Vestibular Therapy for Dizziness, Vertigo, and Balance in Greenville, SC

Dizziness, spinning, and feeling off-balance are some of the most frustrating symptoms to live with, and they often get brushed off. Many causes are inner-ear and balance-system problems that respond well to targeted physical therapy. At Bespoke, vestibular assessment and treatment are done one-on-one by Lou Campasano, PT, ATC, a licensed physical therapist since 2002, at our clinic inside X-Zen Sports on East North Street.

Who it helps

• Spinning vertigo when you roll over in bed, look up, or bend down (often BPPV)
• Lingering dizziness or unsteadiness after an inner-ear infection
• Dizziness, motion sensitivity, or visual strain after a concussion
• Balance loss and fear of falling in active older adults
• Neck-related dizziness and headaches

What a visit looks like

Your first visit is a full evaluation: your history, eye-movement and positional testing, balance testing, and a neck screen. That tells us which part of the system is causing the symptoms. Treatment depends on the cause. It can include repositioning maneuvers for BPPV (often helpful in one to a few visits), gaze-stability and habituation exercises, balance training, and manual therapy for the neck. You'll leave with a short home program and clear guidance on what to avoid and what to keep doing.

When to see a doctor first

Sudden severe dizziness with slurred speech, facial droop, weakness, double vision, or the worst headache of your life is an emergency. Call 911. Lou will also refer you to your physician if your evaluation suggests something outside physical therapy.

Tired of feeling dizzy? Talk it through with Lou first.