What is the difference between dizziness and vertigo?

Vertigo is a specific sensation of spinning or whirling (either you are spinning or the room is). Dizziness is a broader term that can include lightheadedness, feeling faint, or a general sense of unsteadiness (disequilibrium). The type of symptom you have helps guide the diagnosis and treatment.

Manual Therapy for Loss of Balance

Loss of balance, also known as disequilibrium, can be a debilitating condition stemming from various sources, including the inner ear, the neck, and the nervous system. While many treatments exist, manual therapy for loss of balance is a highly effective, non-invasive approach that uses hands-on techniques to address the root musculoskeletal and vestibular causes of dizziness and instability.

This article will break down how manual therapy works, the conditions it treats, and what you can expect from treatment.

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How Does Manual Therapy Help with Loss of Balance?

Your sense of balance is a complex process managed by three primary systems:

Vestibular System (Inner Ear): Senses head motion and orientation.
Visual System (Eyes): Tells you where you are in space.
Proprioceptive System (Muscles & Joints): Provides feedback from your body—especially your neck, spine, and feet—about your position.

Manual therapy primarily targets the vestibular and proprioceptive systems to restore normal function and reduce symptoms of imbalance.

Here’s how it works:

Addressing Cervicogenic Dizziness (The Neck-Balance Connection)

Faulty movement patterns or stiffness in the upper cervical spine (neck) can send incorrect sensory information to the brain's balance centers. This conflict between what the neck "feels" and what the eyes and inner ears "sense" causes dizziness and imbalance.

Mechanism: Manual therapists use specific joint mobilizations and soft tissue techniques to restore proper movement in the neck vertebrae. This "resets" the joint mechanoreceptors (proprioceptors), allowing them to send accurate signals to the brain, resolving the sensory conflict.

Treating BPPV (Benign Paroxysmal Positional Vertigo)

BPPV is one of the most common causes of vertigo. It occurs when tiny calcium carbonate crystals (otoconia) in the inner ear become dislodged and float into one of the semicircular canals, causing intense, brief spinning sensations with head movements.

Mechanism: This is where a specific manual therapy technique called the Canalith Repositioning Maneuver (CRM), such as the Epley Maneuver, is used. The therapist guides the patient's head through a precise sequence of positions to use gravity to move the loose crystals out of the canal and back to a place where they no longer cause symptoms. This treatment has an extremely high success rate.

Improving Proprioception and Somatosensory Input

Stiffness or dysfunction in the joints of the thoracic spine, ankles, and feet can diminish the quality of sensory feedback to the brain, forcing it to rely more heavily on the visual and vestibular systems. This can make you feel unstable, especially on uneven surfaces or in low light.

Mechanism: Mobilizing these stiff joints improves their ability to send clear, reliable information about body position and ground contact. This provides the brain with a more robust "map" of the body's position, creating a more stable foundation.

Key Manual Therapy Techniques for Loss of Balance

A qualified practitioner, such as a physical therapist or chiropractor with specialized training, will use various manual therapy techniques to address loss of balance. These techniques are tailored to the individual’s specific diagnosis and target different aspects of the body to improve balance and reduce dizziness. Some key manual therapy techniques include:

Canalith Repositioning Maneuvers (Epley, Semont): Targets the vestibular system (BPPV), moving dislodged inner ear crystals to resolve vertigo.
Cervical Joint Mobilization/Manipulation: Focuses on the cervical spine proprioceptors, restoring normal neck joint movement to treat cervicogenic dizziness.
Suboccipital Release: Works on the muscles at the base of the skull to relieve tension in deep neck muscles that can contribute to headaches and dizziness.
Myofascial Release/Soft Tissue Mobilization: Targets muscles and fascia to reduce muscle tightness and trigger points in the neck, shoulders, and back.
Muscle Energy Techniques (MET): Addresses muscular imbalances by using the patient’s own muscle contractions to improve joint mobility and lengthen tight muscles.
Thoracic Spine Manipulation: Focuses on the mid-back proprioceptors and posture, improving mobility to reduce compensatory strain on the neck.
Ankle and Foot Mobilization: Works on foot/ankle proprioceptors to enhance sensory feedback from the feet to the brain, which is crucial for standing balance.

The Importance of a Comprehensive Approach

Manual therapy is most effective when it is part of a complete rehabilitation program. A therapist will almost always combine hands-on treatment with other evidence-based interventions:

Vestibular Rehabilitation Therapy (VRT): A specialized exercise program designed to help the brain adapt to and compensate for vestibular deficits. This includes gaze stabilization and habituation exercises.
Balance Training: Specific exercises that challenge your balance system in a safe, progressive manner (e.g., standing on one leg, walking on different surfaces).
Strengthening Exercises: Targeting core, hip, and ankle muscles to provide a stable base of support.
Postural Education: Teaching you how to maintain proper alignment to reduce strain on your neck and spine.

Who Should You See for Treatment?

For manual therapy for loss of balance, it's crucial to find a healthcare provider with advanced training in vestibular and orthopedic rehabilitation. Look for:

Physical Therapists (PT or DPT): Especially those with certifications in vestibular rehabilitation or as an Orthopedic Clinical Specialist (OCS).
Chiropractors (DC): Look for one with post-graduate training in functional neurology or vestibular rehabilitation.
Osteopathic Physicians (DO): They are trained in osteopathic manipulative treatment (OMT), which can address musculoskeletal dysfunctions contributing to imbalance.

Before starting treatment, it is essential to get a proper diagnosis from a medical doctor or specialist to rule out more serious central nervous system or cardiovascular causes of dizziness.

Start Your Journey to Improved Balance with Expert Manual Therapy

Manual therapy offers a powerful, non-invasive approach to treating loss of balance and dizziness. By targeting the root causes, whether it's neck dysfunction, vestibular issues, or proprioceptive imbalances, manual therapy helps restore normal function and improve your stability. Combined with other evidence-based treatments like vestibular rehabilitation and strengthening exercises, it can significantly enhance your recovery. If you're struggling with balance issues or vertigo, seeking treatment from a qualified professional can help you regain confidence and improve your quality of life.

At Physiotattva physiotherapy clinics in Bangalore and Hyderabad, you receive personalised care tailored to your specific needs, ensuring effective results and comfort throughout your journey to recovery.

Don’t wait to start your recovery! Get in touch with Physiotattva for more details! Contact us at +91 89510 47001.

Frequently Asked Questions

How many manual therapy sessions will I need?

This varies widely. BPPV can often be resolved in just 1-3 sessions. Cervicogenic dizziness and other proprioceptive issues may require 4-8 weeks of combined manual therapy and exercise to achieve lasting results.

What is manual therapy for balance?

Manual therapy involves hands-on techniques used by a qualified practitioner to improve movement, address musculoskeletal dysfunctions, and enhance balance. It is commonly used to treat vestibular issues, neck-related dizziness, and proprioceptive impairments.

Is manual therapy for dizziness safe?

When performed by a trained and licensed professional after a thorough evaluation, manual therapy is very safe. Techniques for the neck and BPPV are performed with precision and care to minimize risk.

What types of conditions can manual therapy treat for balance issues?

Manual therapy can treat various conditions that affect balance, including BPPV, cervicogenic dizziness, vestibular disorders, postural imbalances, and proprioceptive dysfunction. It helps by improving joint mobility, muscle function, and sensory input to the brain.

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Dry needling therapy for hamstring strain is a powerful treatment that alleviates pain, reduces muscle tightness, and accelerates recovery. Our expert physiotherapists target trigger points for faster healing and improved mobility. Visit Physiotattva in Bangalore or Hyderabad to start your journey to pain-free movement.

Manual Therapy for Hamstring Strain

Manual therapy for hamstring strain is a key part of recovery, helping reduce pain, improve mobility, and manage scar tissue. Techniques like soft tissue mobilization, friction massage, and myofascial release help speed up healing. Visit Physiotattva for professional treatment and get back to your active lifestyle.

PEMF Therapy for Hamstring Strain

PEMF therapy for hamstring strain accelerates recovery by reducing pain, improving circulation, and boosting muscle repair. This non-invasive treatment helps athletes and active individuals heal faster and safely. Experience quicker recovery with PEMF therapy at Physiotattva in Bangalore or Hyderabad.

Kinesio Taping Therapy for Lumbar Spondylosis

Kinesio taping therapy for lumbar spondylosis provides gentle support, reduces pain, and improves movement by lifting the skin and easing pressure on underlying tissues. It enhances posture, boosts circulation, and supports muscle function without restricting mobility, making it a valuable addition to a comprehensive lower-back treatment plan.

Hot and Cold Therapy for Lumbar Spondylosis

Hot and cold therapy for lumbar spondylosis offers simple, effective relief from lower back pain. Cold helps reduce inflammation during flare-ups, while heat eases stiffness and relaxes tight muscles. When used correctly, both methods support mobility, comfort, and daily functioning, making them valuable tools in managing chronic lumbar discomfort.

Dry Needling Therapy for Lumbar Spondylosis

Dry needling therapy targets deep muscle knots and tension caused by lumbar spondylosis. By releasing trigger points, easing nerve irritation, and reducing stiffness, it provides meaningful pain relief and improved mobility. A safe, effective, non-surgical treatment to help you move more comfortably.

Manual Therapy for Lumbar Spondylosis

Find natural relief through manual therapy for lumbar spondylosis. Skilled therapists use joint mobilisation and soft tissue techniques to address pain, stiffness, and restricted movement, promoting better spinal function and overall comfort.

Pulsed Electromagnetic Fields (PEMF) Therapy for Lumbar Spondylosis

Pulsed electromagnetic fields therapy for lumbar spondylosis offers a gentle, non-invasive way to ease pain, reduce inflammation, and support spinal healing. This therapy boosts cellular repair and improves mobility, making it a valuable tool for long-term back care and daily comfort.

Kinesio Taping Therapy for Frozen Shoulder

Explore how Kinesio taping therapy eases frozen shoulder symptoms by reducing pain, improving movement, and supporting muscle function. Understand key taping methods and why it works best alongside physiotherapy for long-term recovery.