Vestibular Rehabilitation

Vestibular Rehabilitation in BC

What is it?

Have you ever been diagnosed with vertigo or dizziness?

Vertigo is not a diagnosis but a symptom experienced by many people. These symptoms come from a dysfunction in one of the body’s systems, a common cause being the peripheral (inner ear) and central (brain) vestibular systems.

Common vestibular conditions include Benign Paroxysmal Positional Vertigo (BPPV), Vestibular Neuritis and Labyrinthitis, Vestibular Hypofunction/Vestibulopathy, Meniere’s Disease, Vestibular Migraine, Persistent Postural-Perceptual Dizziness (PPPD) and Cervicogenic Dizziness.

1: Benign Paroxysmal Positional Vertigo (BPPV)

Benign: harmless

Paroxysmal: sudden onset

Positional: change in position

Vertigo: false sense of motion

BPPV is a condition where otoconia (or “crystals”) fall into one of the canals in the inner ear. When this occurs, people often experience intense episodes of vertigo for a short amount of time after a change in head position. BPPV is common in older individuals and those suffering from head trauma. While a vast majority of cases occur for no apparent reason, there are some risk factors that put people at a higher risk of this condition including osteoporosis and vitamin D deficiency. Depending on the canal and which ear is involved, different Canalith Repositioning Techniques may be required including the Epley maneuver.

2: Vestibular Neuritis and Labyrinthitis

Vestibular Neuritis and Labyrinthitis are conditions that involve inflammation of either the vestibular nerve or the vestibular system (inner ear) itself. Typically this inflammation is caused by a virus or bacterial infection. When this occurs, people often experience intense vertigo and nausea over the course of a few days, followed by a period of imbalance and dizziness due to a resulting Vestibular Hypofunction that may require Vestibular Balance and Rehabilitation Training to assist full recovery.

3: Meniere’s Disease

Meniere’s Disease is a condition brought on by endolymphatic hydrops, which is believed to be an accumulation of excess fluid in the vestibular system. Due to increased pressure in the inner ear, both physical and chemical damage occurs to the vestibular system over time. People often experience vertigo lasting hours/days alongside tinnitus (ringing in ears) and aural fullness (blocked feeling in ears), with eventual hearing loss and imbalance over time. Sadly there is no cure for Meniere’s disease. However, with lifestyle modifications, stress management, and Vestibular Balance and Rehabilitation Training, you can help manage your flare ups and symptoms.

4: Vestibular Migraine

Vestibular Migraine is a class of migraine where people experience dizziness and imbalance with or without a headache. Vestibular migraines can cause a variety of other symptoms though, and presents very differently from one person to the next. Management of this condition typically involves lifestyle modifications, stress management, and Vestibular Balance and Rehabilitation Training to help manage flare ups.

Benefits of treatment:

  • Up to 30-35% of the population will experience dizziness and vertigo symptoms in their lifetime, it’s much more common than most people think! Vestibular Rehabilitation can help you take control over your vertigo and dizziness, as many vestibular conditions are treatable and respond well to therapy.Using the latest in Infrared Video technology, our practitioners can provide a thorough assessment to help identify the possible cause of your symptoms. A detailed assessment is critical in the identification of underlying concerns, but once identified a personalized Vestibular Rehabilitation program can be built towards your needs.

It is crucial to have healthcare practitioner with vestibular training assess and manage your condition if you experience any of the following common vestibular symptoms:

  • Vertigo (spinning sensation, false sense of motion)
  • Dizziness (lightheaded, woozy, giddy)
  • Imbalance
  • Headaches
  • Nausea
  • Tinnitus/Hearing changes
  • Vision changes
Vestibular Rehabilitation can include a variety of treatment methods and rehabilitation programs depending on the underlying cause of your symptoms.

Once the underlying cause is identified, our personalized treatment plans may include:

  • Balance and stability training to improve your balance and reduce risk of falls
  • Canalith Repositioning Techniques if you have BPPV
  • Gaze stabilization exercises to improve your vestibular function and reduce dizziness
  • Strength and mobility exercises to improve your overall health and wellbeing
  • Manual therapy to improve neck and cervical-related concerns

Come in and see our vestibular-trained healthcare practitioners for a personalized assessment and treatment plan.

Let’s get you fixed up.

Your current discomfort may stem from other problematic areas of your body. Instead of learning to tolerate the pain, why don’t we work towards eliminating it?

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    Kimberly Toeun
    Kimberly Toeun
    September 15, 2022.
    I have been going here regularly. I have used almost all the services (massage, chiro, acupuncture, physio). All have been absolutely amazing. Everyone I have encountered so far have been super knowledgeable, friendly, and professional. Anyone living in the area I would highly recommend going here. Very convenient location and they do direct billing of course. Really like their online booking system. It’s easy and convenient. Front staff are also very friendly.
    Shreya Keshav
    Shreya Keshav
    August 21, 2022.
    Amazing services. All the therapist are amazing. Specially The Chiropractor- Dr Parm Bisla. He know each and every details of all kind of pain and fix me so many times with my neck pain, frozen shoulder, tennis elbow, tendentious ankle, lower back pain, vertigo. Basically I need a lot of fixing. So it my one place to go from last 5 years. I wish I could give 10 star ⭐️ ⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️. It’s so worth it. ❤️❤️🙌🏻🙌🏻
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    Martha Delgado
    August 21, 2022.
    I am very pleased with all the services. Katrina and Milan are absolutely amazing I’ve tried Acupunture too, also very good. This Saturday I met Tyler at the front desk for the first time. Best customer service ever. She’s definitely a valuable asset for the Clinic. 👏
    hersh sodhi
    hersh sodhi
    July 20, 2022.
    Went in to see Parm for some wrist and neck problems. We are mid-way through treatment and the pain is non-existent. On top of that, after few adjustments, I am noticing that my senses are heightened and I am thinking clearer, which I was not expecting. Parm's very professional and knowledgable. I highly recommend him.
    jade kennedy
    jade kennedy
    July 7, 2022.
    I have had chronic pain for years and I have been to many different clinics and Pain Free Health is definitely one of the best clinics I’ve been to. The ladies working at the front fest are very friendly and helpful and Ravi (chiro) and Gina (massage) are both awesome. I have had horrible experiences at some other places but everyone at Pain Free seems to truly care about their patients.
    Jeffrey Wall
    Jeffrey Wall
    May 9, 2022.
    This place is awesome. I never miss an appointment because they have a very thorough reminder system. They will do their best to squeeze you in if you are having a hard time. Everyone is friendly and professional. Most of all, their treatment has greatly reduced my pain and increased my mobility. I have and would recommend this clinic or anyone in need.
    Gagan Sandhar
    Gagan Sandhar
    April 16, 2022.
    I’ve been coming here for over a year and have worked with Seeru, Ravi, Milan, Jinhee, and Brenden. Everyone at pain free works to ensure that you have a great experience from the receptionists to the professionals themselves. With their help I’ve seen a great amount of progress and hope to see some more. Keep up the good work team!
    Mark Dhaliwal
    Mark Dhaliwal
    April 13, 2022.
    I have been coming to Pain Free Health for the past year with various injuries. I have had nothing but great success with the healing. I recommend Milan for your physiotherapy needs and Dr Beesla for your Chiropractic needs.
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