May 24, 2024
Finding Balance Dizziness and Physical Therapy
Finding Balance Dizziness and Physical Therapy
Dizziness is common in people over 20, and it can be a big problem in daily life. Feeling unsteady, lightheaded, or like the room is spinning is alarming and makes daily tasks difficult. The good news is that dizziness often has treatable causes, and your physical therapist can be the perfect person to help.
Understanding Dizziness
Dizziness isn't a specific problem—it's a symptom that can be caused by many different issues. Feeling dizzy most commonly occurs due to issues with the inner ear, but it can also occur due to vision, joint or muscle issues in the neck, migraines, changes in blood pressure, head injuries, or other neurological problems.How Physical Therapists Help
To understand dizziness and how a PT can help, you must know a little about how balance works. Your brain uses information from your inner ears, your vision, and input from your joints about their position and movement to keep you balanced and stable. Typically, all of this information paints the same picture for your brain. If your brain gets conflicting information – say, your inner ear sends different information than vision and your joints - that often results in a feeling of dizziness, unsteadiness, or vertigo. Your physical therapist will ask questions about your history and then test all of the systems that help you stay balanced to determine the cause of your dizziness. Your treatment plan will vary depending on what your PT finds. Some typical examples include: ● Exercises: Your PT may prescribe specific exercises to improve your balance, strengthen or stretch specific muscles, or help retrain your brain to interpret sensory information. These can include gaze stabilization exercises, which help your eyes and inner ears work better together; habituation exercises, which help your brain get used to different types of input; and balance training on various surfaces. ● Canalith repositioning maneuvers (CRM): If your dizziness is caused by benign paroxysmal positional vertigo (BPPV), a specific type of inner ear problem, your therapist may perform maneuvers to reposition tiny crystals within your ear canal, alleviating your vertigo. They can also teach you how to do these at home. ● Education: Your therapist will educate you about your condition, how to manage dizziness, and exercises you can perform at home. They may also help you modify activities that cause dizziness or train you on ways to work through it. Dizziness doesn't have to interfere with life. Physical therapists can help reduce dizziness, improve balance, lower the risk of falls, and increase confidence in daily activities.References:
- Cervicogenic Dizziness: A Review of Diagnosis and Treatment
- https://www.jospt.org/doi/10.2519/jospt.2000.30.12.755
- Physical therapy interventions for older people with vertigo, dizziness and balance disorders addressing mobility and participation: a systematic review. BMC Geriatr 20, 494 (2020).
- https://doi.org/10.1186/s12877-020-01899-9
- Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY SECTION. J Neurol Phys Ther. 2016 Apr;40(2):124-55. doi: 10.1097/NPT.0000000000000120. PMID: 26913496; PMCID: PMC4795094
- 10.1097/NPT.0000000000000120
- Between Cognitive Assessment and Balance Measures in Adolescents Referred for Vestibular Physical Therapy After Concussion. Clin J Sport Med. 2016 Jan;26(1):46-52.
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856020/
- Physical Therapy lowers falls by 68% after Dizziness
- https://www.apta.org/article/2023/09/19/study-physical-therapy-after-dizziness-diagnosis-lowers-fall-risk-by-86
- Physical Therapy Guide to Dizziness
- https://www.choosept.com/guide/physical-therapy-guide-vertigo
- Vestibular Rehabilitation Therapy
- https://my.clevelandclinic.org/health/treatments/15298-vestibular-rehabilitation

By Emily Herndon
•
March 14, 2026
When someone starts physical therapy, they often say their goal is simple: “I just want to get better.” But if you ask ten people what “better” means, you will probably get ten different answers. For one person, recovery might mean running a local 5K again. For another, it might mean gardening without back pain, casting a fishing line at the river, or simply picking up a grandchild without discomfort. At Plains Physical Therapy, we believe physical therapy is about more than just healing an injury. It’s about helping you return to the life and activities that matter most to you. HEALING IS MORE THAN CLINICAL MEASUREMENTS Physical therapists are trained to focus on the clinical side of recovery, including: Reducing inflammation Improving range of motion Building strength and balance Restoring mobility The real goal of physical therapy isn’t just to improve numbers on a chart — it’s to help you return to the activities that define your daily life. YOU ARE THE MOST IMPORTANT MEMBER OF YOUR CARE TEAM Your physical therapist brings clinical expertise. But you are the expert on your life. That’s why the best physical therapy outcomes happen when recovery becomes a partnership between patient and therapist. HOW YOU CAN HELP GUIDE YOUR RECOVERY Identify Your 'North Star' Think about one activity your injury is preventing you from doing. This becomes the guiding goal for your treatment plan. Examples might include hiking, gardening, playing pickleball or golf, sleeping comfortably through the night, or lifting your children or grandchildren. Share the Small Details Sometimes the most helpful information comes from everyday moments — like knee pain when going downstairs, neck stiffness after computer work, or shoulder pain reaching overhead. These details help your therapist design exercises that mimic real-world movements. Write Down Your Goals Before Your Appointment Before your first visit, write down three things you want to do again without pain. Bringing this list to your evaluation helps make therapy a collaborative plan. MOTIVATION MATTERS IN RECOVERY Sticking with a home exercise program can sometimes feel repetitive. But when every exercise connects to a meaningful goal — like returning to the golf course, gardening again, or walking without pain — it becomes much easier to stay motivated. PHYSICAL THERAPY IS A PARTNERSHIP At Plains Physical Therapy, we believe recovery works best when your treatment plan reflects your life, your goals, and your priorities. Your therapy should be as unique as you are. Because getting stronger is great — but getting back to the activities that make life meaningful is even better. Ready to start your recovery? Contact Plains Physical Therapy to schedule an evaluation and begin a personalized treatment plan designed around the goals that matter most to you.












