Why Vestibular Rehab?

How Many People Experience Dizziness?

Dizziness is among the top three reasons why people see their doctors, and vestibular disorders can affect people of any age. Approximately 35% of Americans over age 40 have experienced a vestibular disorder.

80% of people over age 65 have experienced dizziness, and Benign Paroxysmal Positional Vertigo (BPPV) - when crystals get displaced into the semicircular canals - is responsible for at least 50% of dizziness in seniors. BPPV is also the most common vestibular disorder, and fortunately, the most straight-forward to treat.

People who go untreated for their dizziness problems may risk experiencing depression, anxiety and a higher chance of falling. In addition, if it's hard to get out of bed or move around without feeling dizzy, there is also a risk of becoming less physically active or not active at all.

Untreated dizziness problems can lead to isolation

Effects of Dizziness

Dizziness can lead to:

• increased fear of falling or increased risk of falling
• less mobility, which leads to isolation and deconditioning
• anxiety and depression
• increased memory and concentration issues
• less likelihood of experiencing positive outcomes in other areas of treatment

Sometimes people who are experiencing dizziness may adopt new ways of moving to try and avoid the feeling of dizziness or whirling. They might move very slowly or swivel their whole body instead of their head in order to look at something, or look down at the ground all of the time to try to get their bearings. But these patterns can give people headaches and muscle tension, and just tire them out that much more. Research shows that avoiding the sensation of dizziness at all costs, actually slows down recovery.

Vestibular Rehab is an Exercise-Based Approach

Vestibular rehabilitation therapy is an exercise-based approach that retrains the brain to process coordinated information from the vestibular system, proprioception, and vision.

Research shows that Vestibular Rehabilitation is:

• applicable to anyone of any age
• effective regardless of how long a person has had the dysfunction
• has no reports of adverse effects

If you are dizzy or experiencing vertigo, please contact us for more information.

Why Am I Dizzy?

Spinning, Dizziness or Falling Can Mean the Complex System That Looks After Our Balance Isn't Working Properly

Dizziness can be caused by the balance organs of the inner not working properly

Our bodies have a complex system to look after our balance that includes the inner ear, brain, vision, muscles and joints. If any part of this system isn't functioning, the result can be a feeling of spinning, dizziness or falling. Many adults feel dizzy, and there can be many possible reasons, but one of the more common culprits is that the balance organs of the inner aren't working properly, or that some parts of the central nervous system that process information about balance aren't working properly.

The word 'dizziness' means different things to different people. People using that word may be trying to describe vertigo (spinning), feeling faint or light-headed, disequilibrium (loss of balance) or unsteadiness, falling, nausea, a sense of exaggerated motion or just feeling "off". The better you are able to describe what you mean by 'dizziness', the easier it is for your medical provider to try to diagnose what is going on.

Vertigo Usually Indicates a Problem with the Function of the Inner Ear

According to the Vestibular Disorders Association (VEDA), if you have vertigo (a sense of spinning or whirling), especially when you tilt or move your head around, that is likely a sign of a problem with the function of your inner ear. On the other hand, dizziness can mean that there is a different type of vestibular problem or other issues such as vision, metabolism, neurological, psychological or cardiovascular. Since there are so many different types of dizziness and possible disorders that dizziness can be a result of, it is sometimes challenging for medical professionals to diagnose, and difficult and frustrating for patients until help is found.

Many things can be the cause of dizziness, from ear infections or trauma to an ear, to Meniere's Disease, to medications, to age-related degeneration, to central processing issues such as a stroke, to migraine-associated vertigo, to cardiovascular problems, to the neck, among other causes.

Assessment is Crucial in Finding the Cause of Dizziness and Vertigo

The assessment stage of vestibular treatment is crucial in trying to find the cause of dizziness and vertigo. At LifeMark Dizziness & Balance Program, we take a thorough medical history first and screen for neurological problems. Our vestibular assessment includes vestibular-ocular reflex testing, or testing of the integration between the inner ear and the eye muscle to see if you can focus clearly while your head is in motion. It also includes many tests using an infrared camera in blackout goggles to check for nystagmus, which is an involuntary eye movement associated with vestibular problems. We also evaluate your sensitivity to specific movements and positions, your balance, and the possibility that other areas are contributing to your symptoms like your feet or neck.

Contact us with your questions!

Welcome to LifeMark Vestibular Treatments

Most dizziness and balance problems come from a disturbance in the Vestibular apparatus located in the inner ear or its connections in the brain. LifeMark's Vestibular assessment and treatments provide a proven, research-based branch of rehabilitation medicine designed to either maximize the body's ability to compensate for these problems, or eliminate them altogether.

Our programs are tailored to each individual and may include:

• Maneuvers (i.e. the Epley) to correct problems with the location of crystals (called Otoconia) in the inner ear
• Habituation techniques to help the brain reduce or eliminate symptoms provoked by movement
• Adaptation or substitution techniques to improve the eyes' ability to focus while the head is moving
• Balance Training to address unsteadiness or falls during standing or walking
• Exploring other contributing factors such as muscle and joint problems, medical conditions, diet, and lifestyle

Contact us with your questions!