a year.

$103.20
$80.20
Initial
Follow up
With private health extras
Initial $60 to $100
Follow up $40 to $80

The usual out of pocket once you claim on the spot, depending on your level of cover.

$60 to $100
$40 to $80
Initial
Follow up
Workers comp & CTP
No out of pocket
Initial $0
Follow up $0

Nothing for you to pay at any visit. Accepted workers compensation and CTP motor accident claims are billed straight to your insurer, and we handle the paperwork.

$0
$0
Initial
Follow up

The bars compare what an initial and a follow up visit cost you on each pathway.

See full fees and rebates. Telehealth with PACT Virtual Care is charged at the same rates, Australia wide.

Related injuries

Other problems we help with

Pain rarely sits in one neat box. These are commonly linked, and we treat them all.

Neck pain Cervicogenic headaches Whiplash Postural and desk pain All injuries we treat →
Frequently asked questions

Good to know before you book

Can physiotherapy really treat vertigo?
When the cause is BPPV, guided repositioning manoeuvres often settle the spinning quickly, and this approach is well supported by evidence. We assess first to confirm BPPV is the cause, and refer you on if your dizziness needs a different pathway.
How much will it cost?
Initial physiotherapy is $165 for 60 minutes and follow ups are $142 for 40 minutes. Approved workers comp and CTP appointments are billed directly to the insurer.
Do I need a referral?
No referral is needed to book privately. Referrals are required for Medicare Chronic Disease Management plans and most claim pathways.
Can it be managed by telehealth?
Many problems can be assessed and guided well by telehealth through PACT Virtual Care, with hands on treatment added at the Miranda clinic when it helps.

Sources and further reading

Written and reviewed by Andrew Ellis, AHPRA registered physiotherapist. Last reviewed July 2026.

This page is general information about vertigo and bppv, not a diagnosis or a substitute for an assessment. If you are concerned about your symptoms, book an appointment or see your GP.

Reviews

See what people say on Google

We let our patients speak for themselves, on Google, where you can read it independently.

Read our Google reviews

Get on top of vertigo and bppv

Same day appointments often available at our Miranda clinic, or by telehealth across Australia.

Book online Call (02) 8330 6776
Call (02) 8330 6776Book online