Welcome to CITYPHYSIO‘s Blog

The CITYPHYSIO blog is updated weekly by Linda Lewis, our Musculoskeletal Physiotherapist. Here, Linda posts about interesting diagnoses, ideal exercises, and other helpful information.

An Easy but effective Lower Back Exercise Posted 25 November 2014


  • Stand up
  • Place your hands in the small of your back for support
  • Gently circle your hips around your hips and legs that remain relatively still
  • Circle one way then the other
  • Repeat about 6 times each way hourly

Benefits: frees up the joints at the base of the spine and unloads the discs

BBVP – Benign Paroxysmal Positional Vertigo posted 15 November 2014

BPPV occurs when someone experiences dizziness while their head is in a certain position.

It is most common in older people, but can also occur after whiplash inuries, concussion, sports injuries, and some antibiotic medications.

CAUSE: BBPV is caused by crystals (otoconia) floating in the semicircular canals of the ears that increase the densitivity of the canal to velocity, and sends conflicting sensory input into the brain.
SIGNS and SYMPTOMS:  include vertigo, nystagmus and unsteadiness

TREATMENT: Diagnostic tests are performed to determine which of the 6 semicircular canals is affected. This is then followed by a procedure that helps to flush the crystals out of the affected semicircular canal. The procedure is taught to the patient who can then continue with the treatment at home. The most commonly known procedures are the Hlll-Pike-Dix and the Epley maneuvers.