Vestibular Migraine—Dizziness With or Without a Headache

Vestibular migraine can cause vertigo, rocking, imbalance, nausea, and sensitivity to motion, light, sound, or visually busy places. A headache may occur, but it is not required. Episodes may last minutes to hours, and some people feel off-balance between attacks.

Why Diagnosis Matters

There is no single test that proves vestibular migraine. A qualified medical provider considers symptom history, migraine features, examination findings, and other possible causes. Inner-ear disorders, medication effects, blood-pressure changes, and neurological conditions can overlap, so an accurate diagnosis guides the right plan.

The Role of Physical Therapy

Vestibular rehabilitation does not replace medical migraine management. It can address motion sensitivity, gaze instability, balance limitations, neck-related contributors, and reduced activity. Exercises may gradually expose the nervous system to tolerable visual and movement challenges while improving strength, walking, and confidence.

Small Habits Can Support the Plan

Many people benefit from consistent sleep and meals, hydration, regular activity, and tracking possible triggers. Medication changes and dietary restrictions should be discussed with the prescribing clinician rather than started independently.

Find a Plan that Fits

If dizziness or motion sensitivity is keeping you from driving, shopping, working, or exercising, Next Level Physical Therapy & Wellness can coordinate with your medical team and build a paced rehabilitation plan.

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Concussion Rehabilitation—A Gradual, Guided Return to Life

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Vestibular Neuritis and Labyrinthitis—Recovering After Sudden Vertigo