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Frequently asked questions

What is vestibular rehabilitation therapy (VRT)?

Vestibular Rehabilitation Therapy (VRT) is a specialized form of physiotherapy aimed at improving balance and reducing dizziness and vertigo symptoms. It involves a tailored program of exercises and techniques to address issues with the inner ear and vestibular system.

What conditions does Dr. Herdman treat with VRT?

Dr. Herdman specialises in treating a range of vestibular disorders, including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, persistent postural perceptual dizziness (PPPD), and post-concussion syndrome, among others. If you’re experiencing dizziness or balance problems, he can help determine if VRT is right for you.

How do I know if I need VRT?

If you’re experiencing symptoms such as dizziness, vertigo, unsteadiness, or difficulty with balance, it’s essential to consult with a healthcare professional. Dr. Herdman can assess your condition and recommend VRT if it is appropriate for your specific situation.

What should I expect during my first VRT appointment with Dr. Herdman?

Your initial appointment will typically include a comprehensive evaluation of your symptoms and medical history. Dr. Herdman will perform various tests to assess your vestibular system’s function and create a personalised treatment plan tailored to your needs.

How long are appointments?

Appointments usually last between 45 minutes up to 1 hour.

Can VRT exercises make my condition worse?

VRT exercises are designed to be safe. They may initially cause some discomfort due to the dizziness or unsteadiness they provoke, but this discomfort typically improves with regular practice as your vestibular system becomes more accustomed to the exercises. Dr Herdman will work with you to customise the exercises, so that they can be tolerated.

Do I need a referral from my doctor to see Dr. Herdman for VRT?

No, you do not necessarily need a referral to see Dr. Herdman for VRT. It is still important to bring with you any letters or results of investigations you have had in the past to your first appointment. Dr Herdman may advise a referral to a physician should you need further investigation after your consultation.

Do you take insurance?

We require full payment at the point of booking. Dr Herdman is not registered with insurance companies. However, some insurance companies will allow you to claim back any fees, so it is important to verify your coverage with your insurance provider before beginning treatment.

Should I continue my VRT exercises at home?

Yes, Dr. Herdman often prescribes home exercises as part of your treatment plan. These exercises are essential for reinforcing the progress made during in-office sessions and can help maintain long-term improvements.

How can I schedule an appointment with Dr. Herdman?

To schedule an appointment with Dr. Herdman, please use the online form on this website. Payment is required in advance of an appointment.

What if I need to reschedule my appointment?

You will be able to reschedule your appointment online up to 48 hours in advance. Any cancellations within 48 hours’ notice will incur a 100% fee.

Where is Keat’s House in London Bridge?

Keats House is located in the heart of London Bridge (see map) – just a stone’s throw from the iconic Shard and next to Guy’s and St Thomas’ Hospital. It is an easy 2-minute walk from London Bridge Station (tube and mainline) and is served by several bus routes. If travelling by car there are a number of nearby car parks (charges apply).
For directions via What Three Words reference:

The postcode is: SE1 9RS

Do you offer virtual consultations?

Whilst this is possible on request, better outcomes are achieved through face-to-face therapy.