Dizziness and balance
For dizziness, vertigo, or changes in balance.
Neurologic and vestibular physical therapy
Care starts with
knowing you.
Your symptoms, your goals, and your everyday life shape the plan.
Meet your therapist
Dr. Melanie Seifert
PT, DPT, AIB-VRC · Neurologic and vestibular physical therapy
Melanie specializes in neurologic and vestibular rehabilitation, with advanced training beyond general physical therapy education and certification in vestibular rehabilitation and concussion.
What brings you to us?
People come to us with
a range of concerns.
Here are some of the most common reasons.
Neurologic recovery
Care for movement changes after a neurologic diagnosis.
Daily movement
A plan that reflects the activities that matter to you.
One conversation.
A clear next step.
Tell our team what you are experiencing. We can help you decide where to begin.
An individual plan
Understand what contributes.
Assessment comes before exercises, and the exercises are never a single routine for every person.
- Your balance systems work together.
- Your inner ear acts like an internal gyroscope. Your vision and your sense of where your body is in space also help you balance. When those systems are not working well together, you may feel dizzy or unsteady.
- Assessment comes before exercises.
- Tell Melanie about symptoms such as blurred vision with head movement, veering while walking, or frequent falls. Assessment may include balance with changes in surface or visual input, body-position awareness, and how head movement affects vision and balance.
- Practice is chosen for you.
- Depending on the findings, care may include gaze-stability exercises, balance and walking practice, and neuromuscular reeducation: guided practice to improve movement control and awareness.
Focused rehabilitation
Different concerns. Different care.
Your presentation and goals determine the approach, not simply the name of a diagnosis.
- BPPV and “inner-ear crystals”
- Benign paroxysmal positional vertigo (BPPV) is treated with canalith repositioning maneuvers. The Epley maneuver is a familiar example; the appropriate maneuver depends on the assessment.
- Parkinson’s and movement disorders
- Care may include PWR! Moves® for Parkinson’s disease and individualized movement practice, whether you are newly diagnosed, returning to PT after a break, or exploring it for the first time. Melanie also treats movement concerns associated with cerebellar ataxia.
- Stroke recovery
- Care can focus on movement control, sensation, awareness of an affected limb, and functional use, early in recovery or with longer-standing changes.
- Multiple sclerosis
- A measured, individualized return to exercise, working on strength, endurance, and activity with your specific diagnosis and limitations in mind.
- Spinal cord injury and foot drop
- Rehabilitation adapted to the movement and functional changes associated with spinal cord injury. Foot drop can have different causes; care is tailored to the underlying concern and walking needs.
- Post-concussion vestibular concerns
- For vestibular concerns after concussion, including after a sports injury or a fall, the focus is on your symptoms and assessment findings.
Before your visit
Questions, answered.
Do I need to know why I am dizzy before I contact you?
Not necessarily. Many of Melanie’s vestibular patients arrive without a specific diagnosis. Tell the team what you are noticing and whether you have a referral or existing diagnosis, so they can discuss the appropriate next step.
Will everyone receive the same exercises?
No. Your care depends on which systems are involved, your symptoms, your diagnosis when known, and what you want to return to. A BPPV repositioning maneuver, gaze-stability exercise, and neurologic movement plan serve different needs.
Is this only for people recovering from surgery or playing sports?
No. Dizziness, imbalance, frequent falls, and neurologic movement concerns can affect everyday life. This service is focused on vestibular and neurologic rehabilitation, rather than general sport-performance training.
Can I come back to PT for a long-standing condition?
Contact the team to discuss your needs. Melanie works with both recent and longer-standing neurologic changes, including people with Parkinson’s who have not had PT before or who are returning after a break. Goals and the plan are individualized.
Ready when you are
Find your next step.
Tell us about your dizziness, balance, or movement concerns. Our team can help you explore whether neurologic or vestibular physical therapy is a good fit.