Dizziness, Vertigo & Balance

Dizziness, Vertigo Physical Therapy Wake Forest, NC
Danielle did wonders for me when I suffered from vestibular migraines, getting my eyes, legs and brain to retrain so I wasn’t dizzy when overstimulated. After a long bout of vertigo, it’s nice to feel steady again! I highly recommend her for vestibular therapy as a specialty among other PT training. She is patient, thorough, caring and motivating.
— Holly

Benign paroxysmal positional vertigo (BPPV)

Benign paroxysmal positional vertigo (BPPV) is a condition characterized by brief episodes of vertigo evoked by changes in the position of the head.

The diagnosis is established if there is a combination of typical symptoms with a positive Dix–Hallpike test, which is a maneuver that provokes both typical vertigo and torsional–vertical nystagmus and is diagnostic for the presence of canaliths in the posterior semicircular canal. Other diagnostic procedures can be performed to rule in or rule out other canals, as well as provide optimal and specific treatment strategies that include canalith repositioning procedures and if necessary, vestibular rehabilitation and manual therapy.

Vestibular Rehabilitation

Our body’s sense of balance and spatial orientation is something we take for granted. But when illness or injury affects the body’s balancing system, it can lead to falls, reduced mobility, blurred vision, headaches, nausea, and other physical discomforts. The vestibular system, located in the inner ear, is often to blame. An important contributor to the body’s balancing, this system has three jobs to do:

  • Detect the position of the head in space and on the body

  • Ensure postural control

  • Contribute to coordination of head and eye movement

BPPV Treatment Wake Forest NC

Individualized treatments include:

  • Vestibular Habituation/Adaptation Exercises: Based on the rationale that by repeating the movements that create dizziness or vertigo, the brain will adjust its response

  • Vestibular Ocular Exercises: Combine head and eye movements in progressively more complicated combinations and positions to reduce vertigo symptoms

  • Balance Retraining: Involves exercises designed to improve coordination of muscle responses, as well as the organization of sensory information for balance control

  • Gaze Stabilization Exercises: Reduce retinal image “slipping,” which contributes to the sense of imbalance

  • Compensatory Strategies: To help minimize the effects of vestibular loss of function

  • Cardiovascular Exercises: To increase endurance

  • Sensory Integration Strategies: Sensory and motor activities to help the brain better absorb and process sensory information

  • Posture Education and Instruction in Ideal Head and Body Positioning

  • Fall Prevention and Safety Training

Dizziness and Vertigo Treatment in Wake Forest, NC

How does vestibular therapy help?

Vestibular therapy is a kind of physical therapy that is geared specifically to inner ear disorders. First, you’ll receive a complete evaluation. After all, dizziness and vertigo can impede people in many different ways, so it’s important to determine exactly how the problem is affecting your balance and movement.

Our highly trained team of physical therapists will evaluate a number of factors, including reflexes, balance, leg strength and overall habits of movement. This allows us to put together an individualized treatment plan for you.

In many cases, patients receive instant relief from specialized head movements. These gentle adjustments are designed to dislodge crystals, when the problem is vertigo, or simply re-orient your senses, as with general dizziness. One or two sessions can often resolve the problem.

If additional treatment is needed, coordination and balance exercises will be part of your vestibular therapy. This training is devised to give you confidence in your ability to move without falling or stumbling, while also decreasing the symptoms of the vertigo or dizziness. In addition, the therapy will teach you how to maintain this ability on your own, which diminishes the risk of injury if future bouts of vertigo or dizziness occur.

Discover how PhysioFit of NC can help you get back to feeling better and living better.  

Call us today at 919-728-0335 for more information or to schedule an appointment online by clicking button below.


I want to thank Danielle for what she did for me with Vestibular rehabilitation. I could never have gotten so far as I have as quickly without her encouragement, persistence, patience and knowledge. I continue my yoga, zumba and running. Thank you for being there for me!
— Jean Dolchan
Danielle Vaughan resolved the problem I was experiencing which included a sense of vertigo and a “swirling” sensation. Balance is one of her specialties in which she has a great deal of expertise. Through her evaluation, she determined that I had BPPV. She performed the maneuver that helps this problem and had to do this several times. She also determined that I had slight variations with my eye movement. In short, my sessions with her and the exercises she gave me eliminated the problem and I have been free of the swirling dizziness for months now. I “sing her praises” to everyone I know and am honored to give her five stars in this review.
— Judy Shepherd