Vestibular/Dizziness Program

Our Vestibular/Dizziness Program is under the direction of James Collins, PT, CSCS, who has completed certification for Vestibular Rehabilitation. He has over 15 years treating patients with vestibular diagnosis, and has helped many overcome their symptoms.

The vestibular system is comprised of the semi-circular canals, the utricle and saccule. The canals contain fluid which is displaced when the head moves relative to the neck. The utricle and saccule have crystals on a gel that shifts and detects motion of the head through space (riding in an elevator). The signals travel on the vestibular nerve to the brain where they are interpreted. The brain receives input from the eyes, the vestibular system, and sensors in the joints.  This input is instantly interpreted by the brain, and the muscles move appropriately to prevent a fall. If one system gives the brain inaccurate information, then the brain must pause, and determine which signals are accurate. While the brain deciphers the signals, the individual experiences dizziness. The most common cause of  dizziness, BPPV, effects nearly 50% of people at one time or another.  It is identified by its violent, short episodes of spinning and usually occurs when rolling in bed.  Much like dropping an ice cube in a glass of water, BPPV occurs when a crystal from the utricle or saccule falls into a semi-circular canal.  As the fluid in the canal is displaced the vestibular nerve is stimulated and the brain believes the head is moving.  The eyes try to adjust and create an intense spinning sensation.