Balance, Dizziness & Fall Prevention PT in Louisville, KY

Q: What causes balance issues in adults over 45?

Age-related vestibular changes, muscle weakness in hips and ankles, slower reaction time, and proprioceptive decline commonly contribute—even before a noticeable injury.

Q: How is your balance program different?

We blend strength-first training with proprioceptive and vestibular rehabilitation that mimics real life—so results transfer to stairs, busy stores, and everyday movement.

Q: Do I need to have fallen to benefit from therapy?

No. Most patients come proactively once they notice early signs of instability or dizziness—preventing future injury is often the best approach.

If you've been feeling less steady or more cautious with your movements, you're not alone. For many adults over 45 in Louisville, balance and dizziness issues aren’t just physical—they’re deeply emotional. They threaten your independence, confidence, and your ability to enjoy the life you’ve worked hard for. But it doesn’t have to stay that way.

At ProActive Physical Therapy and Wellness, our approach is different. We focus on restoring balance through a strategic blend of functional strength training, proprioceptive retraining, and real-world stability work. You won’t just do exercises—you’ll train your body to adapt, respond, and move confidently in the moments that matter most.

Adult woman balancing during physical therapy in Louisville, KY

Regaining confidence one step at a time—functional balance training at ProActive Physical Therapy & Wellness

Let’s Talk About Reclaiming Your Balance

Who We Help

You don’t need a formal diagnosis to benefit from balance rehab. Many of our patients come to us because of subtle—but persistent—signs. If you’ve begun hesitating on stairs, avoiding uneven ground, or feeling nervous in busy environments, these may be early warning signs your balance systems need attention.

Everyday Imbalance: Struggling with steadiness while reaching, bending, or turning
Post-Fall Recovery: Regaining stability and confidence after a fall or injury
Dizziness with Movement: Head turns, position changes, or visual motion triggering imbalance
Osteoporosis Support: Safer, smarter movement for those with lower bone density

How Our Functional Approach Restores Balance

Proprioceptive Re-Training: Unstable surfaces, obstacle drills, barefoot tasks, and sensory-rich inputs to recalibrate your body’s spatial awareness.
Functional Strength Building: Bodyweight, bands, and resistance work to strengthen hips, ankles, and core.
Real-Life Movement Simulation: Practice daily challenges—stairs, turning with bags, vacuuming—for real-world confidence.
Vestibular & Visual Coordination: Epley Maneuver, gaze stabilization (VOR), and canal repositioning when vertigo or visual motion sensitivity is present.

Common Conditions We Treat

BPPV (Benign Paroxysmal Positional Vertigo)

Symptoms: Brief, intense dizziness when lying down, turning, or looking up.

Treatments: Epley Maneuver, Semont Maneuver, Brandt-Daroff exercises.

Vestibular Hypofunction

Symptoms: Blurred vision with head movement; imbalance in busy or dark environments.

Treatments: Gaze stabilization (VOR x1/x2), head-turn walking, visual motion exposure.

Cervicogenic Dizziness

Symptoms: Dizziness linked to neck stiffness or whiplash.

Treatments: Manual therapy, neck proprioception retraining, posture correction, eye-head coordination.

Post-Stroke / Neurological Imbalance

Symptoms: Unsteady gait, asymmetry, fear of falling.

Treatments: Task-specific gait training, core stabilization, reactive balance drills.

What You Can Expect

Greater Stability: More secure footing on gravel, grass, or stairs
Improved Strength: Safer turns, better posture, and stronger daily movement
Less Dizziness: Reduced disorientation with head movement
Peace of Mind: Confidence doing what you love without fear of falling

Real Patients, Real Progress

"You have helped me turn my life around. I could not even walk a few weeks ago from sepsis back in June (2024)." – Mayna, Louisville, KY

From sepsis to stronger—hear Mayna’s recovery journey with ProActive Physical Therapy & Wellness.
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Frequently Asked Questions

What causes balance issues in adults over 45?
Age-related changes in the vestibular system, reduced muscle strength (hips/ankles), slower reaction time, and proprioceptive decline are common contributors—often before a noticeable injury.

How is your balance program different?
We go beyond cookie-cutter drills with a strength-first, proprioception-rich, and vestibular-aware plan that mimics real life—so your results carry over to stairs, stores, and busy environments.

Do I need to have fallen to benefit from therapy?
No. Most people come before a serious fall—when they first notice hesitancy, dizziness, or fatigue from compensating. Prevention is powerful.

Let’s Talk About Rebuilding Your Balance

Or call us at (502) 512-2165 and we’ll walk through the next step together.