PPPD Treatment London Bridge | Persistent Dizziness Specialist | YOS HEALTH
Vestibular Physiotherapy Specialists • Dizziness & Balance Care • By Appointment Only
PPPD London Bridge
Expert PPPD Treatment at YOS HEALTH

Persistent Postural-Perceptual Dizziness (PPPD)

Chronic dizziness that persists after normal investigations — not in your head, and highly treatable with the right rehabilitation.

Expert PPPD Treatment at YOS HEALTH

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.

Common PPPD Presentations We Treat

  • Constant or near-constant dizziness or unsteadiness
  • Dizziness worse in visually busy environments — supermarkets, shopping centres, busy streets
  • Dizziness looking at screens, scrolling on phones or watching moving images
  • Symptoms better when sitting still in a quiet environment
  • Dizziness that started after vestibular neuritis, BPPV or an acute illness
  • Persistent dizziness after a period of significant anxiety or stress
  • Normal MRI, normal hearing tests, normal blood tests — but still dizzy
  • Dizziness labelled as anxiety or functional without further investigation
  • Avoidance of activities due to fear of dizziness
  • PPPD occurring alongside vestibular migraine or other vestibular conditions

PPPD takes time and commitment — but with the right approach, most patients see significant improvement.

Expert Vestibular Migraine Treatment at YOS HEALTH

Benefits of PPPD Rehabilitation

Confidential Dizziness and Balance Service

A structured, evidence-based rehabilitation programme can significantly reduce the impact of PPPD on daily life.

  • Reduce constant dizziness and unsteadiness
  • Improve tolerance of visually busy environments
  • Reduce sensitivity to screens, movement and visual environments
  • Reduce anxiety and avoidance associated with chronic dizziness
  • Return to work, exercise and social activities
  • Regain confidence in movement and daily life
  • Clear understanding of the condition and why symptoms occur
  • Liaison with GP or neurologist where medication may also be beneficial

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.

Why Choose YOS HEALTH?

Specialist in Complex Dizziness

Many PPPD patients have seen multiple clinicians without a clear clinical picture. Our specialist has particular experience in identifying and treating chronic, unexplained dizziness.

Evidence-Based Rehabilitation

PPPD rehabilitation is a structured, evidence-based programme — not a generic exercise sheet. We design your programme around your specific triggers, environment and lifestyle.

Whole-Person Approach

PPPD affects confidence, independence and mental wellbeing as much as physical balance. Our specialist works with the whole person, not just the symptom.

Frequently Asked Questions

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.

Book a PPPD Consultation

Speak with our vestibular physiotherapy specialist at YOS HEALTH, London Bridge.

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