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  • Writer's pictureEngage PT, OT, SLP Therapy and Wellness

Persistent postural-perceptual dizziness (PPPD or 3PD): How physical therapy can help

Updated: Jun 18, 2023

Although Persistent Postural-Perceptual Dizziness (PPPD, or 3PD) can be difficult to diagnose, the good news is that it can be treated. Research shows most people get better with proper treatment. Treatments include specialized balance therapy called vestibular rehabilitation.

Physical therapy treatment of PPPD focuses on decreasing sensitivity to motion. Exercises include moving your eyes, head, and body in various positions to habituate to movement and decrease sensitivity overtime. Studies show that PT can reduce the severity of dizziness or balance symptoms by 60 to 80 percent and may be effective in reducing anxiety and depression in people with PPPD. This results in improved overall mobility and function in day to day activities. Typically, people with PPPD undergo PT treatments for 3-6 months to achieve the most successful outcomes.

Combining vestibular rehabilitation in physical therapy with meditation, grounding practices, and/or counseling can lead to more positive outcomes. These practices help to decrease the autonomic system’s (fight or flight) response and promote greater relaxation, helping the body to become less sensitive to triggering motions.

The physical therapists at Engage are vestibular rehabilitation specialists with experience in helping people with PPPD. Their primary goal is to improve overall mobility and function in day to day function . PT sessions are provided one on one for 45-55 minutes depending on your needs. Call today to set up an evaluation at 315-810-2423 or email

woman with dizziness

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