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Interview with Our Vestibular Physiotherapist: Himja Upadhyay on Dizziness, Balance & Recovery

balance issuesFeeling dizzy, unsteady, or like the room is spinning? You’re not alone—and help is available.

We sat down with Himja Upadhyay, our experienced vestibular physiotherapist at Helios Physiotherapy and Rehab, to learn more about why people feel off balance and what can be done to restore confidence, stability, and quality of life.

🧠 What is the vestibular system, and why is it important?

Himja says:
“The vestibular system lives in the inner ear and works with your eyes, brain, muscles, and joints to help you stay upright, stable, and aware of where your body is in space. When it’s not functioning properly, people often experience dizziness, unsteadiness, or motion sensitivity—even with simple movements like turning your head or getting out of bed.”

⚠️ What are some common reasons people experience dizziness or balance issues?

Himja explains:
“There are several reasons—some people develop BPPV (Benign Paroxysmal Positional Vertigo), where small crystals in the inner ear shift and cause brief episodes of vertigo. Others may have age-related balance decline, especially seniors, or suffer from neck-related dizziness due to arthritis or posture issues.”

She continues, “We also see dizziness after concussions, car accidents, jaw tension, and even chronic conditions like migraines or vestibular neuritis. It’s more common than people think.”

👁️ How are the eyes, ears, and neck all connected when it comes to balance?

Himja says:
“Your brain is constantly gathering information from your eyes, ears, and neck muscles. If one part is off—like poor neck mobility from whiplash or visual overload from screens—it creates sensory mismatch, which can cause dizziness, blurred vision, or even anxiety in crowded spaces.”

🧪 What is vestibular therapy, and how can it help?

Himja shares:
“Vestibular therapy is a gentle, individualized rehab program designed to retrain your brain and body to process movement and sensory information correctly. At Helios, we start with a full assessment—including eye movement screening, balance testing, and positional checks—and then create a customized plan.”

That plan may include:

  • Canalith repositioning for BPPV
  • Gaze stabilization exercises for visual motion sensitivity
  • Balance and gait training
  • Neck mobility and proprioception work
  • Fall prevention strategies, especially for seniors

👵 Is this therapy safe and effective for older adults?

“Absolutely,” Himja says confidently.
“In fact, seniors benefit immensely. As we age, our visual acuity, inner ear function, and muscle strength all naturally decline. This increases the risk of falls and injury. Vestibular therapy helps restore stability, improve reaction time, and build confidence. I’ve had patients in their 70s and 80s tell me they feel like they’ve gotten their independence back.”

🚶‍♀️ What symptoms should people not ignore?

Himja advises:
“Don’t ignore frequent dizziness, trouble walking in the dark, bumping into things, needing walls for support, or feeling overwhelmed in busy stores. These may be signs that your balance system isn’t working optimally—and the earlier we catch it, the faster and more complete your recovery can be.”

🏠 Any tips for managing dizziness at home?

Himja recommends:

  • “Move slowly when getting out of bed or changing positions”
  • “Use a nightlight and wear proper footwear”
  • “Take breaks from screens and bright lights if they worsen symptoms”
  • “Practice gentle balance exercises in a safe space, like beside a counter or stable chair”
  • “And most importantly—don’t isolate or stop moving out of fear. Safe, guided movement is key.”

💬 Final Thoughts from Himja

“Dizziness isn’t just in your head—and it’s not something you have to live with,” says Himja.
“Whether it started after a fall, with age, or came on suddenly, we can help uncover the cause and guide you through a personalized recovery process. Vestibular therapy has helped hundreds of people feel grounded again—and we’re here to help you too.”

📞 Ready to Find Your Balance?

If you or a loved one are struggling with dizziness, vertigo, or frequent falls, don’t wait.
👉 Book your vestibular assessment with Himja Upadhyay at Helios Physiotherapy and Rehab today.
📍 56 Grand Ave N, Cambridge, ON, N1S 2K9 📞 548 489 1009 |

🌐 https://www.heliosphysiotherapy.ca/vestibular-rehab/
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