Balance Problems and

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What are Balance Problems?

Do you walk slowly? Struggle to make sharp turns? Or, aren’t as confident in your steadiness on your own two feet?


When navigating new environments, do you find yourself focused, looking for holds to support you?


At night, do you have a tough time maneuvering in the dark? 


These all signify that you may have a problem with balance.

What is Dizziness?

What Symptoms Are Associated With Balance Problems and Dizziness?

Patients suffering from Balance Problems and Dizziness may also experience:

  • Lightheadedness

  • Nystagmus

  • Imbalance

  • Brain Fog

  • Depression

  • Hearing Loss

  • Vision Problems

  • Nausea

  • Motion Sickness

  • Tinnitus

  • Photophobia

  • Sensation of fullness in the head/ears

  • Anxiety

Do you ever feel like you’re moving when you’re sitting still?


Do you ever roll over in bed and feel like you’re falling?


Have you ever felt like you were going to pass out standing up or like your eyes couldn’t focus?


These are all instances of “dizziness.”


Dizziness is a term we use to describe a wide range of sensations. Frequent dizziness can indicate a cardiovascular or nervous system based problem. In order to determine the best course of treatment, the type of sensation and cause of the dizziness must be identified.

What Causes Balance Problems and Dizziness?

To understand why a patient may experience balance problems or dizziness, we must first understand the vestibular system.


The vestibular system is the integrated sensory system responsible for balance and spatial awareness. The vestibular system reacts to both internal and externally directed movement. It is responsible for head and neck positioning, communiticating proprioception to the brain and body, balance, etc. 


Simply put, without a properly functioning vestibular system, it is impossible for your body to know where it is in space. This can negatively affect eye movements, cervical function, autonomic nervous system function, and sensory integration which can create the plethora of symptoms described above.


Patients commonly experience vestibular dysfunction after a brain injury and in association with dysautonomia.


In addition there are multiple Vestibular Disorders:

  • Vestibular Migraine

  • Vestibular Neuritis

  • Meniere’s Disease

  • Benign Paroxysmal Positional Vertigo (BPPV)

  • Acoustic Neuroma

  • Superior Semicircular Canal Dehiscence (SSCD)

  • Persistent Postural Perceptual Disorder (PPPD)

  • Mal De Debarquement

Our Approach to Treatment

After being diagnosed with a vestibular disorder, it is common to undergo generalized vestibular rehabilitation or in the case of vestibular migraine, be prescribed medication. Upon discharge, patients may still be experiencing symptoms. This is when consulting a specialist like Dr. Keiser may be beneficial.


When treating problems with balance and dizziness, we:


1.Work to understand a patient’s strengths, the root of their brain dysfunction, and gauge their stamina through a comprehensive clinical exam.

Using the latest in diagnostic technology, we consider each component of a patient’s nervous system in isolation -- vision, proprioception, autonomic, etc. and how they integrate together. 


This extra step often leads to a more precise solution.

2. Develop a customized treatment program informed by these findings.

Our approach takes advantage of the central nervous system’s ability to be plastic, to change constructively over time. This allows us to improve brain function through non-invasive, non-pharmacological means.


3. Frequently re-assess and adapt as needed to ensure the best results.