About Us

Overview

DizzyCare Clinic is a specialist physiotherapy service dedicated to the assessment, diagnosis, and rehabilitation of people living with dizziness, vertigo, and balance problems.

 

Founded in 2012 by Consultant Vestibular Physiotherapist Samy Selvanayagam, the clinic has

grown into a recognised centre for vestibular care, attracting referrals from across the region and beyond.

 

DizzyCare Clinic combines clinical expertise with a patient-centred approach, focusing on accurate diagnosis, clear explanations, and tailored rehabilitation plans.

What the Clinic Treats

DizzyCare Clinic supports patients with a wide range of dizziness and balance-related conditions, including:

 

• Benign Paroxysmal Positional Vertigo (BPPV)

• Vestibular neuritis and labyrinthitis

• Unilateral and bilateral vestibular hypofunction

• Migraine-associated dizziness / vestibular migraine

• Mal de Débarquement and motion sensitivity

• Persistent dizziness, imbalance, and falls risk in older adults

 

Many patients have seen multiple professionals and undergone extensive investigations before reaching DizzyCare Clinic, where the focus is on functional assessment and evidence-based vestibular rehabilitation.

How we work

Vestibular Therapy Associates delivers flexible, accessible care through clinic‑based, virtual, and home‑based pathways so that clients can participate fully in rehabilitation without unnecessary symptom provocation from travel or busy environments. Care is structured, progressive, and goal‑driven, with regular review and adjustment to match each client’s tolerance and stage of recovery.

Home and Community Visits

Home‑based assessment and treatment are offered to minimise symptom‑provoking travel that can worsen dizziness, fatigue, and nausea and reduce capacity for therapy on the same day.

 

Reducing travel‑related flares helps preserve treatment effectiveness and supports better adherence to rehabilitation.

 

Associates are positioned to reach most parts of England within an approximate 2–3 hour return journey, providing practical home‑visit coverage for clients who need this level of support.

 

As symptom tolerance and resilience to movement and visual stimuli improve, therapy is progressed to outdoor, community, and fitness‑focused rehabilitation to mirror real‑world demands and each client’s recovery trajectory.

Virtual Clinics

Virtual vestibular consultations and therapy sessions are available across the UK and internationally, using structured, supervised programmes supported by growing evidence for the effectiveness of remote vestibular rehabilitation.

 

This format reduces travel burden, improves accessibility, and maintains continuity of care for clients who cannot attend frequent in‑person sessions.

Treatment Approach

Care is delivered using a patient‑centred, goal‑oriented model that emphasises clear explanations, collaborative decision‑making, and supported self‑management throughout rehabilitation.

 

Education on symptom mechanisms, pacing, and graded exposure is integrated into each plan so that clients understand short‑term symptom changes and how these contribute to longer‑term adaptation.

 

Progress is reviewed regularly, with exercises and functional tasks adjusted in partnership with the client and, where appropriate, referrers or case managers.

As clients improve, programmes are refined towards higher‑level balance, dual‑tasking, and specific work or lifestyle demands to support a safe, confident return to daily activities and employment.

Vestibular Screening Service

VTA offers a structured vestibular screening service to help funders and professionals decide when full specialist assessment is required and when symptoms can be managed with monitoring and targeted advice. This is particularly valuable when clients describe vague dizziness, disproportionate fatigue, or intolerance of movement and busy environments, but deny classic vertigo and struggle to articulate their difficulties.

 

The screening service provides a focused review of symptoms, risk factors, functional impact, and red flags, with brief vestibular and balance tests where appropriate. A concise report then sets out whether no further vestibular input is needed, whether simple strategies and monitoring are sufficient, or whether comprehensive vestibular assessment and formal reporting are recommended.

 

The pathway is designed to support proportionate spending by matching the intensity of assessment to the level of risk, complexity, and functional impact. When a client progresses from screening into rehabilitation with VTA, the initial screening fee is offset by a reduced cost for the subsequent full assessment.

Partnerships

VTA works collaboratively with case managers, insurers, medico‑legal teams, and clinical referrers where dizziness and balance issues affect rehabilitation progress, work, or legal processes.

 

Clear communication and structured reporting support timely, informed decisions about rehabilitation input and funding.

Samy was the first medical professional to believe me and listen to me about my very real symptoms of very poor balance, coordination and feeling unwell. He noticed abnormal eye movements called oscillopsia which I hadn't known about, but explained my difficulty focusing on unmoving objects and written words.
Samy gave me the tools I needed to identify my problems, especially with his suggestion to cut out inflammatory foods, and recommended I explore if my touch and sensations are affected by getting my partner to lightly touch soles of feet.
I've been on a long journey, but with the validation, Samy gave me the confidence to keep pushing for referrals and testing when the NHS had been largely unhelpful for ten years of my ongoing symptoms.
I have now been diagnosed with Friedrich's ataxia and sensory peripheral nerve damage. I truly believe without seeing Samy first, I would still be undiagnosed.
He is a lovely person, knowledgeable and I was very impressed by his curiosity to figure out the cause of my problems when many doctors previously had shown little interest, claimed it was 'all in my head', and would offer anti anxiety and depression medication instead of bothering to look for the root cause.
Highly recommend dizzycare clinic, and am very grateful to Samy for all his advice, and for believing me when everyone else was telling me it's all in my head.
If others see this I would like to reassure you your symptoms are not imagined, often we know our bodies better than any Dr, keep pushing for those referrals and tests, you deserve answers and treatment.
If your problems are vestibular, Samy can help you. In my case, with what we now know to be a genetic disease that is incurable, Samy was still the best place for me to start.

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