Acoustic Neuroma—Physical Therapy Before and After Surgery

An acoustic neuroma, also called a vestibular schwannoma, is a usually benign tumor that develops on the nerve connecting the inner ear and brain. It may cause gradual one-sided hearing loss, tinnitus, imbalance, or dizziness. Evaluation and treatment decisions require a specialist team.

Before Treatment

When appropriate, pre-treatment physical therapy can document balance, walking, strength, and gaze stability. It may also teach exercises and safety strategies that will be useful after surgery or other treatment. Prehabilitation should align with the medical team’s plan.

After Treatment

The balance system may need to adapt to a changed signal from one side. Vestibular rehabilitation can use gaze-stability work, progressive head movement, balance challenges, walking practice, and conditioning to promote compensation. The pace depends on surgical precautions, symptoms, overall health, and individual goals.

Team-Based Recovery

Hearing, facial nerve function, headache, fatigue, and anxiety may all affect recovery. Physical therapy is one part of coordinated care with neurosurgery, otology, audiology, and other specialists. New or worsening neurological symptoms should be reported promptly.

Support for the Road Ahead

If you are preparing for or recovering from acoustic neuroma treatment, ask your medical team whether vestibular rehabilitation is appropriate. Contact Next Level Physical Therapy & Wellness to confirm whether the clinic’s services and experience fit your pre- or postoperative care plan.

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General Imbalance and Multifactorial Dizziness—When There Is More Than One Cause

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Ménière’s Disease—Managing Balance Between Episodes