PPPD treatment

Persistent Postural-Perceptual Dizziness

PPPD stands for Persistent Postural-Perceptual Dizziness. In PPPD, people experience long-term dizziness or instability. Symptoms often increase with standing, walking, moving, or in visually busy environments. Treatment focuses on retraining the balance system.

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In brief

What does the treatment involve?

In PPPD, the balance system has often become oversensitive to posture, movement, and visual stimuli.

Vestibular rehabilitation plays an important role: retraining the balance system and gradually reducing hypersensitivity.

Oversensitive

Posture, movement, and visual

The balance system overreacts to stimuli.

Visual stimuli

Busy environments

Symptoms in supermarkets, traffic, and crowded spaces.

Gradual build-up

Step by step

Stimuli are gradually increased to create habituation.

When?

When is this treatment applied?

PPPD treatment can be helpful for long-term symptoms such as a light-headed or floating sensation, instability, symptoms when standing or walking, symptoms in busy visual environments, movement sensitivity, and avoiding movement or busy situations.

Treatment

What does the treatment involve?

Treatment may include habituation training, gaze stabilisation training, visual stimulus training, balance training, gait training, gradual reintroduction of daily activities, and education about the symptom mechanism.

Recovery from PPPD is usually gradual and often requires a calm, well-structured approach.

Need help?

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Unsure whether your symptoms fit PPPD? An initial assessment can help determine the right treatment.