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Dizziness

Distinguishing between Peripheral and Central Vestibular Disorders


Dizziness can be present in a patient for a number of reasons. The issue may be a peripheral vestibular disorder (PVD) such as BPPV, neuritis, or labyrinthitis, which may lead to unilateral or bilateral vestibular loss, or it may be a neurological disorder of central origin (Central Vestibular Disorder – CVD). These symptoms might occur from head trauma, brainstem stroke, or multiple sclerosis. Symptoms can be subtle, so identifying the dizziness's specific origin can be lengthy and expensive.


We can help! Big Stone Therapies can help you determine which type of issue the patient is challenged with, either a PVD or a CVD. Our highly trained and experienced therapist conducts a thorough assessment using state-of-the-art equipment. This evaluation can be of valuable assistance in determining the etiology of your patient’s symptoms. If we determine CVD – the patient will be referred back to you or an appropriate specialist for further evaluation and treatment.


Vestibular Rehabilitation Therapy (VRT) has shown to be a highly effective treatment for most individuals with vestibular disorders, both PVD and appropriate types of CVD. Even those who have tried medical treatments, including medication, and are still challenged with dizziness may benefit from VRT.





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