Understanding Why You Feel Off-Balance:

Dizziness is an unsettling and often debilitating condition that can interfere with daily life, making it difficult to work, move, or even relax.

Have you ever experienced sudden lightheadedness, vertigo, or an unexplained loss of balance?

Have you struggled with dizzy spells that make you feel like the room is spinning, or like you're going to pass out? If so, you are not alone.

At Concierge Pain Relief - Home Physical Therapy, we specialize in evaluating and treating the root causes of dizziness, helping busy New Yorkers regain stability and confidence—all from the comfort of their own home or hotel room.

If you or a loved one is suffering from dizziness, call us 24/7 at 646-781-8884. Let's explore eight major causes of dizziness and how they impact your health.
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Have you ever stood up quickly and felt like you were about to faint?

This could be due to orthostatic hypotension, a condition where your blood pressure drops suddenly when you change positions.

This happens because blood pools in the lower body, leading to a temporary decrease in oxygen-rich blood flow to the brain. Common causes include:

Dehydration Medications (such as blood pressure meds or diuretics) Prolonged bed rest Underlying neurological disorders If you frequently experience dizziness when standing, it may be time to seek professional evaluation.

Our expert physical therapists can assess your blood flow and develop targeted strategies to reduce dizzy spells.
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Did you know that certain foods and environmental factors can lead to excess histamine in your system, causing dizziness?

Histamine is a natural chemical involved in immune responses, but when levels get too high, it can trigger symptoms like:

-Dizziness and vertigo,

-Flushing and rapid heartbeat,

- Headaches and nausea

Some individuals have histamine intolerance, meaning their body struggles to break it down efficiently.

If you notice dizziness after consuming fermented foods, alcohol, aged cheese, or cured meats, high histamine levels might be the culprit. We can help identify triggers and recommend dietary changes to minimize these symptoms.
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Your brain depends on a steady supply of oxygen-rich blood to function properly.

Reduced blood flow to the brain—often due to vascular issues, neck tension, or poor posture—can cause dizziness, brain fog, and difficulty concentrating.

Possible causes include:

- Atherosclerosis (narrowed arteries),
- Vertebrobasilar insufficiency,
- Poor neck alignment (forward head posture).

Our hands-on manual therapy techniques can help improve circulation, relieve tension, and restore normal blood flow to your brain.
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Have you ever felt dizzy or unsteady when reading, using screens, or walking through crowded places?

Your eyes work together to maintain balance, and if they are misaligned—even slightly—it can confuse your brain and lead to dizziness.

Symptoms of binocular vision dysfunction include:

- Difficulty tracking moving objects

-Eye strain and headaches

-Feeling off-balance, especially in busy environments

We can perform specialized assessments and provide exercises to improve eye coordination, reducing your dizziness and discomfort.
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Are you drinking enough water?

Many people don’t realize that dehydration can cause dizziness by reducing blood volume, leading to low blood pressure and inadequate oxygen delivery to the brain.

Additionally, an imbalance of electrolytes (sodium, potassium, magnesium) can disrupt nerve function, causing symptoms such as:

- Muscle cramps,

-Weakness and dizziness,

-Brain fog.

If you experience frequent dizziness, increasing your water intake and ensuring adequate electrolyte balance can help.

Our in-home physical therapy services include hydration and nutrition guidance to optimize your recovery.
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Do bright lights, crowded places, or loud noises make you feel dizzy?

​Sensory overload occurs when your brain struggles to process too much information at once, leading to feelings of imbalance, disorientation, and even anxiety.

Common triggers include:

-Busy streets or shopping centers,

-Bright fluorescent lighting,

-Loud environments.

Through vestibular rehabilitation therapy (VRT), we help retrain your brain to process sensory information more efficiently, reducing your dizziness and improving your quality of life.
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Proprioception is your body's ability to sense its position and movement in space.

When this system is impaired—due to aging, nerve damage, or injury—you may experience unsteadiness, dizziness, and a higher risk of falls.

Signs of poor proprioception include:

-Feeling like you're swaying or tipping over,

-Trouble balancing with eyes closed,

-Difficulty walking in the dark.

At Concierge Pain Relief, we provide customized balance training to enhance proprioception, helping you feel steadier and more in control.
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Have you ever felt lightheaded, shaky, or dizzy after missing a meal?

Blood sugar fluctuations—whether from low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia)—can lead to dizziness and other symptoms like:

-Weakness and fatigue,

​-Sweating and rapid heartbeat,

-Confusion or brain fog.

If you experience these symptoms, it’s important to regulate your blood sugar through balanced meals, hydration, and lifestyle adjustments.

Our team can help guide you toward healthier habits to prevent blood sugar-related dizziness.
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Dizziness can be unsettling and even dangerous, increasing your risk of falls and injuries.

But you don’t have to live with it.

Whether your dizziness stems from blood pressure issues, vision dysfunction, dehydration, or other causes, we offer in-home physical therapy to address the root problem and provide lasting relief.

If dizziness is affecting your daily life, don’t wait--call Concierge Pain Relief - Home Physical Therapy at 646-781-8884 today.

Our specialists are available 24/7 to help you regain balance, confidence, and control over your health.
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Freeman, R. (2008). "Orthostatic Hypotension: Epidemiology and Pathophysiology." Neurology, 70(11), 20-25.

​Maintz, L., & Novak, N. (2007). "Histamine and Histamine Intolerance." The American Journal of Clinical Nutrition, 85(5), 1185-1196. Novak, V., et al. (2018). "Cerebral Blood Flow and Aging." Neurology, 91(14), 178-188.

Granet, D. B., et al. (2010). "Binocular Vision Dysfunction and Its Relationship to Dizziness." Optometry and Vision Science, 87(4), 233-239.

Hew-Butler, T., et al. (2017). "Dehydration and Electrolyte Balance in the Body." Clinical Journal of Sport Medicine, 27(2), 129-136. Chang, Y. C., et al. (2019). "Sensory Processing and Balance Control." Journal of Vestibular Research, 29(3), 45-52.

Horak, F. B. (2010). "Postural Control and Proprioception." Physiological Reviews, 90(3), 715-766. Cryer, P. E. (2003). "Hypoglycemia in Diabetes." Diabetes Care, 26(6), 1902-1912.

Furman, J. M., & Cass, S. P. (1999). "Vestibular Disorders and Dizziness." New England Journal of Medicine, 341(21), 1590-1595. Strupp, M., et al. (2016). "Treatment of Dizziness and Vertigo." The Lancet Neurology, 15(10), 920-932.

Do you sometimes feel dizzy?

Do you lose balance when walking or changing direction?

Are you unable to enjoy life the way you used to because of these issues?

Dizziness and balance problems can disrupt daily life, turning once-simple activities into challenging tasks. If you’re in New York City and struggling with dizziness or balance issues, Concierge Pain Relief - Home Physical Therapy can help.

​We specialize in diagnosing the root cause of dizziness and balance challenges, so you can regain control, confidence, and a sense of stability in your life.

Understanding Dizziness and Balance Problems
Dizziness and balance issues can be attributed to a variety of factors. According to studies in vestibular rehabilitation, dizziness and instability often stem from issues in the vestibular system, a complex network in your inner ear responsible for sensing motion and maintaining balance (Fife et al., 2000).

When this system is impaired, the brain struggles to interpret signals about motion and orientation, leading to sensations of dizziness, light-headedness, or imbalance.

Beyond the vestibular system, other factors can also cause dizziness and balance issues, such as:

Medication Side Effects: Some medications list dizziness as a common side effect.

Blood Pressure Changes: Both high and low blood pressure can impact balance.

Musculoskeletal Issues: Poor muscle strength, particularly in the legs and core, can reduce stability.

Neurological Conditions: Parkinson’s disease, multiple sclerosis, and other neurological disorders can impact coordination and balance.

Common Symptoms and Their Impact on Daily Life
Dizziness and balance issues can manifest in different ways and impact nearly every aspect of daily life. Symptoms vary but can include:

Feeling light-headed or faint

Feeling as though the room is spinning (vertigo)

Losing balance when standing or walking

Staggering or difficulty walking in a straight line

These symptoms can be unsettling and exhausting, often leading to a fear of falling or an actual fall. Studies show that dizziness and balance problems increase the risk of falls, particularly among older adults (Shumway-Cook et al., 1997).

Falls are a major public health concern as they can lead to serious injuries such as fractures and head trauma.

At Concierge Pain Relief - Home Physical Therapy, we understand that dizziness and balance issues don’t just disrupt your physical abilities—they impact your mental well-being and quality of life.

Simple activities like going for a walk, standing up quickly, or even moving through your own home can become daunting.

Root Causes of Dizziness and Balance Issues

To effectively address dizziness and balance issues, it's critical to understand the underlying causes. We assess each patient’s unique symptoms and health history to pinpoint the root of the problem. Common causes we often encounter include:

Benign Paroxysmal Positional Vertigo (BPPV): BPPV is the most common vestibular disorder, resulting from small calcium particles moving within the inner ear canals (Herdman, 1990). When these particles move out of place, it can trigger episodes of vertigo with certain head movements.

Vestibular Neuritis: Often caused by viral infections, vestibular neuritis leads to inflammation of the vestibular nerve, resulting in dizziness and balance problems (Strupp & Arbusow, 2001).

Inner Ear Conditions: Meniere’s disease and labyrinthitis are conditions involving fluid buildup or inflammation in the inner ear, both of which can cause severe dizziness, hearing loss, and balance issues (Stahle & Terins, 1995).

Weak Muscles or Poor Posture: In some cases, dizziness and imbalance can be due to musculoskeletal issues, such as weakened core or leg muscles, that affect your body’s stability. Poor posture can also influence balance, especially as we age.

Cervicogenic Dizziness: Sometimes, dizziness originates from neck issues. Cervicogenic dizziness is related to poor neck posture, muscle tension, or nerve irritation, causing disorientation and balance problems (Karlberg et al., 1996).

How Concierge Pain Relief - Home Physical Therapy Can Help

Our specialists at Concierge Pain Relief - Home Physical Therapy are experts in home-based treatments for dizziness and balance issues. Through personalized assessments and evidence-based therapies, we help identify the cause of your symptoms and develop a comprehensive treatment plan.

Vestibular Rehabilitation Therapy (VRT) Vestibular Rehabilitation Therapy (VRT) is one of the most effective treatments for vestibular disorders, including BPPV and vestibular neuritis.

VRT is a specialized form of physical therapy designed to retrain your brain to interpret signals from the inner ear, reducing dizziness and improving balance.

According to research, VRT can significantly reduce dizziness and improve functional stability (Herdman et al., 2003). Strengthening and Balance Exercises Improving muscle strength and balance can help enhance stability and prevent falls.

We use targeted exercises that address the specific muscle groups related to posture and balance.

Studies have shown that strength and balance training can reduce fall risk and improve overall mobility in older adults (Shumway-Cook et al., 1997).

Gait Training and Posture Correction
Gait training involves exercises that improve walking mechanics, helping you move more confidently and securely. Our physical therapists also provide posture correction techniques that alleviate cervicogenic dizziness by improving neck alignment and relieving tension (Karlberg et al., 1996).

Customized Home Exercises
At Concierge Pain Relief, we understand the importance of consistency in treatment. That’s why we provide clients with home exercise programs designed to fit their specific needs and lifestyles.

These exercises reinforce the progress made during therapy sessions and allow you to improve your stability on your own time. The Benefits of Home Physical Therapy For people struggling with dizziness and balance issues, the home environment can often feel like the safest and most comfortable place to receive treatment.

Home physical therapy provides numerous benefits, including:

Convenience: We come to you, eliminating the need for transportation.

Comfort: By practicing exercises at home, you gain confidence moving around in your own space.

Consistency: Regular sessions at home encourage adherence to treatment plans.

Why Choose Concierge Pain Relief - Home Physical Therapy?

At Concierge Pain Relief, we’re dedicated to helping you regain control and enjoy life again. Our team of licensed physical therapists is available 24/7 and specializes in treating older adults who wish to maintain independence, mobility, and confidence.

By focusing on individualized care, we work to find and fix the root cause of your dizziness or balance issues, helping you experience lasting relief.

Whether it’s vertigo, muscle weakness, or neurological issues, we’re committed to restoring your stability, so you can get back to living without the fear of dizziness or falls. Don’t let balance problems hold you back. Call us 24/7 at 646-781-8884