What We Treat
The room spinning the second you roll over in bed. The wave of nausea that hits out of nowhere. It’s fixable, and it starts with a thorough evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your world doesn’t spin for no reason. And it’s almost never a leg or muscular issue. It’s usually one of four culprits: tiny calcium crystals that have drifted into the wrong part of your inner ear, known as BPPV. Inflammation along the vestibular nerve sending your brain bad balance signals, vestibular neuritis. A buildup of fluid pressure in the inner ear, Meniere’s disease. Or a migraine-linked balance disorder that flares alongside head pain.
None of that shows up on a quick glance. It takes a real, thorough evaluation, testing your eye movements, head positioning, and balance, to sort out which one is actually driving your symptoms. That’s why generic dizziness advice so often falls short: it treats the symptom, not the source. Find the real cause, and the fix gets obvious.
The Honest Truth
You’re usually the steady one, the person everyone else leans on. That doesn’t change just because your balance did. Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint, and you’ll work one-on-one with a Doctor of Physical Therapy, every visit. Here’s what the four phases look like for dizziness and vertigo.
Weeks 1–2
Pain
For BPPV, a canalith repositioning maneuver guides the displaced inner-ear crystals back where they belong, often easing spinning episodes within the first visit or two. For neuritis or migraine-linked dizziness, hands-on techniques calm the irritated system first.
Weeks 2–6
Prime
Targeted vestibular exercises retrain your brain to filter the mismatched signals coming from the inner ear, restoring normal head and eye coordination.
Weeks 6–10
Perform
Progressive balance and gaze-stabilization drills rebuild the confidence to move your head quickly again: rolling over, looking up, turning corners, without triggering the spin.
Weeks 10+
Prevent
Balance under real-world conditions, stairs, uneven ground, quick head turns, gets tested before you’re cleared to go all-in: that’s the endpoint, not just another appointment.
Currently working with Jacob Mosco, about 3 weeks into my rehab. One thing I can stand by is the communication: he's very easy to talk to and walks you through his thought process, and he creates a very welcoming atmosphere.
Sai J. · Google review
Before: the room tilting without warning, trusting nothing
After: steady enough to trust an ordinary day again
Questions, Answered
Not always, but a large share of vertigo cases trace back to the inner ear: conditions like BPPV, vestibular neuritis, or Meniere’s disease, or a migraine-linked balance disorder. It’s not a leg or muscular issue. A hands-on evaluation, testing your eye movements, head positioning, and balance, sorts out which one is actually driving your symptoms so we’re not guessing.
It’s a specific sequence of head and body movements used for BPPV that guides displaced inner-ear crystals back to where they belong. Many patients feel a real drop in spinning within the first visit or two, though the plan doesn’t stop there if an underlying imbalance still needs addressing.
Some patients, especially with BPPV, feel meaningful change within the first visit or two. A full plan for dizziness and vertigo runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 6–10 weeks, depending on the underlying cause and how long you’ve been dealing with it. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 250+ Google reviews
Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
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