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Addressing Vestibular Dysfunction in Concussion

  • April 15, 2026
  • Kyle Wells

Had a head knock and not feeling like yourself?

Maybe you’re:

  • A bit dizzy
  • Off balance
  • Struggling to focus
  • Not as steady or coordinated as usual

You’re not imagining it — and you’re definitely not alone.

Concussions are common, but often misunderstood.
And one of the biggest things people don’t realise?

👉 Your balance system can be affected — not just your brain.

The Missing Piece: Your Vestibular System

Your vestibular system (in your inner ear) is responsible for:

  • Balance
  • Spatial awareness
  • Head and eye coordination

When it’s working well, you don’t notice it.
When it’s not — everything feels off.

After a concussion, this system can become disrupted, leading to symptoms that don’t always get picked up early.

Why Concussions Affect Your Balance

A concussion doesn’t just impact one area — it affects how different systems in your body communicate.

Vestibular issues can come from:

  • Inner ear disruption (the structures themselves)
  • Slowed processing between the inner ear and brain

This breakdown in communication is what leads to that:

  • Dizzy
  • Unsteady
  • “Not quite right” feeling

Common Signs of Vestibular Dysfunction

After a concussion, you might notice:

  • Dizziness or vertigo
  • Feeling off balance or unsteady
  • Nausea
  • Blurred or double vision
  • Difficulty focusing or concentrating
  • Sensitivity to light or noise

These symptoms can hang around longer than expected — especially if they’re not addressed properly.

Why Proper Assessment Matters

Every concussion is different.

That’s why a thorough, structured assessment is key — not just rest and wait.

At Fighting Fit, we assess:

  • Your symptoms and injury history
  • Neck, head, and upper body function
  • Balance and coordination
  • Eye and vestibular function (VOMS testing)
  • Specific positional testing (e.g. Dix-Hallpike if indicated)
  • Exercise tolerance using heart rate-based testing

This helps us identify exactly what’s driving your symptoms — not just label it as “concussion.”

How Physio Helps You Recover

Vestibular dysfunction is challenging — but very treatable with the right approach.

Rehab is always individualised, but may include:

Vestibular Rehabilitation Therapy (VRT)

Targeted exercises to reduce dizziness, improve balance, and retrain your system.

Balance & Coordination Training

Rebuilding your ability to move confidently — from daily tasks to sport.

Eye & Head Movement Work

Improving how your eyes and head work together, especially if visual symptoms are present.

Gradual Return to Activity

Structured progression back to:

  • Daily life
  • Work or school
  • Training and sport

Education & Guidance

So you understand what’s happening, what’s normal, and how to move forward with confidence.

The Key Message

Concussion recovery isn’t just about waiting for symptoms to pass.

👉 It’s about actively addressing what’s been affected.

Vestibular dysfunction is one of the most overlooked pieces — and one of the most important to treat early.

Don’t Let a Concussion Drag On

If you’ve had a head knock and still don’t feel right — whether it’s days or weeks later — it’s worth getting assessed properly.

At Fighting Fit, we:

  • Identify the exact drivers of your symptoms
  • Use targeted rehab to address them
  • Guide you safely back to sport, work, and daily life

 

Ready to feel steady again?

👉 Book in with the Fighting Fit team and take control of your recovery.

Kyle Wells

Kyle Wells is a Physiotherapist at Fighting Fit Physio.

He has a special interest in arthritis, neck pain and tendinopathy. Just to name a few.

Kyle loves cross fit and has an exceptional eye for technique and performing exercise correctly.

He use exercise to improve patient results and get them moving better for the long term.

PrevPreviousThe Importance of Metabolic Testing for Athletes: Why You Should Be Testing, Not Guessing
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Fighting Fit Physiotherapy is located at 3 / 25 Brendan Dr, Nerang, Gold Coast, QLD, 4211

Call Now: 0402 938 661

Email: admin@fightingfitphysio.com.au

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At Fighting Fit Physiotherapy, we recognise the impacts that pain and dysfunction can have on one’s personal and professional life. We are committed as primary healthcare professionals to help our clients resume their lifelong pursuit of health and well-being.

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I had a really bad shoulder and had been seeing a different physio for 3 months (from a different place) I got told Tyson was good. After just a few sessions the movement was coming back. I’m 66 and was worried I would have to stop surfing. But with a lot of help from Tyson I’m back in the waves ( thank you so so much)
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Be AWARE they’ll immediately try to commit you to multiple follow up sessions after your initial consultation. This happened to me and then I later found out that as it just so happens, they have a cancellation policy that says you have to pay 100% of the consultation fee for cancelling. They failed to tell me this when they were pushy in committing me to 6 sessions after my consult, so that was a really nice little surprise.

I was already uncomfortable with how pushy they were in having me commit to so many sessions, so when I heard about the policy I just cancelled all together. So, I can’t speak further to the quality of their service throughout therapy phase. FYI this was also a few months ago now, it’s possible (though unlikely) they may have changed the policy. Just ask the question.
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06:51 03 May 24
Fighting Fit Physiotherapy is hands down the best physio I've encountered. Having tried multiple physios for various injuries, I always find myself coming back to them. Their expertise consistently exceeds expectations, helping me get back to my sport faster than I thought possible. Their personalized approach and attention to detail make all the difference. I could not recommend a better or more exceptional physio team!
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08:41 24 Mar 23
Can't recommend this place high enough. I was in so much pain with my knee an had been for months through advise an exercises I'm now looking forward to returning to gym an back riding my horses in endurance thank you so much
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Courtney Halse
01:36 29 Nov 22
Kyle was knowledgeable, personable and professional. He saw me through my second pregnancy and continued to work with me until 6 months post partum on issues with my back. Would recommend anyone to go and see him.

Also shout out to Georgia on the front desk. She makes you feel welcome and brings a sense of warmth to the place!
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08:07 04 Nov 22
After hip replacement surgery in February I wanted toget back into weight training legs, I started with Mitch 18 weeks ago and after a lot of hard work and sweat I am able to safely train again, I cannot thank Mitch enough for his support,encouragement and knowledge. The staff are friendly and helpful and I always looked forward to my session's
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Robert Parkinson
10:50 15 Aug 22
This is the second time I have been treated by the team at FFP.
As a health professional myself I have been impressed with the level of care I have received from all members of the team.
The personalised treatment and rehabilitation programs have produced excellent results and I have completed both programs pain free and feeling stronger than before my injuries.
During the program there was constant communication and follow up and they were very accommodating with my work schedule.
All in all it was a very holistic experience and I would highly recommend the service.
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07:30 08 Jun 22
Tyson was amazing! We came up with an 8 week plan at my first consultation with weekly check ins and updates to exercises. 8 weeks later, I am pain free and able to train harder than ever. Highly recommend and the staff are all fantastic and super accomodating!

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Fighting Fit Physiotherapy Nerang Gold Coast

fighting fit
physiotherapy

call 0402 938 661

Fighting Fit Physiotherapy provides the ultimate physiotherapy experience! No matter what type of injury or condition you suffer, we strive for all our patients to be ‘fighting fit’ and achieve peak performance in their sport and everyday life.

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OUR SERVICES

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Fighting Fit Physiotherapy Nerang Gold Coast

fighting fit
physiotherapy

GOLD COAST PHYSIO

Fighting Fit Physiotherapy provides the ultimate physiotherapy experience! No matter what type of injury or condition you suffer, we strive for all our patients to be ‘fighting fit’ and achieve peak performance in their sport and everyday life.

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Our Location

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