Dizziness Clinic

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CORNERSTONE DIZZINESS CLINIC

Vestibular Rehabilitation Clinic – North York

We can help.

Cornerstone’s Dizziness Clinic is one of the most renowned and trusted centres for the treatment of dizziness, vertigo, concussions and other vestibular disorders, in the Greater Toronto Area. We have helped thousands of patients recover from dizziness disorders since 2008, and are proud to receive referrals from the top medical professionals in Ontario.

We have Certified Vestibular Physiotherapists who have participated in specialized training and courses that allow them to expertly assess, diagnose and treat even the most challenging patient presentations.

Dizziness is one of the most common symptoms reported to medical professionals. It can be mild and controllable, or it can be completely debilitating, affecting every part of your life. Our patients have often seen several different health professionals and specialists, and been given different diagnoses or been told there is nothing that can be done. Perhaps you’ve been referred for further testing at a hospital or booked to see an ENT but your appointment is months away.
Get better faster. We can help.

The vestibular system

The vestibular system is the network of structures in your head that allows you to sense motion and changes to head position. When functioning well, it also allows your eyes, head, and body to properly react to these changes.
The vestibular system is made up of two vestibular organs or labyrinths (one on each side of the head), its associated vestibular nerves and the central part of your brain that processes this movement information (brainstem and cerebellum).
Our vestibular system allows us to know where we are and how we are positioned (even with our eyes closed). It senses movement in all directions and through acceleration and deceleration. It helps us keep our gaze stable and react quickly when we lose our balance, and it coordinates motion.

What are the symptoms of a vestibular problem?

Patients can have one or often several of the following symptoms.

  • dizziness, vertigo or lightheadedness
  • nausea or vomiting
  • visual problems including double or blurred vision, and shaky/bouncy vision
  • difficulty changing positions, moving quickly, or walking in a straight line
  • fatigue
  • brain fog (difficulty with memory, multi-tasking, abstract thought)
  • an increase in anxiety and/or depression
  • headaches or migraines
  • tinnitus or ringing in the ears (if the cochlea is also affected)
  • neck pain or stiffness

Assessment

Our assessment uses medically validated techniques to accurately diagnose the reasons why you are dizzy. We take the time to listen and complete a thorough history of your problem. Next, you’ll be asked to perform manual tests that begin narrowing down our clinical impression of the causes behind your dizziness. We will then use infrared goggle nystagmography which is a special assessment tool that tracks the connection between eye reflexes and vestibular dysfunction. These recorded camera tests significantly improve the accuracy of our diagnoses and give us a clearer direction for effective treatment.

Our assessment procedure also incorporates tests to help rule out other non-vestibular causes to your dizziness or vertigo. We communicate closely with your doctor and medical team and provide reports and test results as required.

Treatment (Vestibular Rehabilitation Therapy)

Patient Education
Every patient at our vestibular clinic is given a thorough explanation of their diagnosis and treatment plan. We understand that patients often have many questions when it comes to dizziness disorders, so we try to provide as many answers as we can. We feel that understanding your condition is the best way to start your treatment. We also instruct you in what to do, and what not to do with respect to activity, your work, diet, sleep and other variables that influence your recovery.

Repositioning Manoeuvres
If you are identified as having BPPV (Benign Paroxysmal Positional Vertigo), then you will likely have manoeuvres performed to reposition dislodged calcium carbonate crystals. Our assessment identifies the specific type of BPPV you have and the location of the debris, then we apply the appropriate manoeuvre to address that impairment. Examples include Epley, Semont, Casani, Gufoni, Brandt-Daroff among other canalith repositioning manoeuvres.

Exercise Prescription
In most cases, you will be prescribed a home exercise program that is critical to optimizing your recovery. Based on your assessment results, specific exercises are tailored to address your specific impairments. These exercises gradually re-align your head’s adaptation to positioning and movement, compensate for any loss to your vestibular system, and desensitize you to your dizziness symptoms. This program will be continually reassessed, modified, and progressed over the course of your treatment with us.

What does vestibular rehabilitation treat?

  • BPPV (Benign Paroxysmal Positional Vertigo)
  • Vestibular Neuritis
  • Labyrinthitis
  • Post Concussion Syndrome
  • Mal de Debarquement (MdDS)
  • Meniere’s Disease and Endolymphatic Hydrops
  • Vestibular Migraine (Migraine Associated Vertigo)
  • Cervicogenic Dizziness
  • Dehiscence Syndromes
  • Perilymphatic fistulas
  • Peripheral Vestibular Hypofunction or Hyperfunction
  • General Vestibular Sensitivity (motion sickness)
  • Imbalance and Risk of Falls
  • and more…..

Questions about whether our Dizziness Clinic would help you? We invite you to contact us for a complimentary 10 minute phone consult with a vestibular physiotherapist. Call (647) 494-4342 or email info@cornerstonephysio.com.