Vestibular Los Angeles Center for Hearing & Balance

What is Vestibular Rehabilitation?

Vestibular rehabilitation is a specialized form of therapy designed to alleviate problems caused by vestibular disorders, which affect the inner ear and brain and are responsible for maintaining balance and spatial orientation. Vestibular disorders can lead to symptoms such as dizziness, vertigo, imbalance, and vision disturbances. These symptoms can significantly impact daily activities and quality of life.

Vestibular rehabilitation therapy (VRT) involves exercises and maneuvers tailored to address the specific needs of individuals suffering from these conditions. The goal of VRT is to improve balance, reduce dizziness, and enhance overall stability by retraining the brain to process signals from the vestibular system more effectively.

Treatment Options

Our vestibular rehabilitation services include a variety of treatment options, each tailored to address the unique needs of our patients:

• Balance Retraining Exercises: These exercises are designed to improve coordination and stability by challenging the body's balance system. They typically involve movements that require the brain to adapt to changes in position and environment.
• Gaze Stabilization Exercises: These exercises help improve control of eye movements so that vision remains clear while the head is in motion. They are particularly useful for patients experiencing oscillopsia (a visual disturbance where objects appear to jump or move).
• Canalith Repositioning Maneuvers: For patients with benign paroxysmal positional vertigo (BPPV), specific maneuvers such as the Epley or Semont maneuvers can help move dislodged crystals in the inner ear back to their proper place, relieving vertigo symptoms.
• Habituation Exercises: These exercises are designed to reduce dizziness through repeated exposure to specific movements or visual stimuli that provoke symptoms. Over time, the brain learns to ignore these stimuli, reducing dizziness.
• Posture and Gait Training: This aspect of VRT focuses on improving posture and walking patterns to enhance balance and prevent falls. It may involve strengthening exercises, coordination drills, and practice with different walking aids if necessary.
• Manual Therapy: Hands-on techniques to address musculoskeletal issues that may contribute to balance problems. This can include massage, joint mobilizations, and other physical therapy methods.
• Education and Counseling: Providing patients with information about their condition and strategies to manage symptoms in daily life. This can include advice on home safety, fall prevention, and coping strategies for dizziness.

Am I a Candidate for Vestibular Rehabilitation?

You may be a candidate for vestibular rehabilitation if you experience any of the following symptoms or conditions:

• Dizziness or Vertigo: Sensations of spinning or swaying, particularly when changing positions or moving your head.
• Imbalance or Unsteadiness: Difficulty maintaining balance, especially when walking or standing.
• Visual Disturbances: Issues such as blurriness or oscillopsia when moving your head.
• Motion Sensitivity: Increased symptoms of dizziness or nausea when exposed to motion, such as riding in a car or watching moving objects.
• History of Falls: Frequent falls or near-falls, particularly in older adults.
• Vestibular Disorders: Diagnosed conditions such as BPPV, Meniere’s disease, vestibular neuritis, or labyrinthitis.

Individuals who have experienced a head injury, stroke, or have chronic conditions like migraines may also benefit from vestibular rehabilitation. An initial evaluation by our skilled Audiologists and physical therapists will help determine if VRT is appropriate for your condition.

Results

The results of vestibular rehabilitation therapy can vary based on the severity and type of vestibular disorder, as well as the patient’s adherence to the prescribed exercises. However, many patients experience significant improvements in their symptoms and quality of life, including:

• Reduced Dizziness and Vertigo: Many patients report a noticeable decrease in the frequency and intensity of dizziness and vertigo episodes.
• Improved Balance and Stability: Enhanced ability to maintain balance during daily activities, reducing the risk of falls.
• Better Gaze Stability: Improved control of eye movements, resulting in clearer vision during head movements.
• Increased Confidence: Greater confidence in performing daily tasks and participating in physical activities without fear of dizziness or falls.
• Enhanced Mobility: Improved walking patterns and overall mobility, allowing for greater independence.

Regular follow-up appointments will track progress and adjust the treatment plan as needed to ensure optimal outcomes.

Recovery

Recovery from vestibular rehabilitation varies depending on the individual’s condition and the severity of their symptoms. The following are general guidelines for the recovery process:

• Initial Adjustment Period: Patients may experience a temporary increase in symptoms during the first few sessions as the brain adapts to new exercises. This is normal and typically subsides as therapy progresses.
• Ongoing Improvement: With consistent participation in VRT, most patients begin to notice gradual improvements within a few weeks. Full recovery can take several months, depending on the condition being treated.
• Home Exercise Program: Patients are often given exercises to perform at home to reinforce the progress made during therapy sessions. Adherence to this home program is crucial for optimal recovery.
• Follow-Up Visits: Regular follow-up visits will monitor progress and make any necessary adjustments to the treatment plan.

Our team will provide you with detailed instructions and support throughout your recovery process to ensure the best possible outcomes.

A Choice That Makes a Difference

Selecting the right provider for vestibular rehabilitation is a crucial step in your journey to better balance and stability. At the Los Angeles Center for Hearing & Balance (LACHB), we pride ourselves on our commitment to excellence in patient care. Here’s what we offer: 

• Expertise: Our team of Audiologists and physical therapists has extensive experience in diagnosing and treating a wide range of vestibular disorders.
• Personalized Care: We develop individualized treatment plans tailored to your specific needs and goals.
• Supportive Environment: Our compassionate and supportive staff is dedicated to helping you achieve your best possible outcomes.

How Much Do Vestibular Rehabilitation Services Cost?

The cost of vestibular rehabilitation services can vary based on several factors, including the type and duration of treatment required. We understand that cost is an important consideration for our patients. To provide you with accurate and detailed information about pricing for our services, we encourage you to contact us directly. Our team will be happy to discuss costs, insurance coverage, and any available payment options to ensure our services are accessible to you.

Q: How long does a typical vestibular rehabilitation session last?

A: A typical session lasts between 30 to 60 minutes, depending on the specific exercises and treatments being administered.  

Q: How many sessions will I need?

A: The number of sessions required varies based on the individual’s condition and progress. Some patients may need only a few sessions, while others may require ongoing therapy for several months.

Q: Is vestibular rehabilitation painful?

A: Vestibular rehabilitation is generally not painful, although some exercises may temporarily increase symptoms such as dizziness. Our therapists will work with you to ensure the exercises are tolerable and effective. Dr. Bjorn Gunnarsson, our Doctor of Physical Therapy, is skilled and extremely careful. 

Q: Can vestibular rehabilitation cure my condition?

A: While VRT may not cure the underlying condition causing your symptoms, it can significantly reduce symptoms and improve your quality of life by retraining your brain to process vestibular signals more effectively.

Q: Will my insurance cover vestibular rehabilitation?

A: Many insurance plans cover vestibular rehabilitation services. We recommend checking with your insurance provider to understand your coverage and any potential out-of-pocket expenses.

Q: What should I wear to my therapy sessions?

A: Wear comfortable clothing and supportive shoes to your therapy sessions, as you will be performing various exercises that require movement.

Q: How soon will I see results from vestibular rehabilitation?

A: Some patients may begin to notice improvements within a few sessions, while others may take several weeks to experience significant changes. Consistency and adherence to the prescribed exercises are key to achieving the best results.

First Step Towards Better Balance and Stability

Don’t let dizziness or balance issues hold you back from living your life to the fullest. Contact LACHB today to schedule a comprehensive vestibular evaluation and start your journey towards improved balance and stability.