First visits
Pain
Settle the spinning.
If loose crystals are the cause, canalith repositioning moves them back where they belong. We take the edge off the nausea that rides along with them.
What We Treat
The ceiling swinging when you roll over in bed. The grocery aisle tilting when you turn your head. You’ve started moving slower than you need to, just in case. There’s a reason it happens, and a cause-first evaluation is how we find it.
Sound Familiar?
Two or more? You’ve run your own home for decades. Dizziness doesn’t get to take that over. Keep reading.
Why It Happens
Three things tell your brain where you are: your inner ear, your eyes, and the sensors in your joints. They’re supposed to agree. When one of them sends a bad report, your brain gets three different stories and the room starts moving. The most common culprit is tiny crystals in the inner ear that have drifted out of place, which is exactly why rolling over sets it off. Sometimes it’s inflammation in the balance nerve. Sometimes it’s fluid pressure in the ear, or migraine wiring misfiring between the brain and the ear.
You can’t tell which one from the outside, and guessing wastes months. So we look at your eye movements, your inner ear response, and how your balance reacts when we challenge it. That’s what shows us which system is lying. Vestibular Therapy then retrains the other two to stop believing it, instead of just muting the symptom until the next episode.
The Honest Truth
Nobody regrets starting too early. Plenty of people wish they hadn’t waited.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like when the room won’t hold still.
First visits
Pain
If loose crystals are the cause, canalith repositioning moves them back where they belong. We take the edge off the nausea that rides along with them.
Once the spinning settles
Prime
Gaze stabilization and habituation work teach your eyes and inner ear to line back up, in doses small enough that you can tolerate them.
As balance returns
Perform
Balance retraining on different surfaces, with head turns, in the kind of busy visual places that used to end an outing early.
Before you finish
Prevent
You leave with the repositioning steps, the drills, and the triggers worth watching, so a bad morning doesn’t turn into a bad month. That’s the endpoint, not another appointment.
Questions, Answered
Briefly, sometimes, and that part is on purpose. Retraining a balance system means giving it small, controlled doses of the movement it has been avoiding. Your therapist starts at a level you can handle and builds from there, one-on-one, every visit. If a technique is too much on a given day, we change it that day. You are never parked on a machine to ride it out alone.
You can start with us directly. California Direct Access lets you see a licensed physical therapist for up to 45 days or 12 visits, whichever comes first, with no physician sign-off. We accept 14 insurance plans, and we go through your benefits with you before you commit to anything. If your evaluation turns up something a physician should look at, we will say so and help you get there.
You get a real answer at the evaluation, once we know which system is involved, rather than a guess before it. As a general guideline, 2 to 3 visits a week for 4 to 6 weeks gets the most out of a plan, and sessions run 30 to 60 minutes. Some people need less than that. Either way you get a plan with an endpoint, so you always know which phase you are in and what is left.
Book Your Visit
Request a time and a real person calls you back during business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
We call back during business hours, Monday to Friday
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
Visit Us