• 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)

Neurological movement disorder caused by early brain injury affecting muscle tone, coordination, and motor control.

Usually experienced as muscle stiffness or tightness, poor balance, coordination challenges, abnormal gait patterns, or delayed motor skills. Presentation varies widely depending on severity and type.

Can be caused by injury to the developing brain before, during, or shortly after birth.

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

Treatment Can Include:

Motor Control Training

Gait Training

Balance and Coordination Exercises

Stretching and Mobility Work

Strength Training

Functional Movement Retraining

• 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)

Mild traumatic brain injury affecting brain function, balance systems, and visual processing.

Usually experienced as headaches, dizziness, difficulty concentrating, light sensitivity, balance issues, nausea, or feeling “foggy.” Symptoms may worsen with physical or cognitive activity.

Can be caused by sports injuries, falls, motor vehicle accidents, or direct impact to the head or body.

You’re going to get better in … 4 to 10 visits!

Treatment Can Include:

Vestibular Rehabilitation

Balance Training

Oculomotor (Eye Movement) Therapy

Gradual Return-to-Activity Programming

Cervical Spine Treatment

Exertion Testing and Progression

Neurological injury caused by disruption of blood flow to the brain resulting in weakness, coordination loss, balance deficits, and difficulty with mobility or daily activities

Usually experienced as one-sided weakness, difficulty walking, poor balance, reduced endurance, or challenges with fine motor tasks. Some individuals may also notice changes in coordination, sensation, or spatial awareness.

Can be caused by ischemic or hemorrhagic stroke and may lead to long-term movement impairments without targeted rehabilitation.

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

Treatment Can Include:

Gait Training

Balance and Fall Prevention Training

Neuromuscular Re-education

Functional Strength Training

Task-Specific Motor Retraining

Constraint-Induced Movement Therapy

Progressive neurological condition affecting movement control, coordination, and balance

Usually experienced as slowed movement, stiffness, tremors, shuffling gait, difficulty turning, reduced arm swing, and impaired balance. Fatigue and decreased endurance are also common.

Can be caused by degeneration of dopamine-producing cells in the brain, leading to gradual changes in mobility and function.

You’re going to get better in … 8 to 14 visits!

Treatment Can Include:

Gait and Stride-Length Training

Balance and Postural Stability Training

Functional Strength Training

Dual-Task Training

Amplitude-Based Movement Exercises

• 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)

Neurological condition affecting communication between the brain and body, leading to changes in strength, balance, and endurance.

Usually experienced as muscle weakness, fatigue, balance challenges, numbness, coordination difficulty, or changes in walking ability. Symptoms may fluctuate over time.

Can be caused by autoimmune-related damage to the protective covering of nerves in the central nervous system.

You’re going to get better in … 8 to 14 visits!

Treatment Can Include:

Energy Conservation Training

Balance and Fall Prevention

Gait Training

Neuromuscular Re-education

Strength and Endurance Programming

Functional Mobility Training