Balance & Fall Prevention Therapy
Falls have causes. We find yours, measure it, and train it away.
What it is
One in four adults over 65 falls each year — and falls are the leading cause of injury in older adults. They are also, for the most part, preventable: balance is a trainable system, and fall risk can be measured, targeted, and reduced.
Our balance therapy starts with standardized testing to find the actual driver — strength, sensation, vestibular input, blood pressure behavior, medications, fear — and builds a program against it. This service works alongside our Balance & Fall Prevention program page, which covers the community side of the work.
Who it helps
- A fall in the past year, or a near-miss pattern
- Unsteadiness on stairs, curbs, or uneven ground
- Dizziness or lightheadedness with position changes
- Neuropathy-related balance loss
- Fear of falling that is shrinking your world
Older adults with any fall history or new unsteadiness; people with neuropathy, Parkinson's, or post-hospital weakness; and anyone whose fear of falling is making them move less — which itself raises risk.
How we assess
Standardized battery: Berg Balance Scale or similar, gait speed, sit-to-stand, and screening across the systems balance depends on. You get a measured risk level, not a vague impression.
What treatment looks like
Progressive balance challenge (the system only adapts when tested near its edge, safely), lower-body strengthening, gait training on real-world surfaces, and home hazard and strategy coaching. Re-testing shows the risk number moving.
Evidence & limitations
Exercise-based balance training is one of the best-proven fall-prevention interventions, with major reviews showing meaningful reduction in fall rates when programs are sufficiently challenging and sustained. The caveat: gentle, below-threshold exercise does not move fall risk — dosage is the difference, and it's why we measure.
Questions, answered
Does dizziness mean something serious?
Sometimes — which is why evaluation starts with screening. Much dizziness in older adults traces to treatable causes; positional vertigo in particular responds rapidly to specific maneuvers performed by trained clinicians, and we refer appropriately when a cause needs medical workup first.
How long before balance improves?
Measurable change typically appears within 4 to 8 weeks of sufficiently challenging training, and we re-test on that schedule rather than asking you to take it on faith.
Is this covered by insurance?
Balance therapy for documented fall risk or functional decline is standard skilled PT — covered by Medicare and commercial plans. We verify benefits before you start.
Where it's available
Coming soon Sterling Heights, MI — 44056 Mound Rd, Suite 103. Opening February 2027; services are provided by Michigan-licensed physical therapists.
Insurance considerations
Skilled physical therapy is a standard benefit under Medicare, commercial plans, Michigan auto no-fault, and workers' compensation; coverage always depends on your specific plan and medical necessity. We verify your benefits before your first visit — see Insurance & coverage.
Related: Balance & fall prevention program · Geriatric physical therapy · Neurological rehabilitation
Opening February 2027
Join the waitlist to be first in line — or, for physicians, attorneys, and employers, reach out now and we'll have your workflow ready before the doors open.
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