Chronic vestibular neuronitis

A small number of people experience dizziness and vertigo for months or even years. This is sometimes known as chronic vestibular neuronitis.

It happens when the vestibular nerve fails to recover and the balance organs can't get messages through to your brain properly.

The symptoms arent usually as severe as when you first get the condition, although even mild dizziness can have a considerable impact on your quality of life, employment and other daily activities.

Vestibular rehabilitation therapy (VRT)

VRT is an effective treatment for people with chronic vestibular neuronitis. VRT attempts to "retrain" your brain and nervous system to compensate for the abnormal signals coming from your vestibular system.

VRT is usually carried out under the supervision of a physiotherapist and involves a range of exercises designed to:

• co-ordinate your hand and eye movements
• stimulate sensations of dizziness, so your brain starts to get used to disruptive signals sent by your vestibular system and then ignores them
• improve your balance and walking ability
• improve your strength and fitness

The Brain and Spine Foundation is a UK charity that has more information about vestibular rehabilitation on its website.

You can ask your GP to refer you to a physiotherapist or you can pay for private treatment. If you decide to see a private physiotherapist, make sure they are fully qualified and a member of a recognised body, such as the Chartered Society of Physiotherapy (CSP).

The Physio First website lists qualified members, so you can find a private physio in your area .

Not all physiotherapists have training in VRT, so you need to make it clear that you require this type of treatment before making an appointment.