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How We Treat Vertigo and Balance Disorders
Thorough Assessment
The first step in your treatment plan is a thorough neurological evaluation. Dr. Ioannidis will assess your specific symptoms, medical history, and any underlying conditions that may contribute to your balance disorder. This may include testing your visual, auditory, and vestibular systems to ensure we have a complete understanding of your condition.
Customized Treatment Plan
Based on the results of your assessment, we will create a personalized treatment plan tailored to your needs. Our goal is to provide the most effective therapies that address the cause of your vertigo or balance issues, rather than just masking the symptoms.
Chiropractic Neurology Techniques
We use advanced chiropractic neurology techniques to optimize the communication between your brain and body. These non-invasive treatments may include:
- Vestibular Rehabilitation: A series of exercises designed to retrain your brain and nervous system to improve balance, reduce dizziness, and restore normal function.
- Proprioceptive Therapy: Focuses on improving your body’s ability to sense its position in space, which is essential for maintaining balance.
- Vision Therapy: Simple yet effective eye exercises to regain strength and stability in the visual system.
Lifestyle and Nutritional Support
In addition to hands-on treatments, we provide advice on nutrition and lifestyle changes that can support your recovery. Certain dietary habits, hydration levels, and physical activities may play a role in managing vertigo and balance disorders.
Ongoing Monitoring and Adjustments
We monitor your progress throughout the treatment process to ensure the best outcomes. Regular check-ins and adjustments to your treatment plan may be necessary as you progress.
Conditions We Treat
- Meniere’s Disease
- Vestibular Neuritis
- Labyrinthitis
- Benign Paroxysmal Positional Vertigo (BPPV)
- Cervicogenic Dizziness
- Chronic Dizziness
- Post-Concussion Syndrome
- Balance Disorders in Older Adults
Frequently Asked Questions About Dizziness & Balance Problems
What causes dizziness and balance problems?
Dizziness and balance problems can have many causes. They may involve the inner ear and vestibular system, vision and eye movements, the brain and nervous system, blood pressure or circulation, medications, migraine, the neck or other medical conditions.
Why do I feel dizzy or off balance when I walk?
Feeling unsteady while walking can occur when the brain has difficulty integrating information from the vestibular system, vision and sensory information from the body.
Problems affecting any of these systems may contribute to imbalance, veering, difficulty walking in the dark or on uneven surfaces, or feeling less confident on your feet. Assessment can help identify factors that may be contributing to the problem.
What is the vestibular system and how can it cause dizziness?
The vestibular system is part of the inner ear and brain and plays an important role in balance, spatial orientation and keeping vision stable when the head moves.
When the vestibular system is not functioning normally, symptoms may include dizziness, vertigo, imbalance, nausea, blurred or unstable vision with movement and difficulty tolerating busy visual environments.
What is the difference between dizziness and vertigo?
Dizziness is a broad term that can describe sensations such as lightheadedness, unsteadiness, floating, rocking or feeling “off.”
Vertigo is more specific and typically describes a false sensation that you or your surroundings are spinning or moving.
Understanding the type of dizziness, its triggers and how long episodes last can provide important information about its possible cause.
Why do I get dizzy when I turn over in bed or move my head?
Brief episodes of spinning triggered by movements such as rolling over in bed, looking up or bending down may be caused by Benign Paroxysmal Positional Vertigo (BPPV).
BPPV occurs when tiny calcium carbonate crystals within the inner ear become displaced and interfere with normal balance signals. Specific positional tests can help identify BPPV, and appropriate repositioning manoeuvres can often be used to treat it.
Why do grocery stores, crowds or busy environments make me dizzy?
Some people experience dizziness, imbalance, nausea or disorientation in visually complex environments such as grocery stores, shopping malls, crowds or while scrolling on a screen.
This may occur when the brain becomes overly dependent on or sensitive to visual information for balance and spatial orientation. Visual and vestibular assessment can help identify whether visual-motion sensitivity or related factors may be contributing to these symptoms.
Why do I feel dizzy or lightheaded when I stand up?
Dizziness or lightheadedness when standing can sometimes be related to changes in heart rate, blood pressure or circulation rather than the inner ear.
Conditions involving orthostatic intolerance or autonomic dysfunction, including POTS, can produce dizziness, rapid heart rate, weakness, brain fog or feeling faint when upright. Medical evaluation may be necessary to determine the cause.
Can migraines cause dizziness even without a headache?
Yes. Vestibular migraine can cause dizziness, vertigo, imbalance, motion sensitivity and sensitivity to visual environments, sometimes without a significant headache occurring at the same time.
Because vestibular migraine can resemble other balance disorders, a detailed history and appropriate medical assessment are important when determining the cause of symptoms.
Can neck problems cause dizziness?
In some cases, dizziness may be associated with dysfunction or injury involving the cervical spine. This is sometimes referred to as cervicogenic dizziness.
Because there is no single test that confirms cervicogenic dizziness and its symptoms can overlap with vestibular and other conditions, other potential causes should be considered before attributing dizziness primarily to the neck.
Why am I still dizzy even though my medical tests were normal?
Normal imaging or other medical testing does not necessarily mean that dizziness is not real or that nothing is contributing to the symptoms.
Some vestibular, balance, eye-movement and functional disorders may not appear on routine CT or MRI imaging. When dizziness persists, further assessment of vestibular function, balance, eye movements and other relevant systems may help identify factors contributing to symptoms.
What is vestibular rehabilitation?
Vestibular rehabilitation is a form of exercise-based rehabilitation designed for certain types of dizziness, vertigo and balance dysfunction.
Depending on the problem identified, rehabilitation may include gaze-stability exercises, balance training, habituation to movements or visual environments, coordination exercises and progressive functional activities.
Treatment should be individualized because different causes of dizziness require different approaches.
How are dizziness and balance problems assessed at Cerebral Health and Spine Care?
At Cerebral Health and Spine Care, dizziness and balance assessment is individualized according to the patient’s history, symptoms and examination findings.
Depending on the individual, assessment may examine eye movements, vestibular function, positional vertigo, balance, coordination, visual-motion sensitivity, the cervical spine and responses to changes in posture.
The goal is to identify factors that may be contributing to the patient’s dizziness or imbalance so that rehabilitation can be directed toward the findings rather than applying the same treatment to every patient.
Take the First Step Toward Recovery
Don’t wait for symptoms to get worse. Early intervention makes all the difference. Book your comprehensive evaluation today and get a personalized plan to start feeling better, thinking clearer, and moving with confidence.
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