A Blog for Older Adults

Physical Therapy for Vertigo Relief in Oregon Cities

Written by Dr. Raj Pusuluri, PT, DPT | Apr 24, 2025 8:04:25 AM

Vertigo is when you feel like you or the room is spinning, even though everything is still. It can make you feel dizzy, off-balance, or like you might fall. Some people feel sick to their stomach or have a hard time walking straight.

Common symptoms of vertigo include:

  • Feeling light-headed or dizzy
  • Spinning or swaying feelings
  • Trouble keeping balance
  • Nausea or vomiting
  • Headaches or ringing in the ears

The most common cause of vertigo is a problem in your inner ear. This part of the ear helps you stay balanced. Sometimes, small crystals in your ear move to the wrong place, which causes a condition called BPPV (Benign Paroxysmal Positional Vertigo). Other causes include Meniere’s disease, vestibular neuritis, or even head injuries.

People of any age can get vertigo, but it is more common in older adults. In cities like Portland, Eugene, Salem, Gresham, and Hillsboro, many people face vertigo and don’t know there is help.

Why Choose Physical Therapy for Vertigo Relief?

Physical therapy for vertigo is a safe and natural way to feel better. It does not use medicine. Instead, a trained physical therapist teaches you special head, eye, and body exercises. These exercises help your brain and ears work together again, so you stop feeling dizzy.

A type of care called Vestibular Rehabilitation Therapy (VRT) is used. It helps you feel steady, walk better, and have fewer dizzy spells. Some people feel better in just a few visits.

Dr. Raj from HWY Physical Therapy at Center 50+, Salem City Building, 2615 Portland Rd NE, Salem, OR 97301 offers this kind of care. You can call 971-202-1979 to ask questions or book an appointment.

How This Guide Will Help Residents of Oregon’s Major Cities

If you live in Portland, Eugene, Salem, Gresham, or Hillsboro, this guide will help you learn:

  • What causes vertigo
  • How physical therapy for vertigo can help
  • What to expect during treatment
  • Where to find help near you

This guide is written in a clear and simple way to help you understand your options. Whether you are young or older, you deserve to live without dizziness. Let’s start the journey to better balance and a better life.

What Causes Vertigo? Insights from Oregon-Based Therapists

Vertigo is not a sickness on its own. It is a sign that something is wrong with the balance system in your body. This system includes your inner ear, eyes, and brain. When these parts don’t work well together, you may feel dizzy or unsteady.

Central vs Peripheral Vertigo

There are two main types of vertigo: central vertigo and peripheral vertigo.

Peripheral vertigo is the most common. It starts in your inner ear. This part of your ear helps you stay balanced. A problem here can send the wrong messages to your brain. This causes spinning feelings, nausea, and trouble walking.

Central vertigo comes from the brain. It can happen after a head injury, stroke, or a brain disease like multiple sclerosis. This type of vertigo may feel stronger and last longer. It can also come with other signs like double vision or trouble speaking.

Common Triggers

The most common trigger of vertigo is BPPV (Benign Paroxysmal Positional Vertigo). It happens when tiny crystals in your ear move into the wrong spot. This makes your ear send mixed signals to your brain.

Other causes include:

  • Meniere’s disease (fluid build-up in the ear)
  • Vestibular neuritis (an infection in the nerve of the ear)
  • Migrainerelated vertigo
  • Head or neck injuries
  • Ear infections

These problems can make simple movements like turning your head or getting out of bed very hard.

How Local Factors in Oregon Contribute

In cities like Salem, Portland, Eugene, Gresham, and Hillsboro, the weather and air pressure changes can sometimes make vertigo worse. Many people in Oregon have seasonal allergies, and sinus problems can affect the inner ear too.

People who enjoy hiking or biking in Oregon’s hills and trails may also be more likely to feel off-balance if they have an inner ear problem. Even long drives on winding roads can trigger dizziness in some people.

Knowing the cause of vertigo is the first step to feeling better. Physical therapy for vertigo helps treat many of these problems in a safe and drug-free way.

How Physical Therapy Treats Vertigo: A Comprehensive Overview

Many people with vertigo feel scared and confused. They may not know where to turn for help. The good news is that physical therapy for vertigo can make a big difference. It helps your brain and body learn how to work together again, so you feel steady and safe.

Vestibular Rehabilitation Therapy (VRT): The Core Approach

Vestibular Rehabilitation Therapy (VRT) is a special kind of physical therapy that helps people with dizziness, balance problems, and vertigo. It uses exercises to train your eyes, head, and body to move the right way.

In VRT, a therapist teaches you:

  • Eye movements to help you focus
  • Head turns to get used to motion
  • Balance exercises to help you stay steady
  • Walking drills to improve movement

These exercises may feel strange at first. But over time, your body and brain get used to them. That’s how VRT helps you feel better and more in control.

Epley Maneuver and Canalith Repositioning Techniques

If you have BPPV, the therapist may use something called the Epley maneuver. This is a safe way to move the crystals in your ear back to where they belong. It only takes a few minutes and can bring quick relief.

This treatment is also known as canalith repositioning. It is gentle, and many people feel better right after the first session. Some may need a few more visits. It is one of the best treatments for BPPV and is used by many trained therapists.

Gaze Stabilization, Balance Training, and Postural Control

People with vertigo often have trouble looking at things while they move. This is where gaze stabilization exercises help. You practice moving your head while keeping your eyes focused on one spot. This teaches your brain how to stay focused.

Balance training is also important. You might stand on soft surfaces, walk in a straight line, or try balancing with your eyes closed. These drills help your body get stronger and more steady.

Postural control is learning how to sit, stand, and move without feeling dizzy. Good posture keeps your head in the right place and helps stop spinning feelings.

How Therapy Plans Are Customized in Clinics Across Oregon

In cities like Portland, Eugene, Salem, Gresham, and Hillsboro, physical therapists make custom plans for each person. No two people are the same, and vertigo can feel different for everyone.

A good therapy plan will include:

  • Easy movements to do at home
  • In-clinic treatments like the Epley maneuver
  • Balance and strength exercises
  • Tips to avoid triggers like bright lights or fast turns

With the right help, most people see big improvements in just a few weeks. Physical therapy for vertigo is safe, simple, and can change your life.

Spotlight on Oregon: Vertigo Physical Therapy Services by City

Many people in Oregon deal with vertigo every day. If you live in Portland, Eugene, Salem, Gresham, or Hillsboro, help is close by. Each city has caring therapists who use physical therapy for vertigo to help people feel better, walk steadier, and live with less fear.

Physical Therapy for Vertigo in Portland, Oregon

Portland is Oregon’s biggest city. Many people here are active and enjoy outdoor life. But when you have vertigo, it’s hard to enjoy even simple things like walking or biking.

Therapists in Portland offer special care for people with dizziness and balance problems. They use Vestibular Rehabilitation Therapy, gaze training, and the Epley maneuver. These treatments help the brain and inner ear learn to work together again.

Portland clinics often offer calm, quiet spaces, which are good for people who feel dizzy in busy places. Many therapists also teach home exercises so patients can keep improving between visits.

Effective Vertigo Treatment in Eugene

Eugene is known for its natural beauty and college-town charm. Many older adults here enjoy walking trails and gardening. But vertigo can make it hard to move safely.

Therapists in Eugene focus on balance training and postural control. They often work with older adults and teach ways to avoid falls. If BPPV is the cause, they use canalith repositioning to move crystals in the ear. This gives fast relief for many people.

Some clinics in Eugene also use light or sound to help with motion sensitivity. With regular visits and simple exercises, people often feel stronger and less dizzy.

Salem’s Trusted Vertigo Physical Therapists

Salem is the capital of Oregon. It has a mix of young families and older adults. Many seniors here want to stay active, but vertigo makes it scary to walk alone or do chores.

In Salem, some therapists do in-home visits. This is great for people who don’t feel safe going out. At Center 50+, Dr. Raj from HWY Physical Therapy helps patients with dizziness using Vestibular Rehabilitation Therapy and other proven methods. His clinic is at 2615 Portland Rd NE, Salem, OR 97301, and you can call 971-202-1979 to learn more.

Salem clinics teach people how to stay safe at home and work on their balance. Many also check blood pressure and other causes of dizziness.

Gresham Clinics Specializing in Dizziness and Balance Issues

Gresham is a quiet city east of Portland. It has a large senior population. People here often deal with vertigo caused by inner ear problems, injuries, or other health issues.

Clinics in Gresham use gentle head movements, eye training, and walking drills to help people feel steady. Some also offer group classes for balance, which help build confidence in a friendly setting.

Physical therapy for vertigo in Gresham is often more personal, with one-on-one care. Therapists spend extra time to understand each person’s story and make a care plan that fits their needs.

Vertigo Physical Therapy in Hillsboro

Hillsboro is home to many tech workers and families. People here live busy lives, and vertigo can get in the way of work and play. Even small dizzy spells can make it hard to drive, walk, or focus.

Therapists in Hillsboro use the latest tools to treat vertigo. Some clinics use virtual reality (VR) or computer games to help retrain the brain. Others use special balance boards and visual exercises.

They also teach people how to handle triggers like screen time or fast head turns. Physical therapy for vertigo in Hillsboro is modern, smart, and made to fit the patient’s lifestyle.

No matter where you live in Oregon, there is help nearby. Therapists in every city know how to treat vertigo with care and patience. You don’t have to live with spinning and fear. With the right support, you can feel strong and steady again.

What to Expect from a Vertigo Physical Therapy Session

Starting physical therapy for vertigo can feel scary at first, but knowing what to expect makes it easier. Your therapist is there to help you feel safe, steady, and strong again. The first few visits are important. They help the therapist understand what is causing your dizziness and how to treat it.

How Sessions Are Structured

In your first visit, the therapist will ask questions about your health and your symptoms. They may ask:

  • When did your dizziness start?
  • What movements make it worse?
  • Have you fallen or felt off-balance?

The therapist will check your eyes, balance, walking, and posture. They may move your head in certain ways to see if you have BPPV. If so, they may do the Epley maneuver right away.

After this, they will make a plan just for you. It will include simple exercises that are safe and easy to follow.

Duration and Frequency of Treatment

Most vertigo therapy sessions last about 30 to 60 minutes. In the beginning, you may go to therapy 1 to 2 times a week. As you improve, you may need fewer visits.

Some people feel better after just a few sessions. Others need more time, especially if their vertigo has lasted a long time. Your therapist will tell you what to expect and how long treatment may take.

Home Exercises for Ongoing Relief

You will likely get easy home exercises to do between sessions. These may include:

  • Moving your head side to side
  • Standing with your feet together
  • Looking at a spot while turning your head

Doing these each day helps you get better faster. These small steps help your brain learn how to stay balanced again.

Working with Therapists Certified in Vestibular Therapy

Not all therapists are trained to treat vertigo. You should work with someone who understands the vestibular system and has special training. They know how to keep you safe while helping you improve.

The goal is to help you move without fear, walk without falling, and enjoy life again. With physical therapy for vertigo, every visit gets you one step closer to better balance.

Benefits of Physical Therapy for Vertigo Patients

Physical therapy for vertigo helps you feel steady, safe, and strong. Many people who feel dizzy or off-balance don’t know this kind of help exists. But it works! There are many good reasons to try therapy if you have vertigo.

Reduced Risk of Falls and Injuries

One big danger with vertigo is falling. When you feel like the room is spinning or your body is swaying, it’s easy to trip, slip, or bump into things. Physical therapy teaches you how to stay balanced. It also helps your body learn how to move safely.

By doing balance exercises, you lower your chance of falling. That means you can walk, climb stairs, and move around your home with more confidence.

Drug-Free Management of Symptoms

Some people take medicine for vertigo, but it doesn’t always fix the cause. Physical therapy is a natural, drug-free way to feel better. It uses your body’s own power to heal and retrain your brain and ears.

This means fewer side effects and better long-term results. You learn how to control the dizziness instead of hiding it with pills.

Improved Balance and Mobility

Therapists teach you special movements that make your legs stronger, your brain sharper, and your steps more stable. As you practice, your balance gets better, and you can do more of your daily activities without worry.

You’ll notice that walking, turning, and even bending down become easier and less scary.

Greater Independence for Seniors and Adults

Vertigo makes people feel like they need help all the time. That can be frustrating or even embarrassing. With physical therapy, many people feel like they get their freedom back.

You’ll feel more confident doing chores, going for walks, or even shopping on your own. That’s a big win for your body and your mind.

Real Stories: Patient Experiences from Portland to Hillsboro

Many people in Oregon have found hope and healing with physical therapy for vertigo. These real stories from Portland, Eugene, and Salem show how therapy changes lives. Everyone’s journey is different, but the goal is the same—less dizziness and more balance.

Case Study 1: Recovering from BPPV in Eugene

Mary is 70 years old and lives in Eugene. One day, she got out of bed and the room started spinning. She felt sick and scared. Her doctor said she had BPPV. She started Vestibular Rehabilitation Therapy with a local therapist.

In her first visit, the therapist used the Epley maneuver. Mary felt better that same day. With more sessions, she learned balance exercises and head movements. Now, she walks daily and hasn’t had vertigo in months. She says, “I feel like myself again.”

Case Study 2: Long-Term Meniere’s Management in Salem

James, 65, from Salem, had Meniere’s disease for years. His ears rang loudly, and he felt dizzy all the time. He stopped going for walks because he feared falling.

After seeing Dr. Raj from HWY Physical Therapy at Center 50+, James started a new therapy plan. It included gaze training, posture work, and home exercises. Over time, his balance improved, and the ringing got quieter. He can now go to the store and visit friends without fear.

Case Study 3: Overcoming Balance Anxiety in Portland

Lisa is 58 and lives in Portland. She didn’t know her dizziness came from her inner ear. She thought it was just part of aging. But after talking to a friend, she decided to try physical therapy for vertigo.

Her therapist made a custom plan with eye and body exercises. Lisa learned how to move without feeling dizzy. She feels steady now and says, “I wish I had known about this sooner.”

These stories show that help is possible. With the right care and support, you can feel better and enjoy life again.

How to Choose the Right Physical Therapist for Vertigo in Oregon

If you have vertigo, it’s important to find the right person to help you feel better. Not all therapists are trained to treat balance and dizziness problems. Choosing the right one can make a big difference in your recovery.

Questions to Ask Your Therapist

Before you start, ask your therapist a few simple questions:

  • Do you treat vertigo or vestibular problems?
  • Have you helped other patients with BPPV or dizziness?
  • What kind of exercises will I do?

These questions help you feel sure that the therapist knows how to care for your needs.

Credentials to Look For

Look for a therapist who is trained in Vestibular Rehabilitation Therapy. They may have special classes or certificates in treating balance and ear-related problems. This means they know how to safely move your head, guide your balance, and teach you helpful eye exercises.

Therapists with these skills are more likely to know how to use the Epley maneuver, teach gaze stabilization, and give the right exercises for your condition.

Importance of Personalized Care Plans

Good therapy is never one-size-fits-all. A trained therapist will make a plan just for you. This plan should match your age, your symptoms, and your health goals. You should feel heard and understood in every session.

They will also check your progress and change the exercises if needed. This helps you keep improving week by week.

Insurance and Medicare Coverage Details

Many clinics in Portland, Eugene, Salem, Gresham, and Hillsboro accept insurance, including Medicare. Ask your clinic if your visits will be covered. Some places also offer low-cost first visits or free checks to get started.

The right therapist will make you feel safe, supported, and ready to get better. With expert care, you can take small steps toward big changes.

Conclusion: Reclaim Your Balance with Physical Therapy in Oregon

Vertigo can make daily life feel scary and hard. Simple things like walking, turning your head, or getting out of bed can become a challenge. But you don’t have to live that way. With the right help, you can feel steady and strong again.

Physical therapy for vertigo is a safe and proven way to feel better. It teaches your body and brain how to work together again. With easy exercises and care from trained therapists, many people stop feeling dizzy and start enjoying life.

If you live in Portland, Eugene, Salem, Gresham, or Hillsboro, there are great local options for treatment. You can get care that fits your needs and helps you move without fear.

This guide was made to help you understand your symptoms, know your treatment options, and take the first step toward healing. You are not alone. Many people have felt the same and have found relief through therapy.

Don’t let dizziness control your life. You have the power to take it back.

Topics to Read Further

If you want to learn more about vertigo and how to manage it, here are three helpful topics to search on Google:

  1. "Vestibular Rehabilitation Therapy exercises for vertigo at home"
  2. "What is BPPV and how is it treated with physical therapy?"
  3. "How to prevent falls and improve balance as you age"

Contact HWY PT for Expert Advice and Support

If you’re feeling dizzy, off-balance, or worried about vertigo, you don’t have to go through it alone. The right help can make a big difference in your daily life.

Call Dr. Raj at HWY Physical Therapy, located at Center 50+, 2615 Portland Rd NE, Salem, OR 97301, to ask questions or book an appointment.

Call: 971-202-1979

Take the first step toward steady movement, better balance, and a life without fear of falling. Let a caring expert guide you to recovery—one step at a time.