Dizziness and balance disorders

Brain Camp is a leading center of expertise in the investigation and adaptation of customized rehabilitation for dizziness conditions caused by, among others, BPPV, balance nerve virus, PPPD, ganglion cyst, vestibular migraine, and traumatic head injury. We use advanced technologies to map functional disorders in the sensory system to tailor neurological rehabilitation to provide targeted solutions that improve the quality of life of our patients.

Common dizziness conditions we treat

BPPV (Positional dizziness)

BPPV is the most common cause of dizziness and affects over 10% of the population during their lifetime.

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The condition occurs when small particles in the inner ear become loose and cause attacks of intense dizziness, usually lasting 5-10 seconds at a time. BPPV dizziness is triggered by head movements. such as when you lie down and turn in bed, get up from a lying position to a sitting position, bend forward to pick something up, or tilt your head back to look for something. We offer precise examination with video oculography and treatment with a TRV chair, which provides effective results and reduces the risk of recurrence.

Mal de Débarquement syndrome (MdDs) (Disembarkation syndrome)

MdD is a dizziness syndrome that is also caused by functional disorders in the brain's ability to coordinate and process sensory input.

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This is a rarer form of dizziness, but the dizziness and accompanying symptoms can be experienced as very similar to those of PPPD. But there is one thing in particular that distinguishes MdDs from PPPD and other forms of chronic dizziness. The dizziness of MdDs temporarily disappears or is significantly reduced in intensity when, for example, driving a car. But returns again immediately the car stops, and is then often more intense than before the actual drive began. Through tailored neurological rehabilitation and more frequent evaluations with advanced computer-based equipment, we can reduce dizziness and improve tolerance to both sensory impressions and activity.

Neurological disease

Dizziness is a very common symptom of neurological diseases, including Parkinson's disease and multiple sclerosis (MS).

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The wear and tear and damage that the disease causes to the brain and nervous system can be the cause of dizziness and impaired balance. However, it is not uncommon to see the combination of neurological disease and other harmless forms of dizziness. Such as impaired balance and reaction ability as a result of Parkinson's disease, and dizziness caused by BPPV. It is therefore important to do a comprehensive examination that challenges all parts of the balance and coordination system in order to put together a complete tailored rehabilitation plan.

Persistent Postural-Perceptual Dizziness (PPPD)

This chronic condition is often triggered by acute vestibular events such as BPPV, vestibular neuritis, or migraine.

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PPPD is caused by dysfunction in the brain's ability to coordinate and process different sensory inputs simultaneously. Patients experience persistent dizziness and a number of other symptoms that are triggered or worsened by activity and exposure to sensory inputs. Especially visual inputs. Our approach with the help of advanced examination equipment and tailored neurological rehabilitation can teach the brain to coordinate and process sensory inputs in a better way so that dizziness and accompanying symptoms are improved.

Traumatic head injury

Head injuries, including concussions, can cause lasting balance and dizziness problems as a result of damage to the vestibular system, or the brain's ability to process and coordinate different sensory inputs.

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In the event of a head trauma, one can get a combination of several of the above-mentioned forms of dizziness. Including BPPV as a result of the head trauma itself, developing vestibular migraine as a stress reaction as a result of the functional disorders in the brain caused by the head trauma, and impaired balance and coordination as a result of the head trauma. It is therefore essential to have a comprehensive and thorough functional examination to map which parts of the brain and nervous system need training.

Vestibular Neuritis (Virus on the balance nerve)

Inflammation of the vestibular nerve is the most common form of dizziness and causes acute, intense dizziness similar to BPPV. However, this dizziness lasts longer. 

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You may experience a constant feeling of dizziness that lasts for hours, days or weeks. And is worsened by any movement of the head. Including getting up from a lying down to a sitting position and other changes in head position such as in BPPV, walking and making sudden movements of the head. Although many experience improvement within a few weeks, as many as 30% experience long-term problems with dizziness. Our treatment focuses on restoring balance functions through rehabilitation and adapted exercises.

Vestibular Migraine

Vestibular migraine is one of the most common causes of recurrent attacks of dizziness, often accompanied by headache, hypersensitivity to sound and light, nausea, and fatigue.

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Migraine attacks cause temporary or long-term functional disorders in several areas of the brain that involve, among other things, balance, coordination, orientation, sensory perception, and pain simultaneously. Our comprehensive neurological examination maps the functional disorders of the brain and nervous system and gives us a good foundation for how the tailored neurological rehabilitation should be put together. The goal of tailored neurological rehabilitation is to improve tolerance to sensory impressions and activity before migraine attacks are triggered, and reduce the frequency, intensity and duration of migraine attacks.

Optimal Rehabilitation at Brain Camp

Brain dysfunction can make it difficult to process and coordinate multiple sensory inputs at the same time. This affects the brain's ability to activate different areas with different functions at the same time, which is crucial for interpreting the environment around us and how we move, to distinguish whether it is the environment or things around us that are moving or our physical movement, to perform smooth and coordinated physical movements, and cognitive abilities. Brain dysfunction also causes secondary brain dysfunction. Where parts of the brain that are not normally activated during certain tasks are activated, while other parts of the brain that are normally activated remain inactive. The combinations of these primary and secondary dysfunctions may explain why many people with complex dizziness conditions often experience limited effect from traditional physical treatment and rehabilitation, such as muscle and joint treatment or physical exercise alone.

Our rehabilitation philosophy is therefore that it is essential to have a broad and comprehensive functional examination with advanced computer-based equipment to map both primary and secondary functional disorders in the brain and nervous system in order to obtain the most information possible on how the individual's rehabilitation should be initiated. Watch the video below that demonstrates some of the advanced examination equipment we use. These tests are also important tools to confirm whether the tailored rehabilitation affects the sensory system as desired. We often experience that rehabilitation, which is initially tailored according to findings during the first assessment, can worsen several of the tests upon re-evaluation later in the rehabilitation process. This can happen even if all previous examinations indicate that the brain and nervous system need a specific type of stimuli or exercise. The reasons for this can be several. Including the stimuli or exercise that are given are too challenging and stressful for the brain and nervous system to process, or the brain dysfunction causes new compensation mechanisms that cause the brain and nervous system to not respond as normal. When we see this, we fine-tune the exercises and treatment and then re-test until we find the combination that best affects the tests. In this way, we are able to tailor rehabilitation as best as possible to optimize the opportunity to improve both symptoms and quality of life.

Why choose us?

Advanced technology

Advanced computer-based testing equipment provides us with objective information about how the brain and nervous system are functioning. Including video nystagmography, which measures coordination and control over purposeful eye movements, vHIT, which measures the function of the balance nerve, and data-based balance measurement, which measures the brain's ability to coordinate multiple sensory inputs simultaneously. We use these tests to map the functions of the brain and nervous system, and to confirm whether the tailored neurological rehabilitation has had the desired effect on brain function. We are also one of the few clinics in Europe that can offer treatment of BPPV using the TRV chair.

Holistic approach

We perform a comprehensive assessment of brain dysfunction and adapt rehabilitation based on the weaknesses and dysfunctions revealed by the examination. Not just based on the symptoms you are experiencing.

Expertise

Our team has broad and long-standing experience in examining and tailoring neurological rehabilitation for people from all over Europe with complex dizziness conditions.

Reviews from the doctor list

Skilled and dedicated

I spent 2 years being evaluated by a number of doctors. No one knew what was wrong with me, but finally I found the miracle Kim Tore Johansen. After my first day at the clinic, he knew what needed to be done. I had post-concussion syndrome, basal migraines and cervicogenic headaches after a concussion with a whiplash injury. Finally I got some answers!

He clearly explained what the injury meant and the connection with the symptoms. Here you feel seen, heard and understood. He and his team give me treatment with unique exercises that work. I got before and after tests between treatments. Then you could see clear progress. With regular home exercises I got better endurance, less head fog, less headaches and the hallucinations disappeared.

I come from Nordland and the clinic in Kristiansand has good facilities for visitors. I get an intensive week when I come with follow-up and further progress plan. I always feel so safe and cared for that I don't want to leave the clinic. At the same time, it's good to have a plan to get home to.
Highly recommend Kim Tore!

Solid and knowledgeable throughout

I have struggled with headaches after a concussion in 2009. No one in the healthcare system has taken this seriously so far. Kim Tore Johansen and his assistants have taken me seriously. They are all very nice, accommodating, confident in what they practice and keen to have the patient in focus. I have been diagnosed with post-concussion syndrome (PCS) and I have undergone a thorough examination and training for home exercises. Among other things, I have struggled with almost daily headaches, discomfort and dizziness when driving, light and sound sensitivity, fatigue, impaired balance, back/neck pain, reduced tolerance to activity, reduced tolerance to stress. After examination, training with assistants and home training, the symptom pressure has changed and I feel much better. There is still a long way to go, but I have regained the belief that there is a positive future for me. I am eternally grateful. Kim Tore also calls between treatments and follows up with me via email.

Thanks for your help.

After 11 months of severe post-concussion syndrome and chronic neck problems, I contacted Kim Tore Johansen at Brain Camp, and quickly got an appointment and a course of treatment from him.

I had suffered 3 concussions with whiplash in the past 9 months, the last of which left me in very bad pain.

The symptoms included severe headaches, migraines, extreme dizziness and balance problems, vision and coordination difficulties, nausea, memory, concentration and speech difficulties, among others.

Kim Tore's course started with a very thorough form I had to fill out for history, course of the disease and symptom assessment, etc. He took this seriously and had clarifying questions for a complete overview, - it felt very reassuring.

I was then tested through a series of exercises to map out specifically where -I- was affected and needed training.

Kim reviewed the results with me, and had a thorough psychoeducation on what and how post concussion and whiplash are of a magnitude, and how it affects me specifically.

The course consists of hours of reviewing exercises, home training of the same, and follow-up tests and conversations.

Kim shows an enormously high and specialized knowledge of post-concussion and whiplash issues. Kim sees and understands important connections and micro-signals that I have not experienced in previous therapists with a similar background. He explains and adjusts exercises, which from time to time make an important difference, development and progress in the course of my illness.
Jar has full confidence and faith in his specialized abilities and expertise in the field and believes in becoming as healthy as possible, due to Kim's work and follow-up.

Serious - Pleasant - Competent - Up-to-date - Committed - Confident

The 14-year-old in the family suffered from an untreated concussion from Christmas 2020 until August 2021. We felt that our GP, neurologists and others were not taking what we thought were symptoms of a larger problem seriously. In the autumn of 2022, we desperately looked for alternatives and found Kim Tore and Brain Camp. The examinations done by Kim Tore and his staff are very thorough, and are followed up continuously while you are there. They developed a set of exercises to do when we got home.

We have been back several times in just over 3 years, and the results are sooo good. Every time we are there, the same careful tests are performed and new exercises are developed based on the latest tests. Now, just over 2 years later, the son is 18 years old and works full time in teaching. He has not finished with Kim Tore, but things are getting better and better. And the belief that it is possible to have both a full-time job and further studies has returned.

Excellent treatment effect

I came to Kim Tore Johansen after more than a year of persistent pain and great frustration, after having been to three other neurochiropractors. The previous therapists had overlooked my invisible symptoms and made excuses, while the pain got worse and worse.

However, Kim was different. Thanks to his data-driven approach, based on a variety of tests, we were able to uncover the causes of my ailments and understand why I felt the way I did. By combining manual techniques with the latest technology, I now have a significantly better everyday life and am much less limited by my neurological disorders. The dizziness disappeared, my balance returned, and the joy in everyday life.

Kim and the rest of the team at Brain Camp place a strong emphasis on home exercises, which are both cost-effective and allow patients to treat themselves between clinic visits. For periodic check-ups, I can travel to Kristiansand from the Oslo area to undergo tests, and then Kim puts together a new treatment plan that involves exercises I can do at home. The check-ups can then be repeated from anywhere between two and ten months, depending on how far I have progressed in treatment.

All in all, I would highly recommend Kim and Brain Camp Kristiansand. Their expertise and confidence have led to positive results.

Contact us

Fill out the contact form or contact us directly by email.

Or call us at:

+47 21 04 77 69

Visiting address:

Brain Camp
Vestre Strandgate 42
5th floor
4612 Kristiansand
Norway

kontakt@brain-camp.no
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