Balance & Vestibular

PT can play a vital role in treating patients with dizziness or impaired balance. Not only can we help distinguish which component of the balance system is affected but also help each patient address their symptoms through canalith re-positioning maneuvers, Vestibular Ocular Reflex (VOR) stabilization exercises and addressing underlying musculoskeletal impairments.

Common Causes of Dizziness


Peripheral Disorders
(treated with canalith re-positioning or compensatory training)

  • Benign Proxysmal Positional Vertigo (BPPV) - affects 1/10 in older population
  • Vestibular Neuritis
  • Ménière's Disease
  • Labyrinthitis

Central Disorders
(often treated with compensatory training)

  • Multiple Sclerosis
  • Acoustic Neuroma - treated after resection
  • Superior Canal Dehiscence - often treated after plugging procedure
  • Cerebrovascular accident (CVA) - stroke
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