Physical Therapy Archives

Do You Need an MRI Before Vestibular Physical Therapy?

by Dr. Kim Bell, DPT | Aug 27, 2026 | Blogs, BPPV, Clinical Practice, Dizziness, FAQs, Physical Therapy, The Bell Method, Vertigo, Vestibular Rehabilitation

TL;DR: A brain MRI is not always necessary before vestibular physical therapy for vertigo. When symptoms are consistent with BPPV and no concerning signs are present, clinical evaluation may be appropriate before imaging. A patient experiencing vertigo recently...

Using The Bow-and-Yaw Maneuver to Treat BPPV

by Dr. Kim Bell, DPT | Jul 7, 2026 | Blogs, BPPV, Physical Therapy, The Bell Method

Updated July 2026: Expanded with additional clinical guidance, treatment considerations, and a new Clinical Pearl based on current vestibular rehabilitation practice. The Bow-and-Yaw maneuver treats the short arm of both the right and left posterior canals at the same...

Anxiety After Vertigo Treatment: Could Your Vestibular System Still Be Involved?

by Dr. Kim Bell, DPT | Jun 21, 2026 | Blogs, BPPV, Dizziness, Geriatric Fall Prevention, Physical Therapy, The Bell Method, Vertigo, Vestibular Rehabilitation, Walking Stability

TL;DR Anxiety after vertigo can sometimes develop or persist even when the spinning has resolved. In some cases, lingering mild to moderate vestibular dysfunction may contribute to symptoms such as anxiety while driving, visual motion sensitivity, discomfort in...

How Long Does Vertigo Recovery Take? Why Treatment Takes Time

by Dr. Kim Bell, DPT | Feb 20, 2026 | Blogs, Clinical Practice, Dizziness, FAQs, Physical Therapy, The Bell Method, Vertigo, Vestibular Rehabilitation

TL;DR – How Long Does Vertigo Recovery Take? Most vertigo conditions do not resolve in a single visit. Vertigo recovery time depends on the diagnosis, severity, and individual response to treatment. While some patients improve within one to three sessions (such as...

Atypical Vertigo Cases

by Dr. Kim Bell, DPT | Jan 15, 2026 | Blogs, BPPV, Clinical Practice, Dizziness, Dizziness Lying Down, Dizziness Rolling Over, Kimberley Bell, DPT, Nystagmus, Physical Therapy, The Bell Method, Vertigo, Vestibular Rehabilitation

Traditional BPPV typically causes spinning vertigo symptoms and robust nystagmus during BPPV testing. However, I see a lot of patients who have not gotten answers or relief with traditional vertigo health care. BPPV without Spinning In many so-called atypical vertigo...

Parent Had an ER Visit for Vertigo? Here Are 5 Important Next Steps

by David | Aug 29, 2025 | Blogs, Clinical Practice, FAQs, Geriatric Fall Prevention, Physical Therapy, The Bell Method, Vertigo, Vestibular Rehabilitation

Did your parent recently have an ER visit for vertigo? After hours of tests, maybe they were diagnosed with “vertigo” and sent home with prescriptions like meclizine for dizziness and ondansetron for nausea. If this sounds familiar, you’re not alone. I recently spoke...