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  • Home
  • Osteopathy
  • Concussion Management
  • Athletic Therapy
  • Strength & Performance
  • Vestibular Rehab
  • Testimonials
  • Contact
  • Book Now

Vestibular (Inner Ear) Rehabilitation and training

Your vestibular system is like your body’s internal GPS, helping you stay balanced, stable, and oriented in space. When it isn’t working properly, you may feel dizzy, unsteady, or fatigued — and sometimes the symptoms show up in surprising ways, from headaches to back pain.

By retraining your brain and balance system, vestibular rehabilitation can reduce dizziness, improve coordination, and restore confidence in your movement.


You may benefit from vestibular rehabilitation if:


  • You have lingering post-concussion symptoms
  • You often feel dizzy or lightheaded
  • You struggle with your balance or coordination
  • You feel nauseous during car rides, flights, or boat trips
  • You have a history of concussions or inner ear infections
  • You live with scoliosis that affects your posture and movement
  • You experience pain on both sides of your back, glutes, hamstrings, calves, or the soles of your feet
  • You deal with frequent headaches or migraines
  • You notice brain fog, poor concentration, or fatigue
  • You feel motion sensitive in busy environments (scrolling screens, grocery stores, crowds)
  • You get vertigo or spinning sensations when changing positions
  • You feel unsteady walking or veer to one side
  • You find sports or activities with quick head movement (skiing, biking, climbing) more difficult than they should be

vestibular system (inner ear) and vision and working together
patient doing a vestibular drill with her athletic therapist, to improve performance in golfing

Vestibulo-Collic Reflex (VCR)

This reflex helps keep your head steady when your body moves underneath it. Think of it when you’re mountain biking through rough terrain, swinging a golf club, or rotating hard in hockey — your neck and inner ear work together so your head stays stable and your vision clear.

The VCR integrates signals from your neck muscles and vestibular system to prevent unwanted head wobble and maintain stable vision.


Photo: Casey Brown working on her VCR, performing quick trunk rotations and using a laser head beam for feedback

Other Inner ear interesting facts

Vestibulo-Oculli Reflex (VOR)

Vestibulo-Oculli Reflex (VOR)

Vestibulo-Oculli Reflex (VOR)

''This reflex keeps your eyes steady while your head moves. Imagine running on a trail, turning quickly skiing, or looking side to side on your bike — your eyes automatically adjust so you can keep your vision sharp and focused instead of blurry.''

Vestibulo-Spinal Reflex (VSR)

Vestibulo-Oculli Reflex (VOR)

Vestibulo-Oculli Reflex (VOR)

''This reflex helps you stay upright and balanced when your body or the ground shifts. For example, when skiing through variable snow, catching yourself after tripping, or riding a bus that suddenly stops — your vestibular system and spine work together to keep you from falling.'' If you have poor vestibular input your brain will create the tension in your lower back to stabilize you. This may lead to a sore back. 

Bone Conduction Headphones

Vestibulo-Oculli Reflex (VOR)

Bone Conduction Headphones

“These headphones don’t go in your ears — instead, they send gentle vibrations through the bones of your skull directly to your inner ear. Because your balance system is housed there too, vibration can act as a subtle input to your brain. In rehab, this type of stimulation can be used as a passive input — giving your nervous system extra information without you having to actively move.”

The Semi-Circular Canals

The Semi-Circular Canals

Bone Conduction Headphones

''These tiny curved tubes inside your inner ear detect head rotations. They’re why you can sense when you’re spinning, turning your head quickly, or carving a corner on your bike or skis. Each canal senses motion in a different direction, like your body’s built-in gyroscope.''

The Otolith Organs

The Semi-Circular Canals

The Crystals & BPPV

''These organs sense gravity and straight-line movements. They help you know if you’re tilting your head, accelerating in a car, or landing from a jump. They give your brain critical information about balance and body position in space.''

The Crystals & BPPV

The Semi-Circular Canals

The Crystals & BPPV

''Your inner ear contains tiny crystals that help you sense gravity and motion. Sometimes these crystals get loose and drift into the wrong part of the ear, sending your brain false signals that you’re spinning — this is called BPPV. That’s why rolling over in bed, looking up, or bending down can make some people suddenly feel dizzy.''

What to expect

patient walking and balancing on a log. she did her vestibular exercises

Assessment

We will assessment your gait, balance, reflexes and movements as it relate to your issues.  

Rehabilitation

We will start by working on the drills that reduces threat on your nervous system and help you improve your quality of life. On the subsequent visit, I will challenge you a little more until you are satisfy with the outcome. 

Training

Vestibular exercises can become more complex and sport specific. There are specific inner ear drills  that can quickly improve your single leg balance, your ability to squat or jump higher. 

Bookings

There are no specific bookings. If you have extended health benefits, verify what is covered and book an Athletic Therapy or Osteopathy initial assessment. 

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