Vertigo (a spinning sensation, even while standing still)
Primal Physical Therapy Vestibular Physical Therapy for Concussion in Bryn Mawr, PA

Concussions affect more than just the brain. They can disrupt the vestibular system — the part of your inner ear and brain that controls balance and eye movements. If you’ve experienced dizziness, imbalance, or vision disturbances after a head injury, you’re not alone. Many patients with concussions struggle with these symptoms long after the initial impact.
At Primal Physical Therapy, we provide a clear path forward. Our vestibular physical therapy for concussion in Bryn Mawr, PA, helps you regain balance, reduce dizziness, and support your overall concussion recovery. With a calm, careful approach, our physical therapists create treatment plans that meet you where you are and guide you toward lasting improvement.
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What is Vestibular Rehabilitation Therapy (VRT)?
Vestibular rehabilitation is a special type of physical therapy designed to treat problems in the inner ear and brain that affect balance and spatial orientation. It uses targeted exercises to retrain the brain and body.
This specialized treatment focuses on neuroplasticity, the brain’s ability to adapt and form new connections. Through repeated practice, your brain learns how to compensate for the vestibular system’s deficits. In other words, we teach your body how to adjust and rebalance itself.
Vestibular therapy is not the same as general balance training. It specifically targets the root causes of dizziness and imbalance, using proven methods that directly address vestibular conditions, especially those following a concussion.

Common Vestibular Injuries We Treat
Many patients don’t realize that their ongoing symptoms are related to vestibular dysfunction. After a concussion, these symptoms may persist for weeks or even months.

Common Conditions: It's Not Just “Dizziness”
Concussions often trigger a variety of vestibular issues. Each condition related to the vestibular system requires its own approach. We frequently work with individuals experiencing:
- Benign Paroxysmal Positional Vertigo (BPPV): Caused by loose crystals in the inner ear, leading to brief episodes of vertigo.
- Vestibular Neuritis and Labyrinthitis: Infections or inflammation affecting inner ear nerves.
- Vestibular Migraine: A migraine disorder that presents with dizziness rather than head pain.
- Post-Concussion Syndrome: Lingering symptoms such as balance troubles or vision problems after a concussion.
- Age-Related Balance Decline: Gradual loss of vestibular function due to aging.
You don’t have to live with ongoing dizziness or disorientation. A qualified physical therapist can pinpoint the root of the problem and provide the right vestibular rehabilitation path for you.
What to Expect at Your First Visit
When you visit our Bryn Mawr location for your first VRT appointment, we take the time to listen and observe. Your session will begin with a one-on-one evaluation that makes you feel comfortable and heard.
We’ll start with a detailed history of your symptoms, attempting to understand what triggers them and how long the episodes last. We’ll then use an oculomotor exam to observe how your eyes move and respond. We also use Infrared Video Goggles, which allow our physical therapist working with you to see involuntary eye movements, such as nystagmus, that you can’t detect on your own.

Why Bryn Mawr Residents Choose Primal Physical Therapy for Vestibular Care
Those dealing with dizziness, vertigo, and balance issues in this community have options for physical therapy. Here’s why so many choose Primal Physical Therapy and Dr. JJ Thomas.
Dr. JJ Thomas and her team bring years of specialized experience treating vestibular conditions and their underlying causes. They understand what patients go through — the disorientation, the anxiety of unpredictable symptoms, and the desire to regain confidence in daily movement. Their clinical expertise ensures accurate diagnosis and effective treatment.
At Primal Physical Therapy, you receive true one-on-one care. Every session is spent directly with either Dr. Thomas or one of our specialized physical therapists. This personalized attention means faster progress and better outcomes.
Our Bryn Mawr location offers convenience for local residents and those throughout the Main Line area. Getting quality vestibular care shouldn’t require a long commute.
Most importantly, this practice focuses on results. The objective is simple: reduce your symptoms, restore your balance, and give you the tools to move through life with confidence again.
Don't Let Dizziness and Balance Issues Control Your Life
You had a life full of movement and confidence for a reason. Maybe it’s the independence. The ability to work, travel, or simply go about your day without fear of losing your balance. Whatever matters most to you, vestibular dysfunction threatens to take it away.
It doesn’t have to.
With the right diagnosis and a targeted vestibular rehabilitation plan, most conditions respond well to physical therapy. The sooner you address the problem, the sooner you return to feeling steady, clear-headed, and in control.
Schedule your evaluation by calling (267) 354-0133 or booking online. A life without dizziness is within reach.

