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9 Things You Should Know About Pain

VertigoIn Louisville, Evansville & Southern Indiana

Vertigo is the sensation of spinning. Even when you’re staying still, you may feel as if you’re moving or the room is moving around you.

Physical Therapy for Vertigo

Vertigo is another term for dizziness or the room spinning around you. Physical therapy is a great step in conquering your vertigo. Our physical therapists at ProRehab are trained in detecting and improving your vertigo symptoms, especially if the cause of your vertigo is an inner ear problem. Physical therapy will include resolving your vertigo by introducing important movements, addressing weakness and tension in muscles in the body, and improving your balance.

Common Causes of Vertigo

Vertigo can be caused by a few different factors. Some causes are within the inner ear, like an infection or benign paroxysmal positional vertigo (BPPV). BPPV is an imbalance within the inner ear where calcium crystals block the signal between the inner ear and brain, causing a spinning sensation. This can be caused for no apparent reason and is very treatable. Vertigo can also be caused by serious problems like a tumor blocking nerve signaling to the inner ear (acoustic neuroma) or a stroke. It can also be a result of a car accident, frequent migraines, or occur for no apparent reason (idiopathic). If you are having vertigo, don’t hesitate to make an appointment with your physician or physical therapist to determine the cause and best treatment!

How to Treat Vertigo

What is the best treatment for vertigo? Your physician and physical therapist will determine the cause of your vertigo and treat it accordingly. If your vertigo is related to BPPV or balance issues, your physical therapist will set up an exercise program that will aim to resolve your symptoms. BPPV vertigo treatment involves whole body maneuvers to move the calcium deposits that are blocking the ear canals to the right place. For other causes of vertigo, you may need medications, medical intervention, and further testing to determine the cause. You can always go to your ProRehab physical therapist first because they will treat you if appropriate or refer you to another provider who is better able to help you!

How Physical Therapy Can Help

Physical therapy to improve vertigo will involve the head, neck, and eye movements to reduce your dizziness and allow your body to slowly accommodate back to normal movement. Therapy will also involve spinal mobility exercises, stretching, strengthening, and balance exercises. If you have BPPV, your physical therapist will teach you specific maneuvers to reduce your symptoms quickly.

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Frequently Asked Questions

  • A physical therapy visit lasts about 40-60 minutes. The actual contents of the visit vary based on your diagnosis/need, but typically what happens is:

    1. You check in with the receptionist, make any appointments necessary, and we discuss your health insurance benefits with you.
    2. You go into the gym. You can change clothes if you need to, then begin therapy.
    3. You perform 6-8 various exercises and stretches. These can include therapeutic band exercises, light body weight exercises, or minimal weights. The stretches will promote strength, stability, improved range of motion, and pain relief.
    4. We can initiate other techniques to include manual work, taping, cupping, and dry needling as needed.
    5. The therapist makes recommendations based on your progress. These can include altering the frequency of visits, making additions/alterations to your home exercise plan, or things to do before your next visit.
  • We recommend budgeting 40-60 minutes for a typical therapy session. The only exception to this will be your first visit, which can take about 20 minutes longer due to the physical therapy evaluation your therapist will provide. We also recommend showing up about 10-15 minutes early to your first visit. This way, you can complete the paperwork before your visit time and streamline the process.

  • If we are asking you to do something that is hurting too much, let us know! Physical therapy should not be severely painful. It is not common to be so sore that patients are in pain or it affects their daily life. If this ever happens during or after an appointment, let us know and we will adapt your program.

  • During your initial evaluation, your therapist may ask you a number of questions to determine what the cause of your pain is. This can include questions about your sleep habits, activity level, and work environment. They will also ask for a medical history, and then typically ask direct questions about where and when you experience pain.

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Melissa
I was diagnosed with multiple sclerosis around age 35, but for nearly 10 years I did really well on preventative medications with no flare-ups. Then, out of nowhere, I started having numbness in my legs that quickly progressed to paralysis. An MRI revealed a new MS lesion at T2, and I lost the ability to walk, with complete paralysis in my left leg and a dropped foot.
I spent a week in the hospital receiving treatment, including IV steroids. When I was discharged, I was told to start physical therapy. I was extremely weak and relied on a walker just to get around.
I chose ProRehab in my hometown because I needed help getting to appointments. After starting therapy three times a week, focusing on strength and mobility, my progress was incredible. Within a month, I was walking without any mobility aids, and within two weeks, I was back behind the wheel.
Never give up — your strength is greater than you know. 💙
- 12/02/2025
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Tom Dowd
Dr Saltzman is always very professional and knowledgeable plus he has “the magic touch” with my Synvisc shots every six months! - 11/27/2025
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Clemmon Swinney
Very nice people who care about you as person and patient plus the doctors are outstanding also especially Dr. Saltzman - 11/26/2025
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