Headache, migraine and dizziness resources
Vestibular migraine or an inner-ear disorder: why the difference matters
Melbourne Headache Solutions. First published 15 December 2020. Recovered and editorially updated 28 October 2026 from our archived resource. This is general education, not an individual diagnosis.
Quick answer
Vestibular migraine, BPPV and other balance disorders can produce overlapping dizziness symptoms. They can also coexist. A diagnosis needs a history and appropriate examination, because the treatment for one condition may be unsuitable for another.
What is the distinction?
Vestibular migraine is a migraine condition involving balance or motion symptoms, sometimes without head pain. BPPV is a different disorder involving the inner ear, often noticed with particular changes of head position. Hearing changes can be another important clue for your clinician.
The original MHS article highlighted the frustration of receiving treatment without a clear explanation for dizziness. Its practical message remains useful: establish what is being treated before repeatedly trying exercises or manoeuvres.
What should I describe at an appointment?
Explain whether you feel spinning, rocking, unsteadiness or faintness. Note how long an episode lasts, whether rolling in bed or turning your head provokes it, and whether headache, light sensitivity, hearing changes or ear pressure occur at the same time.
Bring your medication list and previous test results. Tell the clinician about falls, recent illness and head injuries. These details help determine whether a vestibular examination, medical assessment, hearing assessment or another referral is needed.
Why isn't there one dizziness exercise for everyone?
A repositioning manoeuvre for confirmed BPPV has a different purpose from a tailored rehabilitation programme or a migraine management plan. Do not assume that a neck treatment or an exercise found online will address the cause of every dizzy spell.
MHS can discuss headache and dizziness assessment and the next appropriate steps. Treatment choices should follow the findings and be coordinated with your GP or other clinicians where needed. Ask what diagnosis is being considered, what supports it, and how progress will be measured.
Headache and migraine assessment in Melbourne
If recurring symptoms are disrupting your day, you can discuss your history and next steps with Melbourne Headache Solutions. We have clinics in Brunswick, Fitzroy North and Thornbury. Check the current team and appointment options before booking.
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