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Vestibular Rehab

Vestibular disorders (inner ear/balance) include issues with:

  • Vertigo
  • BPPV (benign paroxysmal positional vertigo)
  • Dizziness
  • Visual disturbances
  • Balance

Examination

A thorough examination of symptoms, medical history, medications, etc. will always be performed to help determine the best course of treatment. Questions that may be asked during the examination include:

  • When did the symptoms begin?
  • Are your symptoms spontaneous or related to movement?
  • What seems to trigger the symptoms? (ex. Turning over in bed, trying to read, unstable feeling)
  • How long do the symptoms last when they occur? (seconds, minutes, hours?)
  • Have you had any recent change in medications?

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Treatment

Vestibular rehabilitation aims to reduce or eliminate the symptoms patients suffer from these disorders through 4 primary methods.

Habituation

  • Exercises designed to help treat symptoms of dizziness that are brough on by positional changes or head movements. Example: turning over in bed or looking up to put in eye drops cause

Gaze Training

  • Exercises designed to improve control of eye movement so steady your vision during head movements. These are selected for patients whose symptoms are triggered specifically with eye movements. Example: trying to focus on text

Balance Training

  • Exercises designed to help improve balance, stability, and reduce fall risk. These are selected for patients that are unstable due to their symptoms

BPPV Positional Movements

  • Treatment that includes a series of head and body movements that your therapist will take you through in order to reposition loose calcium crystals in your inner ear

Our physical therapists will utilize the appropriate means of treatment based on the patient's symptoms. Through skilled vestibular rehabilitation therapy, our patients are able to make remarkable improvements in their vestibular disorders.

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Dr. Christensen is amazing! He's so caring & the best surgeon I've ever had!

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We can not say enough good things about Dr. Kevin M. Denehy, and his staff. Not only is Dr. Denehy an outstanding surgeon but he has an amazing bedside manner. We went to see if after consulting another surgeon and liked what he had to... We can not say enough good things about Dr. Kevin M. Denehy, and his staff. Not only is Dr. Denehy an outstanding surgeon but he has an amazing bedside manner. We went to see if after consulting another surgeon and liked what he had to say. My mother needed a full knee replacement at 85 years old. I was concerned with her being put under general anesthesia due to complications for someone her age. Dr. Denehy suggested a spinal which was the perfect solution! The other surgeon stated my mother would have to go to rehab for two weeks, Dr. Denehy said she could go home as long as someone stayed with her for 48 hours. He is concerned with possible infection at a rehab. The nurses at Baptist raved about him, said he had the lowest infection rate in the hospital and they would recommend him for their family. Anyway, 9 weeks post opt, my 85-year-old mother has completely recovered and no longer needs to do physical therapy. 2 weeks post-op she could walk without her walker

Laura Palazzolo

Highly competent, does not pressure patients into surgery, continually researching innovations in symptom management or interventions. Amazingly efficient and remembers his patients. I do always recommend him to others and he does not... Highly competent, does not pressure patients into surgery, continually researching innovations in symptom management or interventions. Amazingly efficient and remembers his patients. I do always recommend him to others and he does not disappoint. Great community reputation. Known him for about 10 years.

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Dr. Ryan Donegan is compassionate, kind and he really cares about people. His sincerity shows in everything he does. I wouldn't go to any other orthopedic practice besides BGO! I have known Dr. Donegan for a long time and I have seen... Dr. Ryan Donegan is compassionate, kind and he really cares about people. His sincerity shows in everything he does. I wouldn't go to any other orthopedic practice besides BGO! I have known Dr. Donegan for a long time and I have seen him interact with his patients, and he is always personable and has a great bedside manner. I highly recommend Bluegrass Orthopedics!

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This a wonderful funny very smart physician. He deserves the highest praise for his bedside manner and professionalism! We just can't say enough good things about him! This site said I didn't like him This was not correct he is wonderful. This a wonderful funny very smart physician. He deserves the highest praise for his bedside manner and professionalism! We just can't say enough good things about him! This site said I didn't like him This was not correct he is wonderful.

Kenneth Smith

A no nonsense doctor. Dr. Donegan is awesome. He gets the job done and done right.

Anonymous

Excellent physician cares about patient recovery and takes time to listen to any concern .

Robert Sherman

Absolutely wonderful doctor. I would recommend him to anyone. So thankful that I found him for my total knee replacement surgery and I wouldn’t hesitate to come back to him for other surgeries

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Dr. Christensen is very knowledgeable and professional. His surgery skills are highly regarded.

Anonymous

He is the most approachable & professional Dr I have ever seen. I am an RN with orthopedic experience & I have been so extremely happy with his care & expertise! I had a reverse shoulder replacement after failing a previous regular... He is the most approachable & professional Dr I have ever seen. I am an RN with orthopedic experience & I have been so extremely happy with his care & expertise! I had a reverse shoulder replacement after failing a previous regular replacement followed by a fall & fracture after the first surgery. He let me know all my options & was totally open as to any possible complications. I am so happy with my outcome & recommend him highly to anyone especially anyone with a complex issue. I honestly can’t thank him enough!

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