Dizziness and balance difficulties are common after a stroke.
You may feel unsteady, lightheaded, visually disoriented, or unsure when walking — even if your strength has improved.
Targeted vestibular and balance rehabilitation can significantly improve steadiness, confidence and safety after stroke.
In Short:
Post-stroke dizziness can feel different from spinning vertigo.
Common post-stroke dizziness symptoms:
• Unsteadiness when walking
• Veering to one side
• Visual blurring with movemen
• Feeling “off” or disconnected
• Lightheadedness
• Poor balance confidence
• Sensitivity to busy environment
• Fatigue when moving
Often described as:
• “I don’t feel stable on my feet.”
• “I’m nervous turning.”
• “I feel fine sitting, but walking feels uncertain.”
If you’re unsure whether dizziness is stroke-related or coming from another cause (like BPPV or vestibular neuritis), assessment clarifies it.
Balance is controlled by multiple systems:
• Brain processing centres
• Inner ear balance organs
• Vision
• Body awareness (proprioception)
A stroke can disrupt how these systems integrate, leading to:
• Reduced balance control
• Visual-vestibular mismatch
• Slower compensation
• Increased fall risk
Sometimes, additional vestibular conditions (like BPPV) can also occur after stroke — which is why proper assessment matters.
Assessment includes:
• Detailed stroke history and recovery stage
• Screening for BPPV or other vestibular causes
• Eye movement testing
• Balance and gait assessment
• Functional movement screening
Posturography may be used when appropriate to objectively measure balance control and identify which systems need targeted rehabilitation.
1) Detailed history
Stroke type, timing, current mobility, dizziness pattern, triggers and confidence level.
2) Vestibular screen
Assessment of eye movements and positional testing to rule out additional vestibular causes.
3) Balance and gait assessment
Walking, turning, stability, head movement control and real-world function.
4) Posturography (if appropriate)
Objective balance testing to identify reliance patterns (vision vs vestibular vs proprioception).
Outcome: You leave knowing what’s contributing to dizziness and what the structured plan is.
Rehabilitation focuses on restoring:
• Balance confidence
• Walking stability
• Gaze stability
• Movement tolerance
• Functional independence
Treatment may include:
• Balance retraining (static → dynamic → functional)
• Gaze stabilisation exercises
• Head movement progression
• Walking drills
• Strength and conditioning guidance
• Graded exposure to real-world challenges
🚨 Recovery is often gradual — but targeted rehab makes a measurable difference.
Improvement depends on:
• Stroke severity
• Time since stroke
• Presence of additional vestibular issues
• Confidence and activity levels
Many patients notice gradual improvement over weeks when rehab is structured and progressive.
There is no fixed number.
Some people need short-term support. Others benefit from longer structured rehabilitation depending on neurological recovery stage.
A plan is tailored after assessment.
Some balance exercises may temporarily increase symptoms as your system adapts.
This is expected and carefully progressed.
We guide you clearly on what’s normal and what isn’t.
Seek urgent medical attention if dizziness occurs with:
• New weakness or numbness
• Speech changes
• Facial droop
• Severe sudden headache
• Chest pain
• Collapse or fainting
• New neurological symptoms
If you’re experiencing dizziness, imbalance or reduced confidence after a stroke, structured rehabilitation can help.
✅ In-person vestibular assessment
✅ Screening for additional vestibular causes
✅ Objective balance testing
✅ Clear rehabilitation plan
Yes. It’s common due to disrupted balance integration.
Yes. Positional vertigo can occur and should be screened for.
Many people make significant improvements with targeted rehabilitation.
It varies widely. Early rehab often improves outcomes.
Often yes. Post-stroke dizziness may feel more like imbalance than spinning.
An objective balance test used to measure stability and guide rehabilitation.
This depends on stability and medical advice. We can guide based on your presentation.
Yes — when tailored appropriately. Assessment ensures exercises are appropriate for your recovery stage.
Monday: 08:00 - 20:00
Tuesday: 08:00 - 20:00
Wednesday: 08:00 - 20:00
Thursday: 08:00 - 20:00
Friday: 08:00 - 16:00
