Vestibular care · Dubai Hills

Vestibular Rehabilitation in Dubai Hills

Specialist vestibular rehabilitation in Dubai Hills for dizziness, vertigo and imbalance. Equipment-backed testing with a vestibular physiotherapist.

Nour Salman

Senior Physiotherapist, vestibular and balance lead

  • 8+ years clinical experience
  • American Institute of Balance advanced vestibular training
  • English, Arabic, French
  • Unit 403, Park Heights Square 1, Dubai Hills

Is it vertigo, dizziness, or feeling off balance?

You turn in bed and the room spins hard for 20 seconds. It settles, then it happens again the next morning. Or nothing spins at all, and you just feel foggy, unsteady and not yourself.

Many people brace on walls, furniture and handrails without noticing they have started. Others stop driving, because a shoulder check on Al Khail Road feels genuinely unsafe.

These are three different problems, and the difference guides treatment. Vertigo is a false sense of movement, usually spinning, and it often comes from the inner ear. Dizziness is lighter-headed or foggy, and it has a much wider list of possible causes. Imbalance is unsteadiness on your feet, often with no spinning at all.

Most people who reach our Dubai Hills clinic have already had an MRI scan and blood tests. Both were normal. Nobody had tested the vestibular system, which is the balance organ in the inner ear and the reflexes it drives.

You may have been told it is stress, or anxiety, or simply age. A vestibular physiotherapist tests that system directly, then treats what the testing shows.

Conditions we treat

Each of these responds to a different approach, which is why we assess before we treat.

  • BPPV, benign paroxysmal positional vertigo, where loose crystals in the inner ear trigger brief spinning when you change head position.
  • Meniere's disease, where episodes of vertigo arrive with hearing change, pressure or ringing in one ear. We work alongside your ENT doctor.
  • Labyrinthitis and vestibular neuritis. A condition affecting one side of the vestibular system that can cause sudden vertigo followed by ongoing imbalance or visual instability. Vestibular rehabilitation can help the brain adapt and improve balance and gaze stability during recovery.
  • Vestibular migraine. Vestibular migraine can cause episodes of vertigo, dizziness, and motion or visual sensitivity, with or without headache. Vestibular rehabilitation may help manage certain symptoms alongside appropriate medical care.
  • PPPD, persistent postural-perceptual dizziness. A persistent form of dizziness or unsteadiness that is often worsened by standing, movement, or visually complex environments. Vestibular rehabilitation can form part of a broader management approach.
  • Post-concussion dizziness. Dizziness and imbalance after concussion may involve the vestibular, visual, cervical, and balance systems. Assessment helps identify the contributing factors so rehabilitation can be tailored accordingly.
  • Unsteadiness and falls in older adults, where reduced balance confidence changes how far you walk.
  • Motion sensitivity, where cars, lifts, escalators and scrolling on a phone all provoke symptoms.
  • Visual dependence, where supermarket aisles, patterned floors and busy malls feel far worse than quiet rooms.
  • Vestibular hypofunction. Reduced function of one or both vestibular systems can cause imbalance, dizziness, or visual blurring during head movement. Rehabilitation focuses on improving gaze stability, balance, and the body's ability to adapt.
  • Cervicogenic dizziness, where dizziness is linked to neck stiffness, neck pain or a neck injury.

How we identify what is causing your symptoms

Your first appointment is an assessment, not a treatment session with a guess attached.

We start with your history. When it started, how long each episode lasts, what position or place provokes it, and what you have stopped doing because of it. That history alone narrows the field considerably.

We then test. We watch your eyes during specific head and body positions. We test how steady your vision stays while your head moves. We check standing balance, walking, neck movement and blood pressure on standing.

The purpose is to separate an inner-ear cause from a central cause, a neck-related cause or a blood pressure cause. Each leads to a different plan.

Where testing points to a cause that needs an ENT specialist, a neurologist or a cardiologist, we say so and work alongside them. GPs and specialists across Dubai Hills and Meydan refer patients to us for exactly this assessment.

The equipment we use, and why it matters

Very few physiotherapy clinics in Dubai own vestibular testing equipment. The instruments we use are the kind usually found in audiology and ENT clinics. Most physiotherapy clinics rely on watching your eyes in a lit room, which hides the small movements that carry the diagnosis.

You wear a pair of lightweight goggles with an infrared camera inside. The room goes dark, so you cannot fix your gaze on anything, and your eye movements appear on our screen. Removing visual fixation is what makes a subtle inner-ear response visible. This is videonystagmoscopy, or VNS.

You sit and look at a target while we turn your head quickly through a small range. Nothing is fitted to your head. A high-speed camera in front of you records whether your eyes stayed locked on the target or slipped and corrected, while your physiotherapist performs the head impulses from behind. This is the video head impulse test, or vHIT. It takes under five minutes, it is not painful, and it measures the reflex that keeps vision steady when you move, for each of the six semicircular canals.

We rest a small vibrating device on the bone behind your ear for a few seconds. If one balance organ is weaker than the other, the vibration produces an eye response we can record. This is the skull vibration test, and it helps identify an imbalance between the two sides.

Testing gives us a baseline. It also lets us repeat the same measurements after five sessions and show you what changed.

Physiotherapist performing a video head impulse test (vHIT) while the patient watches a target at KINETIKA Dubai Hills
Video head impulse testing (vHIT) at our Dubai Hills clinic.

What a vestibular rehabilitation programme involves

Your programme is built from the findings, not from a template.

For BPPV, we use repositioning manoeuvres such as the Epley or Semont, chosen for the specific canal involved.

For a weak or under-compensated balance system, we use gaze stabilisation exercises. You hold a target steady while your head moves, which trains the reflex to work accurately again.

For motion and visual sensitivity, we use habituation and graded exposure. We give you small, repeated doses of the movement that provokes you, then increase them as your tolerance grows. Where visual dependence is part of the picture, we use optokinetic stimulation, a large moving pattern of stripes or dots, to retrain how much your balance relies on vision.

For unsteadiness, we use balance and strength work on progressively harder surfaces and with reduced visual input.

For neck-related dizziness, we add manual therapy and neck control exercises.

Everything is dosed to a level you can tolerate. Brief symptoms during exercises are expected and are part of how the brain adapts. Where it suits your case, you also get a short home programme. How much and how often depends on your findings, and some people do all of their rehabilitation in the clinic.

How many sessions you are likely to need

This depends entirely on the cause, and we give you an estimate at the end of your first assessment.

BPPV commonly settles within 1 to 3 sessions once the affected canal is identified. Vestibular neuritis and labyrinthitis usually need 6 to 12 weeks of graded rehabilitation. Vestibular migraine and PPPD often run 8 to 12 weeks, and they progress alongside medical management rather than instead of it.

Older adults working on falls prevention often continue longer, because strength and confidence build slowly.

If you are not improving by the point we expected, we say so, retest, and change the plan or refer you.

Meet your vestibular physiotherapist

Nour Salman leads vestibular and balance physiotherapy at KINETIKA. She has 8 years of clinical experience and earned her degree in physiotherapy at Saint Joseph University of Beirut.

She completed advanced vestibular training at the American Institute of Balance and a specialist vestibular internship in France. Before joining KINETIKA she worked at Cleveland Clinic Abu Dhabi, where she helped develop vestibular and maxillofacial rehabilitation services.

Nour has delivered more than 10 local lectures and presented at more than 7 international conferences. She treats in English, Arabic and French. KINETIKA is a DHA-licensed clinic.

Fees and insurance

Your first appointment is a full vestibular assessment and includes the equipment testing described above. Where it is appropriate, treatment is initiated in that same session.

Most insurances accepted. You pay at the time of your visit, and we give you a detailed invoice and, where your insurer requires one, a treatment report. Our team can talk you through what your provider needs.

We are at Unit 403, Floor 4, Park Heights Square 1, Al Khail Road, Dubai Hills, a few minutes from Dubai Hills Mall. Parking is available in the building.

Common questions

Frequently asked questions

When should dizziness be medically assessed?

Dizziness should be medically assessed urgently if it starts suddenly or is accompanied by symptoms such as severe or unusual headache, weakness or numbness, difficulty speaking, facial drooping, fainting, chest pain, new vision changes, or difficulty walking. If your symptoms are persistent, recurrent, or unexplained, a vestibular assessment can help determine whether rehabilitation is appropriate or whether further medical evaluation is needed.

What is the difference between vertigo and dizziness?

Vertigo is a false sense of movement, usually spinning. Dizziness is a broader feeling of light-headedness, fogginess or unsteadiness without spinning.

My MRI and blood tests were normal. Why do I still feel dizzy?

Those tests examine brain structure and blood chemistry. They do not measure how your inner ear and balance reflexes function. That needs separate testing.

Will vestibular rehabilitation make me feel worse?

Some exercises briefly provoke symptoms, and that is part of how the brain adapts. We dose them so the symptoms settle within hours and reduce over the weeks.

Are there any contraindications?

Vestibular testing is generally safe and well tolerated. Certain tests may not be suitable for patients with specific neck or spinal conditions, recent head or neck injuries or surgery, certain vascular conditions, or other relevant medical conditions. Before testing, our physiotherapist will review your medical history and determine which assessments are safe and appropriate for you.

Is vestibular rehabilitation the same as physical therapy?

Yes. Physical therapy is the American term for physiotherapy. Vestibular rehabilitation is the branch of physiotherapy that treats the balance system.

How long is the first appointment?

Allow 60 minutes. That covers your history, the equipment testing, an explanation of the findings and, where appropriate, the start of treatment.

Can I drive to my appointment?

If your dizziness is currently triggered by head movement, please arrange a lift. Repositioning treatment can leave you unsteady for a short period afterwards.

Where is your vestibular clinic in Dubai?

We are in Dubai Hills, at Unit 403, Park Heights Square 1 on Al Khail Road. We see patients from Dubai Hills, Meydan, Al Barsha, Business Bay and Downtown.

Will my dizziness come back?

BPPV can recur. If it does, our specialist will guide you on how to manage it until you are able to come to the clinic, so she can help you properly. For other causes, we retest at the end of your programme and give you a maintenance plan.

Do you treat children?

Yes. Our paediatric and vestibular physiotherapist, Jimy Haddad, assesses balance concerns in children, and we refer to paediatric ENT where that is the right pathway. Please call first so we can advise.

I have been told my dizziness is anxiety. Is vestibular rehabilitation still worth trying?

Yes. Anxiety and a sensitised balance system feed each other. Assessment tells us whether a treatable vestibular component is present.

What should I bring?

Bring any MRI or CT reports, any vestibular test results you already have, your physician's report, a list of your current medications, and notes on when your symptoms began and what provokes them.

Dubai Hills

Book a vestibular assessment

Allow 60 minutes for your first appointment. Unit 403, Floor 4, Park Heights Square 1, Al Khail Road, Dubai Hills.

Medically reviewed by the Kinetika Clinical Team · Last reviewed 29 September 2026