The world stopped
spinning. Now you walk
back into it.
Steady retrains your inner ear using infrared goggles, habituation exercises, and gaze stabilization — so gravel paths and grocery aisles stop feeling like tightropes.
The ceiling moves when you don't.
Margaret opens her eyes. The room hasn't moved — but her world tilts four degrees left. She grips the nightstand before her feet touch the floor. This has been her morning for eight months.
Infrared goggles reveal what the room hides.
At Steady, therapist Devon fits Margaret with infrared goggles that track her eye movement in the dark. The screen shows what her body has been compensating for — nystagmus, a flicker most doctors miss without the right equipment.
Foam underfoot. Eyes fixed on a target.
Gaze stabilization on a foam pad. It sounds simple. Margaret's vestibular system disagrees — loudly — for the first two minutes. Then something clicks. Her horizon steadies. Devon marks the chart: Day 1, 40 seconds.
Gravel. No fence. Just her feet.
Six weeks later, Margaret walks her dog on the uneven path behind the community garden. The horizon is level. Her hands are in her pockets. She pauses at the top of the small rise, looks out, and doesn't hold on to anything.
Three paths in.
One way out.
Whether your dizziness arrived with a head injury, a crystal repositioning, or a migraine that never fully resolved — Steady has a protocol built for your specific inner ear.
The Crystals Moved
"Your ENT said it, but didn't fix it."
Benign paroxysmal positional vertigo responds to specific repositioning maneuvers — Epley, Semont, and modified techniques for canal variants. Most patients resolve in 1–3 sessions.
- Epley & Semont maneuvers
- Canal-specific assessment
- Avg. 2.1 sessions to resolution
- Home repositioning guidance
Cleared for Everything Except Confidence
"The scan is clean. The dizziness isn't."
Post-concussion vestibular dysfunction persists long after structural healing. Gaze stabilization, habituation, and gradual exertion protocols rebuild the brain's balance map.
- Gaze stabilization protocols
- Exertion-based progression
- Sport-specific return planning
- Concussion-trained therapists
Dizzy So Long You've Forgotten Still
"The headache stopped. The motion sensitivity didn't."
Vestibular migraine creates chronic motion sensitivity and spatial disorientation. Habituation exercises desensitize the system gradually, without triggering episodes.
- Trigger-aware pacing
- Motion desensitization
- Lifestyle trigger mapping
- Coordination with neurologist
Every boulder is a balance board.
Every crossing, a gait drill.
Treatment at Steady maps directly to the terrain metaphor — obstacles become protocols, progress becomes distance covered. Here is the trail.
Vestibular Assessment
Infrared goggles in a darkened room track your eye movement as we rotate your head through 12 positions. We're mapping your inner ear's exact error — not guessing from symptom checklists.
Repositioning & Habituation
For BPPV, displaced crystals are guided back with precise head maneuvers — often resolving in one session. For other conditions, graduated exposure exercises retrain your brain's tolerance for movement.
Gaze Stabilization
Your eyes and inner ear stopped agreeing. We rebuild that partnership with VOR × 1 and × 2 exercises — moving your head while holding a visual target steady — until the camera behind your eyes stabilizes.
Balance Retraining
Foam pads, tandem stance, single-leg holds, eyes open then closed. The surfaces get harder as your system gets smarter. We progress from clinic to real terrain — gravel paths, crowds, grocery store lighting.
From the first appointment
to the last grip on a fence.
I walked in holding the wall. By week four I was walking to the coffee shop. By week eight I drove myself to my daughter's soccer game. I cried in the parking lot because I hadn't driven in seven months.
"Devon told me what the neurologist never explained — why I got dizzy on the sidelines but not in the car. That context alone changed everything."
"One session. One. The crystals were back in place and I walked to my car without touching the wall for the first time in four months."
"I ran my first 5K at week ten. Not fast. But vertical. And the finish line didn't tilt."
Devon Marsh, PT, DPT, CCVR
Certified Vestibular Rehabilitation Specialist · 12 years clinical experience
Trained at OHSU, certified through Emory Vestibular Center. Devon has treated Olympic athletes and retired teachers with equal attention — because the inner ear doesn't care about your finish time.
Find your trailhead.
Three questions. That's it. We'll match you to the right protocol and contact you within one business day.
What's your primary symptom?
Choose the one that most disrupts your daily life.
Home Balance Check
A 5-minute self-assessment PDF used by Steady therapists to identify which inner ear system is most affected — before your first appointment.
- Romberg test instructions
- Tandem stance protocol
- Gaze stability screen
- Results interpretation guide