04 · Condition
Vestibular therapy for BPPV, post-concussion symptoms, and unexplained dizziness. Specific testing and graded exercise to settle the inner-ear system.
Overview
Dizziness and vertigo are not a single problem. The most common type, Benign Paroxysmal Positional Vertigo (BPPV), is caused by displaced crystals in the inner ear and is usually fixed in one to three visits. Other dizziness patterns come from concussion, vestibular neuritis, cervical spine issues, or general deconditioning. The right treatment depends entirely on the right diagnosis.
Our approach
We start with specific vestibular testing to identify which system is involved: inner-ear positional testing for BPPV, gaze stability and balance testing for vestibular weakness, and cervical screening when the neck is contributing. From there the treatment is targeted: canalith repositioning for BPPV, gaze stabilization and habituation exercises for vestibular loss, and graded return-to-activity for post-concussion cases.
The arc of care
BPPV is often resolved in one to three sessions. Post-concussion and vestibular-loss cases typically take four to ten weeks of focused work. Most patients see meaningful change inside the first two weeks.