Central Dizziness is often described as feeling unbalanced or dizzy in the head, with or without movement.

What is our approach?

We have experience with the conditions that cause these symptoms and can help restore your normal function. Through systematic evaluation we can identify which systems on which you rely too much and which systems need to work better for you.

Then we can implement a treatment plan to teach your body how to respond in a normal manner. This will restore your stability and your sense of balance and control.

This is done by working on exercises that challenge your vision, your balance and your tolerance to movement. We start by working on these systems individually, gradually increasing the demand as your body adapts to the challenges.

Symptoms of Central Dizziness

Our brain processes information from three primary sources to give us orientation to the world around us. These sources are our visual system, or what we see and how our eyes react, our somatosensory system or what we feel in our body, and our peripheral vestibular organs, the motion detectors in the inner ear.

The central vestibular system is responsible for processing this information. When we are unable to effectively do this, we get symptoms of being “dizzy”, “lightheaded” or a sense of feeling “off”.

These symptoms are often associated with:

  • A sense of movement when we are not actually moving
  • Instability and being unsure of our balance in large stores, low light environments, or with quick head or eye movements
  • Feeling the need for physical support to stabilize ourselves more than usual
  • An increase in fatigue, an overall decrease in energy or lack of motivation to be active
  • Feelings of frustration and anxiety that our independence is being hampered



percent of Americans over the age of 40 have experienced some form of vestibular dysfunction

a third of people over the age of


fall every year and are in need of vestibular rehabilitation

Forms of Vertigo We Treat

Vertigo & BPPV


Cervical Dizziness

Imbalance & Falls

Other Types of Disorders We Treat

bppv treatment vertigo

Vertigo & Dizziness

Vertigo is the sudden feeling of off-balance, such as an internal or external spinning sensation.

Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common, yet disturbing types of vertigo that one can experience.  This condition happens when “canaliths” or calcium carbonate crystals break free inside the inner ear and disrupts the signals sent to the brain indicating that the head has moved.

The name itself describes what actually happens when the crystals break free.

  • Benign simply means that this is not a disease process and while disturbing, it is not a health threat.
  • Paroxysmal means that these symptoms can suddenly occur and reoccur seemingly without warning.
  • Positional means that these symptoms are brought on by movements of the head.
  • Vertigo is the sense of you, or the world, spinning out of control.

Treatment happens by relocating the crystals to the sensory organs of the ears by placing your head in a sequence of positions.

Meniere's Disease

Meniere’s Disease is an inner ear condition that can cause vertigo and hearing loss. In most cases, the disease affects only one ear and the hearing loss can become permanent.


Headaches, migraines, tension and stress headaches are all very common with vestibular injuries. The underlying cause of these headaches could be a number of vertigo-related illnesses.


Neuronitis is an inflammation of the peripheral nervous system. The symptoms depend on which nerve(s) are involved but can include pain, commonly described as burning, stabbing, or tingling, paralysis, wasting and disappearing of the reflexes.


Labyrinthitis is a disorder from an infection that causes inflammation in the inner ear and/or the nerves that connect the inner ear to the brain. This inflammation creates disruption of sensory information from the ear to the brain. The symptoms include dizziness, nausea, vertigo, and minor loss of hearing.

Acoustic Neuroma

Acoustic Neuroma is a benign tumor that develops of the nerves (vestibular & cochlear) that connect the ear to the brain. The pressure of the tumor can cause hearing loss and imbalance.

Concussion/Post Concussion Syndrome

A concussion is an event that disrupts the brain’s normal function.  These events are associated with a relatively brief change in mental status or consciousness. View our Concussion Injury page for more information!

Mal de Debarquement Syndrome

Mal De Debarquement is a rare disorder of the vestibular system that results in an imbalance/swaying sensation often felt and seen by the sufferer. The symptoms can be made worse when a person is not moving.

Unilateral & Bilateral Vestibular Hypofunction

Unilateral and Bilateral Vestibular Hypofunction is an umbrella term for when the balance system in your inner ear is not working properly. The most common symptoms that the vestibular system is not working properly are: dizziness/vertigo, poor balance, blurred vision, nausea and trouble walking.

Cerebellar Degeneration & Age-Related Multisensory Deficits

Cerebellar Degeneration is the deterioration of the neurons in the cerebellum. The cerebellum is the part of the brain that controls muscle coordination and balance. The symptoms of Cerebellar Degeneration are characterized by a wide-legged, usually unsteady, lurching walk accompanied by tremors in the body.

Evolve Physical Therapy treats vertigo and BPPV in sherwood and bethany

Contact Evolve Physical Therapy in Sherwood and Bethany, Oregon to be seen in under 48 hours for central dizziness!

No need to navigate insurance companies. We call your insurance company for you!

Request An Appointment for central dizziness

Connect with us


P: (971) 213 – 3335

F: (971) 213 – 3389


P: (971) 979 – 0979

F: (971) 979 – 0997