Vestibular Rehabilitation Therapy in Bangladesh

Introduction: The Hidden Struggle of Dizziness

Imagine standing at a busy intersection in Dhaka. The rickshaws are ringing their bells, cars are honking, and the crowd is pushing forward. Suddenly, the world tilts. The ground beneath you feels like it’s swaying, your heart races, and a wave of nausea hits you. You aren’t just afraid of the traffic; you are terrified of falling.

Or perhaps it happens in the safety of your own home. You wake up, turn your head to check the time, and the room starts spinning violently.

If this sounds familiar, you are not alone. Thousands of people in Bangladesh suffer from vertigo, dizziness, and balance disorders silently. Many visit general physicians, take medication like Stugeron or Serc for months, and yet, the dizziness returns the moment the medicine stops.

There is a better way.

You don’t have to live in fear. At Dr. Sajib Saha’s clinic, we specialize in Vestibular Rehabilitation Therapy (VRT)—a scientifically proven, drug-free approach to fixing the root cause of your imbalance, not just masking the symptoms.

Why Trust Us? Expert Care by Dr. Sajib Saha

From the Desk of Dr. Sajib Saha & The Clinical Team

When it comes to your hearing and balance, experience matters. With over 15 years of specialized experience in Audiology and Vestibular science, our clinic operates on a foundation of Expertise, Authority, and Trust.

We understand that “dizziness” is vague. In medical terms, your balance is controlled by the Vestibular System located in your Inner Ear. Think of it as the body’s internal gyroscope. When this system fails—due to infection, displaced crystals (Otoconia), or nerve issues—your brain gets confused, leading to vertigo.

Global Standards, Local Care

We do not guess; we test. Our clinic follows the gold-standard protocols set by international bodies like the Vestibular Disorders Association (VeDA) and the Mayo Clinic. However, we have adapted these protocols to suit the specific needs and lifestyle of patients right here in Bangladesh.

Our Technology:
We are proud to be one of the few centers in the region utilizing cutting-edge diagnostics, including:

VNG (Videonystagmography): To track eye movements and pinpoint inner ear issues.
Rotary Chair Testing: To evaluate how well your ears and brain work together.
Computerized Posturography: To objectively measure your balance and fall risk.

What is Vestibular Rehabilitation Therapy (VRT)?

Vestibular Rehabilitation Therapy (VRT) is a specialized form of physical therapy designed to retrain your brain.

When your inner ear is damaged, your brain receives incorrect signals about where you are in space. VRT uses specific head, body, and eye exercises to teach your brain to “compensate” for the missing or incorrect signals. It is essentially physiotherapy for your balance system.

The Goal of VRT

Reduce Vertigo: Minimize feelings of spinning.
Improve Gaze Stability: Help you focus your eyes while moving your head (crucial for driving or walking in crowds).
Prevent Falls: strengthen your balance to navigate uneven surfaces.

Recognizing the Signs: Symptoms We Treat

Many patients in Bangladesh confuse general weakness with vestibular disorders. You might need VRT if you experience:

Vertigo: A sensation that you or the room is spinning (often triggered by turning in bed).
Dizziness: A lightheaded, floating, or rocking sensation.
Imbalance: Stumbling or needing to hold onto walls while walking.
Visual Disturbance: Trouble focusing on text or screens while moving.
Nausea: Feeling sick to your stomach due to motion.
Anxiety: Fear of leaving the house or being in crowded places (supermarkets/bazaars).

Causes & Risk Factors

Why is this happening to you? At Dr. Sajib Saha’s clinic, we identify the specific trigger before starting therapy. Common causes include:

1. Benign Paroxysmal Positional Vertigo (BPPV)

This is the most common cause. Tiny calcium crystals (otoconia) in your inner ear break loose and float into the wrong canal. This causes brief but intense spinning when you move your head.

2. Meniere’s Disease

A chronic condition caused by fluid buildup in the inner ear. It is often aggravated by high salt intake—a common issue with the rich, flavorful diet in Bangladesh.

3. Vestibular Neuritis / Labyrinthitis

An infection of the inner ear nerve, often following a viral fever or cold.

4. Vestibular Migraine

Dizziness caused by migraine headaches, often triggered by the stress, heat, and noise pollution common in urban areas like Dhaka or Chittagong.

The “Why” (Diagnosis): Why Medicine Isn’t Enough

Taking balance suppressants (medication) is like putting a bandage on a fracture; it hides the pain but doesn’t fix the break. In fact, long-term use of these medicines can actually slow down your brain’s ability to recover.

Our Diagnostic Process:
Before prescribing VRT, we perform a comprehensive evaluation:

Clinical History: We listen to your story.
VNG Test: We place special goggles on your eyes to record involuntary eye movements (nystagmus) that reveal inner ear function.
Balance Assessment: We test your stability on different surfaces.

Only after we know the

Treatment Solutions: How VRT Works

At sajibsaha.net, we create a customized exercise plan for every patient. Your brain is plastic (neuroplasticity), meaning it can learn new ways to process balance.

1. Adaptation Exercises

These exercises teach your brain to adjust to the wrong signals from the ears.

Example: Focusing your eyes on a target (like a pen or a dot on the wall) while turning your head side-to-side.

2. Habituation Exercises

If moving a certain way makes you dizzy, we gently expose you to that movement repeatedly until the brain learns to ignore the error signal. This reduces sensitivity over time.

3. Substitution Exercises

We train your other senses—your eyes (vision) and your muscles (proprioception)—to take over the job of balance if the inner ear is permanently damaged.

4. The Epley Maneuver (Canalith Repositioning)

For BPPV patients, we use specialized maneuvers to physically guide the displaced crystals back to where they belong. This often provides immediate relief in just 1 or 2 sessions.

Lifestyle & Diet: Tips for Bangladeshi Patients

Your lifestyle plays a massive role in your recovery. Based on our local environment, here are specific recommendations:

Watch the Salt: Bangladeshi cuisine (shutki, pickles, curries) can be high in salt. Sodium causes fluid retention in the ear, worsening Meniere’s disease. aim for a low-sodium diet.
Stay Hydrated: In our hot and humid climate, dehydration is a major trigger for dizziness. Drink plenty of water, but avoid sugary energy drinks.
Manage Stress: Traffic and noise in our cities increase cortisol, which triggers vestibular migraines. Practice deep breathing or meditation.
Home Safety: Many accidents happen in the bathroom due to slippery tiles. We recommend installing grab bars and using anti-slip mats to prevent falls while you are recovering.

Why You Don’t Need to Travel Abroad

For years, patients believed they had to travel to India, Thailand, or Singapore for advanced ENT and vertigo treatment. This is physically exhausting and financially draining.

World-Class Care is Now in Dhaka.
Dr. Sajib Saha’s clinic is equipped with the exact same diagnostic technology found in top international hospitals.

Save Money: No visa fees, flight tickets, or hotel stays.
accessible Follow-ups: VRT requires consistent sessions. Being local means you can attend your therapy regularly without disruption.
Language Comfort: Discuss your symptoms in Bangla without a language barrier, ensuring your doctor understands exactly how you feel.

Frequently Asked Questions (FAQs)

1. Is Vestibular Rehabilitation Therapy available in Dhaka?

Yes, Dr. Sajib Saha provides comprehensive VRT and advanced diagnostics like VNG right here in Dhaka. You do not need to travel abroad.

2. How long does the treatment take?

It depends on the diagnosis. BPPV (crystals) can often be fixed in 1-2 sessions. Issues like vestibular neuritis may require a customized exercise plan lasting 6 to 8 weeks.

3. Do I need surgery for vertigo?

Rarely. Over 95% of vestibular disorders can be managed or cured through Vestibular Rehabilitation Therapy, medication management, and lifestyle changes without any surgery.

4. Will the exercises make me dizzier?

Initially, you might feel a slight increase in dizziness as we challenge your balance system—this is a sign the brain is learning! However, this sensation decreases quickly as you improve.

5. How much does VRT cost in Bangladesh?

The cost varies based on the required tests and the duration of therapy. We offer transparent pricing and customized packages. Please contact our front desk for current rates.

Conclusion: Stop Living in Fear of Falling

Vertigo is not just a medical condition; it steals your confidence. It stops you from playing with your children, going to work, or even walking to the local market. But it is treatable.

You do not have to rely on sleeping pills or dizziness medication for the rest of your life. With the right diagnosis and a personalized Vestibular Rehabilitation Therapy plan, you can retrain your brain and regain your stability.

Take the First Step Toward Balance Today.

Dr. Sajib Saha and his expert team are ready to help you stand tall again.

Call to Action

📞 Book Your Appointment Today:
Visit us at https://sajibsaha.net/ to schedule your consultation.
📍 Location: Road 35, House 38/A Sanmer Tower -2, Lift 13. Gulshan 2. Dhaka 1212.
📱 Phone: 01711542800

Would you like to read more informative content written by our expert doctors? Then the following articles are just for you.

Visual Vertigo: How Eye and

Vertigo in Children: When Not

Neck Pain and Vertigo: Understanding

Common Causes of Sudden Dizziness

Simple Environmental Changes to Reduce