ReBalance Physical Therapy

ReSolve Dizziness

ReSolve Dizziness

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Statistics:

* Studies estimate that as many as 35% of adults aged 40 years or older in the US have experienced some form of vestibular dysfunction.(1)

* 80% of people aged 65 years and older have experienced dizziness.(2) BPPV, the most common vestibular disorder, is the cause of approximately 50% of dizziness in older people.(3)

Did you know?

* Your vestibular system includes both your inner ear and parts of the brain that control balance and eye movement.

* Vestibular disorders may develop from viruses, diseases, injury (including falls, concussions, and car accidents), toxins, heredity, or from aging alone.

* If you are suffering from any of the following symptoms, you may have a vestibular disorder:

Vertigo (Spinning/whirling sensation)
Dizziness (Lightheaded or floating sensation)
Motion Sensitivity
Visual Disturbance/Sensitivity or Double Vision
Tinnitus (Ringing in the ears) or Hearing Loss
Poor Balance/Unsteadiness
Rocking/Swaying Sensation
Nausea
Headache or Migraine
Difficulty Thinking/Concentrating ("Brain Fog")

*If you have one or more of these symptoms, I can help you determine the cause (or categorize your dizziness), develop a personalized treatment program unique to your needs, help you understand your symptoms, and refer you to other specialists in the area if needed.

REFERENCES

(1) Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of balance and vestibular function in US adults. Arch Intern Med. 2009; 169(10): 938-944.

(2)Ator GA. Vertigo-Evalutation and Treatment in the Elderly.

(3) Fife TD, Iverson DJ, Lempert T, Furman JM, Baloh RW, Tusa RJ, Hain TC, Herdman S, Morrow MJ, Gronseth GS. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review): report of the Quality Standards Sumcommittee of the American Academy of Neurology.Neurol: 2008; 70: 2067-2074.

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What Do Treatments Involve?

Treatment methods are based on detailed questioning and thorough assessment of your particular vestibular/dizziness history and problems.
Your unique treatment program will most likely involve a home program in conjunction with in-clinic treatments.
Treatment modalities range from canalith repositioning maneuvers (e.g. Epley and other treatment techniques) for BPPV ("crystals" in your ear), to eye/gaze stability exercises, balance re-training, neck/eye coordination exercises, vision therapy, gait training, motion/vision desensitization (habituation) exercises, manual therapy for normalizing neck movement and resolving neck/headache/ear/jaw pain, instruction in exercises and strategies to overcome or cope with symptoms, education about lifestyle modifications, and/or migraine trigger identification/management. Treatment plans may include referrals to PCP or specialists for further diagnostics.
Typically, treatment also involves education regarding the anatomy, role, and function (or dysfunction) of the vestibular system in order to help you gain a better understanding of your condition, and of the recovery process for your unique circumstances.

Awards

2018 and 2019

Best of Corvallis Award

for Physical Therapist

by Corvallis Award Program

Educational Content/Resources:
ReBalance PT on Facebook

Interested in articles, current information, and other resources regarding dizziness, balance issues, migraine, visual disturbances, and tinnitus?

Then check out the ReBalance Physical Therapy Facebook page at RBPT. Dizzy to learn more.

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Vestibular Disorders Association (VEDA)

To learn more about the national Vestibular Disorders Association (VEDA) based out of Portland, Oregon, click the button below, or continue to scroll down if you are interested in more information about specific vestibular disorders.

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Vestibular Disorders: Let's Get More Specific!

Are you ready to get back your life?

See how I can help!

Jill Popowski, PT, MPT, CCVT

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The Vestibular System

What role does the vestibular system play in balance?

Balance and Vestibular Disorders

What does it feel like to have a vestibular disorder?

Top Ten Facts about Vestibular Disorders

1. The vestibular system includes the parts of the inner ear and brain that process sensory information involved with balance.

2. Over 35% of US adults aged 40 years and older (69 million Americans) have had a vestibular dysfunction at some point in their lives.

3. Vestibular disorders can be caused by disease, injury, poisoning by drugs or chemicals, autoimmune causes, traumatic brain injury, or aging. Many vestibular disorders occur from unexplained causes.

4. Symptoms of vestibular disorders include dizziness, vertigo (a spinning sensation), imbalance, tinnitus (ringing in the ears), fatigue, jumping vision, nausea/vomiting, hearing loss, anxiety, and cognitive difficulties.

5. Vestibular disorders are difficult to diagnose. It is common for a patient to consult 4 or more physicians over a period several years before receiving an accurate diagnosis.

6. There is no “cure” for most vestibular disorders. They may be treated with medication, physical therapy, lifestyle changes (e.g. diet, exercise), surgery, or positional maneuvers. In most cases, patients must adapt to a host of life-altering limitations.

7. Vestibular disorders impact patients and their families physically, mentally, and emotionally. In addition to physical symptoms such as dizziness and vertigo, vestibular patients can experience poor concentration, memory, and mental fatigue. Many vestibular patients suffer from anxiety and depression due to fear of falling and the loss of their independence.

8. Common vestibular disorders include benign paroxysmal positional vertigo (BPPV), Ménière’s disease, labyrinthitis, vestibular neuritis, and vestibular migraine.

9. In the US, medical care for patients with chronic balance disorders exceeds $1 billion per year.

10. The Vestibular Disorders Association (VEDA) is the largest patient organization providing information, support, and advocacy for vestibular patients worldwide.

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Vestibular Disorders:
Stories and Symptoms

Discusses understanding and coping with

your symptoms along with

challenges in getting an accurate diagnosis.

Vestibular Rehabilitation Therapy (VRT)

What is it? Who should do it? What might you experience during testing? What should you expect from treatment?

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The Psychological Impacts of Vestibular Disorders

Vestibular disorders affect more than just your balance. They can impact your emotions, self-confidence, concentration, memory, and ability to maintain your previous work and family roles, and your lifestyle.

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How to Apply for Disability (due to a vestibular disorder)?

Sometimes work is no longer an option due to fluctuating and unpredictable symptoms or due to permanent loss.

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Concussion Webinars

Youth Concussion

Prevention, Awareness, Understanding, and Resources.

Concussion and Dizziness

How are the two related?

Concussion and mild Traumatic Brain Injury (mTBI)

What causes the dizziness, and how should it be treated?