Persistent Postural-Perceptual Dizziness
Persistent Postural-Perceptual Dizziness (PPPD) is a chronic vestibular condition that causes non-spinning dizziness, unsteadiness, or a “rocking” sensation that lasts for months. Unlike acute vertigo, PPPD is not tied to a specific injury or ear problem; it’s a functional disorder that stems from how your brain interprets balance signals. Symptoms often worsen in busy environments, while walking, or when standing still, even if medical tests show everything is “normal.”
At Sparq Physical Therapy in Castle Rock, CO, we help individuals with PPPD retrain their nervous system and regain control over their symptoms. Through personalized vestibular rehabilitation and nervous system regulation strategies, we help reduce the sensation of imbalance, improve functional movement, and support long-term recovery.
Affected Area
PPPD primarily impacts the central nervous system, disrupting the way the brain processes sensory input related to movement and balance. It can involve the vestibular system, visual system, and proprioception (body awareness), causing misinterpretation of sensory signals that leads to ongoing dizziness and instability.
Symptoms
Common symptoms include a persistent sensation of unsteadiness, swaying, rocking, or dizziness, especially when standing, walking, or navigating visually complex environments like grocery stores. Symptoms are often aggravated by movement, scrolling on screens, or visual stimuli, and may coexist with anxiety or a history of other vestibular events such as concussions or vertigo episodes.
Treatments
While PPPD is a functional (not structural) condition, physical therapy can make a significant difference by helping the brain and body recalibrate how balance and motion are processed. At Sparq PT, we focus on gentle, progressive techniques to reduce symptom triggers and restore movement confidence. Your plan may include:
Desensitization exercises to help your brain adapt to motion and visual complexity
Balance training to rebuild postural control and reduce fall risk
Gaze stabilization to reduce visual discomfort and motion sensitivity
Breathing and grounding techniques to regulate the nervous system and manage anxiety
Education and pacing strategies to avoid flare-ups and improve daily function
Recovery from PPPD takes time and consistency, but with the right tools and expert support, lasting relief is possible.