Male therapist observing a male rehab patient walk while holding handrails.

Balance Therapy & Fall Prevention

If you feel dizzy or fall frequently, trust our experts to help you find your balance again.

See Location Call 605-322-5039

Balance impairment doesn’t need to limit your life. At Avera, our providers take an innovative approach to identify, manage and treat balance disorders. Ask your doctor about therapy options for treating balance issues and preventing falls.

Comprehensive Balance Evaluations

There can be a number of reasons for balance and dizziness complications, like an inner ear, neurological, or musculoskeletal condition. We work with you to understand the root cause of your balance issues for the most accurate diagnosis.

It all begins with a thorough evaluation of your symptoms, medical history and lifestyle. This involves conventional diagnostic procedures and objective assessment. Therapists conduct testing, counsel, and guide patients, working one-on-one with you to diagnose and treat your symptoms.

Conditions We Treat

Our team of specialists work together to diagnose and treat balance-related symptoms caused by conditions such as:

  • Concussions
  • Dizziness and vestibular (inner ear) issues
  • Ear, nose and throat disorder
  • Hip fractures
  • Myopathies: broad term that describes an disease affecting muscle tissue
  • Multiple sclerosis (MS)
  • Osteoporosis-related fall prevention
  • Parkinson’s disease
  • Peripheral neuropathy: condition affecting nerves outside brain or spinal cord
  • Peripheral or central vestibular dysfunction affecting balance issues stemming from inner ear
  • Post-polio syndrome
  • Radiculopathy: temporary issue caused by pinched nerve near spine
  • Spinal stenosis: narrowing of spinal canal causing pressure on the spinal cord and nerves
  • Stroke
  • Vertigo and spinning sensations

Fall Prevention Screenings

Injuries from falls are among the most common problems older people face, but improved balance can stop those falls before they happen. With a balance screening, older adults and their caregivers can learn about the likelihood of a fall and how to stay steady and safe.

Improving Balance

Patients looking to improve their balance begin with a balance test by a professional to assess their movements. Our providers consider everything from how you sit and stand, walk and brace yourself. Physical therapists then provide balance improvement exercises to help you reach a safer sense of equilibrium.

Keeping Safe at Home

At-home exercises help build strength and confidence, further reducing fall risks. A physical therapist may need to visit a patient’s home to look for trouble spots, including stairs or tripping hazards.

Patients should talk with their therapist about concerns with stairs, grass or slippery surfaces. Adding at-home improvements, like railings, can make the surroundings safer and easier to manage. Walkers, canes and other walking assistance tools help improve safety and lower the risk of falling even further.

Building Better Strength

As we age, our sense of balance can deteriorate while our risk of fracture with falls increases. For patients with bone health concerns (osteoporosis and pre-osteoporosis conditions, known as osteopenia), building strength and improving balance can help to prevent falls before they happen.

Balance & Dizziness Health FAQ

Your provider is your most reliable source for answers about balance issues. Explore frequently asked questions to learn more.

When should I be worried about dizziness?

If a dizzy sensation is intense, long-lasting or disrupting daily life, you should address your symptoms with your primary care doctor. If other symptoms like chest pain or neurological issues happen in addition to feeling dizzy, these could be signs of something more serious like a stroke.

Does an inner ear infection cause dizziness?

Yes, an inner ear infection can be the reason for feeling unsteady and dizzy. An audiologist can address issues with hearing, balance and related disorders, such as a vestibular balance disorder. Avera specialists collaborate with ENT specialists, physical therapists and physiatrists to ensure you get the best, most comprehensive care possible.

Does exercise help improve my balance?

Yes, stretching and exercise improve your balance. Maintaining healthy movement is great for your body. Be sure to be safe by wearing the right shoes and using appropriate safety equipment as needed.

Regular exercise can even limit injuries due to falls. Just remember not to overdo it and push yourself past your limits. Your physical therapist is a great resource when it comes to determining a good exercise routine.

How can I improve my health to prevent a fall if I'm worried?

It’s always best to your doctor first for advice. Some patients may need a cane or walker to aid mobility and make walking safer. Others may just need to work on their strength and flexibility to avoid balance-related falls. All patients receive individual attention to reach the best treatment plan possible to effectively avoid a fall.


More Programs & Services

Find Your Balance Under Our Care

If you feel unsteady, or have chronic dizziness or balance problems, trust the experts at Avera to help you find out why and regain balance and confidence in your movements. Ask your doctor if a referral is right for you.

View Location Call 605-322-5039

Where We Provide Balance Care

Across the Avera service area, there are several ways patients can get care for balance and dizziness issues. Services vary by location. 

Avera offers a specialized balance and dizziness therapy clinic in Sioux Falls, SD, where we provide sophisticated computer-based balance testing. Our specialized physical therapists identify the root cause of your symptoms and create the most effective treatment plan.

Your assessment includes a review of your medical history and symptoms, and could also include:

  • Comprehensive physical therapy evaluation assessing balance, coordination, strength, gait and fall risk.
  • Focused testing to rule vestibular dysfunction in or out as a source of your balance deficit or dizziness (vertigo)
  • Computerized dynamic posturography (CDP) testing with a Bertec system for gauging balance control and postural stability
  • If ordered, a second appointment with an audiologist for further inner ear testing

Plaza 4 on Avera McKennan campus.

Ear, Nose & Throat Testing

An ear, nose and throat (ENT) specialist or audiologist may also want to:

  • Perform audiology testing and a hearing evaluation.
  • Test your visual, nerve or muscle systems to determine cause or extent of balance problems.
  • Use electronystagmography (ENG) to assess your balance and inner ear function related to your equilibrium.
  • Measure small eye movements with videonystagmography (VNG) to determine the health of nerves in your brain that control eye movements, hearing and balance.

See Locations

Physical Therapy Care

Many patients with balance disorders can find relief with physical and occupational therapy.

  • The right physical regimen helps patients feel stronger and more confident in moving independently.
  • Many physical therapists specialize in treating vestibular conditions and understand the challenges of balance, vertigo and dizziness issues.
  • They use targeted, effective exercises to help patients feel steadier and more in control.

See Locations

24/7 Immediate Stroke Support

A stroke can happen to anyone at any age at any time. Get help fast through your local emergency department if you notice any warning signs. Count on Avera for quick response and expertise you need from diagnosis to intervention, treatment and rehabilitation. Also, Avera McKennan Hospital & University Health Center is a certified stroke center as designated by the DNV Comprehensive Stroke Center Certification.

Emergency Locations

Warning Signs

Even just a few minutes can make a big difference! BE FAST is an easy way to remember and recognize these sudden signs of stroke:

  • Balance loss
  • Eyesight loss
  • Face drooping
  • Arm weakness
  • Speech difficulty
  • Time to call 911

Read Helpful Brain & Spine Articles