By: Lisa M. O’Brien, PT, DPT, Cert. DN, AIB-VRC

Dizziness is one of the most common and confusing symptoms reported to healthcare providers. Many people use the word vertigo to describe any sensation of imbalance, lightheadedness, or unsteadiness. In reality, true vertigo is a specific spinning sensation, while many patients experience forms of dizziness that are far more subtle and complex.

The vestibular system, located within the inner ear, plays a critical role in maintaining balance, stable vision, and spatial orientation. When this system is not functioning properly, a condition known as vestibular hypofunction can occur. Vestibular hypofunction means that one or both inner ears are not providing the brain with accurate information about head movement. This mismatch can lead to symptoms such as unsteadiness, difficulty focusing the eyes while moving, nausea, sensitivity to motion, and a general feeling of being off balance.

Unlike brief episodes of room spinning that occur with classic positional vertigo, vestibular hypofunction can cause spinning dizziness that is more intense and lasts much longer than just a few seconds. Rather than short bursts of vertigo, the sensation is often more constant, especially in the acute phase. Many people describe persistent dizziness, disequilibrium, or visual blurring when walking or turning the head. Others report feeling as though they are on a boat, veering to one side, or unable to tolerate busy environments such as grocery stores or crowds. These symptoms can interfere with driving, working, exercising, and performing normal daily activities.

Dizziness can also be complicated by additional factors such as migraines, neck dysfunction, concussions, anxiety, medication side effects, or changes in blood pressure. Because of this, determining the true source of dizziness requires a detailed evaluation rather than simply labeling all symptoms as vertigo. An accurate diagnosis is essential in order to develop the correct treatment plan.

At Professional Rehabilitation Services, we specialize in the evaluation and treatment of vestibular disorders. I am certified through the American Institute of Balance in the management of complex vestibular disorders and concussion care. I have completed advanced training in vestibular rehabilitation and the evaluation and treatment of multifactorial dizziness. This certification allows for a more thorough assessment of eye movements, balance systems, gait, and functional limitations so that treatment can be tailored to each individual.

Vestibular rehabilitation therapy is a research-based approach designed to retrain the brain to adapt to changes in the inner ear. Treatment may include specific eye and head coordination exercises, balance training, gait activities, and techniques to reduce motion sensitivity. Most patients experience significant improvement with a structured, progressive program customized to their specific needs.

No one should have to live with ongoing dizziness, imbalance, or fear of movement. With the proper evaluation and targeted therapy, most vestibular conditions can be successfully managed, allowing patients to return to the activities they enjoy.

At Professional Rehabilitation Services, we specialize in designing a specific program for each patient to ensure successful recovery. Treatment for this condition may include exercises to improve eye and head coordination, balance and gait training, and manual therapy techniques when appropriate to restore normal, confident movement. If you are tired of dealing with dizziness and unsteadiness on a daily basis, give us a call and see what we can do for you.

So, if you or someone you know would like to know more about physical therapy options for a variety of conditions, seek the consultation of a physical therapist at one of our 10 locations or see your physician for a referral to one of our facilities. For further information on this or other related topics, you can contact:

• Lisa M. O’Brien, PT, DPT, Cert. DN, AIB-VRC (Murrells Inlet) (843) 314-3224
• Richard A. Owens, PT, MS, OCS, Cert. SMT/DN/ART, CWcHP (Surfside) (843) 831-0163
• Richard DeFalco, DPT, OCS, CSCS, CWcHP, Cert. DN/SMT/ART (Myrtle Beach) (843) 839-1300
• Jill Phelan, PT, DPT (Conway) (843) 733-3031
• Brian P. Kinmartin, PT, DPT, MTC, OCS, STC, CWcHP, Cert. DN (Pawley’s Island) (843) 235-020
• Brandon Stanley PT, DPT, Cert. DN (Little River) (843) 281-4222
• Zach Daniels PT, DPT, Cert. DN, AIB-VR (Market Common) (843) 213-6338
• Kayla Carlisle PT, DPT, Cert. DN (Longs) (843) 491-0388
• Mackenzie Thacker PT, DPT, Cert. DN (Forestbrook) (854) 223-4832
• uke Coleman PT, DPT, Cert. DN (Carolina Forest) (843) 282-0440

Or visit our website at www.prsrehabservices.com where you can learn more about the company and even download a referral form for your physician to fill out. You can also call and schedule a free 15-minute consultation!