Benign Paroxysmal Positional Vertigo (BPPV)
Vestibular Rehabilitation at Home
Vestibular Rehabilitation in Asylum Lane
Vestibular Rehabilitation from CareMotion is designed for people with dizziness, vertigo, gaze instability or vestibular imbalance. Care addresses BPPV, vestibular neuritis recovery, unilateral or bilateral hypofunction, motion sensitivity, visual vertigo, imbalance, falls, gaze instability through positional assessment, canalith repositioning when indicated, gaze stabilization, habituation, balance, gait and home progression. Every plan is adjusted to diagnosis, precautions, response and meaningful daily goals.
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1-to-1Home Visit Care
AppointmentBased Scheduling
✓ Qualified Physiotherapy Professionals✓ Home Visits Across Asylum Lane✓ Individual Vestibular Assessment✓ BPPV Positional Testing When Appropriate✓ Canalith Repositioning When Indicated✓ Gaze Stabilization and Habituation✓ Balance and Gait Rehabilitation✓ Falls-Risk and Home-Safety Review
Vestibular RehabilitationAsylum Lane home visits
Professional Home Rehabilitation
Understanding Vestibular Rehabilitation
Our Vestibular Rehabilitation service in Asylum Lane is designed for people with dizziness, vertigo, gaze instability, motion sensitivity or balance problems. Assessment identifies whether symptoms are consistent with a vestibular presentation that can be addressed within physiotherapy scope, and treatment may include positional assessment, canalith repositioning for appropriate BPPV, gaze stabilization, habituation, balance, gait and home progression. Recommendations change according to findings, tolerance, safety and functional goals.
- No travel required for treatment
- Personalized one-to-one physiotherapy sessions
- Treatment plans designed specifically for your condition
- Safe rehabilitation in your own environment
- Improved patient comfort and confidence
- Family members can actively participate in recovery
- Continuous monitoring of recovery progress
- Reduced risk of treatment interruption
- Convenient appointment scheduling
- Suitable for all age groups
Vestibular Neuritis Recovery
Unilateral Vestibular Hypofunction
Bilateral Vestibular Hypofunction
Motion Sensitivity
Visual Vertigo
Gaze Instability
Dizziness With Head Movement
Balance Impairment
Unsteadiness During Walking
Falls Risk Related to Balance Dysfunction
Reduced Confidence With Daily Mobility
Why Choose Vestibular Rehabilitation
Benefits of Vestibular Rehabilitation
Vestibular Rehabilitation in Asylum Lane is planned around individual findings rather than a standard routine. Potential benefits may include progress in goal-focused assessment, safer clinical progression and functional relevance, depending on clinical findings, relevant precautions, tolerance and participation. CareMotion reviews response over time and adjusts the program toward practical, measurable goals without promising a fixed outcome.
Goal-Focused Assessment
Assessment is directed toward BPPV, vestibular neuritis recovery, unilateral or bilateral hypofunction, motion sensitivity, visual vertigo, imbalance, falls, gaze instability.
Safer Clinical Progression
Progression is designed to reduce motion sensitivity, improve gaze control, balance and safe mobility while respecting symptoms and precautions.
Functional Relevance
Tasks are selected for the activities that matter to people with dizziness, vertigo, gaze instability or vestibular imbalance.
Individual Dosage
Elements such as positional assessment, canalith repositioning when indicated, gaze stabilization, habituation, balance, gait and home progression are dosed according to response rather than used as a fixed routine.
Home-Based Practice
Treatment is practised in the environment where daily difficulty occurs.
Patient and Caregiver Education
Education explains safe practice, warning signs and useful support between visits.
Measurable Review
Goals and repeatable functional observations guide changes to the plan.
Coordinated Referral
Findings such as new neurological signs, severe headache, fainting, chest symptoms, sudden hearing loss, continuous acute symptoms or unsafe diagnosis trigger medical or specialist coordination rather than inappropriate treatment.
Why Patients Prefer Vestibular Rehabilitation
- People with dizziness, vertigo, gaze instability or vestibular imbalance
- BPPV
- Vestibular neuritis recovery
- Unilateral or bilateral hypofunction
- Motion sensitivity
- Visual vertigo
- Imbalance
- Falls
- Gaze instability
- People seeking to reduce motion sensitivity, improve gaze control, balance and safe mobility
Comprehensive Physiotherapy Care
When Vestibular Rehabilitation May Help
Vestibular Rehabilitation may be relevant to several diagnoses and functional problems, but treatment is not selected from a label alone. The physiotherapist screens symptoms, medical history, precautions, current function and red flags before recommending care or referral.
Common Clinical Presentations
Vestibular Rehabilitation may be considered when these problems affect safety, movement or participation.
- BPPV
- Visual Vertigo
Functional Difficulties
Vestibular Rehabilitation may be considered when these problems affect safety, movement or participation.
- Vestibular Neuritis Recovery
- Imbalance
Recovery and Participation Needs
Vestibular Rehabilitation may be considered when these problems affect safety, movement or participation.
- Unilateral Or Bilateral Hypofunction
- Falls
Problems Requiring Coordinated Care
Vestibular Rehabilitation may be considered when these problems affect safety, movement or participation.
- Motion Sensitivity
- Gaze Instability
Why Early Physiotherapy Matters
Persistent dizziness or imbalance should be assessed rather than treated with a generic exercise routine. When the presentation is appropriate for vestibular physiotherapy, timely assessment can help identify positional triggers, gaze or balance limitations and falls risk, then guide targeted rehabilitation. New focal neurological symptoms, a severe sudden headache, fainting, chest pain, sudden hearing loss, inability to stand or walk safely, or a new continuous severe vestibular syndrome require prompt medical assessment.
Specialized Physiotherapy Services
What Our Vestibular Rehabilitation Service Includes
CareMotion's Vestibular Rehabilitation service in Asylum Lane combines assessment, education, goal setting and the interventions listed below. Components are selected individually, progressed according to response and coordinated with medical advice when required.
Positional Assessment
Positional Assessment is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Canalith Repositioning When Indicated
Canalith Repositioning When Indicated is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Gaze Stabilization
Gaze Stabilization is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Habituation
Habituation is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Balance
Balance is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Gait And Home Progression
Gait And Home Progression is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Vestibular Rehabilitation Assessment
Vestibular Rehabilitation Assessment is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Vestibular Rehabilitation Home Program
Vestibular Rehabilitation Home Program is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Vestibular Rehabilitation Progress Review
Vestibular Rehabilitation Progress Review is used within Vestibular Rehabilitation when the assessment shows it is relevant to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Our Treatment Process
Your Vestibular Rehabilitation Care Pathway
Vestibular Rehabilitation follows a clear sequence: history and safety screening, relevant physical and functional assessment, shared goal setting, a personalized plan, guided practice, reassessment and discharge or referral planning.
- 1
History and Safety Screen
Review diagnosis, symptoms, reports, precautions and warning signs including new neurological signs, severe headache, fainting, chest symptoms, sudden hearing loss, continuous acute symptoms or unsafe diagnosis.
- 2
Service-Specific Assessment
Assess the movement and functional problems associated with BPPV, vestibular neuritis recovery, unilateral or bilateral hypofunction, motion sensitivity, visual vertigo, imbalance, falls, gaze instability.
- 3
Goal Setting
Agree measurable priorities to reduce motion sensitivity, improve gaze control, balance and safe mobility.
- 4
Personalized Plan
Select appropriate elements from positional assessment, canalith repositioning when indicated, gaze stabilization, habituation, balance, gait and home progression.
- 5
Supervised Treatment
Teach and practise each intervention with the support, dosage and monitoring required for safety.
- 6
Home Practice
Provide a realistic written or demonstrated plan for practice between visits.
- 7
Progress Review
Repeat relevant functional measures and adjust intensity, complexity, assistance or frequency.
- 8
Self-Management or Referral
Build long-term management and refer when findings such as new neurological signs, severe headache, fainting, chest symptoms, sudden hearing loss, continuous acute symptoms or unsafe diagnosis require another clinician.
Positional Assessment
Canalith Repositioning When Indicated
Gaze Stabilization
Habituation
Balance
Gait And Home Progression
Vestibular Rehabilitation Assessment
Functional Goal Review
Home Education
Progress Reassessment
Advanced Treatment Methods
Techniques Used in Vestibular Rehabilitation
Techniques used during Vestibular Rehabilitation are chosen for a specific clinical purpose. Equipment and hands-on methods are not automatic; the physiotherapist considers evidence, precautions, patient preference, tolerance and measurable response.
Positional Assessment
Positional assessment is used when the history suggests position-triggered vertigo and the test can be performed safely.
Canalith Repositioning When Indicated
A canalith repositioning procedure may be used when examination findings are consistent with an appropriate BPPV presentation and there are no relevant contraindications.
Gaze Stabilization
Gaze-stabilization exercises use coordinated head and visual-target movement when clinically appropriate to address gaze instability associated with vestibular hypofunction.
Habituation
Habituation uses graded exposure to symptom-provoking movements when motion sensitivity is appropriate for this approach.
Static and Dynamic Balance Training
Balance tasks are progressed by changing support, sensory conditions, head movement and functional demands while maintaining safety.
Gait Training
Walking practice may include changes in speed, direction, head movement, obstacles and support according to balance risk and goals.
Visual-Motion and Functional Exposure
Selected tasks can gradually reintroduce visually complex or movement-rich activities when these provoke symptoms and are appropriate for rehabilitation.
Home and Falls-Risk Progression
The home programme is progressed around safe mobility, symptom response, environmental demands and practical daily goals.
Tools Commonly Used During Vestibular Rehabilitation
Visual Fixation Targets
Balance Foam or Pad
Stable Chair or Support Surface
Cones or Floor Markers
Step or Stair for Functional Practice
Walking Aid When Clinically Indicated
Exercise Mat
Timing or Metronome Tools
Home Environmental Objects for Functional Practice
Outcome-Measurement and Balance-Assessment Tools
Why the Right Technique Matters
Different vestibular presentations require different interventions. Positional maneuvers, gaze-stabilization work, habituation, balance training and gait practice are selected according to examination findings rather than applied routinely. The physiotherapist reviews symptom response, balance safety and functional measures and adjusts the programme over time.
Why Choose CareMotion
Why Choose CareMotion for Vestibular Rehabilitation?
CareMotion provides Vestibular Rehabilitation with one-to-one attention, documented goals and transparent communication. Home-based sessions can address the patient's real environment while the plan remains guided by clinical findings, safety and appropriate referral.
16Google Reviews
4.8/5Google Rating
1-to-1Home Visit Care
AppointmentBased Scheduling
Assessment Before Treatment
Vestibular symptoms are screened before exercise or positional treatment so the programme can be matched to the presentation and relevant precautions.
Personalized Treatment Plans
Exercise selection and dosage are adjusted to symptom behavior, balance risk, functional limitations and agreed goals.
Home-Based Functional Practice
Home visits allow balance, walking and daily mobility tasks to be reviewed in the environment where difficulties occur.
Evidence-Informed Vestibular Rehabilitation
Approaches such as canalith repositioning for appropriate BPPV and vestibular exercises for suitable hypofunction are selected according to assessment findings and current clinical guidance.
Flexible Scheduling
Home-visit appointment times are arranged according to clinician availability and the patient’s location.
Progress Monitoring
Symptoms, gaze tolerance, balance, walking and functional goals can be reassessed to guide progression or referral.
Clear Patient Education
The therapist explains the working rehabilitation plan, expected exercise response, safety considerations and when medical review is needed.
Referral When Appropriate
Symptoms or examination findings outside physiotherapy scope are referred for medical, ENT, neurological or other appropriate assessment.
- Vestibular Rehabilitation should be individualized, clearly explained and reviewed against meaningful goals. Our role is to support safer movement, practical function and informed self-management while referring concerns outside physiotherapy scope.
CareMotion Physiotherapy Team
Physiotherapists for Vestibular Rehabilitation
Vestibular Rehabilitation is delivered by physiotherapists whose clinical background is matched to the presenting problem. They explain findings, obtain consent, monitor response and adapt the program within professional scope.
Current Clinician Profiles
Clinician details shown on CareMotion pages are loaded from the current CareMotion doctor directory rather than invented in the service copy.
Assessment-Led Care
Treatment decisions are based on the presenting symptoms, safety screening, functional findings and response to rehabilitation.
Vestibular Rehabilitation Methods
When appropriate, the service may use positional assessment, canalith repositioning, gaze-stabilization exercises, habituation, balance and gait training.
Patient-Centered Communication
Goals, exercise response, safety concerns and next steps are discussed with the patient and caregiver when relevant.
Vestibular Assessment
Positional Assessment for Suspected BPPV
Canalith Repositioning When Indicated
Gaze Stabilization Exercises
Habituation Exercises
Balance Rehabilitation
Gait and Functional Mobility Training
Falls-Risk Education
Home Exercise Education
- Professional Communication
- Respect for Patient Privacy
- Clear Explanation of Findings
- Individualized Attention
- Flexible Home Visits
- Assessment-Guided Rehabilitation
- Progress Monitoring
- Appropriate Referral When Needed
Meet Our Physiotherapists
Experienced Physiotherapists for Vestibular Rehabilitation in Asylum Lane
The clinicians shown below are selected according to their configured home-visit service areas and availability. Vestibular assessment and treatment remain within each clinician's professional training, competence and scope.
Dr. Sourav Dutta
- Orthopedic & Geriatric Rehabilitation
- Post-Operative Rehab
- Chronic Pain
- Manual Therapy
Dr. Sariful Islam
- Cardio-Pulmonary Rehabilitation
- Chest Physiotherapy
- Lung Function
- ICU Rehabilitation
Areas We Serve
Home Vestibular Rehabilitation Across Asylum Lane
CareMotion offers Vestibular Rehabilitation home visits in Asylum Lane and selected nearby areas. Availability depends on clinician schedules and travel coverage; confirm the address, preferred time and any access requirements when booking.
Asylum Lane
View detailsLinton Street
View detailsSealdah
View detailsBamboovila
View detailsTaltala
View detailsIntally
View detailsChittaranjan Avenue (Kolkata)
View detailsTiretta Bazar
View detailsHome Visits Available
Appointment-Based Scheduling
Appointments Subject to Availability
Personalized Rehabilitation Plans
Physiotherapy Team
Portable Physiotherapy Equipment
Comprehensive Physical Assessment
Follow-Up Care
Support for All Age Groups
Evidence-Based Treatment
CareMotion
1st Floor, RA-504, Nabapally, Sector IV, Bidhannagar, Kolkata, West Bengal 700105, India
+919123830795Patient feedback
What patients say
4.8Rating
16Reviews
SOURAV DUTTA_physio
Rated 5.0 out of 5 on Google.
Electro Species
CareMotion truly brings healing home. Their team treated us with kindness, respect, and patience from day one. The therapist understood our concerns, explained every step clearly, and designed exercises perfectly suited to the patient’s condition
Khushi Goenka
Dr.Saurabh is an excellent physiotherapist. He really helped me through my rehab journey. Really grateful to him for his help. Thank you
Dr. Swapan Adhikary
Dr. Sourav Dutta, used to provide precise care and strong clinical skill. He understands patient's condition and explains the specific protocol in clear terms. He focuses on safety and consistent progress. He builds trust through careful assessment and effective techniques. I will recommend him to anybody because the quality of care is reliable and professional.
Electro Species
Rated 5.0 out of 5 on Google.
Subham Sarkar
Rated 5.0 out of 5 on Google.
Prativa Mandal
Good experience, specially dr.dutta have efficient knowledge and skillful hand of healing.i have must recommend him to everyone.thank you
Karna Mondal
Caremotion is very good platform.specially Dr Sariful. He is very excellent physiotherapist.
Swapan Patra
Highly satisfied with the physiotherapy treatment. Proper diagnosis, personalized exercise plan, and continuous guidance throughout recovery. Pain relief started within a few sessions and strength improved gradually. Very professional and trustworthy physiotherapist.
Upasana Belel
I took physiotherapy home service from Dr. Sourav Dutta at Caremotion for a slip disc, and I am extremely satisfied with the care I received. Dr. Sourav is highly professional, patient, and knowledgeable. He explained every exercise clearly and always made sure I was comfortable during the sessions. His treatment helped reduce my pain and improved my movement significantly. I truly appreciate his dedication, punctuality, and the friendly way he interacts with patients. I would highly recommend Dr. Sourav Dutta and Caremotion to anyone looking for reliable and effective physiotherapy services.
Affordable Physiotherapy Care
Vestibular Rehabilitation Prices and Packages
Fees for Vestibular Rehabilitation depend on visit duration, clinical complexity, travel, equipment and whether a package is appropriate. The ranges below are indicative for home visits in Asylum Lane; CareMotion confirms the applicable fee before treatment.
Vestibular Rehabilitation Assessment Visit
₹1,000–₹1,500
Initial Vestibular Rehabilitation assessment, safety screening, goal setting and first recommendations.
- Comprehensive Physical Assessment
- Personalized Treatment Plan
- Dizziness and Balance Evaluation
- Initial Vestibular Recommendations
- Home Exercise Program
Vestibular Rehabilitation Starter Plan
₹4,750–₹7,125
Five-visit starter plan for early progression toward reducing motion sensitivity, improving gaze control, balance and safe mobility.
- Multiple Home Visits
- Progress Monitoring
- Exercise Progression
- Symptom-Response Monitoring
- Functional Training
Vestibular Rehabilitation Ongoing Program
₹17,000–₹25,500
Ongoing rehabilitation with reassessment for people who need continued support with BPPV, vestibular neuritis recovery, unilateral or bilateral hypofunction, motion sensitivity, visual vertigo, imbalance, falls, gaze instability.
- Comprehensive Rehabilitation
- Regular Progress Evaluation
- Gaze-Stabilization Progression
- Habituation When Appropriate
- Balance Training
- Gait and Functional Practice
- Home Exercise Monitoring
Advanced Vestibular Rehabilitation Care
₹1,500–₹2,500 per visit
Assessment-based plan when complexity, monitoring, equipment or caregiver training requires additional time.
- Dedicated Physiotherapist
- Advanced Rehabilitation
- Assessment-Based Vestibular Rehabilitation
- Balance and Gait Progression
- Functional Mobility Training
- Regular Clinical Reviews
- Personalized Recovery Goals
- Professional Home Visits
- Vestibular Symptom Assessment
- Personalized Rehabilitation Plan
- Positional Assessment When Appropriate
- Canalith Repositioning When Indicated
- Gaze-Stabilization Exercises
- Habituation When Appropriate
- Balance and Gait Training
- Home Exercise Program
- Progress Monitoring
- Patient Education
Insurance & Payment
Payment and Documentation for Vestibular Rehabilitation
Payment for Vestibular Rehabilitation is made directly to CareMotion unless a separate arrangement is confirmed. Itemized invoices and available clinical documents can support a reimbursement request, but approval and coverage remain the insurer's decision.
Accepted Payment Methods
Detailed Treatment Invoice
Session Records
Treatment Summary
Physiotherapy Assessment Report
Payment Receipts
Documentation for Reimbursement Requests
- Insurance eligibility depends on your individual policy.
- Coverage should be confirmed directly with your insurance provider.
- Customized rehabilitation plans may require additional sessions.
- Travel charges may apply outside standard service areas.
- Invoices are issued for every completed payment.
- Advance booking may be required for extended rehabilitation programs.
Frequently Asked Questions
Frequently Asked Questions About Vestibular Rehabilitation
Vestibular Rehabilitation is appropriate only for selected causes of dizziness, vertigo, gaze instability and imbalance. These answers explain what assessment may involve, which treatments may be considered and when medical review may be needed before or during physiotherapy.
What is Vestibular Rehabilitation?
It is a focused physiotherapy service for people with dizziness, vertigo, gaze instability or vestibular imbalance, aiming to reduce motion sensitivity, improve gaze control, balance and safe mobility.
Who may benefit from Vestibular Rehabilitation?
People experiencing BPPV, vestibular neuritis recovery, unilateral or bilateral hypofunction, motion sensitivity, visual vertigo, imbalance, falls, gaze instability may benefit after assessment and screening.
What happens at the first visit?
The therapist reviews history and function, assesses problems related to BPPV, vestibular neuritis recovery, unilateral or bilateral hypofunction, motion sensitivity, visual vertigo, imbalance, falls, gaze instability, identifies precautions and agrees goals.
Which treatments may be included?
Depending on findings, the program may include positional assessment, canalith repositioning when indicated, gaze stabilization, habituation, balance, gait and home progression.
Is home treatment safe?
It can be appropriate after screening, with the environment, support and dosage matched to risk. Medical review is needed for new neurological signs, severe headache, fainting, chest symptoms, sudden hearing loss, continuous acute symptoms or unsafe diagnosis.
How long is a session?
Most home visits are approximately 45–60 minutes, although complex assessment, monitoring or caregiver training can require more time.
How many sessions are required?
Frequency depends on diagnosis, severity, stage, response, home practice and goals. Progress is reviewed instead of promising a fixed number.
Do I need medical reports?
Previous ENT, neurology, audiology or hospital reports can be helpful when available. Medical review may be needed when symptoms are atypical, acute, progressive or accompanied by red flags.
Can caregivers participate?
Yes. Caregivers can learn safe assistance, positioning, cueing and home practice when this supports the plan.
What should I prepare?
Keep relevant prescriptions, ENT or neurology reports, medication details, hearing information and any walking aid available, and note the positions, head movements or environments that trigger symptoms.
What does Vestibular Rehabilitation cost in Asylum Lane?
Indicative pricing is ₹1,000–₹1,500 per home visit and ₹1,500–₹2,500 for specialized or complex care. The final fee is confirmed before booking.
How do I book Vestibular Rehabilitation in Asylum Lane?
Call +919123830795, use the booking form or message CareMotion on WhatsApp with the diagnosis, location and preferred time.
Explore More Services
Services Related to Vestibular Rehabilitation
Some people considering Vestibular Rehabilitation may also need another physiotherapy or rehabilitation service. Related options below are for navigation; the appropriate pathway depends on assessment findings, diagnosis, precautions and goals.
Neurological Rehabilitation at Home
Broader neurological rehabilitation for people whose balance or mobility problems require a wider neurological programme beyond vestibular-specific care.
View detailsBalance & Coordination Training
Assessment-guided balance and coordination practice that may complement vestibular rehabilitation when postural-control limitations remain.
View detailsGait Training
Walking and functional mobility training for people whose unsteadiness affects safe movement at home or in the community.
View detailsFall Prevention Programs
Falls-risk assessment, home-safety review and functional balance strategies when unsteadiness creates an ongoing safety concern.
View detailsHome Physiotherapy
General home physiotherapy when the patient requires broader mobility or functional rehabilitation beyond a vestibular-specific programme.
View detailsGeriatric Physiotherapy at Home
Home physiotherapy for older adults when dizziness or imbalance occurs alongside age-related strength, mobility or functional limitations.
View detailsCaregiver Training
Practical caregiver education for safe supervision, mobility assistance and home exercise support when clinically appropriate.
View detailsExercise Therapy Programs
Progressive exercise programming for strength, balance, mobility and functional goals when these needs extend beyond vestibular-specific exercises.
View detailsContact CareMotion
Book Vestibular Rehabilitation in Asylum Lane
Speak with CareMotion about Vestibular Rehabilitation appointments, availability, fees and preparation for the first visit. Share the main concern, location and any relevant diagnosis, reports or precautions so the team can guide the next step.
Book Vestibular Rehabilitation in Asylum Lane
Speak with CareMotion about Vestibular Rehabilitation appointments, availability, fees and preparation for the first visit. Share the main concern, location and any relevant diagnosis, reports or precautions so the team can guide the next step.
Start Your Recovery Today
Start Your Vestibular Rehabilitation Plan
Contact CareMotion to discuss Vestibular Rehabilitation in Asylum Lane. The team can confirm service suitability, visit availability, current fees and what reports or medical clearance may be useful before the first assessment.