
Dizzy, Off-Balance, or Just Not Right — and Tired of Being Told It’s Nothing?
Dizziness steals confidence. You start holding the railing, skipping the drive, dreading the grocery-store aisles. And because dizziness has many causes, sufferers often bounce between providers before anyone examines the two systems physical therapy treats directly: the inner-ear balance system and the neck.
Two treatable drivers most people have never had examined
The vestibular system. Your inner ear constantly reports head position to your brain. When it misfires — after an infection, a crystal displacement (BPPV, the feeling of the room spinning triggered by rolling over or looking up), or simple deconditioning — the brain can be retrained. Vestibular rehabilitation uses precise, evidence-based exercises and repositioning techniques to recalibrate the system.
The neck. The upper cervical spine is dense with position sensors that work alongside the inner ear. When those joints and muscles are restricted or irritated — such as after a whiplash injury, with chronic tension, or alongside TMJ dysfunction — the brain receives conflicting position signals. The result is cervicogenic dizziness: unsteadiness, a feeling of disequilibrium, floating or “off” sensations, and dizziness. This typically coincides with neck pain, stiffness, or headaches. Because we specialize in the neck-jaw-head system, this frequently missed driver is exactly the kind of condition we specialize in.
How we treat it
Our evaluation determines which system — or combination — is producing your symptoms, then treatment matches the finding: canalith repositioning for BPPV, graded vestibular retraining for stability and motion tolerance, and hands-on treatment of the upper cervical and related structures for cervicogenic contributions. One-on-one, every visit, with objective retesting so you can see the progress.
FAQs
Clues include dizziness that accompanies neck pain or stiffness, follows sustained postures or neck movement, or began after a neck injury. The evaluation includes specific tests to differentiate the cause.
BPPV often responds in very few visits; retraining and cervicogenic cases vary based on severity and how long you’ve had symptoms. You’ll get a clear plan at your evaluation.
Dizziness with sudden severe headache, chest pain, fainting, slurred speech, facial droop, or limb weakness is an emergency — call 911, not a clinic.
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