It usually takes three weeks to recover from vestibular neuritis or labyrinthitis. Recovery happens due to a combination of the body fighting off the infection, and the brain getting used to the vestibular imbalance (compensation). Some persons experience persistent vertigo or discomfort on head motion even after three weeks have gone by. After two to three months, testing (that is,an ENG , audiogram and others) is indicated to be certain that this is indeed the correct diagnosis. A vestibular rehabilitation program, may help speed full recovery via compensation.
In essence, vestibular rehabilitation aims to minimize and ultimately eliminate the central vestibular asymmetry underlying persistent symptoms of imbalance and unsteadiness. It is different from traditional physical therapy of gait and balance disorders arising from biomechanical or central movement disorders such as Parkinson disease or multiple sclerosis. Vestibular rehabilitation can be performed by patients at home using tailored exercises that focus on challenging the main vestibular reflexes (VOR, VSR) and visual interaction with both reflexes.