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Dizziness

Vestibular rehab is an exercise program which is performed to eliminate/minimize dizziness and loss of balance due to an inner ear dysfunction. Our multidisciplinary balance assessment and treatment team provides patients with a comprehensive evaluation of dizziness, unsteadiness, vertigo, and fall prevention. We work closely with the audiologists at the Mary Rutan Hospital Ear, Nose & Throat facility to coordinate appropriate vestibular testing and rehab. Vestibular testing includes hearing evaluation and Videonystagmography Testing (VNG). VNG is a comprehensive test used to determine a person's dizziness. This test includes: eye and head movements and a caloric exam (warm and cool air presented into the ear canal).

Symptoms of inner ear dysfunction:

  • Dizziness.
  • Lightheadedness.
  • Nausea or vomiting.
  • Loss of balance.
  • Tinnitus (ringing in the ears).
  • Hearing loss.
  • Fullness in the ear.
  • Visual disturbances.
  • Nystagmus (involuntary movement of the eyes).
  • Vertigo (spinning sensation).

Common causes of dizziness:

  • Benign paroxysmal positional vertigo (BPPV).
  • Vestibular neuritis.
  • Labyrinthitis.
  • Perilymph fistula.
  • Bilateral vestibular dysfunction.
  • Head trauma.
  • Balance problems.
  • Ménière's disease.
  • Migraines.

Treatment of dizziness:

  • Particle repositioning maneuver in order to correct BPPV.
  • Balance retraining.
  • Eye and head coordination activities.
  • Habituation activities (method in which the brain reduces or compensates for dizziness through repeated stimulation).