What We Treat

Dizziness and vertigo treatment in the East Valley.

The room tilts when you roll over in bed. You start planning your whole day around not turning your head. A lot of dizziness is treatable, and it starts with finding out which kind you have.

BPPV Inner ear dizziness Unsteady on your feet Book My First Visit (opens in new tab)

Sound Familiar?

Does this sound like you?

  • The room spins when you roll over in bed
  • Sitting up in the morning and waiting for the world to settle
  • Turning your head to back out of the driveway, and regretting it
  • A grocery aisle that leaves you feeling seasick
  • One hand on the wall on the way to the bathroom at night
  • Saying no to plans because you cannot predict a bad day

Two or more? Keep reading.

Why It Happens

Dizzy is not a diagnosis. It is a clue.

Your balance runs on three inputs: your inner ear, your eyes, and the sensation coming up from your feet and joints. Dizziness is what happens when those three stop agreeing. The most common reason for that disagreement has a name. BPPV, which is loose crystals sitting in the wrong part of your inner ear, sending a spin signal every time you move your head.

BPPV matters because it is fixable. A repositioning treatment moves those crystals back, and for a lot of people the spinning settles quickly. Not every kind of dizziness is BPPV, though. Blood pressure, medication, migraine, your neck, and an old concussion can all do it. Some causes are cardiac or neurological and belong with a physician, and a cause-first evaluation is how you find out which one you are dealing with. You have spent years driving other people to their appointments. Nobody has looked at yours yet.

Physical therapist guiding a patient through a head and eye movement test for dizziness

The Honest Truth

Waiting it out is the one thing that rarely works.

If nothing changes

  • You stop driving at night, then you stop driving at all
  • The list of places you will go gets shorter every month
  • Holding still feels safer, and your balance system gets lazier for it

If you start now

  • You leave visit one knowing which kind of dizziness you have
  • If the testing points to BPPV, repositioning treatment can start that day
  • You get a plan with an endpoint, and a referral onward if it belongs with a physician

Nobody regrets starting too early. Plenty of people regret waiting.

How We Fix It

The same four phases. Tuned to your inner ear.

Every plan has an endpoint. Here’s what the four phases look like for dizziness and vertigo.

Starts visit one

Pain

Settle the spinning.

Testing tells us where the signal is coming from. If it is BPPV, repositioning treatment starts here, and for many people the spinning settles fast.

Once the spinning settles

Prime

Retrain the system.

Gaze and head movement drills teach your brain to trust your inner ear again, at a dose you can tolerate.

Once your gaze steadies

Perform

Put it back into real life.

Busy aisles, quick turns, uneven ground, the back seat of a car. We add back the situations you have been avoiding.

Before we sign off

Prevent

Hold onto steady.

BPPV can come back, so you leave knowing what to do if it does. Plus the balance work that keeps a stumble from turning into a fall.

I have had balance problems for years due to inner ear surgeries. I staggered and felt unbalanced when I walked, even with a cane.

Shared by Kate-Cliff B. · Balance and vertigo after inner ear surgery

Before: unbalanced and staggering when she walked, even with a cane

Now: improving, and looking forward to the sessions

Balance & vertigo Kate-Cliff B.

Questions, Answered

What people ask before booking for dizziness.

Usually not, and a scan is rarely the thing that answers this one. Most dizziness is diagnosed by watching your eyes and your balance respond to specific movements, which is a hands-on test, not a picture. That evaluation also tells us when your dizziness is not ours to treat. New or severe symptoms with chest pain, fainting, sudden weakness or slurred speech need a physician, and that is a 911 call, not an appointment. If imaging or a specialist is the right next step, we say so and help you get there.

Some of it does stir up symptoms on purpose, and that is worth knowing before you come. Your balance system only recalibrates when it gets asked to work, so a little provoked dizziness is part of the retraining. The dose is the whole skill. A licensed physical therapist directs your care at every visit, so somebody is watching your response and adjusting it in real time. Nothing gets sprung on you.

You get an estimated number of visits at your evaluation, and a reason for the number. Your plan runs through all four phases, Pain, Prime, Perform, and Prevent, and you will always know which one you are in and what is left. BPPV often takes less than people expect. Dizziness with a long history usually takes more. Either way it is a plan with an endpoint, not an open tab of appointments.

Still Deciding?

Not sure where to start?

You don’t need to know which clinic or which service is right before you reach out. Start a request, or call the clinic closest to you, and we’ll help you sort out the rest.

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Let’s start with your name.

Start your request on our secure patient portal. It’s the same place every appointment request on this site goes, so nothing gets lost along the way.

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Opens our patient portal at patients.moorephysicaltherapy.com.

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