VESTIBULAR REHABILITATION
Did you know that dizziness affects around 15% of all people. Dysfunction to the vestibular system is one of the more common reasons for dizziness.
Vestibular rehabilitation is an effective way of reducing symptoms of vertigo, dizziness and unsteadiness that results from a dysfunction in the balance system.
Balance range from mild vertigo to disabling symptoms and affect everyone slightly differently.
Our experienced physiotherapists assist with hands on vestibular rehabilitation.
Physica offers small group balance classes to help maintain and improve your balance and reduce falls.
At Physica, we understand the challenges and disruptions that vestibular disorders like vertigo and dizziness can cause in your daily life. Our specialized Vestibular Physiotherapy service, led by Nevine, offers comprehensive care designed to restore your balance and enhance your overall quality of life.
Our Approach: Nevine and our team of experienced physiotherapists, in collaboration with leading neurologists in Melbourne, provide targeted treatments for a wide range of vestibular conditions. Utilizing the latest diagnostic tools and evidence-based therapies, we aim to significantly reduce symptoms of vertigo, dizziness, and unsteadiness.
Conditions We Treat:
- Benign Paroxysmal Positional Vertigo (BPPV)
- Vestibular neuritis/labyrinthitis
- Post acoustic neuroma removal
- Vestibular migraine
- Ototoxicity
- Age-related balance dysfunction and falls risk
- Balance issues resulting from MS, Stroke, Parkinson’s disease
- Post concussion syndrome
Symptoms Addressed:
- Dizziness related to head movement
- Unsteadiness and imbalance
- Increased risk of falls
How is the Vestibular System involved in balance?
The Balance system is composed of the inner ear eye and specific areas of your brain.
Information is relayed between these areas to maintain an upright posture and maintain gaze stability whilst moving your head. When there is a problem in any of these three components it can lead to symptoms of dizziness.
Why Choose Physica for Vestibular Physiotherapy?
- Expert care led by Nevine, with a team specializing in vestibular conditions
- Comprehensive assessments and personalized treatment plans
- Collaborative care with leading neurologists
- Small group balance classes to maintain and improve balance and reduce falls risk
Meet Our Specialist: Nevine Eskander 18 years of specialization in vestibular rehabilitation and leadership in managing a team of physiotherapists ensure the highest standard of care and effective results for our patients.
Below is a list of our Physiotherapists across all locations who have a special clinical interest in the assessment and treatment of vestibular conditions.
To book a time to see one of the practitioners, click on the 
image and select your appointment time.
Clinical Interests
- assessment and management of head/neck disorders especially headache
- treatment of neck-related nerve pain
- thoracic spine
- knee pain
To read more about Greg Collis-Brown click here
Special Interests
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- Functional training
- ACL rehab
- Falls prevention
- Low back pain
- Pre and post-operative rehab
- Vestibular conditions
- Shoulders
- Knee and ankle injuries
To read more about Joshua Jekot click here
PROFESSIONAL INTERESTS:
- Vestibular conditions i.e. BPPV
- Sporting injuries
- Post-operative rehabilitation
- Foot and ankle
- Shoulders
- Neck and Back Pain
- Dry Needling
To read more about Josh click here
Nevine brings over 28 years of clinical experience as a Physiotherapist, including five years as a practice manager. She has specialized in vestibular rehabilitation for 18 years and continence and pelvic floor physiotherapy for 22 years. Her diverse career spans hospitals, private practice, community health, rehabilitation services, and research, including her work on the TELKO study at Melbourne University.
Nevine is bilingual in Egyptian and speaks some Italian, enhancing her ability to connect with clients from diverse backgrounds. Her clinical expertise includes managing spinal and musculoskeletal conditions, shoulder injuries, pelvic girdle and hip pain, whiplash, sports injuries, vestibular and neurological disorders, paediatric care, bladder and bowel health, as well as adult and geriatric rehabilitation.
She is highly skilled in delivering a variety of physiotherapy programs, such as spinal rehabilitation, core stability, Pilates, functional restoration for chronic low back pain, continence rehabilitation, falls prevention, vestibular and balance therapy, and strength training. Nevine uses evidence-based practices and outcome measures to identify the root causes of her clients’ issues, empowering them to reduce pain, stiffness, weakness, leakage, and dizziness, and improve their overall strength, mobility, and balance.
Clinical Interests/Special Interests
- Vestibular Rehabilitation: Nevine has completed extensive vestibular training, including three vestibular certifications and an intensive competency-based course at Monash University. She uses advanced tools like Frenzel goggles to assess and treat conditions such as BPPV, vestibular neuritis, migraines, and balance disorders.
- Continence and Pelvic Floor Physiotherapy: With a Postgraduate Certificate in Continence and Pelvic Floor Rehabilitation from Melbourne University, Nevine helps clients manage bladder and bowel conditions, pelvic organ prolapse, and post-surgical recovery.
- Musculoskeletal and Ante/Postnatal Care: She supports clients with pelvic girdle pain, sacroiliac joint dysfunction, lumbosacral instability, diastasis recti, and perineal tears.
Nevine is dedicated to educating and empowering her clients, helping them achieve better health and well-being through personalized care.
In 2018, Maddie successfully completed her studies at La Trobe University, and she is currently pursuing her Masters of Musculoskeletal Physiotherapy at the same institution. Additionally, she has received training in pilates through the Australian Physiotherapy and Pilates Institute (APPI) and consistently incorporates movement principles into her treatment approaches.
Throughout her career, Maddie has been dedicated to working in private practice, prioritizing patient-centered care. Her focus is on ensuring her clients achieve their maximum potential during their rehabilitation process.
Maddie possesses a particular passion for women’s health and specializes in treating spinal conditions, with a particular emphasis on neck pain, cervicogenic headaches, and thoracic (upper back) pain. Her expertise also extends to effectively managing vertigo and handling complex cases involving underlying health conditions.
Beyond her professional life, Maddie enjoys engaging in various activities. She relishes socializing, camping, hiking, and playing netball. Additionally, she has a love for baking. To stay active, Maddie frequents the gym and enjoys long walks with her groodle, Otis.
Clinical interests:
- Spinal conditions
- Neck and Lumbar pain
- Women’s health Neck pain
- Cervicogenic headaches
- Mid back pain
- Vertigo
- Clinical Pilates