Vestibular Therapy in University Heights.

The room tilts when you roll over. The floor shifts when you look up at a shelf. You have been told to wait it out, and you have waited long enough. Dizziness has causes, and causes can be tested.

Vertigo & BPPV Vestibular certified since 2003 Schedule Appointment

What It Is

Dizziness is a signal problem. We go after the signal.

Your sense of balance runs on three inputs: your eyes, your inner ear, and the sensation coming up from your feet. When all three agree, you never think about it. When one starts sending a bad report, the world moves and you do not. That mismatch is what dizziness actually is.

Vestibular therapy is a set of tested, deliberate movements. Some reposition loose crystals that have drifted into the wrong canal of your inner ear. Others retrain your eyes to hold steady while your head turns, or walk you back through the exact motions your brain has learned to flinch from. Which one you get depends entirely on what the testing finds.

It is not medication, and it is not waiting. Motion-sickness pills quiet the symptom and slow the retraining underneath it. It is also not one maneuver applied to everybody who walks in dizzy. Dr. Joseph Moskowitz earned his Certificate of Vestibular Competency in 2003 while working at the New York Eye and Ear Infirmary. Sorting one cause of dizziness from another is the thing this clinic is known for.

Physical therapist assisting a patient with balance retraining between parallel bars Every test explained before it starts

What It Helps

When the world will not hold still.

You have spent months being told it is nothing. You are not a complainer. You are someone with a symptom nobody has tested properly yet, and dizziness that follows a pattern almost always has a cause behind it.

The room spins when you roll over in bed Turning around suddenly needs a plan A stiff neck and a head that never feels clear

What A Session Looks Like

Nothing happens to you without warning.

1

First fifteen minutes, we just talk. Which direction sets it off, how long it lasts, what you have stopped doing because of it.

2

Then the positional testing. Yes, some of it can bring your symptoms on for a minute. We say so first, we move you slowly, and you sit until it settles.

3

Treatment starts the same visit. Repositioning if that is the cause, gaze and habituation work if it is not, plus what to do at home tonight.

What Changes

Four things you get back.

Rolling over in bed stops setting off the room.

You look up at a high shelf without bracing first.

Driving your own errands stops feeling like a gamble.

It finally has a name, and a reason it happened.

Pairs Well With

Steady gets built in more than one place.

Balance Therapy Vestibular work settles the signal. Balance work rebuilds the trust you lost in your own feet while that signal was wrong. Physical Therapy Dizziness rarely travels alone. A stiff neck, weak hips and numb feet all get a vote in whether you feel upright.

Questions, Answered

Vestibular therapy, no mystery.

Some dizziness does settle on its own. Plenty of it does not, and the waiting carries a price. You move less, you skip the stairs, you stop driving after dark, and the balance system gets less practice at the exact moment it needs more. A cause-first evaluation with a licensed physical therapist tells you which kind you are dealing with. If it is the kind that passes, you will know that early. If it is not, you will not have handed it another six months first.

No. The Epley is one repositioning technique for one specific cause: loose crystals sitting in the wrong canal of the inner ear. It is excellent when that is the problem, and useless when it is not. Vestibular neuritis, MdDS and post-concussion dizziness each call for different work, including gaze stabilization, habituation, and a graded return to the movements you have been avoiding. Testing comes first so the treatment matches the cause instead of guessing at it.

Honestly, for a minute or two, some of it can. That is how the testing works: a licensed physical therapist moves your head into a specific position and watches what your eyes do in response. We tell you what is coming before each position, we move you slowly, and we stop the moment you ask. You sit until it settles, and nobody sends you out the door mid-spin. That brief burst is what shows us which system is misreporting, and it is the difference between a specific plan and a generic one.

Book Your Visit

Ready when you are.

Request a time and a real person calls you back during clinic hours. No phone tree. No ‘someone will reach out.’ Just a plan.

  • Hours Mon & Wed 8:15am–7:00pm · Tue & Thu 8:15am–5:30pm · Fri 8:15am–3:30pm · Sat & Sun closed
  • (216) 577-1933 Prefer to talk now? Call us.
  • No referral needed, Ohio direct access

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