Interprofessional collaboration between a family physician and physiotherapist in home-based primary care for debilitating vertigo in a patient with Meniere disease: Experience and outcomes.

Meniere's Disease (MD) is a chronic inner ear disorder that presents with episodic vertigo, fluctuating hearing loss, tinnitus, and a sensation of aural fullness. Vertigo, being a multifactorial symptom, requires careful differentiation before initiating vestibular physiotherapy (VPT). This case report presents a 69-year-old male with a 10-year history of hearing loss and tinnitus, who began experiencing recurrent vertigo six years ago, particularly when looking upward. His symptoms significantly interfered with daily functioning and quality of life. The purpose of this report is twofold: first, to illustrate the value of interprofessional collaboration between physiotherapists and family physicians in addressing balance-related impairments, and second, to document the application of evidence-based clinical guidelines from the Academy of Neurologic Physical Therapy (ANPT) for managing vertigo in MD. Treatment included the Epley maneuver, home-based Epley maneuver, a structured gaze stabilization exercise program, and static and dynamic balance exercises. Progress was monitored using the Visual Vertigo Analogue Scale (VVAS) and the Dizziness Handicap Inventory (DHI) on days 1, 15, 30, 60, and 90. The patient showed gradual improvement in function and reduction in vertigo episodes, though overall progress remained moderate due to the chronic nature of the condition. This case underscores the importance of individualized, long-term VPT and collaborative care in improving patient outcomes in MD.