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Vertigo and Dizziness
Complete treatment program for patients with vestibular dysfunction and Vertigo.

VESTIBULAR THERAPY
Reyes/Reyes Physical Therapy provides specialized therapy for patients with dizziness and imbalance; these services are known as vestibular rehabilitation.

BPPV is an inner ear disorder that causes a spinning or whirling sensation called vertigo. When the head is moved in certain positions vertigo can occur. BPPV is the cause of approximately 20% of all dizziness.

Dr. Reyes has experienced professionals that specialize in vestibular rehabilitation. Dr. Reyes have a multitude of resources to examine patients. Resources include the DixHallpike Test that determines the cause of vertigo based on the pattern of a patients eye moments and Frenzel Goggles that allow to carefully observe the eye for subtle signs of nystagmus, involuntary rhythmic shaking or wobbling eyes.

CUSTOMIZED TREATMENT

Canalith Repositioning/Epley Maneuver – The repositioning of the head with timed head maneuvers.
Education – teach patients proper exercise techniques that they can do at home to maintain optimal health.

OUTCOMES

Patients often see improvement within the first session.
Patients are commonly treated successfully within one to four sessions.

Gaze Stabilization exercises are used to improve control of eye movements so vision can be clear during head movement. These exercises are appropriate for patients who report problems seeing clearly because their visual world appears to bounce or jump around, such as when reading or when trying to identify objects in the environment, especially when moving about.

There are two types of eye and head exercises used to promote gaze stability. The choice of which exercise(s) to use depends on the type of vestibular disorder and extent of the disorder. One type of gaze stability exercise incorporates fixating on an object while patients repeatedly move their heads back and forth or up and down for up to a couple of minutes.

The other type of gaze stability exercise is designed to use vision and somatosensation (body sense) as substitutes for the damaged vestibular system. Gaze shifting and remembered target exercises use sensory substitution to promote gaze stability. These exercises are particularly helpful for patients with poor to no vestibular function, such as patients with bilateral (both sides) inner ear damage.