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Dizziness Vertigo & Balance
Dizziness is one of the most common reasons people see a doctor, yet it's also one of the most frequently under-investigated. Patients are often given a generic label, a medication to suppress the sensation, or told it will pass — without a precise assessment of which balance system is at fault. Because balance depends on several systems working together, this one-size-fits-all approach often misses the actual source.
Also known as
vestibular, BPPV (Vertigo), benign paroxysmal positional vertigo, disequilibrium, unsteadiness, labyrinthitis, vestibular neuritis
ICD-10
R42 (Dizziness), H81 (Vestibular disorders), H81.1 (BPPV), H81.0 (Meniere's disease)
How focused education closes the gap
Clinicians trained in vestibular and functional neurology assessment can pinpoint which balance system is driving symptoms.- Assess the visual, vestibular, and central systems that maintain balance- Identify whether the problem is peripheral, central, or a mismatch between systems- Translate findings into targeted vestibular rehabilitation
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Functional Neurology Excellence Bundle
A complete framework for understanding how the brain develops, adapts, and changes-equipping providers to find and fix neurological "software" problems invisible on imaging, yet life-changing when corrected.
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The CNS Curriculum™
From neurodevelopment to complex neurological presentations, this comprehensive program has been approved by CAGEN to qualify for the ACNB Diplomate in Chiropractic Neurology and the ACFN Fellowship in Functional Neurology examinations. It builds a deep, system-by-system understanding of the nervous system-giving you the tools to observe, examine, interpret, and address functional brain and nerve disorders with greater precision.
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Vestibular Rehab Post-mTBI Research
Comprehensive scoping review of vestibular and oculomotor rehabilitation interventions for mTBI patients with evidence-based outcomes and assessment tools.
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Neuroimmunology, Vestibular Conditions and Neuropsychiatric Conditions
Dive into neurodegeneration in this 25-hour course. Learn to manage Alzheimer’s, Parkinson’s, and related conditions using evidence-based nutrition, lifestyle, and gut-brain strategies.
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Post-Concussion Rehabilitation
Move beyond symptom management. Gain an RCT-supported framework for rehabilitating persistent post-concussion syndrome rooted in functional neurology.
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The Cerebellum & Vestibular System
Master the cerebellum and vestibular system, from neural architecture to clinical assessment and rehabilitation, in this advanced functional neurology course.
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VR in Concussion Rehabilitation
Master the clinical application of VR in concussion care through evidence-based evaluation, patient selection criteria, and practical implementation.
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Clinical Gems 2
An advanced 15-hour online course delivering high-level clinical insights into gait, cerebellar function, eye movements, and autonomic assessment for precise neurological localization.
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Eye-Brain-Body: 3D Neurorehab & AI Mess Roadmap
Transform your neurological assessment capabilities through advanced oculomotor analysis, integrating 3D evaluation techniques with AI-enhanced diagnostics.
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OVRT Assessment in Neurology
A 1-credit ISCN lecture exploring how OVRT testing objectively evaluates vestibular and neurological function through eye movement tracking, reaction time analysis, and evidence-based clinical applications.
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Postural Neurology: Brain-Based Care
Discover the neurologic foundation of posture through brain-based assessments and evidence-driven correction protocols for superior patient outcomes.
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Dizziness, vertigo, and balance problems are umbrella terms for a range of sensations — spinning (vertigo), lightheadedness, and unsteadiness — that share a common root: a disruption in the systems that keep us oriented in space. Balance relies on the inner ear (vestibular system), vision, and proprioception, all integrated by the brain. Because so many systems contribute, the cause can lie in any of them, or in the brain's integration of their signals — which is exactly why a single label so rarely captures the whole picture. A functional neurology assessment distinguishes peripheral causes, like the inner ear, from central ones involving the brain, and identifies whether the problem is one system failing or a mismatch between systems. That distinction is essential, because it determines which treatment will actually help. For people who have been handed a generic diagnosis and a suppressant medication, a precise, system-by-system evaluation often reveals a targeted, retrainable cause that had simply never been tested. Once the responsible system is identified, treatment can be precisely targeted, which is why a careful assessment so often succeeds where suppression failed.
These symptoms can be alarming and varied, often worsening with movement:- A spinning sensation (vertigo), even when still- Lightheadedness or feeling faint- Unsteadiness or a sense of being pulled to one side- Visual disturbance or trouble focusing while moving- Nausea accompanying dizziness- Symptoms triggered by head movement or busy visual environments
Balance is maintained by continuous integration of three inputs — vestibular (inner ear), visual, and proprioceptive — coordinated moment to moment by the brain. When any input is impaired, or when the brain struggles to reconcile conflicting signals, the result is dizziness, vertigo, or unsteadiness. The diagnostic challenge is that a single symptom — "dizziness" — can arise from many different breakdowns, peripheral or central, each needing a different response. Generic treatment that merely suppresses the sensation without identifying the source often disappoints. A precise functional neurology assessment, conducted system by system, is what reveals which mechanism is actually responsible and how to retrain it.
What to expect
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