Finding Balance with Vestibular Migraines

Finding Balance with Vestibular Migraines: How Vestibular Therapy Can Help

Vestibular migraines are a unique and often misunderstood form of migraine that goes beyond the typical head pain. These migraines are characterized by debilitating dizziness, vertigo, and balance problems, which can significantly impact one’s quality of life. Vestibular therapy, a specialized form of physical therapy, offers hope to individuals suffering from vestibular migraines. In this blog, we’ll explore what vestibular migraines are and how vestibular therapy can provide relief and improved function.

Understanding Vestibular Migraines

Vestibular migraines, also known as migrainous vertigo, are a type of migraine disorder that affects the vestibular system. The vestibular system is responsible for regulating balance and spatial orientation. Vestibular migraines often feature the following symptoms:

Vertigo: A spinning or whirling sensation that can last for minutes to hours.

Dizziness: A persistent feeling of unsteadiness or lightheadedness.

Nausea and Vomiting: These are common symptoms during vertigo episodes.

Headache: Vestibular migraines may or may not be accompanied by traditional migraine head pain.

Visual Disturbances: These can include visual aura, light sensitivity, or visual field abnormalities.

Vestibular migraines are triggered by various factors, such as stress, hormonal changes, certain foods, or specific visual stimuli. Identifying and managing these triggers is essential for effective treatment.

How Vestibular Therapy Can Help

Vestibular therapy, also known as vestibular rehabilitation therapy (VRT), is a specialized form of physical therapy designed to treat inner ear and balance disorders, including vestibular migraines. Here’s how it can help:

Comprehensive Assessment: Vestibular therapy begins with a thorough evaluation by a trained therapist who specializes in vestibular disorders. This assessment helps pinpoint the specific deficits in your vestibular system.

Customized Exercise Programs: After a detailed assessment, the therapist designs a personalized exercise program tailored to your individual needs. These exercises aim to improve your vestibular function and reduce the frequency and intensity of vertigo episodes.

Gaze Stabilization Exercises: These exercises focus on improving your eye movements and reducing vision-related symptoms. By enhancing your gaze stability, you can experience less dizziness and discomfort.

Balance Training: Vestibular therapy includes balance training exercises to improve your stability and reduce the risk of falling during vertigo episodes.

Home-Based Exercises: Your therapist will provide you with a set of exercises that you can practice at home. Consistency is key to achieving the best results.

Education and Lifestyle Modifications: Vestibular therapists offer valuable insights into lifestyle changes and modifications that can help manage your condition effectively. This may include dietary adjustments and stress management strategies.


Vestibular migraines can be a challenging and disruptive condition, but vestibular therapy offers a tailored and evidence-based approach to managing its symptoms. By addressing the underlying issues within the vestibular system and employing specific exercises and techniques, vestibular therapy can significantly improve your quality of life. If you’re struggling with the debilitating effects of vestibular migraines, seeking the expertise of a vestibular therapist is a crucial step towards finding relief and regaining your balance. Don’t let vestibular migraines control your life – explore the possibilities of vestibular therapy to help you regain your equilibrium and improve your overall well-being.

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