Vestibular Therapy
Vestibular therapy information for Pittsburgh communities
At the Lifeline Therapy Vestibular and Balance Center, our personalized, advanced protocols and commitment to excellence help our patients achieve a better, more productive life.
Dizziness and vertigo are symptoms, not a diagnosis or disease. Under the direction of Dr. Rachel Long, a certified vestibular therapist with 16 years of experience and a history of tremendous outcomes, Lifeline utilizes state-of-the-art diagnostic equipment and treatments to help determine the cause of vertigo or balance problems. We then alleviate the associated symptoms through manual-positioning techniques and/or vestibular and balance exercises. Call or visit us today to schedule a free consultation.
What is Vestibular Therapy?
Vestibular therapy is a specialized form of physical therapy designed to alleviate symptoms of inner ear or balance disorders. It focuses on reducing dizziness, vertigo, visual disturbances, and imbalance through targeted exercises and manual techniques. This therapy helps the brain compensate for inner ear dysfunction and improve coordination and stability.
Symptoms We Treat
If you are experiencing any of the following, vestibular therapy may help:
- Dizziness or lightheadedness
- A spinning sensation (vertigo)
- Feeling off-balance or unsteady
- Nausea triggered by movement
- Blurry vision while walking or turning your head
- Difficulty walking in the dark or on uneven surfaces
- Anxiety caused by loss of balance or unexpected episodes of dizziness
These symptoms can interfere with your ability to drive, work, shop, or even shower safely. You’re not alone—and vestibular therapy can help.
What to Expect During Vestibular Therapy
Vestibular therapy sessions are personalized to each patient’s symptoms, diagnosis, and functional goals. The overall aim is to retrain the brain to interpret signals from the vestibular system (inner ear) more accurately, helping reduce dizziness, improve balance, and enhance quality of life. Here’s what you can expect during vestibular therapy:
Initial Assessment
The first session typically involves a comprehensive evaluation, which may include:
- A detailed review of your symptoms and medical history
- Balance and gait analysis
- Visual tracking and eye movement tests
- Positional testing to assess for conditions like BPPV
- Dizziness provocation tests to determine triggers
This assessment helps your therapist determine the root cause of your symptoms and build a customized treatment plan.
Common Vestibular Therapy Treatments
Canalith Repositioning Maneuvers
Gentle head and body movements (like the Epley maneuver) used to treat BPPV by moving loose crystals out of the inner ear canals.
Gaze Stabilization Exercises
Eye and head movement drills (such as VOR exercises) that help improve focus and reduce visual blurring with motion.
Balance Training
Activities that improve steadiness while standing, walking, or changing directions, often on uneven surfaces or with visual challenges.
Habituation Exercises
Repeated exposure to movements or positions that trigger dizziness to help the brain adapt and reduce symptoms.
Functional Movement Practice
Simulated daily tasks like turning quickly, bending, or climbing stairs to restore safe, confident mobility.
Strength and Flexibility Exercises
Targeted exercises to support posture, core stability, and endurance, often included as part of recovery.
Home Exercise Program
Personalized routines to continue progress between sessions and reinforce in-clinic therapy.
Treatment Frequency & Duration
Most patients attend 1–2 sessions per week, with total duration ranging from 2–8 weeks, depending on the severity and complexity of the condition. For BPPV, some people recover in as little as one or two treatments, while those with long-term vestibular disorders may require a longer rehab plan.
Common Conditions That Cause Dizziness or Vertigo
You may benefit from vestibular therapy if you experience any of the following conditions:
- Acoustic neuroma
- BPPV
- Concussion
- Labyrinthitis
- Migraines
- Ménière’s Disease
- Persistent Postural Perceptual Dizziness (PPPD)
- Stroke
- Vestibular Neuritis
Vestibular therapy is not a one-size-fits-all treatment—it’s a step-by-step process designed to help your brain adapt to changes in balance and movement signals. Through targeted exercises and gradual exposure to movement, we help you build confidence and regain control over your body. Your progress continues outside the clinic with home exercises tailored to your symptoms and goals.
How to Choose the Best Vestibular Therapist in Pittsburgh
When selecting a vestibular therapist, consider the following:
- Certification in vestibular rehabilitation
- Experience treating your specific condition
- Use of evidence-based techniques (e.g., Epley maneuver, gaze stabilization)
- Access to specialized equipment (such as infrared goggles)
- Positive reviews or testimonials (Lifeline’s team, led by Dr. Rachel Long, has extensive experience and advanced training in vestibular rehab for a wide range of balance disorders)
As our lead vestibular specialist, Dr. Rachel Long reminds patients that their symptoms are real—and treatable. Lifeline Therapy will move at a pace that’s safe and comfortable for you while guiding you toward long-term relief. Choosing a therapist who listens and tailors treatment to your comfort level can make all the difference. Visit one of our eight Pittsburgh-area locations including Pittsburgh, McMurray, Warrendale, Monroeville, Mercer and Duquesne.
Patient Success Stories
Educational Resources
Stay Active and Injury-Free This Summer!
Tips for Your Favorite Activities Summer is a great time to get outside and enjoy activities like running, hiking, and swimming. Moving your body is great for your health! But sometimes, fun...
Prevent Falls and Stay Independent: Your Guide to Safer Living
Why Balance Matters As we age, staying on our feet becomes more than just a goal - it's a key to living well. One in four older adults falls each year. But falls are not a normal part of aging. You...
Common Questions About Vestibular Therapy
Does vestibular therapy really work?
Yes, research shows vestibular therapy is highly effective for conditions like BPPV, vestibular neuritis, and post-concussion syndrome. Many patients experience relief in just a few sessions.
Does Medicare cover vestibular therapy?
Yes, Medicare and most private insurance plans typically cover vestibular therapy when it’s medically necessary and prescribed by a healthcare provider.
Can vestibular therapy make vertigo worse?
Mild symptom flare-ups can occur early in treatment as the brain adapts, but this is temporary. Skilled therapists monitor progress closely to avoid worsening symptoms.
Does vestibular therapy help tinnitus?
Vestibular therapy is not a direct treatment for tinnitus, but it can help if your dizziness or imbalance is linked to a condition that also causes tinnitus.
Do I need a referral for vestibular therapy?
In most cases, no. Pennsylvania is a direct access state, meaning you can begin physical therapy without a physician’s referral. However, some insurance plans may still require one. We will help you determine what is needed and verify your benefits.
- Musculoskeletal Injuries and Pain
- Spinal Stenosis
- Cardiovascular Conditions
- Post-Surgical Recovery
- Low Back Pain
- Pulmonary Conditions
- Chronic Conditions
- Vestibular Conditions
- Pelvic Conditions
- And many others
For a full list of conditions, visit our Conditions We Treat page.
How much does vestibular therapy cost and is it covered by insurance?
Costs vary based on insurance coverage. Lifeline Therapy accepts most major insurances, and we are happy to verify your benefits before treatment begins.
Where Can I Find Vestibular Therapy Services?
We offer vestibular therapy in Pittsburgh and surrounding cities. View each of our locations below to find the one most convenient for you.
Ready to Stop the Dizziness and Spinning?
If dizziness is limiting your life, we are here to help. Schedule your free vestibular therapy consultation and take the first step toward steadier movement.