How can I effectively counsel patients on lifestyle modifications to manage chronic vertigo symptoms?

Effective counselling for patients on lifestyle modifications to manage chronic vertigo symptoms includes the following key points:

• Reassure patients that symptoms often improve over time due to central vestibular compensation, even if recovery is fluctuating and may temporarily worsen. This reassurance helps reduce anxiety and supports adherence to management plans ¹,².
• Advise on activity: Encourage patients to resume activity as soon as possible after the acute phase, as early mobilisation can promote vestibular compensation and improve recovery. Bed rest should be limited to severe acute episodes, ideally no more than 3 days ¹.
• Identify and avoid exacerbating factors such as alcohol, tiredness, and intercurrent illness, which can worsen balance and vertigo symptoms ¹.
• Provide safety advice: Counsel patients to avoid driving or operating heavy machinery when dizzy or at risk of sudden vertigo episodes, in line with DVLA guidance. Also discuss fall prevention strategies at home and workplace safety if relevant ¹,².
• Encourage multidisciplinary support where appropriate, including physiotherapy for vestibular rehabilitation, audiology, and psychological support to address the broader impact of chronic vertigo ².
• Offer written information and reliable resources such as NHS leaflets or disease-specific support organizations to reinforce advice and empower self-management ¹,².