Vertigo and Balance Disorders

Woman with vertigo. Young patient suffering from dizzinessVestibular Rehabilitation is designed to alleviate the primary symptoms of vestibular dysfunction, such as impaired balance, dizziness, and visual deficits. Treatment can include coordination of eye and head movements, desensitizing dizziness symptoms, progressing balance and ambulation abilities, and increasing general endurance and strength.  Drew Nesbitt, DPT, OCS specializes in Vestibular Rehabilitation, and has provided effective and evidence-based treatment strategies to hundreds of people who have suffered from balance disorders.

Vestibular Rehabilitation is Appropriate for patients with:

  • Benign Paroxysmal Positional Vertigo  (BBPV)
  • Labyrinthitis/ Vestibular Neuritis
  • Ménière’s disease
  • Secondary endolymphatic hydrops
  • Superior semicircular canal dehiscence
  • Acoustic neuroma
  • Perilymph fistula, ototoxicity
  • Enlarged vestibular aqueduct
  • Massociated vertigo, and mal de débarquement
  • Other problems related to vestibular dysfunction include complications from aging, autoimmune disorders, and allergies

The most common balance disorder treated with physical therapy is benign paroxysmal positional vertigo (Differential Diagnosis of BPPV):
Patient History: Dizziness (most often reported as Vertigo) provoked by head movements and changes in position (e.g., turning or lying in bed) lasting for a few seconds, up to a minute.
Key Clinical Exam or Diagnostic Test Findings: Dix-Hallpike and or Roll test is positive for symptoms of dizziness. Nystagmus, regardless of canal involvement, has short latency and fatigues with repetition.
Primary treatment includes canalith repositioning procedures, such as the Epley or Semont maneuvers.
Proven Results:  Nesbitt has seen hundreds of patients with vertigo and boasts a 90% success rate of diminishing symptoms in one visit with BPPV patients.

Drew is currently accepting new patients at our Ephrata location.

Vertigo Patient Testimonials

“My vertigo was so bad, at one point it knocked me  off-balance and I ended up in the emergency room due to injuries from the fall.  I was put on medicine that didn’t help a bit. My doctor even increased the dose  to try to make a difference, but the symptoms went on for well over a month. I went in to see Drew after I heard that physical therapy might be able to help. After just one visit my dizziness was completely gone. I wish I would have known about this option sooner.”
~Eleanor Y.

“I suffered from dizzy spells many years back. About 5 years ago, I saw a magazine article on how  physical therapy can help these spells. I wasn’t feeling any dizziness at that  time, but I cut out the article just in case. Last month when my dizziness  returned, I dug it out and then called HARTZ Physical Therapy. I got immediate  relief and was completely clear of symptoms after seeing Drew only once. He  even showed me what to do if it happens again. I have nothing but good things  to say!”
~Betty F.