Vestibular Rehabilitation

Discover the Power of Vestibular Rehabilitation: A Comprehensive Approach to Balance and Well-Being.


Have you ever felt dizzy, off-balance, or like your posture is way off? These symptoms can affect your daily life in ways you might not expect. What if there were a way to assess and rehabilitate the systems responsible for your balance and coordination? At Back in Balance, Dr. Friedman is now offering vestibular rehabilitation, a dynamic approach that focuses on the interaction of the visual system, vestibular system, and spinal proprioception. Let’s dive into what these systems are and how they work together to keep you steady and well-coordinated.

Understanding the Key Players in Balance

Your body relies on three primary systems to maintain balance and spatial orientation: the visual system, the vestibular system, and spinal proprioception. Each system plays a unique role, and together they form a sophisticated network that enables you to navigate the world confidently.


1. The Visual System

Your eyes do more than just help you see; they also provide critical information about your surroundings, helping you gauge distances, detect motion, and orient yourself in space. When the visual system is compromised, it can lead to symptoms like blurred vision, difficulty tracking objects, and even dizziness. In vestibular rehabilitation, we assess the efficiency of eye movements, such as smooth pursuits, saccades (quick eye movements), and visual fixation, to identify any disruptions that might affect balance.


2. The Vestibular System

Located in your inner ear, the vestibular system is your body’s balance center. It detects motion, head position, and spatial orientation. This system plays a vital role in stabilizing your gaze and maintaining equilibrium during movement. When the vestibular system is impaired, you may experience vertigo, dizziness, or a sensation of unsteadiness. Our assessments focus on vestibulo-ocular reflexes (VOR) and other key metrics to pinpoint areas that need rehabilitation.


3. Spinal Proprioception

Proprioception is your body’s ability to sense its position and movement in space. Sensors in your muscles, joints, and spine send constant feedback to your brain to help coordinate movement and maintain posture. Any disruptions in spinal proprioception can lead to poor coordination, balance issues, and even pain. By evaluating spinal alignment and proprioceptive feedback, we can identify imbalances that may be affecting your overall stability.

How These Systems Interact

The visual system, vestibular system, and spinal proprioception don’t work in isolation. They interact seamlessly to create a stable and adaptable balance system. For example:

  • Visual and Vestibular Coordination: When you turn your head, your vestibular system ensures that your eyes stay focused on a target. This coordination allows you to maintain a clear visual field while in motion.
  • Proprioceptive Feedback and Stability: Your spinal proprioception works with your vestibular system to adjust posture and movement in response to changes in terrain or activity level.
  • Multisensory Integration: Your brain combines input from all three systems to create a comprehensive understanding of your body’s position and motion. If one system is compromised, the others may attempt to compensate, which can sometimes lead to additional strain or dysfunction.

What to Expect from Vestibular Rehabilitation
Vestibular rehabilitation is a personalized program designed to address the specific needs of your visual, vestibular, and proprioceptive systems. Here’s how we can help:

  • Comprehensive Assessments: Using advanced tools and techniques, we evaluate the function of each system to identify the root causes of your symptoms.
  • Targeted Exercises: Based on your assessment, we create a customized plan that may include eye-tracking exercises, balance training, and proprioceptive drills to enhance coordination and stability.
  • Holistic Integration: Our goal is to restore harmony among the visual, vestibular, and proprioceptive systems, improving your overall balance and quality of life.

Who Can Benefit?

Vestibular rehabilitation is highly effective for individuals dealing with conditions such as:

  • Vertigo or dizziness
  • Post-concussion syndrome
  • Balance disorders
  • Neck pain and headaches
  • Motion sensitivity

Take the Next Step Toward Better Balance


Here at New Directions In Health, we believe that restoring balance is about more than just physical alignment—it’s about empowering you to move confidently and live fully. If you’ve been experiencing dizziness, unsteadiness, poor posture or visual disturbances, vestibular rehabilitation could be the solution you’ve been looking for. Please make an appointment with Dr. Friedman if you want to have a full assessment for your condition.