Quick Answer
Vestibular rehabilitation is physical therapy for retraining balance, arranged with outside providers rather than delivered at either office. It helps incomplete compensation after a vestibular illness and does nothing for positional vertigo. The practice is physician-owned and has served Southern Nevada since 1998.
Part ofThis guide sits beneath dizziness and vertigo, which covers the study itself, how it is performed and what the report should contain.
Dizziness, Vertigo and Balance evaluation and management →Key Takeaways
- Vestibular rehabilitation is not delivered at either office; it is arranged externally.
- It works for incomplete compensation after a vestibular illness, not for positional vertigo.
- Positional vertigo is mechanical and treated in minutes rather than with weeks of exercises.
- Suppressant medication taken during a course works directly against it.
- The practice assesses suitability, refers, and interprets progress against the diagnosis.
Vertigo
Vertigo is the false sensation that you or your surroundings are spinning or moving. It points to the balance system — the inner ear, the balance nerve, or the brain pathways that process balance signals — rather than to the cardiovascular causes behind lightheadedness.
What vestibular rehabilitation is, and where it happens
Vestibular rehabilitation is physical therapy directed at retraining the balance system. It is effective for a specific set of problems and useless for others, and knowing which is the difference between a course that helps and months of frustration.
Where it happens: not at either office
The practice does not deliver vestibular rehabilitation. It is arranged with outside physical therapy providers, and the practice assesses whether it is appropriate, makes the referral and interprets progress against the diagnosis. Stating that plainly prevents a wasted booking, which matters because this is a course of appointments rather than a single visit.
What it works for
Incomplete compensation after a vestibular illness, where one balance organ is underperforming and the brain has not fully adjusted. Persistent unsteadiness following an acute episode that has otherwise resolved. And general balance decline where sensory feedback has deteriorated. In those situations graded exercises that deliberately provoke mild symptoms drive adaptation, which is counter-intuitive and is exactly how it works.
What it does not work for
Positional vertigo, which is mechanical and treated with a repositioning manoeuvre in minutes rather than with weeks of exercises. Vestibular migraine, which needs migraine management, though rehabilitation may help a residual compensation problem alongside. And light-headedness on standing, which is a blood pressure question. Referring any of those for rehabilitation produces a course that disappoints and delays the treatment that would have worked.
The medication point that undermines it
Suppressant medication taken during a rehabilitation course works directly against it, because the exercises depend on the brain receiving the error signal that drives adaptation. A patient doing rehabilitation while taking a daily suppressant is frequently doing both for nothing.
| Also considered | How it is distinguished |
|---|---|
| Benign paroxysmal positional vertigo | Brief spinning triggered by head position change; positional testing identifies it and repositioning often addresses it in a single visit. |
| Vestibular migraine | Episodes lasting hours with light or sound sensitivity and a migraine history. |
| Meniere's disease | Vertigo with fluctuating hearing loss, ear fullness and tinnitus. |
| Presyncope | Lightheadedness on standing without a spinning sensation, pointing to blood pressure rather than the inner ear. |
What the assessment involves
01
What brings people in
Spinning episodes, unsteadiness, or dizziness that has not been explained.
02
What the evaluation settles
Whether the pattern is positional, episodic or continuous, whether it is peripheral or central, and whether in-office VNG testing is indicated.
03
What you leave with
A pattern-based diagnosis where testing supports one, in-office repositioning when BPPV is identified, and a plan for what to do next.
Describing it precisely is the work
Which of the four you mean. How long an episode lasts, by the clock rather than by impression. What brings it on. Whether hearing changed. Whether anything neurological accompanied it. And your full medication list, since several common medications cause light-headedness on standing.
What is performed here
Clinical assessment including positional testing, and objective balance testing at both offices, described on the VNG page. Where positional vertigo is confirmed, canalith repositioning can frequently be performed in the same appointment, which means arriving with vertigo and leaving without it. Where a vascular cause is suspected, transcranial Doppler is available.
What is coordinated rather than provided
Vestibular rehabilitation is not delivered at either office. It is physical therapy directed at retraining balance and it is arranged with outside providers. It matters substantially where a compensation problem has developed, and stating plainly that it happens elsewhere prevents a wasted booking. Audiology is also external, since the practice provides no hearing testing.
Bring a driver for balance testing
Objective balance testing deliberately provokes dizziness in parts, so someone should drive you home. It is the most commonly ignored instruction in this area.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Attending from Las Vegas
The Las Vegas office is at 7751 W. Flamingo Road, Suite A-100, in Sunrise Medical Plaza, with parking on site. All six in-office studies are performed and interpreted there, so nothing is sent across to Henderson. If you are coming from Summerlin, Spring Valley or Enterprise this is almost always the shorter journey. Adults 18 and older.
Dizzy and not sure what kind?
Say which of the four you mean and how long an episode lasts. That narrows it faster than anything else.
The Bottom Line
Arranged externally, and only useful once the cause is established. It does nothing for positional vertigo.
Frequently Asked Questions
Is vestibular rehabilitation done at the practice?
No. It is physical therapy arranged with outside providers. The practice assesses whether it is appropriate, makes the referral, and interprets progress against the diagnosis. Choosing a therapist with vestibular experience matters more than proximity, and we can indicate what to look for. The course is usually weeks rather than months.
What does it help?
Incomplete compensation after a vestibular illness, persistent unsteadiness following an acute episode, and general balance decline. Graded exercises that provoke mild symptoms drive adaptation, which is counter-intuitive and is how it works. Progress is judged on function, such as walking down a supermarket aisle or turning the head while driving, rather than on whether symptoms have gone entirely.
What does it not help?
Positional vertigo, which is mechanical and treated with a repositioning manoeuvre in minutes rather than weeks of exercises. Vestibular migraine, which needs migraine management. And light-headedness on standing, which is a blood pressure question. Establishing the cause first is what stops a course of exercises being spent on the wrong problem.
Can I take my dizziness medication during it?
That works directly against the exercises, because they depend on the brain receiving the error signal that drives adaptation. Doing rehabilitation while taking a daily suppressant is frequently doing both for nothing. Where a suppressant is genuinely needed, timing it away from the exercise sessions is discussed rather than taking it daily throughout.
How is it decided whether I need it?
By establishing the cause first. Rehabilitation is appropriate for a compensation problem, not for a mechanical or migrainous cause, so the assessment comes before the referral rather than after a course that disappoints. Objective balance testing frequently informs that decision, which is another reason the assessment comes first. Referring without it risks weeks of exercises aimed at the wrong mechanism.
Why refer rather than deliver it here?
Because it is physical therapy requiring a therapist and a course of appointments. The practice provides the diagnosis and the referral, and interprets progress, which is the part that determines whether the course was the right one. It also means the therapist can be chosen for vestibular experience rather than for being in the same building.
Where exactly is the Las Vegas office?
7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147, in Sunrise Medical Plaza on the west side of the valley, with parking on site. All six in-office studies are performed and interpreted there, so nothing is referred across to the Henderson office. Summerlin, Spring Valley and Enterprise are generally closer to it than to Horizon Ridge Parkway.
Should I use the Las Vegas or the Henderson office?
Whichever is the shorter drive, since both are fully equipped and hold the same records. West Flamingo Road generally suits the west and southwest of the valley; West Horizon Ridge Parkway suits Green Valley, Anthem and Boulder City. If you can attend either, say so when booking, because availability differs between the two week to week.
What should I record before the appointment?
How long each episode lasts, what you were doing when it started, whether the room span or you felt faint, and whether hearing changed. Seconds on turning over in bed points somewhere quite different from hours with light sensitivity, and that distinction does most of the diagnostic work before any test is ordered.
Can positional vertigo be treated at the same visit?
Frequently yes. Where positional testing confirms it, canalith repositioning is performed in-office at that appointment and the effect is checked immediately by retesting the provoking position. Many patients leave without the vertigo they arrived with, which is unusual in neurology and is why confirmation precedes treatment. Arrange a driver in case objective balance testing is also performed.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: that clinical assessment, objective balance testing and canalith repositioning are provided at both offices, and that vestibular rehabilitation and audiology are coordinated with outside providers rather than delivered on site. Clinical context is sourced to the organisations listed below.
No success rates, recurrence rates or specific manoeuvre sequences appear. The omission of step-by-step repositioning instructions is deliberate: the correct manoeuvre depends on the affected ear and canal, and performing the wrong one can worsen symptoms. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “Vestibular rehabilitation Las Vegas.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/dizziness-vertigo/vestibular-rehabilitation-las-vegas/
References
- Vestibular Disorders Association — patient information on balance and vestibular disorders.
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
- American Academy of Neurology — clinical practice guidance.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.