Specializing in Dizziness & Fall Prevention
David K. Fletcher, M.D., P.A.
816 South Fleishel
Tyler, TX 75701
Phone: 903-592-2999 / Fax: 903-595-0866
email: lkaminski@neurocare.org


Are you dizzy, unsteady, or afraid of falling?

Everyone has experienced a momentary feeling of faintness or light-headedness. When that sensation recurs often or is accompanied by the sensation of violent spinning, it can make your life miserable. Your symptoms may include:

* Unsteadiness when walking
* Facial weakness or numbness
* Ringing in your ears
* Loss of coordination
* Hearing loss


Constant dizziness can make it difficult to concentrate or remember things. Reading or writing for business or pleasure may become difficult. Joining in activites outside of your home may be hampered by unsteadiness. You may even be concerned that your faltering footsteps may be misinterpreted as the result of intoxication.

Sometimes you are not dizzy and there is no spinning or vertigo but you stagger or misstep and can't walk in a straight line.

Unbalance can also take away your confidence within your own home, making you afraid to move without the assistance of friends or family.


The loss of independence can be frustrating and make you irritable.

Renew and reinforce your independence. A fall prevention program can help fortify your independence. The American Academy of Orthopedic Surgeons estimates that 30-40% of all falls can be prevented.


Our fall prevention program involves an interdisciplinary team of health care professionals to help you prevent falls. The team specializes in the complexities of the balance system. They know what to test and how to assist you with a program that will lessen or eliminate your symptoms. Under the direction of a physician, they will perform tests on the four areas that affect your sense of balance:

* Vision
* Nervous System
* Muscles and Joints (musculo-skeletal)
* Inner Ear (Vestibular)

Some of the tests assess multiple areas. For example, information about the interrelationship of your visual, inner ear and muscle and joint functions may be obtained using CDP (Computer Dynamic Posturography).

Other tests assess individual arts of the balance system. We may use VENG (Video Electronystagmography) to record and analyze eye movements to help us evaluate inner ear funtion or hearing test to check for hearing loss. We will evaluate your flexibility, strength and functional abilities to give us information about your muscles and joints.


Our goal is to help you be as safe and independent as possible!

Your primary care physician will always be notified of test results to ensure continuity of care during and after completion of our program.

Our fall prevention treatment and rehabilitation programs take into account your medical condition, lifestyle and individual needs. Prescribed therapy often includes exercises or physical therapy to improve your balance and decrease your chances of falling.

Your environment and activities may also be evaluated. We will show you how to reduce the risk of falling while in your home or performing daily tasks.

Our fall prevention program can provide you with the most comprehensive services possible. If you feel that you would benefit from our specialized treatment program, contact your primary care physicans office and request a referral to us.

Or, call us direct. A referral from your primary physician is preferred, but not required to participate in our program. Please ask if you would like us to assist you in the referral process.


"30-40% of all falls can be prevented."
(The American Academy of Orthopedic Surgeons)

Ask about a free Fall Prevention Computerized Screening Test!

We are professionals who specialize
in the diagnosis, treatment and care
of balance disorders.
We work together to help you prevent falls.


To make an appointment, please contact:

The Back to Balance Center
816 South Fleishel
Tyler, TX 75701
Phone: 903-592-2999 / Fax: 903-595-0866
email: lkaminski@neurocare.org


Map to the Back to Balance Center:

Sign in front: