Vestibular Physical Therapy & Rehabilitation

Whether you are experiencing vertigo, dizziness, or a vestibular balance disorder, we can help.

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Balance is an integral part of daily life and one that most people take for granted. However, there are a number of conditions that may impair the sense of balance and contribute to dizziness, vertigo, or even unexpected falls. According to the CDC, it’s estimated that one out of four people over the age of 65 will fall during the next year.

What are the Symptoms of a Balance & Vestibular Disorder?

Vestibular disorders are common but can sometimes be tricky to diagnose. Some signs and symptoms that you might be experiencing a vestibular disorder might include:

  • Balance problems or stumbling when walking
  • Difficulty balancing on uneven ground, in places with poor lighting, or at night
  • Feeling the need to intently focus on your balance when moving around
  • Loss of confidence in your ability to balance with daily activities and using furniture for support
  • Vertigo, which is a sense of you spinning or your environment spinning
  • Dizziness, particularly that is brought on by head or body movements
  • Dizziness or discomfort that is brought on by looking at busy patterns or being in busy environments
  • Sensitivity to noise or reduction in hearing, possibly even ringing in the ear (tinnitus)
  • Loud sounds inducing dizziness or vertigo
  • Motion sensitivity or discomfort
  • Nausea that is brought on by movement or movement around you
  • Visual changes, particularly when moving, walking or riding in a car
  • Difficulty focusing or noticing jumping or bouncing in your vision

What Causes a Balance & Vestibular Disorder?

Here are some vestibular disorders (both inner ear and central nervous system disorders) which can cause the above symptoms that might benefit from vestibular rehabilitation:

  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Vestibular neuritis
  • Vestibular labyrinthitis
  • Vestibular migraine (VM)
  • Persistent Postural Perceptual Dizziness (PPPD)
  • Meniere’s disease
  • Superior canal dehiscence
  • Vestibular loss due to medication toxicity
  • Acoustic neuroma (vestibular schwannoma)
  • Age-related vestibular dysfunction
  • Mal de Debarquement Syndrome (MdDS)
  • CANVAS syndrome
  • Endolymphatic hydrops
  • Stroke (particularly cerebellar or lateral medullary stroke)
  • Certain central nervous systems tumors
  • Multiple Sclerosis
  • Vertebrobasilar insufficiency
  • Other central nervous system disorders

How Can Vestibular Therapy Help?

Virtual Reality Vestibular Physical TherapyOur vestibular physical therapists can perform a comprehensive evaluation to help you pinpoint the underlying causes of your dizziness, vertigo and/or balance disorder. They use state-of-the-art equipment for the assessment and treatment of balance, including goggles with infrared technology and sensory organization testing. Many of our therapists also have specialty certifications in vestibular rehabilitation, assuring that you are getting the best care.

Your therapist may also determine that you could benefit from therapy with the innovative SMART Balance Master®. This interactive technology allows your therapist to control the surface where you stand, as well as your visual environment, during therapy sessions to systematically evaluate and address each component of your balance control. They can then adjust your exercises as your balance and capabilities improve. Learn more about the SMART Balance Master® on our rehab technology page.

At Sheltering Arms, our therapy treatments combined with a regular exercise program at our fitness centers can improve your strength, balance, and mobility to help reduce the risk of a future fall and further injury.


Make an Appointment with a Vestibular Therapist or Ask a Question

If you have questions about which balance and vestibular therapies are right for you, complete the form below or call at (804) 764-1000.


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