- Initial Assessment
We are experienced in the diagnosis and treatment of dizziness conditions such as BPPV, vertigo, neuritis, imbalance and the management of concussion-related symptoms. Our certified vestibular physiotherapists have been helping patients recover since 2008. We understand the impact that your condition has on you and those around you.
You want your life back. We can help.
I have seen a few different therapists at Cornerstone Physio and have found them all to be caring, thorough and knowledgeable. As someone with a complex vestibular condition, as well as periods of chronic pain, I have found incredible relief with their support and my quality of life has improved dramatically.
I was battling vertigo for a number of months and my doctor suggested vestibular therapy. From the moment I talked with Melissa, I felt seen, heard, and incredibly supported. Her positivity and knowledge were just the right combo that helped me stay committed and get the results I was after. Melissa and I met online because of COVID and I was shocked at how well it worked. I was able to make huge progress … – I can only imagine how amazing she is in person. I am forever grateful to the strategies I have learned with Melissa. I am now a couple of months free of vertigo and know exactly what to do if it comes back. If you are struggling with vertigo, this is an incredible option.
When I came down with vertigo, my doctor knew immediately the best place to send me for diagnosis and treatment. Joon Nah is amazing at treating vertigo and the symptoms associated with it. The staff is always friendly and professional. This is definitely the right place to go for any physiotherapy.
Great clinic. Modern, professional staff. I went to help diagnose and correct persistent dizziness issues. Giacomo helped uncover a few causes stemming from an old concussion, and a series of exercises helped diminish symptoms.
Dizziness and concussion cases are complicated and unique to each patient. These types of impairments are often misdiagnosed or left undiagnosed. At Cornerstone we have created assessment procedures that capture the full scope of your condition and accurately categorize the root cause of your symptoms.
HISTORY OF YOUR PROBLEM: You’ll help us understand the full scope of your symptoms, the things that make it better and worse, your related medical history, and how it has impacted your life. You’ll need to tell us how and when your symptoms began and how your condition has changed over time.
NEUROLOGICAL TESTING: The majority of vestibular (and concussion) dysfunctions have relationships with your body’s nervous system. It is often appropriate to perform manual neurological tests to help zero in on the true cause of your symptoms. These are simple tests that can involve the movement of your arms and legs, the muscles and reflexes of your head, and tracking voluntary eye movements.
INFRARED GOGGLE TESTING: The Cornerstone Dizziness Clinic is one of the few centres that uses infrared goggle technology to measure nystagmus patterns of your eyes. Your eyes can function as a “window” into your brain. Your vestibular system has direct connections with the muscles that move your eyes. Our goggles allow us to view abnormal eye reflexes (which we term nystagmus) and more accurately categorize your condition.
**note that these tests are typically not the same as those VNG, ENG, and caloric tests administered at dizziness testing centres.
OUTCOMES: The aims of our initial assessment are to:
TREATMENT: The majority of our initial appointments include treatment. However, if your presentation is more complex, then we will spend the entire session assessing your condition to develop a full understanding of what is going on.
The number of treatments required for recovery varies from diagnosis to diagnosis, and from patient to patient. Your assessment will provide your physiotherapist with the information they need to discuss your prognosis and the expected number of sessions.
However, at our clinics, patients with a mechanical vestibular condition can feel better in as little as 1-3 sessions. Those with vestibular nerve involvement or concussion take more time to recover, but sessions are typically infrequent.
This depends on your diagnosis and your goals for recovery. Treatment can involve the following:
Symptoms can vary, however often include:
Unsure if our services are appropriate for your problem? We offer a complimentary phone consultation with a registered physiotherapist to discuss your issue and provide honest advice about treatment options.Call us at (416) 595-5353