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Balance disorders occur when the bodily systems that provide our sense of balance (the visual system, the vestibular system, sense of proprioception, and brain) do not function properly. These disorders cause a patient to feel unsteady, spinning, floating, or a sensation of movement when the body is actually still. In older individuals, balance disorders can often result in falls. One out of three adults over the age of 65 experience a fall in the United States each year. Physical Therapy can help restore a sense of balance, and improve muscle strength and function.


A balance disorder can be caused by several different factors, and in many cases there is no obvious cause for the problem. Some of the common known causes of balance disorders include:

  • Viral or bacterial infections in the ear
  • A head injury
  • Blood circulation disorders that affect the inner ear or brain
  • Aging
  • Taking some medications
  • Circulatory system disorders, like low blood pressure
  • Arthritis
  • Eye muscle imbalances


  • Feeling dizzy or experiencing vertigo
  • A sensation like falling or feeling like you are falling
  • Lightheadedness
  • Problems reading
  • Difficulty seeing clearly
  • Disorientation
  • Nausea or vomiting
  • Feeling like the room is spinning
  • Frequent falls

Physical Therapy Interventions

Physical Therapists are professionals, educated and trained to administer interventions. As defined by The Guide to Physical Therapist Practice, interventions are the skilled and purposeful use of physical therapy methods and techniques to produce changes consistent with the diagnosis, prognosis and the patient or client’s goals.

Physical therapy for balance disorders often includes

  • Repositioning maneuvers
  • Balance and proprioceptive training on even and uneven surfaces
  • Joint stretching and flexibility exercises
  • Strengthening to both lower extremities with a focus on total leg strength (TLS) to improve the ability to move through transitional movements (floor to standing, sitting to standing, stair climbing).

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After submitting the form, a Twin Boro specialist will contact you within 24-48 hours to discuss your symptoms and schedule your evaluation appointment.

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We are dedicated physical therapists that genuinely care. We strive to restore you to your former self, no matter the injury.


Real People, Real Testimonials.

“I had a tear of each shoulder and was in total pain and unable to sleep due to the discomfort. Twin Boro was able to assess my problem areas, work with me and encourage me. Now due to their expertise, knowledge and professionalism I am pain free.”


“After a major fracture and surgery of my right arm, the therapists at Twin Boro helped me return to normal activities with my right arm. Their patience and caring have been positive and encouraging to me!”


“Never having experienced physical therapy before, I had no idea what to expect. I feel so fortunate that my experience has been totally positive. Everyone helped me feel so welcome and comfortable. I feel that I am being challenged, but not too much. I feel that I make an improvement at each session.”


"Twin Boro Piscataway/South Plainfield is great! I was treated for occipital neuralgia and posture issues. Aside from performing wonderful treatment, everybody there is super friendly and accommodating (you will always be greeted with a smile) and also very focused and helpful! Bri is a knowledgable and experienced physical therapist who is not only a great PT, but also one of the friendliest people you will ever meet. Her pacing with my various exercises was perfect, as she pushed me, but not to any point that was uncomfortable for me. I enjoyed the variety of exercises and treatments, from heat and stim to exercises with weights and stretch bands. I thoroughly enjoyed going in 3 times a week to be treated by Bri. It is clear that she cares about and wants the best for her patients, with her passion and expertise for physical therapy! My posture has gotten much better and the headaches and pain I used to experience have completely disappeared after 3 months at Twin Boro. 5/5 I would recommend Twin Boro Piscataway/South Plainfield to anyone seeking physical therapy."

Stephanie M.

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