Vestibular rehabilitation (for balance) is often an effective alternative to medication and surgery or a life of frustration and immobility.

Vestibular rehabilitation is an exercise-based treatment approach for patients who experience movement-related dizziness and  disequilibrium. These symptoms result from pathology within the vestibular system that diminish a person's quality of life, ability to function at work, and ability to participate in social activities. Secondary symptoms that result from immobility include loss of range of motion, decreased strength, decreased flexibility, increased tension in neck and shoulder muscles, fatigue and headaches.

Our approach to vestibular deficiency has been shown through well documented research to facilitate central nervous system compensation or adaptation. A comprehensive assessment by a physical or occupational therapist can identify the types of strategies a person uses to balance, the integrity of his musculoskeletal system, gait abnormalities, eye/head coordination, and motion perception. In addition, a careful assessment will help determine how well a person utilizes his three senses to maintain balance. Patients diagnosed with benign paroxysmal positional vertigo (BPPV) will be treated with an appropriate repositioning maneuver that is consistent with their pathology.

After assessment, an individualized exercise program is developed to improve postural control and gaze stabilization, and to reduce movement or positional dizziness. Patients may also be instructed in relaxation exercises to reduce muscle tension and fatigue. A physical conditioning program is also initiated to improve endurance and increase mobility. Fitness activities include walking, biking, swimming, and rowing. It is essential that some kind of physical activity be continued on an ongoing basis and become a life-long practice.

Education is extremely important to help patients understand the cause of their symptoms and how to manage them. Vestibular rehabilitation utilizes a home exercise program that is preformed daily. In addition to their home exercises some patients are seen in the department one to two times per week for progression and modification of exercises.

There are many causes for dizziness which may or may not include the vestibular system. It is important that patients entering a rehab program, have a diagnoses. Generally, referrals will come from otolaryngologists or neurologists who have ruled out underlying pathologies through examination and testing.