Persistent Postural-Perceptual Dizziness (3PD) is dizziness and unsteadiness that is present for more days than it is not and has lasted for three months or more.

Signs and Symptoms

The signs and symptoms include:

- Persistent sensations of rocking, swaying or unsteadiness

- Dizziness with or without vertigo

They are often exacerbated by:

- Upright postures
- Head or body movements
- Exposure to certain environments and complex moving stimuli (shopping centres, crowds, traffic etc.)
- Performance of tasks that require precise visual focus (e.g. reading, using a computer)


3PD can start shortly after an event that causes acute vertigo, unsteadiness, dizziness or disruption of balance. It may occur due to alterations in postural control, visual perception of space and processing of vestibular and visual stimuli in the brain. Anxiety and depression can increase the likelihood of developing 3PD.

The following conditions that may trigger the onset of 3PD include:

- A peripheral or central vestibular disorder (e.g. BPPV, vestibular neuritis, Ménière’s disease, stroke)
- Vestibular migraine
- Panic attacks with dizzinessandnbsp;
- Mild traumatic brain injury (concussion or whiplash)

  • 15 Years Experience

    Melinda has over 15 years' experience as a Physiotherapist, she is a titled Musculoskeletal Physiotherapist and a specialist in Vestibular Rehabilitation.

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    If you have symptoms of Dizzyness, Vertigo or Balance issues. Contact us today for an appointment.

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