Medically reviewed by Dr. Rob Letizia, PT, DPT — owner, Spectrum Therapeutics of NJ. Last reviewed 2026-06-22.

Vestibular Migraine Treatment in Wayne, NJ

Vestibular migraine is one of the most common causes of recurring vertigo — and one of the most missed, because it often comes with little or no headache. If you have repeated episodes of dizziness, spinning, or motion sensitivity that don't fit BPPV and tests keep coming back normal, vestibular migraine is a leading suspect. At Spectrum Therapeutics of NJ in Wayne, Dr. Rob Letizia, PT, DPT uses vestibular rehabilitation plus trigger strategy to calm the dizziness and the visual sensitivity it brings.

What Is Vestibular Migraine?

Vestibular migraine is a migraine-related disorder where the brain's migraine machinery produces vertigo and dizziness instead of (or alongside) head pain. Episodes can last minutes to hours — sometimes a day or two — and may include sensitivity to light, sound, and especially visual motion (busy patterns, scrolling screens, supermarket aisles). Many people with it have a personal or family history of migraine headaches.

How Is It Different from BPPV or Vestibular Neuritis?

BPPV gives brief, position-triggered spins and is fixed with a repositioning maneuver. Vestibular neuritis is a single acute attack of constant vertigo lasting days. Vestibular migraine is recurrent — episodes come and go over months or years, often with identifiable triggers, and frequently without the classic headache. If your dizziness is brief and positional, start with our vertigo & BPPV page; if it followed one sudden severe attack, see our vestibular neuritis page.

What Triggers It?

Common triggers include irregular sleep, skipped meals, dehydration, stress (and the let-down after stress), hormonal shifts, weather changes, certain foods, and prolonged visual motion. Identifying your pattern is half the battle — we help you build a trigger diary and a practical plan to reduce flare frequency.

How Does Physical Therapy Help Vestibular Migraine?

Vestibular rehabilitation (VRT) is one of the most effective non-drug treatments for the dizziness and imbalance of vestibular migraine. At Spectrum Therapeutics, your one-on-one program focuses on:

• Visual-motion desensitization — graded exposure that retrains your brain to stop overreacting to busy visual environments (the most disabling symptom for many people).
• Gaze stabilization & balance retraining — steadying the dizziness and unsteadiness between and during episodes.
• Trigger and lifestyle strategy — sleep, hydration, meal timing, and pacing to lower the baseline that flares ride on.

Vestibular migraine is often best co-managed: your physician or neurologist may add migraine-preventive medication, while VRT addresses the dizziness, visual sensitivity, and deconditioning. We're glad to coordinate.

How Long Does It Take to Improve?

With consistent VRT and trigger management, most people see a meaningful drop in episode intensity and motion sensitivity over 6–12 weeks. Because it's a recurring condition, the goal is fewer, milder episodes and the tools to manage flares — not a single one-and-done fix.

Vestibular Migraine Therapy in Wayne, NJ

Every visit at Spectrum Therapeutics of NJ is one-on-one with Dr. Rob Letizia, PT, DPT. In New Jersey you can start vestibular therapy directly, without a referral, under direct access. If recurring dizziness is running your life, a focused plan can give you control back.

Book a vestibular assessment — schedule online or call (973) 689-7123.