dizziness + balance

BPPV: Benign Paroxysmal Positional Vertigo


  • a condition in which the crystals in the inner ear are displaced and createVertigo (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:
  • Epply’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)




Cervical Vertigo Neck Pain


  • 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)




Dizziness (Vertigo)


  • 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:
  • Epply’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


  • 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 Ringing


  • 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 Inflammation


  • 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)





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