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Persistent Postural-Perceptual Dizziness Treatments
PPPD can keep you from your daily activities, including going outside, working, and engaging with your loved ones. Our vestibular balance specialists help improve PPPD symptoms, which can feel very frustrating and disorienting. We create a personalized treatment plan to help your balance and perception return to normal as much as possible.
- Specialized expertise in diagnosing and treating the causes and symptoms of persistent postural-perceptual dizziness.
- Innovative treatments that require unique knowledge and skill, including the latest therapy techniques.
- A collaborative team of balance specialists who work with other experts as needed to provide complete, compassionate care.
- Clinical trials that offer eligible people earlier access to the latest treatments for balance disorders.
- Comprehensive support services that give you the medical, emotional, and spiritual help you need to cope with long-term and severe PPPD.
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Interested in an Online Second Opinion?
The Stanford Medicine Online Second Opinion program offers you easy access to our world-class doctors. It’s all done remotely, and you don’t have to visit our hospital or one of our clinics for this service. You don’t even need to leave home!
Visit our online second opinion page to learn more.
Our specialists offer several types of PPPD treatment based on your individual needs and what triggers PPPD. We aim to relieve your symptoms and improve your quality of life as much as possible.
Sometimes just knowing that you have PPPD and understanding the cause of your symptoms can help you feel better. We take the time to explain what’s happening in your body and brain and provide you with resources to learn more. This education can help desensitize you, meaning you focus less on your perception and surroundings.
Balance therapy helps reestablish your perception of yourself and your surroundings. Specialized physical and occupational therapists guide you through an exercise program tailored to your symptoms and PPPD triggers.
These exercises can ease your symptoms by improving your balance and confidence in your stability. Your physical therapist may have you do:
- Balance retraining to help you feel steadier
- Complex exercises that combine eye, head, and body movements
- Habituation exercises, which teach your brain to ignore dizziness by exposing you to motions that typically cause you to feel dizzy
- Posture training to practice standing and sitting
- Stretching exercises to increase your flexibility
- Vision stability exercises to help you control your eye movements
- Walking exercises to practice keeping your balance
You may benefit from medication that changes how your brain works and processes information. Your clinician may recommend selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs). These two common types of antidepressant medications change the activity in your brain to improve dizziness, unsteadiness, and anxiety.
To request an appointment with a specialist, call 650-723-5281.