Vestibular Therapy

Vestibular Rehabilitation Therapy (VRT) is a specialized form of physical therapy used to treat dizziness and vertigo, and trouble with balance, posture, and vision. Despite it’s name, the vestibular system may not be the only system that is affected, or even at all. There are three main inputs that we rely on to keep us oriented:

Proprioception
Vestibular
Vision

Our senses of posture, balance, spacial awareness and up vs. down all emerge from the organization of these signals. Symptoms will arise whenever either (1) the inputs change or (2) the brain can’t put the whole picture together. Any disorder affecting these inputs can result in symptoms that VRT can treat, including:

Benign Paroxysmal Positional Vertigo (BPPV)
Menier’s Disease / Hydrops
Labrynthitis or Acoustic Neuritis
Concussion
Vestibular Migraine
Stroke
Multiple Sclerosis
Cortical or cerebellar degeneration
Peripheral Neuropathy
Physical Deconditioning
Cervicogenic Dizziness

It is also important to understand that the primary symptoms will often result in secondary symptoms such as nausea, fatigue, and lack of concentration. All symptoms of vestibular dysfunction can significantly decrease quality of life, introducing mental-emotional issues such as anxiety and depression, and greatly impair an individual, causing them to become more sedentary, and often isolated. Vestibular therapy retrains the neural pathways needed so it can make sense of the world around it.

Is it safe?

Dry needling is a very safe procedure when performed by a trained professional with in-depth knowledge of the human anatomy. Risks are easily mitigated with safety precautions and your provider will inquire about any conditions that would preclude treatment. When properly delivered, it has a low rate of mostly minor adverse effects; chiefly bruising and muscle soreness.
Is this the same thing as acupuncture?

Aside from the needle itself, FDN and acupuncture are very different treatments in both their approaches and their effects. FDN will treat specific anatomical structures (muscle, tendon, nerve) via direct, local stimulation in order reduce inflammation or facilitate muscle activation. Whereas, acupuncture involves inserting needles along certain lines called “Meridians” in order to achieve a balance and may not actually go into the sore muscles
Who shouldn't get dry needling?

Immunocompromised individuals, people with uncontrolled anticoagulants, or anyone with a local infection or active tumor near the painful area that needs to be treated. If you have an autoimmune disorder, are pregnant, have diminished mental capacity, or have recent surgery, then you should talk to a physical therapist to weigh the benefits of dry needling for your situation.
What's the difference?

Sharp pains are possible, however, most people describe a dull ache or deep pressure during the treatment. After treatment, you may or may not experience soreness that feels similar to when you’ve completed a hard workout.
Can I participate in activities afterwards?

Can I still participate in activity afterwards? Yes! FDN typically results in decreased soreness and an improved mind-muscle connection. Implementing activity following treatments maximizes the effects of a corrective exercise. The worst thing you could do for yourself after needling would be to sit on the sidelines.