Comprehensive evaluation and treatment for balance disorders, dizziness, and vestibular dysfunction. Address the neurologic systems controlling balance and spatial orientation.
Balance disorders treatment in Pittsford, NY requires understanding that balance isn't controlled by a single system. Your brain integrates information from your inner ears (vestibular system), eyes (visual system), body position sensors (proprioception), and coordination center (cerebellum) to maintain balance and spatial orientation.
When any of these systems fails, your brain receives conflicting information about where you are in space. This creates dizziness, unsteadiness, visual instability, and motion sensitivity. At Pittsford Performance Care, we identify which specific neurologic domains are impaired and retrain them systematically.
Balance requires precise integration of four neurologic systems. When one system fails, the others must compensate, often creating secondary symptoms.
Detects head movement and gravity. Provides real-time information about acceleration, rotation, and spatial orientation.
Provides spatial reference and motion information. Critical for balance in well-lit, stable environments.
Sensors in joints and muscles detect body position. Essential for balance on uneven surfaces and in the dark.
Coordinates all balance inputs and executes smooth, accurate movement. The "air traffic controller" of balance.
Concussion often impairs vestibular processing, visual-vestibular integration, and cerebellar timing. Patients report dizziness, unsteadiness, and motion sensitivity that persists long after other symptoms resolve.
Brief episodes of vertigo triggered by head position changes. Caused by displaced crystals in the inner ear. Often successfully treated with repositioning maneuvers, but underlying vestibular weakness may require rehabilitation.
Inflammation of the inner ear causing sudden, severe vertigo. After the acute phase resolves, many patients are left with chronic unsteadiness due to incomplete vestibular compensation.
Gradual deterioration of vestibular, proprioceptive, and cerebellar function with aging. Increases fall risk and limits activity. Targeted rehabilitation can restore function and independence.
We evaluate all four balance systems systematically to identify which domains are impaired. Treatment targets the specific deficits identified, not just generic balance exercises.
Gaze stabilization, VOR (vestibulo-ocular reflex), dynamic visual acuity, head impulse testing
Assess how well your visual and vestibular systems work together during movement
Joint position sense, balance on unstable surfaces, eyes-closed testing
Movement timing, accuracy, and smoothness under various balance challenges
Schedule a comprehensive balance evaluation to identify which neurologic systems are impaired and create a targeted treatment plan.