Vestibular and Concussion Rehab in Burnaby and Vancouver
Physiotherapy care for dizziness, balance problems, vertigo-type symptoms, and symptom-paced return to activity after concussion symptoms.
Your physiotherapist stays within physiotherapy scope: vestibular assessment, gaze and balance retraining, graded activity guidance, and safety screening.
Physiotherapy support for vestibular symptoms and concussion recovery planning
Vestibular rehab is physiotherapy care for symptoms involving dizziness, balance, motion sensitivity, vertigo-type sensations, visual motion discomfort, and confidence with walking or turning. The vestibular system works with your eyes, neck, brain, and body position sense, so symptoms can show up during daily tasks such as rolling in bed, looking over your shoulder, walking through a busy store, driving, working at a screen, or returning to sport.
Concussion rehab at Phoenix Rehab stays within physiotherapy scope. Your physiotherapist does not diagnose concussion or replace medical care. When concussion symptoms are present after a crash, sport impact, fall, or other head or neck event, physiotherapy may support vestibular assessment, gaze retraining, balance work, neck and movement assessment, symptom pacing, and graded return-to-activity guidance once urgent medical concerns are cleared.
The plan is not a generic exercise sheet. Your provider reviews your symptoms, irritability, triggers, sleep, screen tolerance, work or school demands, activity goals, and safety concerns. Care can then focus on what your system tolerates now, what needs to be avoided early, and how to progress without forcing symptoms past a useful level.
Physiotherapy scope
Care focuses on movement, vestibular findings, balance, symptom pacing, and activity guidance. Medical diagnosis and emergency concerns belong with medical providers.
Symptom-paced progress
Exercises and activity steps are matched to your current tolerance, then adjusted as dizziness, headache, visual strain, balance, and daily function change.
Safety first
Your physiotherapist screens for red flags and will direct you to urgent medical care when symptoms fall outside routine rehab.
Symptoms vestibular and concussion rehab may support
These symptoms can have different causes. Your physiotherapist will assess whether a physiotherapy plan is appropriate and when medical input is needed.
Dizziness or vertigo-type sensations
Care may fit when dizziness is triggered by position changes, head turns, busy visual spaces, or specific daily movements.
Balance or walking confidence
Balance retraining may support steadiness, walking tolerance, turning, stairs, and confidence in busier environments.
Gaze or visual motion symptoms
Gaze retraining may be considered when reading, screens, head movement, or visually busy places bring on symptoms.
Post-crash concussion symptoms
After a motor vehicle crash, physiotherapy may support symptom-paced vestibular care and gradual return to activity when urgent concerns are cleared.
Sport-related concussion symptoms
For athletes and active people, care may include graded activity planning and coordination with medical or sport requirements when needed.
BPPV-type dizziness presentations
Some positional dizziness patterns may look like BPPV. Your physiotherapist can assess fit, explain findings, and refer out when the presentation needs medical care.
When to seek medical care first
Physiotherapy does not replace urgent medical care or medical assessment. If there was loss of consciousness, worsening symptoms, repeated vomiting, severe headache, seizure, new weakness, unusual confusion, or symptoms that feel unsafe, seek urgent medical care first.
For new or severe head-injury symptoms, call 911 or go to emergency before booking rehab. Once urgent concerns are cleared, physiotherapy can help with symptom-paced vestibular and return-to-activity planning.
What happens during a vestibular or concussion rehab visit
The appointment starts with safety screening and physiotherapy assessment, then the plan is matched to your symptom response and goals.
01
History and symptom pattern
Your physiotherapist asks about the event, current symptoms, triggers, sleep, screen tolerance, work, sport, driving, and daily limits.
02
Vestibular and movement checks
Assessment may include eye-head coordination, balance, walking, neck movement, positional symptom response, and activity tolerance.
03
Targeted retraining
Care may include gaze exercises, balance work, neck or movement treatment, education, pacing, and symptom-monitoring strategies.
04
Graded activity plan
Your provider helps plan gradual return to school, work, driving, gym activity, or sport demands based on your response.
How physiotherapy can support vestibular and concussion symptoms
Care is based on assessment and adjusted as symptoms, confidence, and daily activity tolerance change.
Gaze retraining
Eye-head coordination exercises may help when head movement, reading, screens, or busy visual spaces bring on symptoms.
Balance retraining
Balance work may include standing, walking, turning, surface changes, and dual-task progressions matched to your tolerance.
Graded activity guidance
Activity is progressed in steps so work, school, exercise, and sport demands return without unnecessary symptom spikes.
Symptom pacing and education
Your plan may include rest breaks, screen pacing, sleep and routine guidance, trigger planning, and what to monitor between visits.
Care with Awnee Pandey and Reshma Mehta
Awnee Pandey and Reshma Mehta provide vestibular and concussion rehab at Phoenix Rehab. Both are physiotherapists.
Awnee Pandey
Physiotherapist - Vestibular and Concussion Care
Awnee Pandey provides vestibular and concussion care within physiotherapy appointments and keeps the plan tied to movement, balance, activity tolerance, and patient education.
Reshma Mehta
Physiotherapist - Vestibular Rehab
Reshma Mehta provides vestibular rehab within physiotherapy care and connects the plan to balance, gaze control, movement comfort, and home guidance.
ICBC and coverage questions
Vestibular and concussion rehab is delivered within physiotherapy appointments. Coverage depends on your plan, claim details, provider rules, and eligibility.
Concussion symptoms after a crash may be relevant to an ICBC claim when the claim is eligible. Bring your claim number so the front desk can check the direct-billing pathway.
Coverage decisions depend on the payer, timing, claim status, and policy details. The clinic can help you check the pathway before or at your appointment.
Vestibular and concussion rehab FAQ
What is vestibular rehab?
Vestibular rehab is physiotherapy care for dizziness, balance, motion sensitivity, and gaze-control symptoms. It may include assessment, exercises, education, and activity planning.
Do physiotherapists diagnose concussion?
No. A physiotherapist can assess movement, vestibular, balance, neck, and activity-related symptoms within physiotherapy scope, but medical diagnosis and urgent symptoms belong with medical providers.
Can physiotherapy help BPPV-type dizziness?
Some positional dizziness presentations may fit vestibular physiotherapy. Your provider will assess the pattern and explain whether physiotherapy, medical care, or another pathway is more appropriate.
Can this help with sport concussion symptoms?
It may support graded return-to-activity planning when symptoms involve dizziness, balance, screen tolerance, neck movement, or activity tolerance. Medical or sport rules may still apply.
Is concussion rehab related to ICBC physiotherapy?
Concussion symptoms after a crash may be part of an eligible ICBC claim. Coverage and direct billing depend on your claim status, timing, provider rules, and ICBC details.
How many visits will I need?
There is no fixed number. Your physiotherapist will assess your symptoms, start with tolerable steps, and reassess based on dizziness, balance, activity tolerance, and daily function.
When should I seek urgent medical care?
Seek urgent medical care first for loss of consciousness, worsening symptoms, repeated vomiting, severe headache, seizure, new weakness, unusual confusion, or any symptom that feels unsafe.
Plan Related Care
Use these pages to understand how vestibular and concussion rehab connects with physiotherapy, ICBC care, whiplash, and sport recovery.
Book a physiotherapy visit for dizziness or concussion symptoms
Choose a physiotherapy appointment and mention dizziness, balance, concussion symptoms, or return-to-activity goals so your provider can assess the right starting point.