MOBILE VESTIBULAR PHYSICAL THERAPY
Balance, Dizziness & Vestibular Care
Dizziness, vertigo, and balance problems can interfere with walking, driving, work, sleep, exercise, and confidence. Pete provides one-on-one mobile physical therapy for BPPV, motion sensitivity, unsteadiness, falls, near-falls, and reduced balance.
This may be a good fit if you are dealing with:
- Brief spinning or vertigo brought on by rolling in bed, lying down, looking up, or changing position
- Dizziness or motion sensitivity during head or body movement
- Unsteadiness while standing or walking
- Reduced confidence on stairs, uneven ground, or in busy environments
- Falls, near-falls, or fear of falling
- Ongoing balance difficulty after a vestibular diagnosis, illness, or period of reduced activity
Dizziness is a symptom, not a single diagnosis. The first visit is used to understand the pattern, identify whether physical therapy is appropriate, and determine whether another medical assessment is needed.
What the first visit may include
The evaluation is guided by the symptom history, movement triggers, medical history, falls history, and the activities that have become difficult.
- A detailed discussion of what the dizziness or imbalance feels like and what brings it on
- Positional testing when benign paroxysmal positional vertigo is suspected
- Observation of responses to relevant head and body movement
- Assessment of balance, walking, turning, transfers, and movement tolerance
- Review of fall risk and confidence with everyday mobility
- Observation of relevant home or environmental challenges
- A clear explanation of findings and an initial treatment plan
Not every dizzy person needs the same tests or maneuvers.
Treatment based on the cause and movement pattern
Vestibular treatment is not a generic balance program. The plan depends on the examination, the suspected source of symptoms, and the activities the person needs to regain.
- The Epley or Semont maneuver when findings support benign paroxysmal positional vertigo
- Habituation exercises for movement or visual sensitivity when appropriate
- Balance and walking retraining
- Progressive head and body movement
- Strength and mobility work when those factors affect balance
- Fall-risk reduction and safer movement strategies
- Education about symptom response, pacing, and self-management
Balance care in the environment where you move
A mobile visit can assess the actual bed, chair, stairs, turning spaces, lighting, flooring, thresholds, walking surfaces, distances, and supports involved in everyday mobility.
For someone who feels unsafe driving or traveling while dizzy, beginning care in the home may reduce an immediate barrier to evaluation.
Knowing when physical therapy is—and is not—the next step
Not all dizziness comes from the vestibular system, and not every vestibular problem should be managed by physical therapy alone.
Call 911 for sudden facial drooping, weakness or numbness on one side, trouble speaking or understanding speech, a sudden severe headache, or sudden trouble walking with loss of balance or coordination.
When a primary care clinician or another provider is involved, Pete’s standard practice is to send the plan of care and communicate clinically important changes as appropriate.
The fee is the same for every eligible direct-pay visit. There are no required packages, treatment tiers, or memberships. A written Good Faith Estimate is provided before the first visit. The direct-pay fee applies after initial screening confirms that this practice and payment arrangement are appropriate for the episode of care.
Not sure whether this is the right service?
Call or email to briefly describe the dizziness or balance problem, where you are located, and what you hope to return to.
Please do not include detailed medical or sensitive personal information in the initial email or voicemail.