Dizziness is a common condition that many experience as they age. Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vestibular vertigo accounting for approximately 20–30% of diagnoses in specialized dizziness clinics1.
If you are searching for dizziness treatment in Reading, PA or are looking for vestibular rehab in Reading, PA, we can help.
Various diagnoses that we regularly and successfully treat include:
- Vestibular Neuronitis
- Post-Concussive Syndrome
- Motion Sensitivity and or Sickness
- Migraine Related Dizziness
- Drug Therapy Related Dizziness
- Impaired Mobility
Our physical therapists help reduce symptoms of lightheadedness, vertigo, and motion sensitivity, as well as improves overall balance, as well as confidence and safety in mobility.
Vestibular Rehabilitation is a physical therapy specialty involving the evaluation of the inner ear.
Improper functioning of the inner ear can result from several factors that include improper positioning of crystals of the inner ear, viral infection, central nervous system contributions and natural age-related changes. It is usually an assessment employed in the evaluation of dizziness or imbalance. A thorough history is taken for the therapist to understand details of symptoms, circumstances of onset and the functional impact of the condition. In the physical examination, the therapist performs specific tests that involve detailed viewing of specific head and eye motions and body positional changes that provide stimulus to the inner ear. Responses to these tests are recorded in addition to performance during challenges of balance. Once the testing is complete, the therapist evaluates responses to testing and constructs a customized treatment program designed to address the areas of interest such as reducing dizziness related symptoms that may be associated with motion and optimize balance and related function. Throughout the treatment program the patient is evaluated to measure response to treatment and modifications are applied to the patient’s home program but also to the advancement of clinical activities until symptoms are resolved and function is optimized.
Vertigo is a term that is sometimes used to describe what a patient is feeling. It usually implies a sensation of spinning or lightheadedness. Sometimes with nausea or vomiting. If a person is dizzy, they may be told by a friend, acquaintance or medical professional that the condition they have is “vertigo.”
What is important to realize is vertigo is not a diagnosis. It is a symptom that is caused by something else. Although there may be many causes of lightheadedness or dizziness, a person may be advised that “crystals are out” (of position) in their ear. This can be true. The older that we get, the more likely we are to experience a condition formally known as benign paroxysmal positional vertigo or BPPV. When evaluated thoroughly by a knowledgeable medical professional through history and detailed testing, this condition can be clearly identified as to which ear is involved and in what improper location the “crystals” may be located. Only after that evaluation, can one design an approach to fix it.
What's Involved in Vestibular Therapy
Vestibular physical therapy evaluations consist of us:
- Capturing Your Patient History
- Extensive Inquiry Regarding Symptom Description
- As well as Testing of Balance and Walking
- Motion Sensitivity
- Oculomotor Assessment
After your evaluation your physical therapy will develop a comprehensive plan of care to best address your symptoms and meet your goals, at which time frequency and duration of physical therapy treatment is established.
Our therapists are competency trained with more than 15 years experience in evaluating and treating patients with dizziness, vertigo, and balance dysfunctions. With education on the most up to date techniques and treatments, we pride ourselves in providing personalized care in order to assist our patients in achieving their goals. We enjoy working with patients with vestibular dysfunctions as their lives are greatly impacted due to their symptoms and we love seeing our patients return to doing what they want to do without being affected by dizziness or balance problems. After allowing us to help them with their symptoms, our patients are able to return to their normal lifestyles with improved confidence and reduced fear of falling or episodes of dizziness.
With BPPV in its simplest form, a graduated series of head positions are used to reposition the “crystals” into their natural position where they do not cause symptoms of dizziness when the head and body is moved or positioned. Most times the approach and the time to recovery can be rapid and resolved within one to three visits with the evaluating therapist. Sometimes the condition can be stubborn and require more aggressive methods. When the patient fails to respond to conventional methods to treat BPPV, its important they get the proper medical attention through referral to the appropriate specialist.
Can vary from 48 hours to 2 weeks to 3 months dependent on what the cause of symptoms are and how long you have had it prior to seeking treatment.
Most types of vestibular disorders are short term and can be cured.
Treatment in the clinic typically occurs 2-3 times weekly with exercises at home to be performed 1-3 times daily
It is a program consisting of exercise designed by a specialty-trained vestibular physical therapy in order to improve balance and reduce problems associated with dizziness.
Vertigo, dizziness, impaired balance, and disequilibrium are all symptoms that can be due to a vestibular disorder.
Vestibular rehabilitation therapy, Canalith repositioning, leg strengthening, as well as balance training are all used to treat vestibular disorders.
Spinning sensation, nausea or vomiting, headache, sweating, ringing in the ears, abnormal or jerking eye movements.
Vertigo is a feeling of spinning or whirling when you are not actually moving and dizziness can be described as wooziness, lightheadedness, and or unsteadiness, all of which are able to be addressed by vestibular physical therapists.
Medicare and most insurances are accepted for vestibular rehabilitation. Individual plans may vary in coverage, so we ask that you contact us and we will investigate your coverage and benefits for you.
Skilled vestibular/physical therapists provide therapeutic guidance to allow the brain to see the error signals and habituate the responses or adapt. Exercises may initially increase symptoms as the abnormal responses are seen and adapted to by the brain.
I have definitely improved in balance and confidence. The staff has been very encouraging and very professional and so willing to answer questions and give explanations. I would highly recommend Good Physical Therapy. Many thanks to all.
- Grace H.
I came to therapy feeling “off” and kind of “heavy” in general. I also had occasions of severe vertigo where the whole world was spinning. After a few re-positionings on both sides and some hard work on some balance exercises, I started feeling a lot better. I now feel more normal than I have in a long time. My mood has lifted as well. One of the great thing about my experience was that I saw Keith, Nick and Maria during my visits and I never felt like my great experience was ever altered. They were all very qualified and on the same page. Overall, great experience and the therapy really helped.
When I first started this program I had a hard time walking. I had a hard time turning my head side to side. I had no sense of balance. Each week of the program I felt better. They gave me a home program to do and they worked very well. I’m so much better now. I can golf, take care of my lawn and wash my car. Thank you.
– Michael N.