Fax: 669-228-6497
710 Lakeway Drive,Suite 150
Sunnyvale, CA 94085
Understanding Vestibular Disorders
Are you or someone you know struggling with dizziness that just won't go away? This frustrating and sometimes debilitating feeling can disrupt your daily life.
At Congruence Physical Therapy & Wellness™ in Sunnyvale, we offer a solution: Vestibular Rehabilitation Therapy (VRT).
This specialized form of therapy helps treat symptoms caused by vestibular disorders such as dizziness, vertigo, and imbalance. With proven, research-based methods, our team helps you get back to feeling like yourself again.
What Is Vestibular Rehabilitation Therapy?
Vestibular rehabilitation therapy (VRT) is a specialized form of physical therapy that retrains your balance system to reduce dizziness, improve stability, and help you feel in control again. It uses specific exercises and training to help your brain and body adapt to vestibular dysfunction.
Common symptoms VRT addresses:
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Dizziness (lightheadedness or wooziness)
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Vertigo (a spinning sensation, often with nausea)
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Imbalance (difficulty walking or standing steadily)
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Falls or fear of falling
Vestibular Disorders
We Treat
Peripheral Vestibular Disorders
Disorders caused by problems in the inner ear.
Acoustic Neuroma: Non-cancerous tumors affecting hearing and balance nerves.
Bilateral Vestibular Hypofunction (BVH): Reduced function in both sides of the vestibular system, impairing balance and gaze stabilization.
Ototoxicity: Hearing and balance damage caused by medications like chemotherapy or antibiotics.
Superior Canal Dehiscence Syndrome (SCDS): A rare condition caused by a hole in the bone overlying one of the semicircular canals. This affects hearing and balance.
Benign Paroxysmal Positional Vertigo (BPPV): A common cause of vertigo, often triggered by changes in head position.
Ménière’s Disease: Caused by fluid buildup in the inner ear, leading to vertigo, hearing loss, and ringing in the ears.
Labyrinthitis or Vestibular Neuritis: Inflammation affecting the inner ear or vestibular nerve, causing sudden dizziness or balance issues.
Central Vestibular Disorders
Issues caused by neurological disorders
Cerebellar ataxia: Loss of muscle coordination and control due to damage or dysfunction in the cerebellum.
CANVAS: a rare, progressive neurodegenerative disorder.
Persistent Postural Perceptual Dizziness (PPPD): Chronic rocking or floating sensation, worse in complex environments.
Vestibular Migraine: A type of migraine that causes recurring episodes of vertigo and other vestibular symptoms, often without a headache.
Concussion or mTBI-Related Vestibular Dysfunction: Post-traumatic dizziness, nausea, or fogginess after head injury.
Neurotoxic Vestibulopathy: Balance disorders linked to exposure to harmful substances.
Mal de Débarquement Syndrome (MdDS): Ongoing sensation of motion after travel, often worsened by stillness.
We specialize in treating a wide range of vestibular conditions that may be disrupting your daily activities, confidence, and independence.
How Vestibular Therapy Helps
Our approach focuses on personalized treatment plans based on your specific diagnosis, symptoms, and goals.
These techniques are evidence-based and tailored to help you retrain your vestibular system and regain confidence in your movement.
Vestibular therapy may include:
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Gaze stabilization exercises
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Balance training
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Habituation exercises to reduce motion sensitivity
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Functional mobility and fall prevention strategies
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Canalith repositioning procedures.
Why Choose Congruence for Vestibular Therapy?
Our team includes vestibular-certified physical therapists with advanced training in balance, concussion, and neurological disorders. We take a whole-person approach to care — focusing not only on symptom relief but on restoring your freedom, confidence, and mobility.
Led by Dr. Rupali Vyas, PT, DPT, NCS
Dr. Vyas is a Board-Certified Neurologic Clinical Specialist with over 15 years of experience and advanced training in vestibular rehabilitation, Parkinson’s care, and aging-related conditions.
"Rupali played a key role in my recovery from vertigo and instability after an injury. With steady therapy over six months, my symptoms improved dramatically — not just physically, but emotionally and mentally as well. She helped me reconnect with my whole self, and I’m truly grateful for her support through such a long and difficult journey. I wouldn’t be where I am today without her."
- VTR Patient Review
Located in Sunnyvale and servings Santa Clara and the surrounding areas.
FAQ's about Vestibular rehabilitation
1. What is vestibular rehabilitation and how does it work?
Vestibular rehabilitation is a specialized form of physical therapy that uses balance exercises, gaze stabilization, and movement retraining to help your brain adapt to vestibular dysfunction. It’s designed to reduce dizziness, improve stability, and restore normal movement patterns.
2. Can physical therapy help with dizziness or vertigo?
Yes, vestibular physical therapy can be highly effective in reducing or eliminating dizziness, vertigo, and related balance problems. It targets the root cause of symptoms—whether from inner ear issues, neurological conditions, or trauma.
3. How long does it take to see results from vestibular therapy?
Most patients begin noticing improvements within a few sessions. However, full recovery depends on the underlying condition and consistency with the therapy plan. Some cases may require several weeks to months of treatment.
4. Who should consider vestibular therapy?
Vestibular therapy is ideal for people experiencing persistent dizziness, vertigo, imbalance, or motion sensitivity—especially after concussions, ear infections, or with age-related balance decline.
Short video explaining the vestibular system and how therapy helps restore function and balance.
