How Physical Therapy Can Help Vertigo

Many people don’t realize that physical therapy can help with vertigo. Vertigo is the feeling of dizziness or spinning that we all feel at least occasionally, but it can become a serious and debilitating problem. If that happens, physical therapy can help those who suffer recover and improve their quality of life.
Many people seek relief from an Ear, Nose, and Throat (ENT) specialist or eye doctor but do not realize that physical therapy should be an integral part of their treatment.
Generally speaking, there are two kinds of vertigo that physical therapy can help with: Positional Vertigo and Vestibular Hypofunction.
Positional Vertigo
Characteristics
- Dizziness associated with change of head position
- Usually occurs when lying down
- Lasts no more than one minute
- Can be caused by a recent sinus infection, changes in altitude (air travel) or head injury.
- Sometimes symptoms can occur without cause
- Those who have recovered from COVID-19 may suffer from intermittent vertigo
How Physical Therapy Can Help
- Guided positional changes to help regulate the vestibular system
- Rolling exercises such as the Epley Maneuver that can be performed while lying down
- Relief can usually be expected in 1-6 visits
It is important to seek treatment for Positional Vertigo early as it can ultimately cause the vestibular system to fatigue and lead to greater problems.
Vestibular Hypofunction
Characteristics
- Sensation of spinning
- Loss of balance
- Visual sensation that objects are jumping, jiggling or vibrating (Oscillopsia)
How Physical Therapy Can Help
- Guided eye movement techniques
- Balancing exercises with eyes closed or open
- Advanced balancing exercises that include walking or cognitive tasks
- Incorporating environmental change during tasks (outdoor vs indoor)
- Individually tailored strength exercises
What Patients Should Do
Avoid sudden movements or position changes and hold onto something when standing up. If you feel dizzy, sit down right away. It also. Helps to spend time in a quiet, dark room to temporarily alleviate symptoms.
Consult your doctor to get a diagnosis and treatment recommendation and make an appointment with a physical therapist who specializes in vestibular disorders.
Our Physical Therapist, Nicole Carbajal, Doctor of Physiotherapy (DPT), provides specialized care for vestibular disorders Contact Mariposa Therapy today to request an appointment.