Dizziness is a common and challenging symptom during brain injury recovery, especially after concussions or traumatic brain injuries. Managing and reducing dizziness involves a combination of targeted therapies, lifestyle changes, and gradual physical activity to help the brain and body regain balance and coordination.
One of the most effective approaches to reduce dizziness is **vestibular rehabilitation therapy**. This therapy focuses on retraining the brain and inner ear, which control balance and spatial orientation. Vestibular rehab includes exercises such as gaze stabilization, which helps improve visual focus during head movements, habituation exercises to lessen dizziness triggered by motion or visual patterns, and balance training to enhance postural control and reduce the risk of falls. Studies show that up to 80% of patients experience significant improvement with vestibular rehab, especially when started early in recovery[1][2][3].
In addition to vestibular therapy, **vision therapy** can be crucial. After brain injury, the connection between the eyes and brain may be disrupted, causing dizziness, blurred vision, or light sensitivity. Vision therapy uses eye teaming and tracking exercises, balance and spatial orientation training, and visual processing drills to help the brain interpret visual information correctly and reduce dizziness caused by visual stimuli[4][5].
Physical therapy often includes **neck and postural exercises** because neck stiffness or pain can contribute to dizziness. Gentle neck stretches, postural strengthening, and coordination exercises that integrate neck movement with eye and head motion can relieve strain and improve overall stability[3][9].
Lifestyle adjustments also play an important role in managing dizziness during recovery. Staying well-hydrated, eating nutrient-rich foods (especially those rich in omega-3 fatty acids and antioxidants), limiting screen time to reduce eye strain, maintaining a consistent sleep schedule, and managing stress through relaxation techniques like meditation or breathing exercises can support brain healing and reduce dizziness symptoms[1][2].
For minor dizziness episodes, simple at-home exercises such as slowly moving the head side to side or up and down while sitting can help the inner ear adapt to motion and decrease dizzy spells over time[6].
Engaging in **light physical activity** like walking or stretching, as tolerated, can also promote neurological recovery and improve balance. However, it is important to balance rest with gradual activity and to work with healthcare professionals who specialize in brain injury recovery to tailor therapies to individual needs[2][3][5].
If dizziness persists or worsens, it is important to consult a healthcare provider experienced in concussion or brain injury rehabilitation. They can assess for other causes of dizziness and adjust treatment plans accordingly.
Sources
https://ivyrehab.com/health-resources/concussion/treatment-for-post-concussion-syndrome/
https://hmlfunctionalcare.com/concussion-recovery-a-natural-approach/
https://www.cawleypt.net/resources/comprehensive-guide-to-concussion-rehabilitation-exercises/
https://www.grandvisioninstitute.com/when-vision-makes-you-dizzy-how-therapy-can-help-adults/
https://hnbraincenter.com/uncategorized/the-6-stages-of-concussion-recovery-and-what-to-do-beyond-them/
https://stabilitylab.com/blogs/understanding-balance-and-vestibular-rehabilitation/
