Portland’s Experts in Vestibular
Rehabilitation (VTR), Vertigo Treatment,
Dizziness Treatment, and Balance and
What Kind of Vertigo or Dizziness Do I Have?
BPPV is an intense form of vertigo, which is a disturbing sensation that your world is spinning out of control. That’s Me!
A concussion is an injury to the brain after the head has been hit or shaken causing dizziness or imbalance. That’s Me!
Cervical dizziness can be caused by various neck problems that contribute to the sensation of feeling “cloudy” and imbalance. That’s Me!
Central dizziness is often described as feeling of imbalance or “unsteady in the head” with or without movement. That’s Me!
If you have a similar story and are here to learn about different vestibular conditions, you are at the right place! Click on the icons above to find out more about vestibular issues and vestibular rehabilitation. We will help get you back to the real you – stable, secure and feeling better to live your life.
We Are Vestibular Rehabilitation Specialists
Vestibular Rehabilitation (VRT) Overview
Vestibular Rehabilitation Therapy is the treatment of the symptoms that create a sense of spinning, imbalance or “feeling off” that leads to imbalance or falling.
Do you have dizziness or vertigo when you:
1. Bend over to reach for something on the floor or when looking upward?
2. Turn your head from side to side?
3. Lay down or roll over in bed?
4. Move your head or body quickly?
If you have these symptoms we can help! Treatment can solve your problem, often on your very first visit to our clinic.
What is our approach to vestibular rehabilitation?
We have a comprehensive approach in addressing your strength, agility, balance reactions & joint flexibility. Each one of these can limit your balance control, and by putting all of these components together we can help you move more confidently and reduce your fall risk.
“Often nausea and a sensation of being “off” in your balance and general well being accompanies this problem. We can help you!” -Matt Whitaker, Physical Therapist
Matt is a vestibular rehabilitation specialist who has treated dizzy and imbalanced patients for the past 20 years. He achieved the gold-standard in education for treating these conditions through the University of Miami in 2000 with the top clinicians and researchers in this area of care.
Why we are different
You will always receive the highest quality of care by working with an experienced, licensed physical therapist. No techs. No aides. No assistants. No double booking.
Our physical therapy goal is to provide the best help that we can to ensure you have a healthy, more pain-free life! We do not have aids and assistants because we want all of our patients to get the right care and treatment plan from our most qualified physical therapists. We cut out the middle man to give you the most effective treatment.
Vestibular rehabilitation treatment addresses the three systems that help us keep our balance:
- Inner ear and its interactions with the brain to perceive movements
- Visual system and its ability to help orient us to our environment
- Touch or somatosensory system which is what we feel, most often in the surfaces of our feet
Did you know?
Neck pain or tension can contribute to imbalance and dizziness
As many as 35% of Americans over the age of 40 have experienced some form of vestibular dysfunction
According to the Center for Disease Control and Prevention, one-third of people over the age of 65 fall every year and are in need of vestibular rehabilitation
Falls are a significant cost to our healthcare system. More importantly, falling impacts an individual’s life and those of their family due to their declining independence
Request an Appointment
We’ll be in touch within 1 hour regarding your request.
Do you suffer from dizziness or vertigo?
If you are having balance difficulties because of dizziness or vertigo- don’t be one of these statistics. We can help you through vestibular rehabilitation therapy!
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 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 loss of hearing.
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. 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.
"I was being treated for another condition at Evolve Physical Therapy when I awoke one morning with dizziness that I happen to mention to my therapist. He assessed me and treated me that day and within minutes my dizziness was taken care off. It was amazing how quickly it went away!"
"I was having trouble with my balance and having dizziness with getting out of bed and when I stood up. I went to see Matt Whitaker and he provided a single treatment that actually took away the dizziness - it was painless! I am so pleased he is able to provide this care!"
"For years when I laid down to sleep and when I got up the world would spin for 15-20 seconds. When I came to see Matt for lower back pain I sat up and as usual I was really dizzy. Within a few treatments Matt was able to get the dizziness to go away completely! I had seen my medical doctor who did not have a solution and I basically dealt with it as a "normal" part of my life. After his treatment, I can now lay down and sit up without the world spinning! Thank you Matt!"