Finding a therapist that does and knows balance and vestibular physical therapy in Los Angeles and Northridge area can be difficult at times. We have been performing balance therapy and vestibular rehab for over a decade in the San Fernando Valley for patients suffering from inner ear problems, treatment for vertigo, injuries from sports and more. Our patients will speak highly about our vestibular rehabilitation exercises, sports physical therapy and physiotherapy services at our outpatient clinic in Northridge.

Dizziness & Vertigo

Each year, approximately 40% of the U.S. population age 65 and over experience falls. Half of our seniors who fall do so repeatedly. Falls are the leading cause of injury in older adults and this dangerous loss of balance leads to more than 250,000 hip fractures annually. These fractures are deadly; resulting in a 35% mortality rate within the first year of injury. One half of older Americans that are hospitalized for fall related injuries are discharged to nursing homes.

The causes of dizziness and loss of balance are difficult to understand and diagnose. In most cases, balance problems originate within three independent systems integrated by the brain. Our inner ears, our eyes, and our muscles, joints and nerves all send information to the brain. The brain processes this information and directs instruction back to our bodies enabling us to walk, turn and bend over easily. If one, or any combination of these systems develop a problem then dizziness or loss of balance may occur.

As a leader in Fall Reduction and Balance Diagnostics/Retraining, Tepelekian Chiropractic Inc.’s Integrative Balance Program in Northridge offers balance evaluation and training designed especially for older individuals with balance and mobility problems.

In a safe controlled setting, the leading health professionals at Tepelekian Chiropractic, Inc., in Northridge use the latest technology to test the balance and mobility skills of seniors and other individuals referred to the program. With the test information, the staff designs a training program customized to meet each patient’s individual needs.

  • Vestibular Disorders
  • Acoustis Neuroma
  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Endolymphatic Hydrops
  • Labyrinthitis and Neronitis
  • Mal De Débarquement Syndrome
  • Ménière’s Disease
  • Ototoxicity
  • Perilymph Fistula


  • Ocular motor screening
  • Vestibulo-occular reflex
  • Electrovideonytography
  • Caloric testing
  • Positional testing
  • Rotational testing
  • Visual-vestibular interaction assessment
  • Posturography testing

Getting Started With Therapy

Once the source of your dizziness or imbalance has been diagnosed, our next step is to immediately begin treating your problem. Occasionally, we may find it necessary to perform additional test, or refer you to a specific doctor, however nearly all problems with dizziness and imbalance can be successfully and painlessly treated by utilizing balance therapy.

Balance/Vestibular Therapy

This method of physical therapy treatment varies from person to person, and can include vestibular rehabilitation, balance retraining, targeted muscle strengthening exercises, and medication. Based on your diagnosis and medical history, your physical therapist will design special exercises for you that will send the correct signals to your brains to maintain balance. These physical therapy sessions are typically 45 minutes to an hour, twice a week, for 6 to 10 weeks.

What to Expect

For many types of balance problems, Lifeline’s vestibular rehabilitation program has proven quite successful. Customizes exercises address your special needs and are designed to strengthen muscles, improve the balance system, regain proper nervous system function, and ultimately improve the quality of your everyday life. Our Northridge and Glendale practitioners at Tepelekian Chiropractic Inc. work closely with your therapist, and we always keep your primary care physician informed of your progress.

If you have any questions about our services, please contact us today at (818) 700-0478.