Dizziness, vertigo & balance problems
Dizziness, vertigo, motion sensitivity or visual discomfort after a head injury — often from the vestibular system, the part of the inner ear and brain that manages balance.
Common symptoms
- Dizziness or a spinning sensation (vertigo)
- Unsteadiness or poor balance
- Motion sensitivity — in cars, crowds or busy stores
- Blurred vision or trouble focusing when you move your head
- Brief vertigo when lying down or turning in bed
How we evaluate it
Vestibular and ocular screening and, when needed, VNG testing show whether symptoms come from the inner ear, the brain's balance pathways, vision or the neck. Brief vertigo with position changes is checked for benign paroxysmal positional vertigo (BPPV).
How we treat it
Vestibular and ocular screening shows whether vestibular rehabilitation therapy (VRT) is indicated: gaze stabilization, habituation and balance retraining by video.
- Vestibular rehabilitation therapy (VRT) by video: gaze stabilization, habituation and balance retraining
- A home exercise program, progressed as symptoms allow
- Neck rehabilitation when the neck contributes to dizziness
- In-person testing or therapy coordinated near you when needed
What the guidelines say
Vestibular rehabilitation is recommended when dizziness limits daily life (Level A evidence). BPPV is confirmed with positional testing and treated with a repositioning maneuver.
People with persistent dizziness and imbalance should be offered a trial of vestibular rehabilitation and balance (proprioceptive) exercise.
Cervicovestibular rehabilitation is recommended when dizziness, neck pain or headaches last more than 10 days.
This page is general information, not medical advice. Your clinicians tailor evaluation and treatment to your history, symptoms and goals.
Not sure where to start?
Our care team routes your case to the right specialist after intake. See the FAQ, the clinical guidelines behind our care, or check your state.