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We reproduce it, briefly, so we can see it.
When the room spins, tilts, or slides after your head has already stopped moving, that’s usually the inner ear. We test it, we name the cause, and we retrain the system that tells your brain which way is up.
What It Is
Inside each ear is a set of fluid-filled canals that tell your brain how your head is moving. Your eyes and your body send their own reports at the same time. When the ear’s report disagrees with the other two, you feel it as spinning, tilting, or a floor that will not hold still.
Vestibular therapy goes after the reason for that disagreement, and the reason changes the treatment. Some vertigo is positional: with BPPV, loose crystals drift into a canal and set off a short, violent spin when you roll over or look up, and a specific repositioning sequence often settles it quickly. Dizziness that follows inner ear inflammation, a concussion, or migraine works differently. That one needs retraining: gaze steadiness, graded exposure to the movements that set you off, and walking work.
What it is not: a pill that dulls the signal, and not a promise. We will not tell you how many visits this takes before we have tested you. What we will do is tell you what we found, and tell you honestly if it belongs with your physician instead. Left alone, this usually costs more than the dizziness itself. You stop driving at night, you stop bending down, and the steadiness you are avoiding using gets thinner.
Tested carefully, told before it happens
What It Helps
If any of these is the reason you looked us up, this is worth reading.
What A Session Looks Like
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We reproduce it, briefly, so we can see it.
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We treat the cause the test pointed to.
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You go home knowing what to do next.
What Changes
Rolling over in bed without bracing first.
Turning your head without the room following.
Fewer days written off to a dark room.
A plan for the next episode, not just this one.
Pairs Well With
Questions, Answered
Possibly, and only with your permission. Some vestibular tests work by moving your head into the position that provokes symptoms, because watching your eyes during that moment is how we tell one cause from another. It is brief, you are supported the whole time, and we describe exactly what is coming before we move you. You can stop it at any point.
That depends entirely on the cause, and we are not going to guess at a number for you. BPPV, the positional kind, often responds quickly to a repositioning sequence. Dizziness that follows inner ear inflammation, a concussion, or migraine does not work that way: it improves through retraining over a course of care. The exam is what tells us which conversation we are having.
Then we say so, and that is worth sorting out early. Neck stiffness, blood pressure, medication, migraine, and plain deconditioning can all feel like dizziness. The evaluation separates what is coming from the inner ear from what is not. If what we find belongs with your physician, you hear it plainly and we help you get there instead of billing you for guesses.
That happens, and it does not mean it failed. Positional vertigo can recur, and the sequence sometimes has to be repeated. It also matters whether anything was done afterward. Without gaze work and balance work, the unsteadiness that trails an episode tends to hang around long after the spinning quits. We treat both halves.
No. Louisiana is a direct access state, so no physician referral is needed to start physical therapy here. If your history or your exam points to something that needs a doctor first, new hearing loss on one side, for example, we tell you and we do not sit on it. We also run a benefits check before your first visit. Call us at (985) 326-7260.
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