A Clear Guide to Post-Concussion Vestibular Syndrome
Specialised Recovery for Post-Concussion Vestibular Syndrome
Dizziness, vertigo, or balance problems after concussion? These symptoms are common and usually resolve with targeted rehab, not a sign of something serious. At Harley AVM, we restore stability effectively. Seek urgent AVM care for worsening headaches, vision changes, weakness, or confusion, as these need immediate evaluation.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Balance and Sensory Disruption After Head Injury
An Overview of Post-Concussion Vestibular Syndrome
Post-concussion vestibular syndrome refers to persistent balance, dizziness, and visual–motion symptoms that develop after a head injury or concussion. Even when scans appear normal, the systems that integrate balance, vision, and spatial awareness may function poorly, leading to dizziness, unsteadiness, nausea, blurred vision, or difficulty concentrating during movement.
Symptoms often worsen with head motion, busy visual environments, or rapid position changes. The condition reflects altered processing within vestibular and central pathways rather than ongoing structural damage. Recovery varies between individuals, and symptoms may persist for weeks or months. Accurate identification is important, as targeted assessment helps distinguish vestibular involvement from other post-concussion effects and guides appropriate management strategies.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
Pinpointing the Cause
Diagnosing Post-Concussion Vestibular Syndrome
When to Get Checked
You should get assessed if dizziness, imbalance, or visual–motion sensitivity persists beyond the initial recovery period after a concussion, interferes with work or daily activities, or worsens with movement, screens, or busy environments. Symptoms that fail to improve or fluctuate significantly warrant audiovestibular review.
You should seek urgent assessment if symptoms escalate suddenly or include worsening headache, repeated vomiting, new neurological signs, confusion, weakness, vision loss, or difficulty walking safely. Early evaluation helps exclude complications and guide appropriate care.

How We Assess Vestibular Schwannoma
At Harley Audiovestibular Clinic, our process starts with a consultant knowing your detailed history, exploring concussion details, dizziness onset, vertigo patterns, balance issues, and associated symptoms to identify post-concussion vestibular syndrome. We prioritise unhurried consultations with our consultants, building a personalised picture of your recovery challenges.
We advance with vestibular function tests, balance assessments, oculomotor exams, audiometry, and neurological screening to confirm the diagnosis accurately, ruling out alternatives. Our senior clinicians review these collaboratively for precise insights. This expert pathway distinguishes us, informing tailored rehabilitation that restores stability and function effectively. At Harley AVM, we ensure personalised follow-up for sustained recovery and optimal outcomes.

Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Post Concussion Vestibular Syndrome
Every Post Concussion Vestibular Syndrome case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.