Dizziness and balance problems after stroke

We often don’t think about our sense of balance until something goes wrong. Our balance system is complex. It requires many different body systems, muscle groups and senses to work in the right way at the right time. Unfortunately, dizziness and imbalance are common after stroke and can have a big impact on daily life.

Dizziness and imbalance can mean different things to different people. Some stroke survivors say they feel ‘light-headed’, others may say they feel ‘unsteady’ or like the room is spinning. While it may be tempting to self-diagnose the problem, it is important you talk to your doctor. This is the first step to working out if symptoms are because of the stroke or something else. Treatment and recovery depend on what is causing it.

If your symptoms get worse suddenly or you are worried, it’s very important to call triple zero (000). Dizziness and changes in balance can be a sign of another stroke.

Our top tips:

• On StrokeLine, we often ask callers to describe how they feel in their own words. For example, do you feel that your environment is spinning? Do you feel light-headed? These examples may not fit your description of the problem and that’s okay. Before you go to your doctor, think about how you can describe what’s happening and its impact.
• Let your doctor know if you notice any patterns. You may find that the symptoms worsen in the evenings, when you’re tired or when moving from lying to sitting positions. Keeping a diary can help you and your doctor notice a pattern.
• Ask your doctor to review your medications as some may cause dizziness and balance problems. As always, it’s very important not to stop or change your medication without a doctor’s advice.

Together with your doctor, you might decide you need to see an allied health professional such as an occupational therapist or physiotherapist. If seeing a physio, find one who has experience with vestibular physiotherapy and stroke. Vestibular physiotherapists specialise in balance disorders.

If you need to access allied health services, your doctor can help with this. Stroke is part of the Chronic Disease Management Plan scheme, which means Medicare will subsidise five allied health sessions each year. If you have private health insurance, you can also use your extras cover.

Your doctor may refer you to community-based rehabilitation, which is provided by therapists at local public hospitals and community health centres. This is a good option if you need access to more than one type of allied health professional. If you have concerns about maintaining your ability to do things, or if you have new goals you want to tackle, community-based rehabilitation can help.

You can find a physiotherapist via the Australian Physiotherapy Association. Call 03 9092 0888 or visit www.physiotherapy.asn.au You can find an occupational therapist via Occupational Therapy Australia. Visit www.otaus.com.au

For more information and advice on your situation, call StrokeLine on 1800 787 653. We are here Mondays – Fridays, 9am to 5pm AEST. You can also contact us via “Ask a Health Professional” in the Community section of EnableMe.

Best wishes,

Lisa and Tahnee, StrokeLine