• a condition in which the crystals in the inner ear are displaced and create Vertigo (dizziness)

• can be experienced as sudden spinning in particular positions – usually bending over, lying down, or tipping your head to the side. This spinning feeling is intense and lasts a few seconds to a few minutes, and can cause extreme nausea and vomiting in some cases.

• The onset of BPPV is correlated with many things and has no true known cause. These correlations include: acute viruses, traumatic impact to the head, whiplash, and/or use of antibiotics. Clinically, we have noticed BPPV is highly correlated with chronic neck pain and/or high stress levels.

You’re going to get better in … 1 to 4 visits!

BPPV Treatment Includes:

• Epley’s Maneuver (replacement of crystals in inner ear) – or variations of this maneuver, depending on where your crystals are displaced

If further rehab is needed:

• Vestibular Rehabilitation (therapeutic exercise to strengthen inner ear function & body’s ability to balance)

• Joint Mobilization

• Joint Manipulation

• Therapeutic Massage

• Trigger Point Dry Needling

• Associative Awareness Technique (AAT)

• Neck joint inflammation or dysfunction and neck muscle tightness that results in Vertigo (dizziness) or disequilibrium

• Usually experienced as the inability to focus, wooziness, lightheadedness, or feeling like you are on a boat. It can be experienced as intense dizziness and spinning, although rare.

• Can be caused by acute injury to the neck, chronic neck pain, untreated neck injuries, whiplash, and/or poor posture or stomach sleeping

You’re going to get better in … 8 to 12 visits!

Treatment Can Include:

• Proprioceptive Training (position sensors in the neck joints)

• Joint Mobilization

• Joint Manipulation

• Therapeutic Massage

• Trigger Point Dry Needling

• Associative Awareness Technique (AAT)

• A problem in one of the body’s systems that the brain uses to balance – these systems include vision (Oculomotor), inner ear function (Vestibular), and touch sensors in the feet, spine, and particularly in the neck joints (Proprioception)

• Your Physical Therapy Evaluation will determine which system is malfunctioning and your PT will treat it accordingly to get you back to normal function.

• Can be experienced as feeling of dizziness, nausea, spinning, wooziness, feeling light-headed, or loss of balance

• Can be caused by several issues: acute virus, crystals in inner ear out of place (BPPV), inflammation in the inner ear, injury to ligaments or joints anywhere in the body (particularly in the neck), travel on a boat or plane, and/or use of some medications

You’re going to get better in … 8 to 16 visits!

Dizziness (Vertigo) Treatment Includes:

• Epley’s Maneuver for BPPV (replacement of crystals in inner ear)

• Vestibular Rehabilitation (therapeutic exercise to strengthen inner ear function & body’s ability to balance)

• Joint Mobilization

• Joint Manipulation

• Therapeutic Massage

• Therapeutic Exercise Prescription

• Trigger Point Dry Needling

• Associative Awareness Technique (AAT)

• Loss of balance is the body’s inability to balance, walk or stand steadily

• This feeling can be experienced as: disequilibrium, unsteadiness on feet, the need to hold on to things while walking or standing, or tripping/falling

• Loss of balance can be caused by several issues including: the natural progression of aging, injury to joints in the legs and feet, some medications, or long term alcohol use

You’re going to get better in … 8 to 16 visits!

Balance Treatment Can Include:

• Vestibular Rehabilitation (therapeutic exercise to strengthen inner ear function & body’s ability to balance)

• Proprioceptive Training (position sensors in the legs & spine joints)

• Joint Mobilization

• Joint Manipulation

• Therapeutic Massage

• Therapeutic Exercise Prescription

• Trigger Point Dry Needling

• Associative Awareness Technique (AAT)

• Tinnitus ear ringingTinnitus is when abnormal sounds appear within the inner ear

• Can be experienced as ear ringing, clicking, wooshing, rumbling, humming, etc.

• Can be caused by several issues including: neck tension and or joint dysfunction, stress

You're going to get better in .... 6 to 12 visits!

Tinnitus Treatment includes:

• Joint Mobilization

• Joint Manipulation

• Therapeutic Massage

• Can include Trigger Point Dry Needling or desensitizing the central nervous system (Associative Awareness Technique)

• Individualized Therapeutic Exercise to improve neck muscle and joint balance

• Vestibulitis is inflammation or dysfunction of the inner ear canal system used for balance (Vestibular system) resulting in Vertigo or disequilibrium

• It can be experienced as dizziness, nausea, wooziness, lightheadedness, loss of balance or feeling like you are on a boat

• It can be caused by acute virus, aging, travel on a boat or plane, and/or use of some medications

You’re going to get better in … 8 to 12 visits!

Vestibulitis Treatment Includes:

• Vestibular Rehabilitation (therapeutic exercise to strengthen inner ear function & body’s ability to balance)

• Joint Mobilization

• Joint Manipulation

• Therapeutic Massage

• Trigger Point Dry Needling

• Associative Awareness Technique (AAT)