Feeling Off-Balance? A Stronger Core Can Help Steady You

Do you sometimes feel weak, or like you just can’t get your footing under you? There are several reasons why this might be happening, and a weak core is one of them.

A weak core might make you feel unbalanced and shaky. Physical therapy can help you strengthen your core and improve your balance as a result.

Physical therapy should include core strength training. Your core muscles play an essential part in keeping you balanced whether you’re sitting, standing, or sprinting. The muscles in your core assist in anchoring your center of gravity, allowing you to maintain balance.

Are you trying to find a way to improve your balance? If that’s the case, get in touch with us right away to learn more about how our core strengthening services might help you.

How are balance and core strength related?

It’s crucial to know where your core muscles are before you can focus on strengthening them. Many folks mistakenly believe they are working their core muscles when working their upper abdominal muscles. These muscles are vital for core strength, but they’re not the ones you’re after!

Your exclusive core muscles are in your pelvis, hips, and lower back, along with the transversus abdominis muscles that make up the “pelvic corset.” These core muscles serve as your body’s natural stabilizers, making constant adjustments in response to nerve cells called “proprioceptors,” which give you your sense of spatial awareness.

As your core becomes stronger, you will be able to steady your balance much easier. When muscles are weak, it is more difficult to balance yourself from your center of gravity. This increases your risk for falls, and it can affect your arm and upper body movements. Back pain, difficulty standing up from a seated position, and incontinence may also indicate an unstable core.

How can my balance benefit from physical therapy treatments?

Our physical therapists are highly skilled and dedicated to helping you improve your balance through core strengthening. When you arrive for your first appointment, your physical therapist will conduct a comprehensive exam to assess your stance, gait, balance, and core muscles.

This will help determine the origin of the weakness and will be the foundation of your treatment plan. Treatment plans will be designed specifically for you and your individual needs. These plans for balance improvement typically include:

  • Tai chi. Tai chi is a slow-motion form of Chinese martial art. The poses and transitions done within this type of treatment can help your body develop the core muscles it needs in order to retain the necessary stability from one move to the next.
  • Gentle exercises. Depending on the severity of your balance impairment, it may be best to start off slow. Your physical therapist may suggest beginning with gentle and safe exercises, such as leg lifts or pelvic tilts. These types of exercises can help strengthen your back, pelvic, and abdominal core muscles.
  • Stability boards. Various types of physical therapy balance boards have a flat surface and a curved underside. Standing on these devices and working to maintain your stability can greatly improve your core balance.
  • Abdominal exercises. These may include sit-ups, pushups, and crunches. Abdominal exercises help strengthen the abdominal muscles that work with your core.

Sometimes, when your core is weak, it can cause you to experience added pressure on areas like your neck and back. When you improve your core strength, you are likely to also improve your posture and thereby reduce your risk of developing neck or back pain in the future. Furthermore, the exercises that help to improve core strength are often helpful in promoting weight loss, and for those who are overweight, this could also help reduce pain in your neck and the back.

Let us help you strengthen your core today

Are issues with your balance hindering your daily life? If so, don’t hesitate to contact us as soon as possible. If the problem is a weak core, a physical therapist can help you to improve your strength in no time at all! We’ll provide you with the core strengthening exercises you need to get back on your feet!

Visit our clinics today in Orland Park, Homer Glen, or Crestwood, IL!

Sources:

Dizziness and Vertigo

Experiencing dizziness is a common patient complaint: “70% of people in the U.S. will be affected by dizziness or balance issues during their lives”.

Dizziness is characterized by the sensation of lightheadedness, faintness, or unsteadiness. Vertigo on the other hand, which is often confused with dizziness, is the perception of movement or whirling/spinning sensation.  Both vertigo and dizziness can be due to problems within the vestibular system.  Everyone will experience dizziness occasionally, but if the sensation is common or frequent, then you may have vestibular dysfunction.

TYPES OF DIZZINESS

Benign Paroxysmal Positional Vertigo (BPPV).

  • Most common dizziness disorder
  • Caused by the otoconia (crystals) in the inner ear dislodging.  The receptors then become free floating particles that cause people to feel dizzy.

Other types of vestibular disorders include:

  • Cervicogenic dizziness where a person will experience dizziness due to neck problems.
  • Labyrinthitis and vestibular neuritis, which are inflammations caused by a virus that can lead to vestibular dysfunction.
  • Migraine associated vertigo, which is characterized by head pain along with some form of dizziness or sensitivity to light.

There are many more vestibular disorders that can cause symptoms of dizziness, but despite the fact that there are numerous disorders, the symptoms are easily treatable with the proper diagnosis and therapy.

Treatment for Dizziness

Vestibular rehabilitation therapy (VRT)

  • Exercise-based program
  • Designed to promote central nervous system compensation for inner ear deficits.
  • Can help with BPPV, labyrinthitis, and vestibular neuritis.

Canalith repositioning procedure (CRP)

  • Designed to move the displaced otoconia (crystals) within the semicircular canals, which cause symptoms of dizziness.
  • Type of maneuver is based off of which semi-circular canal is contributing to dizziness
  • Can help with BPPV

Both of these types of rehabilitative therapy can be performed by Physical Therapists who have specialized training and experience in treating patients with vestibular disorders.

Living with vestibular disorders can be challenging, but with the proper care and treatment, you can live a normal, non-dizzy life.  If you live in the Orland Park or Homer Glen Area and would like information about therapy for dizziness and vertigo please contact us for more information.

References: 

Vestibular Disorders Association. Understanding Vestibular Disorders (2013).

www.vestibular.org Sidak, J., Balance Problems: I’m so Dizzy… Healthy Cells Magazine. July 2007: 24

Cervicogenic Dizziness and How Physical Therapy Can Help

CERVICOGENIC DIZZINESS AND HOW PHYSICAL THERAPY CAN HELP?

 Dizzy Facts
  • Dizziness accounts for 7% of visits to the physician for individuals 45 years of age
  • Dizziness is the leading reason for physician visits for individuals over the age of 65
  • Emergency department visits due to dizziness have increased 37% in the past 10 years in the US
  • Since there are numerous sources of dizziness, diagnosing can be challenging and only 49.2% of patients reporting dizziness have been given a confirmatory diagnosis.
 

What is cervicogenic dizziness?

  • Symptoms of dizziness that originate from the neck
  • There is a miscommunication between your neck joint receptors and your brain and inner ear
  • “Adverse changes in the proprioceptors in the neck may affect the control of the eye stabilization, eye-head movement, and postural stability”
 

What causes cervicogenic dizziness? 

  • Sympathetic nervous system in the neck gets irritated
  • Abnormal proprioceptive input from either joint receptors, muscles, tendons, tissues in the neck (most common)

What are common symptoms?

  • Unsteadiness and/or lightheadedness, typically no feelings of true vertigo
  • Feeling of the head not sitting right on shoulders, or a sense of being unstable

How is it diagnosed? 

Cervicogenic dizziness is a diagnosis of exclusion, therefore, physical therapists will perform a thorough subjective history and tests in order to rule out other possible causes of dizziness.

  • A physical therapist may ask you these questions:
    1. When do you feel dizzy?
    2. How long does it last?
    3. Do certain head motions or activities increase your symptoms?

Measurements of neck mobility will be taken, because neck stiffness is also sometimes a complaint among patients with cervicogenic dizziness. Additional special tests for cervicogenic dizziness in isolation will be performed.

 
How is Cervicogenic Dizziness Treated?

Interventions will be based on the impairments and signs and symptoms found during the initial examination. Intervention strategies will be different for each patient and are intended to decrease dizziness symptoms by improving the function of the musculoskeletal and sensorimotor systems at the neck.

Most common interventions for patients with cervicogenic dizziness are:

  1. Postural Modifications
  2. Manual therapy
    1. Joint mobilizations
    2. Tissue stretching/massage
  3. Sensorimotor retraining
    1. Gaze stability
    2. Eye-head coordination
    3. Postural balance
 Treatment for cervicogenic dizziness
 

As a final note, dizziness can severely impact your daily function but physical therapy can help!. Call to schedule an appointment today with one of our specialized physical therapists today in our Orland Park or Homer Glen locations or contact us for more information.

 
Goodlife Physical Therapy
“Your Journey To Better Starts Here!”

References

  1. Al-Saif A, Al-Nakhli H, Alsenany S. Physical therapy examination for patients with cervicogenic dizziness. J Nov Physiother. 2013;3(3). doi: 10.4172/2165-7025.1000149.
  2. Jung FC, Mathew S, Littmann AE, MacDonald CW. Clinical decision making in the management of patients with cervicogenic dizziness: a case series. J Orthop Sports Phys Ther. 2017;47(11):874-884. doi: 10.2519/jospt.2017.7425.

Upcoming Dizziness and Vertigo Workshop in March

Please join us for our next community dizziness and vertigo workshop in March.

This workshop can benefit anyone who has experienced any of the following:

– Spinning when lying down or getting out of bed?
– Feelings of unsteadiness?
– Grasping onto the walls to avoid a fall during an episode?
– Avoiding certain activities because of vertigo or other balance issues?

The estimated number of 2011 US Emergency Dept. visits for dizziness or vertigo was 3.9 million.

There are options out there to help!

At the GoodLife Dizziness and Balance workshop we will teach the common causes dizziness and vertigo and the scientific treatments that are available.

Date: Saturday March 9, 2019

Time: 11am-12:30pm

Location: GoodLife Physical Therapy – 16517 S. 106th Ct. Orland Park, IL 60467

The journey to better starts here! Space is limited, please sign up day.
RSVP Here or at  708-966-4386

Testimonial: I highly recommend Goodlife Physical Therapy. I received excellent vestibular therapy for vertigo. I was able to resume my daily activities sooner than I anticipated. Wonderful, caring therapists, excellent office. Truly an inspiring experience for vestibular therapy. The best!!!