Alan Sealy Q&A webinar Dizziness

Dizziness assessment and treatment are the main focus, with particular attention to how physiotherapists can reason through complex presentations. Alan Sealy explains his background in vestibular rehabilitation and manual therapy, then explores how dizziness often involves overlapping components rather than a single cause. A key theme is distinguishing cervical and vestibular influences: neck dysfunction alone does not define “cervical dizziness,” so clinicians should test whether changing the neck actually changes the patient’s dizziness. The discussion also covers BPPV assessment and treatment, including when to persist with repeated maneuvers, how nystagmus guides diagnosis, and why some cases take longer to resolve. Other important topics include the role of vision, compensation after vestibular loss, head impulse and head shake testing, muscular tension linked to vestibular dysfunction, and the relationship between dizziness, headache, and neck pain. A strong practical message runs throughout: focus on the patient’s current functional difficulties, not only on diagnostic labels. Learners can expect guidance on clinical reasoning, exercise dosing, manual therapy integration, patient education, and improving confidence when working with dizzy patients.