360 Balance & Dizziness Center

360 Balance & Dizziness Center

Helping You With Your Dizziness & Balance Disorders The specialized physical therapy is tailored to your specific needs.

360 Balance & Dizziness is a multi-award winning clinic solely devoted to the evaluation and treatment of dizziness and balance problems. Our unique physical therapy enables us to meet the needs of patients with neurological disorders, inner ear disorders, mild head injury, hearing loss, and fall risk. The staff at 360 Balance & Dizziness is committed to combining advanced technology with patient centered care to provide a unique experience for all parties involved.

Photos from 360 Balance & Dizziness Center's post 06/19/2024

Thanks to the those that could join with a special shout out to Cynthia Ryan of Vestibular Disorders Association (VEDA) for attending and sharing her insights. I hope you can join us for our next Vestibular Voices: A Live Q&A. Please share ideas for topics in the comment section.

🎗️Navigating the Balance: Cancer Treatments and the Risk of Ototoxicity💜 06/01/2024

🎗️Navigating the Balance: Cancer Treatments and the Risk of Ototoxicity💜 -

🎗️Navigating the Balance: Cancer Treatments and the Risk of Ototoxicity💜 In the journey of cancer treatment, the efficacy of medication is paramount, yet it's crucial to consider their side effects. Ototoxicity, the potential damage to the ear caused by certain medications, poses a significant challenge, especially with cancer-treating drugs.

Photos from 360 Balance & Dizziness Center's post 12/01/2023

‘Tis the season to spread good cheer, and to go to crowded shops! For people with dizziness or balance impairment, navigating busy stores can be overwhelming.

There are strategies that you can use to lessen the stress and anxiety of the holiday shopping season.

💫Why is it difficult for people with dizziness to go into stores?

Most stores are designed to be bright and visually busy. Items line the shelves, the floor is often patterned or shiny/reflective, and the lighting is generally fluorescent.

All of these factors can lead to overwhelming visual input for someone struggling with visual-vestibular dysfunction and can increase and prolong symptoms. It’s important for those suffering with dizziness to pace themselves.

Use the following tips to keep your outings from ruining your day:

✨Only plan on going in one or two shops per day.

✨Plan out your route through the store, don’t just meander.

✨Practice grounding techniques.

If your dizziness or imbalance has you feeling anxious about venturing out into the wilds of holiday shopping, chat with us.

We’ll help you improve your balance, decrease your dizziness, and provide more specific holiday shopping strategies to make your season as stress free as possible!


Are you concerned about falling?

As we age, the fear of falling grows, for it is well-known the older we get, the greater the risk of falling becomes. Our bodies naturally change with age, affecting how we feel, move, and behave.

Falls can have a devastating and lasting impact on an individual resulting in injury, chronic pain, and reduced quality of life. Even without an injury, a fall can cause a loss of confidence and reduced activities for older adults.

🙌The good news is that you can take action to prevent falls!

Answer the questions below to identify if you are at risk for falling. Then tally your score. Let’s get started!

1. Have you fallen in the last 6 months?
◽️Yes (2 points)
◽️No (0 points)

2. Do you use, or have you been advised to use, a cane or walker to get around safely?
◽️Yes (2 points)
◽️No (0 points

3. Do you sometimes feel unsteady when you are walking?
◽️Yes (1 point)
◽️No (0 points

4. Do you have to steady yourself by holding onto furniture when walking at home?
◽️Yes (1 point)
◽️No (0 points

5. Do you worry about falling?
◽️Yes (1 point)
◽️No (0 points

6. Do you need to push yourself up with your hands to stand up from a chair?
◽️Yes (1 point)
◽️No (0 points

7. Do you have trouble stepping up onto a curb?
◽️Yes (1 point)
◽️No (0 points

8. Have you lost any feeling in your feet?
◽️Yes (1 point)
◽️No (0 points

9. Do you have difficulty avoiding hazards in your path because you don't see well?
◽️Yes (1 point)
◽️No (0 points

10. Do you take more than 3 medications?
◽️Yes (1 point)
◽️No (0 points

👉Then, add up the number of points for each YES answer. If you scored 4 points or more, you may be at risk of falling.

If your total score indicates a fall risk, consider signing up for our FREE, online🌟Check My Balance🌟Class! Here is the link to sign up: https://360balance.com/sign-up-for-a-free-check-my-balance-class/

We look forward to you joining us!

Photos from 360 Balance & Dizziness Center's post 11/13/2023

What can be done to prevent falls?👇

1️⃣First and foremost – stay active! Staying active makes it easier to maintain strength and endurance. Weight bearing activities such as walking are also good for your bones. Balance is a use-it-or-lose-it skill, so taking balance training classes such as yoga, Pilates, or tai chi can help you maintain balance. You can work with a physical therapist or vestibular physical therapist to make sure that the balance exercises that you participate in are appropriate for you.💪

2️⃣Have your eyes and hearing tested regularly. If you need glasses or hearing aids, make sure that they are checked regularly to make sure that they are up to date.👀👂

3️⃣Familiarize yourself with your medications, and make sure you know what they’re supposed to do and what side effects they may carry. If you suspect your medications may be leading you to be dizzy or off balance, talk to your doctor about changing medications or adjusting the dosage.💊

4️⃣Stand up slowly and hold still for 1-2 seconds before you start moving or turning. If you need an assistive device such as a cane or walker, make sure that you are using it properly. Consider getting rid of rugs or items on your floor as they can be tripping hazards.

⁉️What do I do if I have a fall?

Immediately upon falling, don’t try to move right away. Breathe slowly and assess yourself to see if you might have hurt anything. If you have your phone on you or an emergency button, call someone to help you. If you don’t and you feel like you are able to move without further injuring yourself, roll to one side and try to get to your hands and knees.

Once on your hands and knees, crawl to a sturdy chair or table. Put both of your hands on the table and try to help pull yourself up to your feet. Once on your feet, call your doctor or go to an urgent care especially if you have hit your head.

After a fall, make sure to tell your doctor about your fall. If there is an obvious cause for your fall (tripping on the edge of a rug), try to eliminate the danger (get rid of the rug). Make sure that you do everything to protect yourself from prolonged or worsened injury.


We are excited to invite you to our monthly online open discussion where you can ask questions you may have about our new 360 Balance Yourself Program.

As you may know, falls are a leading cause of injury among older adults, and our program is designed to help prevent them by building strength, improving balance, and increasing flexibility.

During the session, you can ask Charlotte questions you may have about the program. She can provide information about the exercises and techniques involved and the benefits participants can expect to experience.

Whether you are a current participant or considering joining the program, this session is the perfect opportunity to gain a deeper understanding of our offerings. Our team is committed to providing you with the highest level of support and guidance, and we are confident that this will be an invaluable resource for anyone interested in fall prevention and improving balance.

This event will take place in 360 Living Balanced! It starts at 11:00am CST today. Charlotte looks forward to seeing you there! The event has been scheduled for an hour, so take advantage of the time you have with Charlotte!

Click link to join us for free👉https://bit.ly/45AG3ot


We’re thrilled to invite you a Check My Balance class! Pick the date that works for you. Click link below to sign up for free😀


See you there!


To celebrate 🦩Balance Awareness Week and the launch of our new fall prevention program, 🌟Balance Yourself🌟, we're hosting FREE, live ✨Check My Balance classes (online)!✨

Bridgett Wallace, PT, DPT and Charlotte Howell, PTA will guide you through a series of questions to assess your strength, balance, and coordination.

We'll also tell you about our new program: Balance Yourself - based on the Otago Exercise Program. The Otago Exercise Program is performed under the direct supervision of a professional and has been demonstrated to reduce falls and fall-related deaths by 46%. We have adapted the program to be accessible to everyone in the comfort of their own home, it's a game-changer!💪

When you sign up for a class, you'll be entered into a drawing to win a Naboso Prize Package (value $195)!

- Sensory Sticks ($90)
- Standing Mat (value $75)
- Neuro Ball ($30)

Plus, you’ll receive a special gift just for signing up for a ✨Check My Balance Class!✨

👉Free access to our Balance 101 Course in 360 Living Balanced! You'll learn how to categorize your dizziness and help your healthcare provider identify the possible cause(s) of your dizziness. The Dizziness 101 Course also includes: Review of Symptom Log, Take Home Points Handout, and access to our most popular space in 360 Living Balanced - What's on your mind?

Click the link & pick the date that works for you!

- Friday, September 22nd at 12:00pm CST
- Monday, September 25th at 12:00pm CST
- Thursday, September 28th at 12:00pm CST


See you there!👏


We sometimes hear from our patients something along the lines of “I was told I have rocks in my ears.” What does that mean? Do we actually have rocks in our ears?

The inner ear is made up of two major parts: the cochlea, which is the part that interprets what we hear, and the vestibular portion, which is made up of the vestibule (the saccule and utricle) and three semicircular canals. The entire structure is filled with two kinds of fluid called endolymph and perilymph, which we will discuss more in future blog posts. The vestibule tells the brain what gravity is doing relative to your head such as if you’re accelerating, decelerating, or going up and down in an elevator, for example. The three semicircular canals tell your brain what your head is doing in space, whether you’re looking up or down, turning your head, or cocking your head to the side.

When people talk about ear rocks, they’re talking about microscopically small pieces of calcium carbonate called “otoliths” that sit within the vestibule of the vestibular portion of your inner ear. They are responsible for communicating the effects of gravity to your brain. Sometimes these otoliths can fall into the semicircular canals, which is not where they belong. When they fall into the canals, they push the fluid through the canal and can cause dizziness. Because the otoliths are gravity dependent, they will settle at the lowest part of the canal, and once they stop moving the dizziness goes away. This is called Benign Paroxysmal Positional Vertigo, or BPPV.

If the otoliths are in your canals, every time you turn your head in a certain way, the room will look like it’s spinning for as long as the otoliths are moving through the canal. That means you may feel dizzy when you first lie down, or if you try to tilt your head back to rinse shampoo out of your hair. This dizziness should stop within 30-60 seconds.

So what can we do about it? We'll cover that in the next post👏


Join Bridgett Wallace, PT, DPT for a free webinar where we’ll talk about:

💫Vestibular Rehab: What is it? How does it work? And does it work for everyone?

⏱When: Saturday, April 22, at 12:00 pm CST
💻Where: Online
👉Register for free here: https://360balance.com/vestibular-rehab-what-is-it-how-does-it-work-and-does-it-work-for-everyone/

We’ll review some of the challenges and what some other options are beyond vestibular rehab. If you have specific questions, please comment below.

We will answer as many questions as possible.

If you can’t make it to the live webinar, go ahead and register so we can send you the recording.

See you there!


Join us as we host an empowering webinar with Madison Oak, PT, DPT!

Dr. Madison Oak, founder of on Instagram and Vestibular Group Fit, is discussing returning to exercise/movement with a vestibular disorder. We will cover Dr. Madison’s 3 favorite steps to getting you back to moving safely and without dizziness!

Not only will you walk away with her 3 favorite steps to moving safely (no pun intended), but she is offering one FREE week of instruction with a 3-month subscription to the Vestibular Group Fit!

Join us for this webinar on February 21st at 12:00pm CST to meet Dr. Madison as well as receive information on becoming a part of Dr. Madison’s Vestibular Group Fit and receive your discount code.

Click here to sign up for this free webinar: https://360balance.com/3-steps-to-getting-you-back-to-moving-safely-and-without-dizziness/

The recording will be kept in the Vestibular Health network if you can’t attend the webinar live. If you aren’t a member of Vestibular Health, click here to learn more and get started with your 14-day free trial – no credit card is needed:

See you there!


On behalf of 360 Balance & Dizziness, we want to let you know about our new network Vestibular Health!

Vestibular Health is our online community to connect individuals who suffer from dizziness or balance problems as well as their loved ones.

We created Vestibular Health to give you easy access to organized content and resources, answers to frequently asked questions, ongoing conversations, expert talks, fun activities, and social connections!

You get instant access to easily searchable content when you need it. Keep up with your discussions, events, and messages on the go! Ask a question, join a webinar, and keep track of upcoming events.

Click here to learn more about Vestibular Health:

We hope you register soon, so you don’t miss our 1st event where we will be interviewing Dr. Martha Pyron, MD, who is going to talk about starting an exercise program and returning to exercise after COVID. The interview is scheduled for Wednesday, February 15th at 11:00 am CST.

We're so excited about Vestibular Health and really look forward to connecting with you! If you’re interested in attending Dr. Pyron’s talk, click on the Events tab once you have completed your registration for Vestibular Health and RSVP👍

We hope to see you there!

P.S. Vestibular Health is managed by working healthcare professionals and is for educational purposes only. This advice is not meant to be a substitute for advice from a medical professional regarding diagnosis, prognosis, or treatment. Always seek advice from qualified healthcare providers with questions you may have regarding a healthcare condition.

Photos from 360 Balance & Dizziness Center's post 11/29/2022

Happy National Caregiver’s Month! Having a strong support system is an important indicator of physical therapy outcomes. A dizzy or unbalanced patient has a difficult road to recovery and having a loved one or paid caregivers to help with their journey can make their progress smoother and faster.

You can be an advocate for your dizzy friend or loved one by taking a few steps to help them manage their symptoms. Learn more with our newest blogpost on our website! https://360balance.com/support-systems/

Photos from 360 Balance & Dizziness Center's post 10/31/2022

Happy Halloween from the crew at 360 Balance & Dizziness! Can you tell which of us is the real Waldo?


October happens to be both Physical Therapy month and Audiology Awareness month! We here at 360 Balance & Dizziness will be celebrating in our favorite way: by treating imbalance and reducing dizziness! Our team of audiology and physical therapy professionals can help you or a loved one with any dizziness or imbalance needs!


As we wrap up Balance Awareness Week, we're excited to share an interview with Cynthia Ryan, Executive Director of the Vestibular Disorder Association or VeDA Vestibular Disorders Association (VEDA)🦩😀

To help increase awareness about vestibular disorders, share your story and refer people to VeDA so that they can get help and get access to resources.

Visit https://vestibular.org/article/baw/ to learn more!


Thank you to our amazing physical therapists and physical therapist assistants! We celebrate you on World PT Day👏🎉🥳


Everyone has microscopic “rocks” or “crystals” in the inner ear that are made up of calcium carbonate. Their job is to communicate the effects of gravity to the brain, such as acceleration and deceleration. Sometimes they become dislodged and fall into a different part of the inner ear, causing a specific type of dizziness called Benign Paroxysmal Positional Vertigo, or BPPV. BPPV is experienced as short bouts of vertigo when you change head positions such as lying down or rolling over in bed, looking up to wash your hair in the shower, or bending over to tie your shoes.

If you suspect that you may be suffering from BPPV, our therapists can test you to see if your ear crystals are out of place, and if they are we can treat you with maneuvers that consist of a series of head and body positions.


New Blog Post! As it starts to cool off here in Texas, it’s a good idea to go for a walk!

For tips on safe and healthy walking, read our newest blog post. If you feel like you are hesitant or unsafe to walk on your own, come in to 360 Balance & Dizziness and work with one of our therapists today!

To read the new post, go here: https://360balance.com/go-for-a-walk/

Photos from 360 Balance & Dizziness Center's post 07/12/2022

What does stress have to do with balance and dizziness? It turns out, quite a lot! Personal stress itself has been linked to higher incidence of dizziness, but there are also physiological consequences to stress.

Increased stress such as negative life events have been positively correlated with increased incidence of BPPV. In other words, the more stress you have, the more likely you are to have an occurrence or recurrence.

Stress can cause physiological changes akin to the fight or flight response. Increased heart rate and breathing can cause side effects like lightheadedness. Tightened muscles often manifest in the neck and shoulders, which can cause dizziness that stems from the neck.

So what can we do to mitigate the effects of stress? Therapy is one option, but if you don’t have access to a therapist, the most accessible thing that you can do for stress management is breathing exercises! Try breathing in for four counts and out for 6 (or in for 3 and out for 5). You can count seconds or footsteps or whatever works to get an effective rhythm. Give it a try and see what works best for you.

If you’re dealing with dizziness related to stress and anxiety and are struggling to mitigate your symptoms, come to 360 Balance & Dizziness and a therapist will help tailor the most effective treatment plan to address all the sources of your dizziness or imbalance.


Here at 360 Balance & Dizziness, we never underestimate the power of your words. Your words are invaluable diagnostic tools.

Here's an example of how much we can gather just by your symptoms:

So you describe your dizziness as a spinning sensation. The world is spinning around you. You explain that your symptoms are brief, less than 60 seconds, and worse when you lie down in bed, roll over, bend over, and sometimes when you look up quickly.

It may not happen every time, but it's pretty consistent and occurs almost every night. It also appears worse when you roll over to your left side, although it might occur on both sides.

The most likely explanation is benign paroxysmal positional vertigo, or BPPV, what we like to call loose ear crystals or loose ear rocks. It's the most common type of brief spells of vertigo related to position changes. And we can typically treat it successfully in one to two visits, although some cases are more complicated.

Successful treatment begins with a successful diagnosis. Visit our website [360balance.com] to learn more about how we can help you.


We often get asked this question🤔

We can help in several different ways, depending on what is causing the dizziness you are feeling and how your symptoms are affecting your daily life.

- Do you perceive the entire room as spinning around you?
- Do you feel off-balance or unsafe when you are walking?
- Have you been diagnosed with fluid dysfunction in your inner ear?
- Are you having trouble bending down?
- Do you experience motion sensitivity?
- Do you feel so exhausted at the end of the day that all you can do is sit?

If you don’t really know how to describe how you’re feeling or what help you need, that’s ok!

If you’re dizzy or feel off-balance, our team of clinicians will work with you to determine what we should focus on and how to proceed.

You are the key🔑to determining your path forward, but we are here to guide you! If you think you or a loved one could improve balance or decrease dizziness, give us a call today at 512-345-4664📞


This week’s intention goes out to everyone experiencing anxiety and those who are challenged by prioritizing or organizing your day

How to Find Us 04/05/2022

We can be a little tricky to find, here are some infographics that illustrate how to get to our clinic. We're in the back left building when you first turn into the building complex.


This week, take a second to intentionally think about something that makes you smile. It could be something in the moment or something in general, anything at all!


This week’s intention is something that is always important for both stress mitigation and improved balance.

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Our Story

360 Balance & Dizziness, is a multi-award winning clinic solely devoted to the evaluation and treatment of dizziness, balance and hearing problems. Our unique blend of audiology and physical therapy enables us to meet the needs of patients with neurological disorders, inner ear disorders, mild head injury, hearing loss and fall risk.

Our audiology services include advanced testing and an array of specialized hearing devices that fit many different needs. The specialized physical therapy is tailored to your specific needs. The staff at 360 Balance & Dizziness is committed to combining advanced technology with patient centered care to provide a unique experience for all parties involved.

Videos (show all)

Thanks to the those that could join with a special shout out to Cynthia Ryan of Vestibular Disorders Association (VEDA) ...
Feeling off balance? Are your sensory systems for balance working like they should? You may benefit from some balance te...
Tips for preventing falls:Stay active! Start and maintain a walking routine👣Maintain a balance routine - try yoga🧘Have y...
October happens to be both Physical Therapy month and Audiology Awareness month! We here at 360 Balance & Dizziness will...
As we wrap up Balance Awareness Week, we're excited to share an interview with Cynthia Ryan, Executive Director of the V...
Month of Sundays



4601 Spicewood Springs Road, Bldg II, Ste. 100
Austin, TX

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm
Friday 8am - 3pm

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