Balance & vestibular therapy.
Specialized therapy for dizziness, vertigo, and balance disorders. Whether you have BPPV, are recovering from concussion, or simply feel unsteady — there's a path back to confident movement.
About balance and vestibular rehab.
Your sense of balance comes from a complex partnership between your inner ear (vestibular system), your eyes, and the sensors in your joints and muscles. When any of these systems are disrupted — by inner ear problems, concussion, stroke, medication, or simple aging — the result is dizziness, vertigo, or unsteadiness that affects everything you do.
Vestibular rehabilitation is a specialized branch of physical therapy that retrains the balance system. For some conditions (like BPPV), specific repositioning maneuvers can resolve symptoms in just one or two sessions. For others, a progressive program of balance exercises, eye-head coordination, and habituation training restores function over a few weeks.
Beyond formal vestibular disorders, we also work with seniors and patients with mobility concerns on fall prevention — addressing the strength, mobility, and confidence that keeps falls from happening in the first place.
What this treatment can do.
- Resolves BPPV (the most common cause of vertigo) — often in 1–2 sessions
- Reduces dizziness from inner ear disorders
- Improves balance and reduces fall risk
- Restores confidence in walking and movement
- Speeds concussion recovery
- Improves visual stability with head movement
Common applications.
- Benign paroxysmal positional vertigo (BPPV)
- Inner ear disorders (labyrinthitis, vestibular neuritis)
- Post-concussion dizziness
- Meniere's disease
- Age-related balance loss
- Stroke-related balance issues
- Fear of falling
- General unsteadiness
Your vestibular evaluation.
Your first visit includes a thorough assessment — your symptom history, eye movement testing, positional testing, balance testing, and walking assessment. Some of these tests may briefly provoke your symptoms, which is normal and gives us crucial information about what's actually happening.
For BPPV, we may be able to perform a repositioning maneuver (like the Epley) at your first visit that completely resolves your vertigo. For other conditions, we design a specific exercise program that retrains your balance system over 4–8 weeks.
Many patients see dramatic improvement quickly — particularly with BPPV. For more complex cases, recovery is steady and progressive. Your therapist will give you clear expectations at evaluation.
Frequently asked questions.
I have vertigo. Can you fix it?
It depends on the cause. BPPV — the most common type — often resolves completely with a specific repositioning maneuver, sometimes in a single session. Other types of vertigo respond to a progressive vestibular exercise program. We'll determine what's causing your vertigo and the appropriate treatment at your evaluation.
How long does vestibular therapy take?
BPPV often resolves in 1–3 sessions. Other vestibular conditions typically require 4–8 weeks of therapy. Post-concussion recovery can take longer.
Do I need a doctor's referral?
No. Colorado is a direct-access state. However, for severe or sudden-onset dizziness, we recommend ruling out serious causes with your physician first — and we communicate with your doctor when relevant.
Will the exercises make me feel worse before better?
Sometimes briefly. Habituation exercises deliberately provoke mild dizziness to retrain your brain. The episodes are typically brief and steadily decrease as therapy progresses.
Is vestibular therapy covered by insurance?
Yes. Vestibular rehabilitation is covered by Medicare, Medicaid, and most major insurance plans as part of physical therapy.