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Defense and Veterans Brain Injury Center
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Concussion / Mild Traumatic Brain Injury
Rehabilitation: Head Injury and Dizziness
Why Am I Dizzy?
Dizziness is one of the symptoms that you may experience after a head injury. Often this is
related to a problem with the inner ear, which is where balance is controlled. The dizziness may
also be related to other problems with the inner ear or problems with your neck. It is common
to also experience ringing / buzzing in your ears, ear pain, hearing loss, neck pain / stiffness or
headaches.
What Can I Do?
Neck stretches - See additional handout out on “Headache & Neck Pain.”
Modify activities - If your dizziness is brought on by a change in position (for example, sitting to
standing, bending forward, etc.), move slowly and allow yourself a minute in the new position
before moving again. Avoid sleeping on the “bad” side.
Change sleep position - If you are dizzy getting out of bed in the morning,
consider sleeping in a semi-recumbent position, as shown in the picture.
1
2
At-Home Vestibular Rehabilitation Exercises
Hold each of these positions for 30 seconds:
1. Start by sitting upright in bed.
2. Turn head to the left.
3. Lie back.
5
4. Turn head to the right.
5. Roll over to the right side.
6. Sit up straight again.
3
7. Repeat in the opposite direction (ie: start by turning head
to the right).
8. Repeat the entire sequence three times.
4
What to Expect?
The vestibular rehabilitation exercises will likely bring on your typical dizziness symptoms, but
over time these exercises help train your body to overcome the dizziness. It is best to do these
exercises on your bed right before bedtime. If your symptoms get worse after these exercises
and do not return to baseline within an hour or two, consult your health care provider.
What Next?
If these exercises do not help your dizziness in about two weeks, talk to your health care
provider, who will evaluate your dizziness and set up a treatment plan.
This tool is to be used as a patient education resource during a visit with your provider.
Developed by Subject Matter Experts from the DoD and VA
Version 2: 4 May 2009
Defense and Veterans Brain Injury Center (DVBIC) 11300 Rockville Pike, Suite 707 Rockville, MD 20852
Telephone: (301)589-1175 Fax: (301)230-1976
www.dvbic.org
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