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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.

"Eric was an excellent physical therapist. I made tremendous improvement during my time there. Rachel & Brittany were always smiling and creating a positive environment. Highly recommend using twinboro EHT!!!"

Ella G.

“Before I started physical therapy at Twin Boro I was on crutches for almost three months. Twin Boro helped me in so many ways. Twin Boro taught me how to walk again and sooner than I expected. They cut my recovery time in half and gave me my life back.”


“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.”


"The employees are a wonderful bunch of people to be around. They're friendly & give the place a hometown feel. All the therapists are really nice. RosaAnna is my PT girl. Her TLC of my muscle/injury issues has made my life much better."

Valerie I.

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