Dizziness and vertigo are common yet often debilitating symptoms that can significantly impact an individual's quality of life. Dizziness refers to a sensation of lightheadedness or unsteadiness, while vertigo is a specific type of dizziness characterized by a spinning or whirling sensation. These symptoms can arise from various causes, including head injury, inner ear disorders, colds or other infections, or issues with the vestibular system. We specialize in diagnosing and treating the underlying causes of dizziness and vertigo by using a holistic approach that addresses the complex interactions between the brain, inner ear, and body.

Vestibular rehabilitation is a key component of our treatment, involving exercises designed to improve balance, spatial orientation, and reduce dizziness. Vision therapy may also be utilized to correct eye movement and coordination issues that contribute to symptoms. Additionally, manual therapy techniques and spinal adjustments can alleviate musculoskeletal tensions that affect the vestibular system.

Peripheral Vestibular Disorders

The most common cause of vertigo is benign paroxysmal positional vertigo (BPPV), which triggers sudden dizziness when the head is moved in specific positions, such as when lying down or tilting the head back. This can also lead to nausea and vomiting. Other peripheral vestibular disorders, including vestibular neuritis, Meniere’s disease, and acoustic neuroma, can cause similar symptoms like dizziness, balance issues, and, in some cases, hearing loss.

Central Vestibular Disorders

Central vestibular disorders often follow traumatic brain injury (TBI), concussion (mTBI), chronic peripheral vertigo, or conditions like multiple sclerosis and cerebellar atrophy. Symptoms can resemble those of peripheral vestibular disorders or be quite different, including lightheadedness, imbalance, nausea, motion sickness, slurred speech, and headaches. These disorders typically result from dysfunction in the brainstem or cerebellum.

Autonomic Dysfunction

The autonomic nervous system (ANS) regulates vital functions like heart rate, blood pressure, sleep/wake cycles, digestion, and breathing. Dysfunction in the ANS can cause dizziness, lightheadedness, and vertigo, making it crucial to examine when these symptoms are present.

Diagnostic Testing for Dizziness & Vertigo

  • Neurological Examination

  • Vestibular Examination

  • Computerized Dynamic Posturography

  • Videonystagmography