DIZZINESS · VERTIGO · BPPV · MIDTOWN MANHATTAN

The room spins when you roll over? That’s often fixable.

Vestibular physical therapy for dizziness, vertigo, and balance problems. We find which pattern you have — some, like BPPV, respond in just a few visits.

★ 5.0 on Google 1-on-1 every session Seen within 48 hours Insurance verified upfront
UNDERSTANDING DIZZINESS

Your inner ear is a balance sensor.
It can be retrained.

Deep in each inner ear sits the vestibular system — sensors that tell your brain where your head is and how it is moving. Your brain combines that signal with your eyes and body to keep you steady and your vision clear. When the signal goes wrong, you feel dizzy, off-balance, or the world seems to move.

The most common cause of vertigo is BPPV: tiny crystals that belong in one part of the inner ear slip into the wrong canal. Rolling over in bed, lying back, or looking up then triggers brief spinning. It is mechanical — and it is treated mechanically, with guided head-positioning maneuvers that move the crystals back. Medication does not do that job.

Other patterns include a weakened inner ear after an infection (vestibular hypofunction) and motion sensitivity after concussion or illness. For these, the treatment is retraining: your brain can recalibrate, and specific exercises drive that recalibration.

Does this sound familiar?

  • Brief spinning when rolling over in bed, lying down, or looking up
  • Dizziness or a "swimming" feeling when you turn your head
  • Unsteadiness in the dark, in the shower, or on uneven ground
  • Feeling overwhelmed in busy places — supermarkets, crowds, traffic
  • Vision that blurs or bounces when you walk or turn your head
  • Feeling "off" ever since a virus or ear infection
01

BPPV is mechanical — and fixable

If crystals are out of place, repositioning maneuvers put them back. Many people improve within one to three sessions. There is a specific maneuver for each canal, which is why testing comes first.

02

Your brain can recalibrate

When one inner ear is weak, the brain can learn to compensate — but it needs the right input. Gaze-stability and balance exercises provide exactly that.

03

Avoiding movement slows recovery

Staying still feels safer, but it delays your brain's compensation. Graded, dosed movement is the therapy — we progress it at a pace you can handle.

⚠ Get medical care promptly if you notice:

  • Sudden dizziness with double vision, slurred speech, facial droop, or weakness in an arm or leg
  • Dizziness with a severe or unusual headache, or you cannot walk steadily
  • Vertigo with new hearing loss in one ear, fainting, or chest pain

These can be signs of a stroke or another urgent condition — call 911 or go to the emergency room first. Vestibular rehab starts when urgent causes have been ruled out.

HOW PHYSICAL THERAPY HELPS

Test first.
Then treat the pattern.

Dizziness has many causes — the evaluation is what separates them.

✓A pattern-matching evaluation

We start with your story — timing, triggers, what the dizziness feels like — because the pattern points to the cause. Then positional testing (such as the Dix-Hallpike test), eye-movement checks, and balance and gait testing confirm it.

✓Repositioning for BPPV

If BPPV is confirmed, we guide you through the maneuver matched to the involved canal — for the most common pattern, the Epley maneuver. Most people feel a clear difference within a few visits, and we re-test to confirm the crystals are back.

✓Gaze stability training

If an inner ear is weak, your vision blurs when your head moves. Specific exercises (vestibulo-ocular reflex training) retrain that reflex so the world stays steady when you turn, walk, or drive.

✓Habituation for motion sensitivity

If busy environments, screens, or traffic set you off, graded exposure exercises reduce that sensitivity over time — dosed so symptoms rise mildly and settle, never overwhelm.

✓Balance & gait retraining

Progressive balance work — different surfaces, lighting, head movements, dual tasks — rebuilds steadiness for real life: subways, crowds, uneven sidewalks. Falls risk and home safety are part of the conversation.

✓Clear referral when it is not vestibular

If your pattern does not fit a vestibular cause, we say so and point you to the right next step — ENT, neurology, or your physician — with our findings in hand.

HOW IT WORKS

Three steps to get started

No phone tag, no guesswork about coverage.

01

Book in 60 seconds

Pick a time on Zocdoc or call us. Most new patients are seen within 48 hours.

02

1-on-1 evaluation

Your physical therapist evaluates you one-on-one — history pattern, positional testing, balance checks — and explains the plan in plain language.

03

Personalized plan

Hands-on care plus a progressive exercise program, re-measured so you can see the progress.

WHY STEPPING STONE

Care built around you,
not the schedule.

What makes a visit here different from a typical PT mill.

✓True one-on-one care

Most of every visit is with your physical therapist — we never see more than 2 patients per hour.

✓Evidence-based, personalized

Your plan is built on current clinical research and best-practice guidelines — then tailored to your body, your triggers, and your goals. No cookie-cutter protocols.

✓Insurance verified upfront

We check your benefits before your first visit, so there are no surprise bills.

✓Midtown, on your schedule

Steps from Grand Central. Open weekdays 11–7 and Saturdays 11–3.

INSURANCE

Verify your eligibility
before you arrive.

We participate with most major plans. If yours isn't listed, call us — we'll check.

AetnaAffinity/MolinaAnthemAuto Insurance (No-Fault)BCBS PPOCenter LightCignaElder PlanEmblemFidelisHumanaOriginal MedicareNYPPOOscarOWCPUHCVCMVNSWellcareWorkers’ Comp

Not sure about your plan?

Send us your insurance card and we'll verify your physical therapy benefits — copay, deductible, visit limits — before your first appointment. No surprises.

Call (332) 895-5677
VISIT US

In the heart of Midtown

Steps from Grand Central — 4/5/6/7/S trains.

Location

Stepping Stone Physical Therapy

22 E 49th St, Floor 6
New York, NY 10017

Get directions →

Hours

Monday – Friday11:00 AM – 7:00 PM
Saturday11:00 AM – 3:00 PM
SundayClosed

Phone: (332) 895-5677

DIZZINESS & VERTIGO FAQ

Questions we hear most

Straight answers before you book.

What exactly is BPPV?
Benign paroxysmal positional vertigo: loose crystals in the inner ear trigger brief spinning (usually under a minute) with position changes like rolling over or looking up. It is the most common cause of vertigo — and one of the most treatable, usually with repositioning maneuvers rather than medication.
How many visits does BPPV take?
Many people improve within one to three sessions. We confirm with re-testing at each visit, and teach you what to expect if it ever recurs — BPPV can come back, and it is treatable again the same way.
Will the maneuvers make me dizzy?
Briefly, yes — the maneuver can reproduce the spinning for a few seconds. That is actually a sign we are moving the crystals the right way. It settles quickly, and most people tolerate it well.
Do I need a brain scan first?
Not usually for a classic BPPV or vestibular pattern. Imaging is important when there are red flags or an unclear picture — our evaluation screens for those, and we will tell you directly if you need medical work-up first.
I take meclizine for dizziness. Is that enough?
Meclizine can blunt symptoms short-term, but it does not move crystals back or retrain the balance system — and using it long-term can actually slow your brain's natural compensation. Rehab treats the cause; we can coordinate with your prescribing physician.
Do I need a referral to start?
In most cases, no. New York allows direct access to physical therapy. Some insurance plans still require a referral — we will confirm when we verify your benefits.
OTHER CONDITIONS WE TREAT
Elbow Pain → Sciatica → Knee Pain → Neck Pain → Shoulder → Low Back Pain → Ankle Sprain → Achilles Pain → Foot Pain →
Hip Pain →Running Pain →Frozen Shoulder →Neck Radiculopathy →Groin Pain →

Ready to feel steady again?

Book your evaluation today. Most new patients are seen within 48 hours.