Dizzy & Balance Center

If you experience dizziness, vertigo, lightheadedness, and loss of balance, then you need to see us! Symptoms of pressure or fullness in the ear, blurred vision with movement and balance problems combined with unsteadiness indicate the need for an evaluation from our physical therapists, who specialize in vestibular rehabilitation.

Vestibular Rehabilitation Therapy (VRT)

Is a specialized form of physical therapy for the treatment of dizziness, vertigo, and imbalance. Clinical research demonstrated that vestibular rehab provided by a certified physical therapist can:

  • Significantly reduce the risk of falls
  • Increase independence with activities of daily living
  • Improve balance and postural control
  • Eliminate symptoms of vertigo
  • Some disorders such as BPPV (Benign Paroxysmal Positional Vertigo) are effectively treated in 1-2 visits.

Common Symptoms

Symptoms range from mild dizziness and unsteadiness to serve vertigo lasting from a few seconds to months to years. Other symptoms include:

  • Dizziness
  • Unexplained falls
  • A spinning sensation
  • Difficulty reading or concentrating
  • Headaches
  • Nausea and vomiting due to motion intolerance

Vestibular Examination

The physical therapist who specializes in the complexities of the balance system will examine and perform tests on the areas that affect your sense of balance:

  • Balance Testing
  • Romberg, Dynamic Gait Index, Tinetti
  • Blood Pressure/Pulse
  • Sitting and Standing
  • Visio
  • Visual Acquity
  • Dynamic Illegible ‘E’ test
  • Occulomotor: Pursuit, Gaze, Saccades
  • Sensory Examination
  • Video Frenzel Goggles: Positional Testing

Vestibular Diagnoses Include

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Vestibular Labyrinthitis and Neuritis
  • Meniere’s Disease
  • Acoustic Neuroma
  • Inner Ear problems resulting from over-exposure to antibiotics
  • Traumatic Brain Injury
  • Peripheral Neuropathy
  • Stroke
  • Unilateral or Bilateral Vestibular Loss
  • Peripheral and Central Vestibular Loss

Vestibular Treatments

Treatment for vestibular disorders varies according to the diagnosis. Vestibular Rehabilitation is a drug free approach involving specific exercises to improve balance function, decrease dizziness symptoms, and increase general activity levels.

  • Canalith Reposition Maneuver for BPPV can eliminate vertigo symptoms in one visit in 90% of patients.
  • Vestibular Ocular Reflex exercise progressions are taught to stabilize gaze and reduce dysequilibrium
  • Balancing and Proprioceptive exercises to reduce fall risk and improve balance reactions.
  • Strengthening of key muscle groups to improve balance reactions and reduce fall risk.


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