Basking Ridge
Our main clinic on Allen Road — one-on-one physical therapy in Basking Ridge, NJ.
552 Allen Rd
Basking Ridge, NJ 07920
Mon / Wed / Fri8:00 AM – 7:00 PM
Tue / Thu11:00 AM – 7:00 PM
Saturday9:00 – 11:00 AM
Conditions We Treat
If the room seems to spin when you roll over in bed, lie down, sit up, or look up, you may have BPPV — the most common cause of vertigo. It is frightening, and it is very treatable once the cause is pinned down. Our vestibular therapist assesses what may be contributing to your dizziness and provides treatment to help improve your balance.
Symptoms
These can be signs of a stroke or another emergency — call 911 rather than booking an appointment. Sudden hearing loss together with vertigo also needs prompt medical care.
The Condition
Deep in your inner ear, tiny calcium crystals sit in a part of the balance system where they belong. In BPPV (benign paroxysmal positional vertigo), some crystals come loose and drift into one of the ear’s semicircular canals — tubes that sense head rotation. When you change position, the drifting crystals send a false “you’re spinning” signal, and the room moves for a few seconds until they settle.
BPPV is the most common cause of vertigo, but it is not the only one: infection or inflammation of the inner ear, age-related balance change, and other conditions can cause dizziness too. That is why the evaluation matters more than the label — treatment that is right for one cause can be useless, or wrong, for another.
Trying It at Home
Many patients find us after trying a repositioning maneuver from a video at home. Sometimes it helps; often it doesn’t, for fixable reasons: the crystals may be in a different canal than the video assumes, or in the other ear; the maneuver’s angles and timing matter; and if your vertigo isn’t BPPV at all, no repositioning maneuver will address it. An in-person evaluation identifies which ear, which canal, and which maneuver — before any treatment begins.
Treatment
Your care starts with a one-on-one vestibular rehabilitation evaluation: your history, eye-movement testing, positional testing, and balance testing, so treatment targets the cause your evaluation actually finds.
Every visit is one-on-one with a licensed physical therapist; your treatment is never passed to aides or assistants.
Positional testing may include the Dix-Hallpike test and the supine roll test, which help identify which ear and which canal hold the loose crystals. The most common repositioning treatment is the Epley maneuver; crystals in the horizontal or anterior canals are treated with different maneuvers, such as the BBQ (log-roll) or Semont maneuvers. Your therapist chooses based on your findings — not on a generic routine.
Getting Started
A full one-on-one evaluation, typically 30–60 minutes. Be prepared: positional testing and treatment can briefly bring on dizziness — that is expected, and it settles. We recommend bringing someone to drive you home after your first visit, just in case. Wear comfortable clothes, and bring a list of your medications and any ear, vision, or physician findings you have.
In New Jersey, you can start physical therapy without a physician referral. Some insurance plans set their own coverage requirements; we verify your benefits before treatment and explain what we find.
New patients can start with a free screening, and first visits are typically available within 24–48 hours. We verify your benefits before treatment. Medicare and most commercial insurance are accepted, and self-pay is available too.
Questions & Answers
For BPPV, the repositioning itself often takes only a visit or two once the right canal is identified — but the honest answer depends on your cause. Other vestibular problems, and the unsteadiness that lingers after vertigo settles, usually need a short program of exercises and balance work. Your therapist will give you a realistic picture after your evaluation, not a guess beforehand.
It can. Crystals can come loose again months or years later. If spinning returns with the same position triggers, come back in — a repeat evaluation confirms whether it is BPPV again and which canal is involved this time.
Only after an evaluation has confirmed BPPV and identified the ear and canal. The right maneuver for the wrong canal can move crystals somewhere harder to treat, and vertigo that isn’t BPPV needs a different approach entirely. Once we know your pattern, we can teach you what — if anything — is safe to do at home.
Then we treat what we find. Vestibular rehabilitation also addresses unsteadiness after inner-ear infection or inflammation, age-related balance decline, and motion sensitivity, with gaze-stabilization, habituation, and balance training. And if your evaluation suggests a cause that needs a physician, we will tell you plainly and refer you.
In New Jersey, you can start physical therapy without a physician referral. Some insurance plans set their own coverage requirements; we verify your benefits before treatment and explain what we find.
Visit Us
Our main clinic on Allen Road — one-on-one physical therapy in Basking Ridge, NJ.
552 Allen Rd
Basking Ridge, NJ 07920
On Washington Valley Road — one-on-one physical therapy in Martinsville, NJ.
1918 Washington Valley Rd
Martinsville, NJ 08836