Weeks 1–2
Pain
Find the cause, often fix it same-day.
Specific positional testing identifies exactly what’s causing your dizziness, and for BPPV, a repositioning maneuver can bring relief in the very first visit.
What We Treat
The room that spins for a few seconds when you roll over in bed. The grocery aisle that suddenly feels like a boat deck. Dizziness almost always has a findable cause, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Most dizziness traces back to your inner ear: tiny crystals that shift out of place (BPPV), a virus that inflamed the balance nerve, or a concussion that disrupted how your eyes, ear, and brain talk to each other. Less often, it’s blood pressure or how your neck moves. Each cause has its own fix, and each feels a little different once you know what to look for.
That’s why a cause-first evaluation matters so much here. Specific positional testing, one-on-one with a licensed therapist, tells us exactly which system is misfiring, not a guess or a generic handout of “dizziness exercises.” Once we know the cause, most people get real relief fast, sometimes in the very first visit.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for dizziness and vertigo.
Weeks 1–2
Pain
Specific positional testing identifies exactly what’s causing your dizziness, and for BPPV, a repositioning maneuver can bring relief in the very first visit.
Weeks 2–4
Prime
Targeted vestibular exercises retrain the system so movement stops triggering that spinning, swaying feeling.
Weeks 4–6
Perform
Progressive balance and head-movement training gets you comfortable in the situations that used to set you off: aisles, traffic, crowds.
Weeks 6+
Prevent
A final round of real-world testing confirms you can move, turn, and go about your day without waiting for the next spell.
My elderly sister regained her balance thanks to her physical therapist at Specialized Physical Therapy. I highly recommend them.
Shared by Paula L. · Dizziness & Vertigo
Week 1: didn’t trust yourself to drive after a dizzy spell hit at a red light
Week 6: back behind the wheel and back at work full-time
Questions, Answered
That fear is completely understandable, and it’s the right question to ask. The large majority of dizziness comes from the inner ear, not the brain, and a thorough evaluation can usually tell the difference quickly. If anything about your case points toward a more serious cause, we’ll tell you directly and help you get to the right provider. You’re never left guessing.
You might feel a brief spin during the maneuver itself, that’s actually a sign it’s working. It passes quickly, and most people feel noticeably steadier within minutes of finishing. It’s a controlled, well-studied technique done one-on-one with a licensed therapist, not something you do blind on your own.
Many cases of BPPV improve in just one to three visits once the cause is found. Other causes, like post-concussion dizziness, take longer, typically running through all four phases, Pain, Prime, Perform, and Prevent, over about six weeks. 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.
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Typical response: under 2 business hours
Step 1 of 6
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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