Vestibular Care
PPPD Treatment in Dubai
Persistent unsteadiness that's worse when you're upright, walking or in busy visual places — and often started after an earlier bout of dizziness? That pattern is PPPD. It's real, it's common, and it responds to graded vestibular rehabilitation.
Start here
A Way Out of the Fog
PPPD improves with the right, graded programme. Book an assessment and let's start.
Book Your Initial AssessmentWhatsApp UsUnderstanding the Condition
What Drives PPPD
A Trigger Event
PPPD usually begins after an initial episode — BPPV, vestibular neuritis, a migraine, a panic attack or a concussion — that the balance system never fully moved on from.
Over-Reliance on Vision
The brain starts leaning too heavily on vision for balance, so busy or moving visual scenes provoke unsteadiness.
A 'High-Alert' Balance System
The balance system stays stuck in a threat-detecting mode, amplifying normal motion signals into persistent unsteadiness.
Upright Posture & Movement
Symptoms characteristically worsen when standing, walking or moving, and ease when lying down or distracted.
Anxiety & Hypervigilance
Understandable worry about the dizziness keeps the system on edge — a loop that graded exposure is designed to unwind.
Avoidance & Deconditioning
Avoiding triggering situations narrows your world and de-trains balance, reinforcing the problem. Rehab gently reverses this.
How we treat it
The KINETIKA Approach
Videonystagmoscopy, head-impulse testing and clinical balance tests identify exactly which system is involved. No two balance systems are the same — your plan won't be either.
Where indicated — Epley and repositioning manoeuvres for BPPV, plus upper-cervical manual therapy for neck-related dizziness.
Gaze-stabilisation, habituation and balance exercises, dosed to your symptom threshold and progressed deliberately.
Falls-prevention, return-to-driving guidance and a clear home programme so the gains hold long-term.
Take the next step
Book Your Initial Assessment
Tell us how it started and what makes it worse. We'll confirm whether PPPD fits and build a graded plan to settle it.
No referral · Specialist vestibular testing · Same-week appointments
Common questions
Frequently Asked Questions
Medically reviewed by the Kinetika Clinical Team · Last reviewed 12 June 2026