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What Is Vestibular Therapy? A Guide to Stopping the Spin

January 20, 2026

If you have ever asked yourself what is vestibular therapy, the chances are high that you or a loved one is dealing with the disorienting effects of dizziness or balance issues. What is vestibular therapy if not a lifeline for those who feel like their world is constantly spinning? At DPT Physical Therapy & Performance, we understand how frightening and isolating these symptoms can be. Simple tasks like walking to the mailbox or bending over to tie a shoe can suddenly feel like navigating an obstacle course.

Living with vertigo or imbalance does not just affect your physical movements. It impacts your confidence and independence. Many people in Texas spend years altering their lifestyles to avoid dizziness triggers without realizing that a specialized, drug-free solution exists. You do not have to just live with it.

Our team serves communities across Stephenville, Glen Rose, Lubbock, Comanche, and Mineral Wells with a personalized approach to recovery. We use scientifically backed methods to help your brain and body work together again. In this guide, we will break down exactly how this therapy works, who it helps, and how it can get you back on your feet with confidence.

Understanding the Vestibular System

To understand the therapy, you first need to understand the system it treats. Your vestibular system is a tiny but powerful set of fluid-filled canals in your inner ear. It acts as the body’s internal GPS. It tells your brain where your head is in space and helps you keep your balance when you move.

This system works closely with your vision and the sensors in your joints and muscles. When all three systems agree, you feel steady. When the inner ear sends signals that do not match what your eyes see or your body feels, the result is vertigo, dizziness, or nausea.

Vestibular Rehabilitation Therapy (VRT) is a specialized form of physical therapy designed to address these mismatches. It uses specific exercises to retrain the brain to recognize and process signals from the vestibular system correctly. This process relies on neuroplasticity, which is the brain’s amazing ability to form new connections and adapt to changes.

Who Can Benefit from Vestibular Therapy?

Dizziness is one of the most common reasons adults visit a doctor. While medication can sometimes mask the symptoms, it rarely fixes the root cause. VRT is an effective treatment for a wide range of conditions.

Benign Paroxysmal Positional Vertigo (BPPV)

This is the most common cause of vertigo. It occurs when tiny calcium crystals in your inner ear break loose and move into the wrong part of the ear canals. This causes brief but intense spinning sensations when you change head positions, like rolling over in bed.

Vestibular Neuritis and Labyrinthitis

These are disorders often caused by an infection that inflames the nerves in the inner ear. This inflammation disrupts the transmission of sensory information from the ear to the brain, leading to severe vertigo and imbalance.

Ménière’s Disease

This chronic condition involves fluctuating fluid levels in the inner ear. It can cause episodes of vertigo, ringing in the ears (tinnitus), and hearing loss. While VRT cannot cure the disease, it can help manage the balance issues that occur between attacks.

General Balance and Gait Disorders

As we age, or after injuries, our balance can deteriorate. This increases the risk of falls. Our dizziness and vertigo treatment plans are designed to improve stability and reduce fall risk, keeping you safe and active.

Concussion and Traumatic Brain Injury

Head injuries can often damage the vestibular system or the pathways in the brain that process balance information. Therapy helps resolve the lingering dizziness and visual issues often seen after a concussion.

How Does the Therapy Work?

Vestibular therapy is not a one-size-fits-all approach. At DPT Physical Therapy & Performance, we follow a unique 4-Phase Recovery Program to ensure we address your specific needs. This journey moves from managing pain and symptoms to preventing future issues and priming your body for performance.

Your treatment plan will likely include a combination of three primary exercise methods.

1. Gaze Stabilization Exercises

These exercises are crucial if you have trouble focusing your vision while moving your head. The goal is to improve the Vestibulo-Ocular Reflex (VOR). This reflex keeps your vision clear when you turn your head. A common exercise involves fixing your gaze on a target on the wall while moving your head side to side or up and down. This teaches your brain to keep your eyes steady even when the inner ear signals are weak.

2. Habituation Exercises

If you feel dizzy when you move in certain ways or are in busy environments like grocery stores, habituation exercises can help. These involve repeated exposure to the specific movements or visual stimuli that trigger your dizziness. It might sound counterintuitive, but controlled exposure helps the brain get used to the stimulation so it no longer causes a negative reaction. Over time, the dizziness intensity decreases.

3. Balance Training Exercises

These exercises improve your steadiness so you can perform daily activities safely. We might have you practice standing on different surfaces, such as foam, or walking while turning your head. This challenges your balance system and forces the brain to rely more effectively on vision and joint sensors to keep you upright. If you are struggling with steadiness, our specialized balance therapy can be a game-changer.

What to Expect During Your Visits

If you are located near one of our clinics in Stephenville, Glen Rose, Lubbock, Comanche, or Mineral Wells, your journey starts with a comprehensive evaluation. We will review your medical history and perform specialized tests to observe how your eyes move and how your body reacts to balance challenges.

For patients with BPPV, treatment might be very quick. We often use canalith repositioning maneuvers, such as the Epley maneuver. This involves a series of specific head and body movements designed to guide the loose crystals back to the chamber where they belong. Many patients feel significant relief after just one or two sessions.

For other conditions, therapy is an active process. You will learn exercises to do in the clinic and at home. Consistency is key. The brain needs repeated practice to adapt. Most patients see improvements in their symptoms within 4 to 6 weeks, though this varies based on the diagnosis.

The Benefits of Choosing Specialized Care

Ignoring dizziness rarely makes it go away. In fact, it often leads to a sedentary lifestyle because people become afraid to move. This lack of activity causes muscles to weaken, which only makes balance problems worse.

By engaging in vestibular therapy, you can expect:

  • Reduced Risk of Falls: Improving your balance protects you from serious injuries.
  • Less Dizziness: You will feel more grounded and less nauseous during daily tasks.
  • Improved Focus: When your brain isn’t fighting to keep you upright, you have more mental energy for other things.
  • Greater Independence: You can get back to driving, working, and enjoying life without fear.

Start Your Recovery in Texas Today

You do not have to let dizziness control your life. Whether you are dealing with the spinning sensation of BPPV or a general feeling of unsteadiness, there is hope. Understanding what is vestibular therapy is the first step toward reclaiming your stability.

At DPT Physical Therapy & Performance, we are committed to treating you like family. Our experts are ready to guide you through every phase of recovery, from that first assessment to your return to full activity.

If you are ready to stop the spin and start living again, request an appointment at one of our convenient Texas locations today. Let us help you get back to the life you love.

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