Vascular dizziness can occur if there are problems with the blood vessels. For example, one cause is orthostatic hypotension. When standing up from a sitting position, our body does not constrict our veins fast enough, causing a sudden drop in blood pressure when standing up. This is fairly easy to treat with the right medication and advice. There are also other causes such as vasospasm, damage to the vessel wall or too much stretch/compression on the blood vessels. This form of vertigo occurs almost exclusively in people with known vascular disease and thus very rare in the general population. Nevertheless, the physiotherapist is trained to recognize early signs and to refer to the appropriate doctor/specialist if necessary.