“Vertigo,” as it is commonly termed, is a very debilitating condition when it presents. The continuous spinning and disorientation can lead to nausea, vomiting, falls and/or difficulty performing activities of daily living. The vestibular organ is responsible for orienting our heads and eyes to our position in space and relationally to our surroundings. Varying diagnosis can affect the vestibular organ or its complimentary systems. Physical Therapists are skilled in performing repositioning maneuvers and additional exercises to address the related neurological communication prolongation of symptoms. Referrals for Physical Therapy treatment will also include gait training, balance training, home and community safety awareness, diet modifications and awareness of diagnosis/prognosis to address other causes of disequilibrium. Individualized programs can allow for return to activities with a decreased risk of falls.