Skip to Content
800-533-8762
  • Careers
  • Newsroom
  • Health Care Professionals
  • About Us
  • Contact Us
UPMC
  • Find a Doctor
  • Services
    • Frequently Searched Services
    • Frequently Searched Services
      Allergy & Immunology Behavioral & Mental Health Cancer Ear, Nose & Throat Endocrinology Gastroenterology Heart & Vascular Imaging Neurosciences Orthopaedics
      Physical Rehabilitation Plastic & Reconstructive Surgery Primary Care Senior Services Sports Medicine Telemedicine Transplant Surgery Walk-In Care Weight Management Women’s Health
      See all Services
    • Services by Region
    • Find a UPMC health care facility close to you quickly by browsing by region.
      UPMC in Western Pa. Western Pa. and New York
      UPMC in Central Pa. Central Pa.
      UPMC in North Central Pa. North Central Pa.
      UPMC in Western Md. Maryland & West Virginia
    • See All Services
  • Locations
    • Locations by Type
    • Locations by Type
      UPMC hospitals
      Hospitals
      Physical Therapy
      Physical Therapy
      Urgent care
      Walk-In Care
      UPMC Outpatient Centers
      Outpatient Centers
      UPMC Imaging Services
      Imaging
      Community Health Centers
      Community Health Centers
      See All Locations
    • Locations by Region
    • Locations by Region
      UPMC in Southwest Pa. Southwest Pa.
      UPMC in North Central Pa. North Central Pa.
      UPMC in Northwest Pa and Ny. Northwest Pa. & Western N.Y.
      UPMC in West Central Pa. West Central Pa.
      UPMC in Central Pa. Central Pa.
      UPMC in Western Md. Maryland & West Virginia
    • See All Locations
  • Patients & Visitors
    • Patient & Visitor Resources
    • Patient & Visitor Resources
      Patients and Visitors Resources Pay a Bill Classes & Events Medical Records Health Library Patient Information
      Patient Portals Privacy Information Shared Decision Making Traveling Patients Visitor Information
      Man uses mobile phone
      Pay a Bill
      Nurse reviews medical chart
      Request Medical Records
  • Patient Portals
  • Find Covid-19 updates
  • Schedule an appointment
  • Request medical records
  • Pay a bill
  • Learn about financial assistance
  • Find classes & events
  • Send a patient an eCard
  • Make a donation
  • Volunteer
  • Read HealthBeat blog
  • Explore UPMC Careers
Skip to Content
UPMC
  • Patient Portals
  • For Patients & Visitors
    • Find a Doctor
    • Locations
    • Patient & Visitor Resources
    • Pay a Bill
    • Services
    • More
      • Medical Records
      • Financial Assistance
      • Classes & Events
      • HealthBeat Blog
      • Health Library
  • About UPMC
    • Why UPMC
    • Facts & Stats
    • Supply Chain Management
    • Community Commitment
    • More
      • Financials
      • Support UPMC
      • UPMC Apps
      • UPMC Enterprises
      • UPMC International
  • For Health Care Professionals
    • Physician Information
    • Resources
    • Education & Training
    • Departments
    • Credentialing
  • Careers
  • Contact Us
  • Newsroom
  • UPMC >
  • Our Services >
  • Ear, Nose, & Throat >
  • ... >
  • Our Services >
  • Hearing and Balance >
  • Balance Disorders >
  • FAQ
Ear, Nose, & Throat
About Us
Conditions We Treat
Our Services
Hearing and Balance
Audiology & Hearing Aids
Balance Disorders
Conditions We Treat
Diagnosis
Our Experts
FAQ
Your First Visit
Locations
Treatment
Ear and Hearing Center
Voice, Speech and Swallowing
Allergy, Sinus, Nose and Sleep Disorders
Skull Base Tumors and Head & Neck Surgery
Facial Nerves and Plastic Surgery
For Patients
For Professionals & Students
Our Locations
Ear, Nose, & Throat
About Us
Conditions We Treat
Our Services
Hearing and Balance
Audiology & Hearing Aids
Balance Disorders
Conditions We Treat
Diagnosis
Our Experts
FAQ
Your First Visit
Locations
Treatment
Ear and Hearing Center
Voice, Speech and Swallowing
Allergy, Sinus, Nose and Sleep Disorders
Skull Base Tumors and Head & Neck Surgery
Facial Nerves and Plastic Surgery
For Patients
For Professionals & Students
Our Locations

Chat Keywords List

  • cancel or exit: Stops your conversation
  • start over: Restarts your current scenario
  • help: Shows what this bot can do
  • terms: Shows terms of use and privacy statement
  • feedback: Give us feedback
Continue
Chat with UPMC
RESTART
MENU
CLOSE

Frequently Asked Questions About Balance Disorders

 

BPPV is an inner ear disorder. It's the most common cause of dizziness (spinning) that occurs with a change of head position. It runs in families and can cause people to fall.

 

The symptoms of BPPV come on quickly, lasting no longer than 60 seconds (although it seems like they last forever). People usually experience symptoms rolling over in or getting out of bed.

 

BPPV may affect anyone, but becomes more common in people around the average age of 60. The Dix-Hallpike test can confirm the diagnosis of loose ear crystals and BPPV.

Several types of health care professionals can move the crystals that produce BPPV.

 

Experts at UPMC's Center for Balance Disorders can help manage and correct your BPPV with the Epley maneuver or particle repositioning maneuver.

 

In about 15 percent of people, BPPV returns each year. The chance of getting it back increases over time. Your risk of it returning also increases if head trauma caused your BPPV.

  • Spacey
  • Floating
  • Spinning (vertigo)
  • Lightheaded
  • Head pressure
  • Swimmy
  • Wooziness
  • Heavy-headed
  • Logy
  • Tilting
  • Disoriented

To a health care professional, the specific medical meaning of vertigo describes the sensation that you, or the world around you, are spinning. An inner ear problem is often the cause of vertigo.

There is evidence that physical therapy intervention can help people who are dizzy or have balance problems.

 

Eye/head, balance, and walking exercises can improve balance and dizziness problems.

Just like doctors, physical therapists often have specialized training.

 

Finding a physical therapist that specializes in balance and dizziness problems is helpful. The most convenient therapist may not be the best for treating your condition.

The physical therapist will send you some forms to complete prior to your first visit. These forms help shorten the questions therapists will ask you and will serve as a systematic way to make sure they do not forget to ask you important questions.

 

You should expect to spend one hour with the physical therapist for your first visit.

 

The physical therapist will ask you questions about:

  • How your problem interferes with your life (work, home, leisure, and social activities).
  • Certain triggers that make you feel worse and what helps you feel better.
  • Any other things from your completed forms to better appreciate and understand your problems.

If you brought results to past balance tests, the physical therapist will review the findings and explain them to you again. The balance test results can help the therapist determine how well you might recover from your balance disorder.

 

The physical therapist also will ask you the following:

  • Have you fallen? If so, did you get hurt or have to see a doctor?
  • Do you have weak bones?
  • Do you have dizziness when you are not moving?
  • Do you hear noises in your ear(s)?
  • Do you ever experience any fullness in your ears?
  • What is the best and worst your dizziness has been within the last 24 hours?
  • Do you “spin” or feel “lightheaded” or “dizzy”?

After learning about your problem, the physical therapist will perform the Dix-Hallpike maneuver — a test to determine if you have any loose calcium carbonate crystals in your ear — and other painless procedures to test:

  • Coordination
  • Strength and motion
  • Eye muscle movement
  • Walking and standing balance
  • The feeling sensation in your feet

The physical therapist will decide the types of exercises that will best help you.

 

You will do most of the exercises at home since it's more convenient and less costly than frequent visits with the physical therapist. Your therapist will likely give you pictures of the exercises that you need to perform, as it's hard to remember everything from your visit.

 

He or she will also let you know how often you will need face-to-face visits.

The number of physical therapy visits can range from once every week or two, up to two times a week. The duration of your care could range from one or two total visits up to many months, depending on your problem.

 

Generally, people with BPPV need fewer visits than do people with inner ear problems and dizziness caused by a brain disorder.

 

Your therapist will discuss the frequency of visits with you during your first appointment. Follow-up visits last around 45 minutes to one hour.

Overall, about 80 percent of people living with balance and dizziness problems have some degree of improvement with physical therapy.

 

Some health conditions that make it harder to get better include:

  • Diabetes
  • A problem with the brain
  • Migraine headaches
  • Eye problems as a child, such as crossed eyes
  • Obsessive-compulsive disorder or a perfectionistic personality
  • An anxiety problem
  • Being afraid of falling
  • Poor vision or a recent cataract operation

We don’t yet know why, but some people who do everything that the physical therapist prescribes still may not improve.

No. There is no evidence that age or gender makes any difference in your recovery from a balance or dizziness disorder.

 

Hard work under the guidance of a health care provider offers the best chance of recovery.

Yes. There is hope for you in the future if you have not fully recovered from your dizziness and balance problem.

 

Researchers, sponsored by the National Institutes of Health, are studying the balance system. We are learning more about balance and dizziness problems every day, so do not lose hope.

People with a problem limited to the inner ear tend to have a very good prognosis. Unfortunately, not all people fully heal from an inner ear problem because of damage to the ear structures.

 

Dizziness caused by a brain problem is harder to recover from and usually requires more physical therapy visits.

 

People who have both inner ear and brain problems can improve, but recovery is often less than those who have problems in just one system.

Contact Us

Call us to schedule an appointment at one of our Center for Balance Disorders locations.

UPMC Mercy Hearing and Balance Center
Phone: 412-647-2100

UPMC Center for Balance Disorders
Phone: 412-647-2125

Physical Therapy Office
Phone: 412-647-8091

University Ear, Nose, & Throat Specialists (Oakland/Main Office)
Phone: 412-647-2100

UPMC
200 Lothrop Street Pittsburgh, PA 15213

412-647-8762 800-533-8762

Patients And Visitors
  • Find a Doctor
  • Locations
  • Pay a Bill
  • Patient & Visitor Resources
  • Disabilities Resource Center
  • Services
  • Medical Records
  • No Surprises Act
  • Price Transparency
  • Financial Assistance
  • Classes & Events
  • Health Library
Health Care Professionals
  • Physician Information
  • Resources
  • Education & Training
  • Departments
  • Credentialing
Newsroom
  • Newsroom Home
  • Inside Life Changing Medicine Blog
  • News Releases
About
  • Why UPMC
  • Facts & Stats
  • Supply Chain Management
  • Community Commitment
  • Financials
  • Supporting UPMC
  • HealthBeat Blog
  • UPMC Apps
  • UPMC Enterprises
  • UPMC Health Plan
  • UPMC International
  • Nondiscrimination Policy
Life changing is...
Follow UPMC
  • Contact Us
  • Website/Email Terms of Use
  • Medical Advice Disclaimer
  • Privacy Information
  • Active Privacy Alerts
  • Sitemap
© 2025 UPMC I Affiliated with the University of Pittsburgh Schools of the Health Sciences Supplemental content provided by Healthwise, Incorporated. To learn more, visit healthwise.org
Find Care
Providers
Video Visit
Portal Login