Types of therapy

There are 4 general categories of therapy.  More than one of these may be indicated to make the patient better as quickly as possible.

Self Directed Exercises

Home based therapy which the patient does on his own. Each program is individually and especially designed for the patient based on test results and the situations which bring on symptoms. This approach is most commonly used with patients that do not require supervision during exercise.  Best results occur when the patient spends 20-30 minutes per session two to three times a day.  Most patients report a significant reduction in their symptoms within a two to four week time span.

Balance Retraining

For patients who have a loss of balance, unsteadiness or loss of surefootedness.  Most of these patients do not report dizziness or motion intolerance.  We emphasize practical solutions to the common problems of difficulty getting around in the dark, walking on uneven surfaces and moving unencumbered on ramps or stairs.  Fall prevention, movement coordination, and improved participation in everyday activities are all high priorities of the program.

Vestibular Rehabilitation

Designed for the patients whose symptoms may be severe and who requires supervision during exercise.  Therapy sessions include the use of vestibular therapy equipment which most people enjoy.  For older patients, there is an emphasis on fall prevention.  Typically the patient participates in two or three 60 minute sessions per week, with an average of 8-12 sessions.  As the patient progresses, home exercises are added to accelerate the results.

Canalith Repositioning/Liberatory Maneuver

Designed for an inner ear condition called Benign Paroxysmal Positional Vertigo (BPPV). This condition occurs when the salt-like crystals in the inner ear called otoconia become dislodged and float within the canals of the vestibular system.  Treatment includes one or two 20 minute visits as the crystals are gently repositioned.