Dizziness has a dozen different causes. Treatment only works once you know which one you have.
BPPV, inner-ear weakness, neck-driven dizziness, vestibular migraine — they feel similar and are treated completely differently. Meridian Neuro identifies the cause first, then treats it.
- Neuro-vestibular physical therapy from therapists with 20+ years in dizziness and balance
- A board-certified neurologist on site when symptoms point beyond the inner ear
- Start directly — no neurology consult required. Self-referral welcome.
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Dizziness gets treated as a symptom. It's really a diagnosis problem.
Most people with dizziness are handed a motion-sickness pill and told to wait it out. But "dizzy" describes at least half a dozen distinct conditions — and the exercise that resolves one of them can make another worse. Without a specific diagnosis, treatment is guesswork.
What dizziness quietly costs you
Your world gets smaller
Freeway driving, grocery aisles, escalators, looking up at a shelf. You've stopped doing things without ever deciding to stop.
The referral carousel
Primary care to ENT to neurology and back, each visit ruling something out, none of them putting the whole picture together.
"It's probably just stress"
When tests come back clean, dizziness gets reframed as anxiety. Sometimes anxiety is part of it — but it is rarely the whole explanation.
An evaluation built to tell your kind of dizziness apart from the rest.
Your first visit is a thorough evaluation with your treating therapist — history, balance and gait testing, positional testing, and visual-vestibular assessment. You leave understanding what is driving your symptoms and what the plan is.
From there, treatment is hands-on and progressive. Your therapist works beside you, adjusting difficulty as your balance system adapts.
Targeted vestibular treatment
Repositioning maneuvers for BPPV, gaze-stabilization and habituation work for inner-ear weakness, balance retraining, and treatment for neck-driven dizziness — matched to your diagnosis, not a generic handout.
A neurologist when it matters
Some dizziness isn't coming from the inner ear. Dr. Joey Gee, a board-certified neurologist and fellowship-trained headache specialist, is in the same suite — with coordinated imaging or nerve studies as needed.
Vestibular migraine, properly handled
One of the most common — and most missed — causes of recurring dizziness. It sits exactly where headache medicine and vestibular therapy meet, and treating one side without the other is why it so often lingers. Here, both happen under one roof.
The causes behind "I'm dizzy"
BPPV
Benign paroxysmal positional vertigo — brief, intense spinning triggered by rolling over or tipping your head. Often resolves with precise repositioning maneuvers.
Vestibular hypofunction
Reduced inner-ear function on one or both sides, causing unsteadiness and blurred vision with head movement.
Vestibular migraine
Dizziness driven by migraine biology, often without much headache at all. Diagnosed and co-managed with Dr. Gee.
Cervicogenic dizziness
Dizziness originating in the neck, common after whiplash or with long-standing neck pain.
Post-concussion dizziness
Motion sensitivity and imbalance that outlast the concussion itself — sometimes by months or years. More on post-concussion care.
Balance loss & fall risk
Unsteadiness from vestibular, neurological, or age-related change — including gait and balance work for Parkinson's disease.
40 years of vestibular experience
Two neuro-vestibular physical therapy leads — Nirav Patel, DPT and Sapan Palkhiwala, DPT — each with two decades in dizziness and balance.
Neurology in the same suite
Most vestibular clinics refer out when dizziness looks neurological. Here it's a walk down the hall.
No gatekeeping, no surprise fees
Self-referral welcome, no neurology consult required to start. Cash-pay with flat fees reviewed before treatment begins. Superbills on request; HSA/FSA accepted.
If dizziness arrives alongside frequent headaches, the two are often the same problem. Our headache management program and vestibular therapy are run by one coordinated team — see also how neuro-vestibular physical therapy works.
You've been told to wait it out. Let's find out what it actually is.
Every treatment program begins with an evaluation. For dizziness, you can start directly with your therapist.