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Rebalance Yonge & Adelaide Yonge & Adelaide
Physiotherapy Toronto TTC SubwayPhysiotherapy Office Toronto PATH
110 Yonge Street Suite #905
Toronto, ON M5C 1T4Rebalance Sports Medicine - 110 Yonge Street Suite #905

T: (416) 777-9999
F: 1-866-338-1236
E: [email protected]

Rebalance University & KingUniversity & King
Downtown Toronto Physio TTC
155 University Avenue Suite #303
Toronto, ON M5H 3B7
Rebalance Sports Medicine - 155 University Avenue Suite #303

T: (416) 306-1111
F: 1-866-204-0961
E: [email protected]

Rebalance PhysiotherapyHOURS
Monday:
7 AM - 6 PM
Tuesday:
7 AM - 6 PM
Wednesday:
7 AM - 6 PM
Thurdsday:
7 AM - 6 PM
Friday:
7 AM - 6 PM
Saturday:
Closed
Sunday:
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YONGE & ADELAIDE
UNIVERSITY & KING

Vestibular Rehabilitation in Downtown Toronto

Concussion Treatment in Downtown Toronto

Our downtown Toronto clinics offer vestibular rehabilitation by a qualified physiotherapist. Do you frequently experience dizzy spells? feel off balance? If these statements ring true for you, you will want to book an assessment at Rebalance Sports Medicine. Treatment of dizziness is possible, highly effective and strongly supported in the research.

Your therapist will determine the cause of your dizziness and effectively treat symptoms caused by the inner ear, visual motion sensitivity, concussion or the upper neck region. If the cause of your dizziness is not treatable in a clinical setting they will direct your care back to your doctor with more information to guide the correct diagnosis. They will use a hands-on approach to diagnose, treat and customize your care to suit your lifestyle and needs.

What Causes Dizziness?

Your dizziness could be caused by several different factors in combination or isolation. Common causes of dizziness include;

  • The Inner Ear (Vestibular System*)
  • Visual Motion Sensitivity
  • Concussion
  • Upper neck dysfunction such as after a Whiplash injury
  • Low Blood Pressure and your Cardiovascular system
  • Neurological dysfunction
  • Medications
  • Psychogenic (anxiety/depression)
  • And more….

What are the Symptoms of a Vestibular Disorder?

Symptoms of a vestibular disorder include:

  • Dizziness
  • Vertigo (Feeling like the room is spinning)
  • Feeling off balance
  • Keeping your eyes focused when there is lots of motion in your visual field
  • Tinnitus (Ringing in the ear)
  • Nausea
  • Headaches
  • Your eyes can “pulse” when you look in a certain direction

What is the Vestibular System?

The Vestibular System is a sensory information system essential for normal movement and equilibrium. It is made up of three semi-circular canals, located in the inner ear, consisting of fluid and sensors that detect head and body movement. The brain uses this information, and integrates it with vision and body position, to control your balance.

Various conditions can affect the Vestibular System, including aging, infection, concussion or other factors, causing problems with the processing of head and body movement and resulting in functional impairments and associated symptoms, such as dizziness, nausea, blurred vision and the feeling of being off balance.

What is Benign Paroxisimal Positional Vertigo, or BPPV?

BPPV, is a condition of the vestibular system affecting the inner ear and how it detects head movement. It is one of the most common causes of vertigo but often misdiagnosed. It is 2-3x more common in women than men1.

BPPV creates a strong sensation of vertigo (the allusion of movement though none exists) with certain head and body movements that are short lived and sometimes associated with nausea and feeling of being off balance. The great news is that although often highly distressing when it happens, BPPV is treatable and typically resolves with correct diagnosis the appropriate treatment.

Most often BPPV occurs naturally – meaning not due to an injury or specific aggravating factor. Some individuals are more likely to get BPPV including older adults, individuals with migraines, and individuals who have had head injuries.

How Can Physiotherapy Help with Dizziness?

Your physiotherapist will do an assessment to correctly diagnose the cause of your dizziness. They can effectively treat dizziness that is caused by the vestibular system, concussion and upper neck dysfunction. They can also identify other sources and refer back to your doctor for further investigation, helping to direct your care.

If your dizziness is caused by the inner ear, vestibular rehabilitation is an effective way to treat the cause and encourage adaptation and habituation (the process of neuro-plasticity or changing the wiring of the brain) to restore normal function.

Through hands-on treatment, teaching you the proper exercises and educating you on how to modify your lifestyle, your physiotherapist will help you restore your balance, retrain your eye/head and body movement and help you learn to feel safe again when you move.

What is involved in a Dizziness Assessment with a Physiotherapist?

A dizziness assessment with one of our physiotherapists includes the following:

  1. Health history and understanding of your symptoms and lifestyle
  2. Neurological Scan
  3. Biomechanical Neck Assessment
  4. Assessment of Vascular system (pulses and blood pressure)
  5. Dizziness Special Testing (positional test that may or may not create your dizziness)
  6. Balance and Gait Testing

What is Involved with Vestibular Treatment and Rehabilitation?

Your physiotherapist will start with a comprehensive assessment involving a thorough history and physical tests for vertigo, balance, eye/ head control and movement sensitivities. They will also perform a neurological scan and biomechanical assessment of your neck. Based on the assessment findings an individualized treatment program will be recommended for you and may include the following:

  1. Education on how the vestibular system works specific to your condition
  2. Repositioning Techniques to treat BPPV
  3. Eye/Head Stability Exercises to regain clear vision during head movement and decrease dizziness
  4. Balance Retraining to improve balance and decrease dizziness or nausea
  5. Movement Habituation to decrease symptoms of motion sensitivity and disequilibrium
  6. Instruction to general physical activity to build overall strength and fitness

Tips for Success with Vestibular Rehab

Tips for success with vestibular rehabilitation include:

  • What makes you dizzy is actually good for you. When we experience dizziness we often stop moving our head and limiting our movements, however this prolongs and sometimes worsens the problem!
  • The right exercises will make you feel mildly to moderately dizzy, but over time the brain will learn how to process your movement and restore your normal, symptom free, motion.

In some cases, it is possible that a comprehensive initial assessment may aggravate symptoms of a vestibular disorder and or concussion. This is normal and typically settles within 24 hours. We recommend that you arrange to have someone ensure your safe transportation following the session.

Contact us today to schedule your vestibular rehabilitation treatment session or to receive more information about our vestibular treatment services.

Our Downtown Toronto Vestibular Rehabilitation Providers

References:

  1. H. J. Kim, J. H. Park, and J. S. Kim, “Update on benign paroxysmal positional vertigo,” J. Neurol., no. 0123456789, pp. 1–6, 2020.
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YONGE & ADELAIDE
UNIVERSITY & KING
Yonge & AdelaideRebalance Clinic Yonge Adelaide
110 Yonge Street Suite 905
Toronto, ON M5C 1T4
T: (416) 777-9999
E: [email protected]
University & KingRebalance Clinic University King
155 University Avenue Suite 303
Toronto, ON M5H 3B7
T: (416) 306-1111
E: [email protected]

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