Chronic dizziness but have had normal tests?

We help you manage and reduce the rocking, swaying, and visual overwhelm with a brain-based neuro-plasticity approach for treating chronic dizziness.

Specialized PPPD and Chronic Dizziness Recovery from Home

We have years of experience treating some of the most challenging patients that have had dizziness for years. From patients that have failed traditional therapy including Vestibular Therapy and have not gotten relief from other medical and non-medical treatments/procedures.

PPPD and Chronic Dizziness Recovery from Home

Structural vs Functional Vestibular Disorders

Most physicians and physical therapists look at the Hardware(your inner ear and brain with structural imaging) and treat as such. When those tests come back "normal," patients are often left without answers or proper treatment.

PPPD is a Software issue. It is a glitch or inefficiency of how your brain processes balance and motion signals. If your vestibular therapist only gave you constant re-positional maneuvers such as Epley Maneuvers or basic balance and gaze stabilization exercises(VOR or Vestibulo-ocular reflex) they missed the Neuro-Habituation and normalization of movement required to retrain a hyper-vigilant nervous system. This is the proper approach to re-wiring the patients brain with chronic dizziness and PPPD which is the approach Dr. Haslam takes through Integrated Movement and Health.

Structural vs Functional Vestibular Disorders

Expertise you Can Trust

Dr. Ian Haslam specializes in the most challenging and complex chronic dizziness conditions, including Persistent Postural-Perceptual Dizziness (PPPD/3PD), Vestibular Migraine (VM), Mal de Debarquement (MdDS), and other forms of Functional Neurological Disorder (FND).

Dr. Haslam has been treating these conditions for years with success when other treatments have failed or have not provided the level of care that is needed or level of knowledge required to understand the condition's including previous Vestibular Therapy, medical treatment, and medical procedures.

Dr. Haslam has treated patients throughout the United States with PPPD and sees patients from various ENTs and Neurologists.

Patients that have improved from our approach:

What makes our approach to Vestibular Rehab different?

Education-First Philosophy

Understand what is going on. Find out your primary cause for your dizziness. We also believe that physical therapy is not just about treating injuries, but about empowering our patients to take control of their own health and well-being. We prioritize education and prevention to help our patients achieve long-term results.

Holistic View

We take a holistic approach to your care; we don't just view you as your condition, but as a whole person. Sometimes, this requires addressing additional components that are important but often overlooked, such as anxiety, depression, or compounding orthopedic or neurological conditions. These factors can make it more challenging to understand and follow a plan of care related to your condition. We lastly believe that a positive attitude and a supportive environment are key to achieving success.

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Targeted treatment

We provide specific individualized care to what is bothering You. Not all patients have the same symptoms so an individualized approach based on specific triggers is focused on to help normalize movement, desensitize circumstances, and reduce hyper-vigilance.

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Frequently Asked Questions

Please reach us via the contact us page if you cannot find an answer to your question and would like to further consult with us.

Can you help with me PPPD/Chronic Dizziness?

Most likely, yes, however due to the variable nature of healthcare, no guarantees can be made. That being said, Dr. Haslam has helped numerous people with PPPD. He has helped numerous patients get to very low manageable symptoms to helping patients completely abate their symptoms. This includes patients that were newly diagnosed with PPPD in addition to other patients who didn't have success with past physical therapy or vestibular therapy but saw relief with Dr. Haslam and his specialized treatment approach.

At Integrated Movement and Health, we believe seeking care should be an investment in your long-term wellness. To prioritize your recovery over paperwork, we choose not to contract with insurance providers. This allows us to deliver the highest level of individualized, one-on-one attention, ensuring our sole focus remains on your healing. Whatever challenges you face, we are here to guide you toward your best self.

Not exactly. Many traditional vestibular therapy programs focus on exercises that train your balance system in a very structured and conscious way. With PPPD, that approach often isn't enough because PPPD is a type of Functional Neurological Disorder(FND), where the brain becomes overly focused on posture, balance, and threat signals.

My approach is different because I treat PPPD as FND. That means I focus on helping your brain reduce over-fixation, shift back into automatic movement, and relearn safe, effortless balance. Instead of drilling into symptoms, we retrain your brains movement patterns so that balance feels natural again, not forced. This approach often leads to faster progress and more lasting change.

I also work with you to identify and address the original trigger that set PPPD into motion and treat other symptoms that may or may not be a direct contributor. Whether the original cause was a vestibular episode, high stress, migraine, or other cause I work to figure it out and treat it. By treating the root cause in addition to the PPPD, we create a more comprehensive path to full and lasting recovery.

This is very individual dependent. Some individuals can see improvement on day 1 and others may see improvement over days, weeks, sometimes even years. Unfortunately, for some individuals improvement can be slow. Some individuals may not even notice their improvements because they are focused on their continued symptoms as opposed to the progress they have made in regards to function. Despite the timeline of progress, PPPD is very treatable!

Given the fact that I am not a licensed social worker, psychologist, or psychiatrist I cannot say that I do official CBT, however I will say that my approach is rooted in the principles of CBT with an emphasis on movement and response to dizziness and symptoms so the psychological piece of dealing with PPPD is not excluded in my treatment approach.

Fill out the contact us form or give us a call to get your first appointment scheduled

Stop Navigating this Alone

If you or someone you know are struggling with chronic dizziness, imbalance, or PPPD, you don't have to live this way. Specialized vestibular therapy and vestibular rehabilitation at Integrated Movement and Health can help you retrain your balance system, reduce symptoms, and regain confidence in your movement.

Contact Us

Use this form below to reach out to consult with us to see how we can help you. You can additionally reach out through text message or call and leave a voicemail. Please note that by utilizing our contact us form and utilizing our website you are agreeing to our privacy policy.

Hours

Monday - Sunday: By Appointment only

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