- 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 and we understand the impact that your condition has on you and those around you.
You want your life back. We can help.
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.
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.
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.
Dizziness and concussion cases are complicated and are unique to each patient. These types of impairments are often misdiagnosed or even left undiagnosed. At Cornerstone we understand these concerns, and have created assessment procedures that capture the full scope of your condition and accurately categorize the root causes 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, related medical history, and how it has impacted your life. You’ll need to tell us how and when your symptoms began and what the progression of your condition was 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 rule us out specific causes to your symptoms and help us rule in the more likely sources. 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 and in particular, 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 aim of our initial assessment is:
TREATMENT: The majority of our initial appointments include treatment. However, if your presentation is more complex, then we would prefer to spend the entire session assessing and fully understanding your condition.
The number of treatments and time 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 can 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 for different patients, however they may 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