Balance & Vestibular Rehab

Vestibular disorders most commonly occur when there is an imbalance in the inner ear systems between the left and right side.  There are a variety of causes of this imbalance including inner ear infections, medication interactions, neurological conditions, and degeneration of the otoliths of the inner ear. In most cases, vestibular dysfunction also includes a balance dysfunction which can make a person at risk for falls.

The most commonly diagnosed vestibular disorders include benign paroxysmal positional vertigo (BPPV)labyrinthitis and vestibular neuritisMénière’s disease,  and perilymph fistula. Vestibular disorders also include  acoustic neuromaototoxicity, and mal de débarquement.

Prevalence and Incidence:

One recent large epidemiological study estimates that as many as 35% of adults aged 40 years or older in the United States—approximately 69 million Americans—have experienced some form of vestibular dysfunction. According to the National Institute on Deafness and Other Communication Disorders (NIDCD), a further 4% (8 million) of American adults report a chronic problem with balance, while an additional 1.1% (2.4 million) report a chronic problem with dizziness alone. Eighty percent of people aged 65 years and older have experienced dizziness, and BPPV, the most common vestibular disorder, is the cause of approximately 50% of dizziness in older people. Overall, vertigo from a vestibular problem accounts for a third of all dizziness and vertigo symptoms reported to health care professionals.

What we do for you:

We have specially trained PTs who will perform a complex evaluation to find the cause of your symptoms and develop a treatment plan specific to your symptoms to get you back to your normal daily activities, whether work or play. Your treatment is not the standard exercises that you would normally think of, they are a combination of body and head movements to restore the normal function of your inner ear and balance systems

The good news:

Treatment procedures for balance and dizziness dysfunction are safe and painless but may provoke a degree of dizziness in order to resolve your symptoms. In some conditions such as BPPV, one treatment session may be all that is needed to completely resolve your symptoms. The goal of PT is to rebalance the vestibular system to alleviate your vertigo and to improve your balance to alleviate the risk of falls. Please contact us at Apex if you have any questions at 541-475-1218 and ask for Jim.

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Find Us


Apex Physical Therapy
230 SW 5th St.
Madras, OR 97741

Phone: (541) 475-1218
Fax: (541) 475-7647

Our Hours


Monday – Thursday:  8:00 a.m. – 5:30 p.m.

Friday: 8:00 a.m. –  5:00 p.m.

Closed: Sat/Sun