At YOS HEALTH, we provide specialist assessment and rehabilitation for PPPD — the most common cause of chronic dizziness in working-age adults. If you have been told your MRI is normal, your hearing is fine, your blood tests are clear — and you are still dizzy — you are not alone, and you are in the right place.
PPPD is a recognised clinical condition caused by the brain becoming hypersensitive to balance and movement signals, usually following an event that challenged your balance — such as an episode of vestibular neuritis, BPPV, a period of anxiety, or another acute illness. The brain essentially becomes stuck in a state of heightened alertness about balance, producing constant or near-constant dizziness long after the original cause has resolved.
The condition responds well to a structured rehabilitation programme that gradually desensitises the brain, combined with strategies to reduce the anxiety and avoidance that commonly develop alongside chronic dizziness. Many of our patients with PPPD have seen multiple clinicians before finding us.
PPPD takes time and commitment — but with the right approach, most patients see significant improvement.
A structured, evidence-based rehabilitation programme can significantly reduce the impact of PPPD on daily life.
Our specialist provides a clear explanation of what is happening and why — many patients find that understanding PPPD is itself a significant part of recovery.
Many PPPD patients have seen multiple clinicians without a clear clinical picture. Our specialist has particular experience in identifying and treating chronic, unexplained dizziness.
PPPD rehabilitation is a structured, evidence-based programme — not a generic exercise sheet. We design your programme around your specific triggers, environment and lifestyle.
PPPD affects confidence, independence and mental wellbeing as much as physical balance. Our specialist works with the whole person, not just the symptom.
Persistent Postural-Perceptual Dizziness (PPPD) is a chronic dizziness condition caused by the brain becoming oversensitive to balance and movement signals, usually following an acute vestibular event or stress.
Normal investigations are characteristic of PPPD because it is a functional disorder of balance processing rather than structural damage.
Typically several weeks to months. Many patients notice meaningful improvement within four to eight weeks with a structured programme.
No. You can self-refer directly. Bring any previous investigation results if available.
Speak with our vestibular physiotherapy specialist at YOS HEALTH, London Bridge.