Pang Physical Therapy

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Mobile PT Therapy | Expert Physical Therapy for Headaches, Concussions & Vestibular Disorders in San Diego

Pang Physical Therapy offers expert PT therapy for headaches, concussions & vestibular disorders, providing personalized PT care in your home.

04/24/2026

Pioneered by OTs, sensory strategies are a great way to manage anxiety around headaches and dizziness.

Once only seen in pediatric populations, these strategies are becoming increasingly more utilized for adults.

Fidget toys are a great example. I use them regularly in my practice to help modulate the nervous system and stress responses.

Listen to the whole episode! Link in bio

04/23/2026

Thank you for having me!

Always love educating people on vestibular therapy!

In this video, I demonstrate my standard operating procedure for BPPV testing.

I prefer sidelying variations - mostly because it's more flexible and can be comfortably done on a couch since I'm mobile.

Thank you to for being my demo patient!

What are your preferred maneuvers for BPPV? Comment below!

04/22/2026

A critical concept in migraine care is threshold theory.

Migraine disorder often involves triggers that precipitate an attack. Examples include bright lights, poor sleep, or even weather changes.

But triggers don't always consistently cause an attack. There actually isn't a direct 1 to 1 relationship. Instead, it's the stacking of triggers. Once a certain threshold is reached, then an attack occurs.

That's why one day a bright light could trigger an attack and not so much on another day. It's the piling of triggers that matter. For example, with poor sleep a bright light becomes much more likely to cause an attack.

Effective treatment is built around raising your threshold and building resilience in the system!

Listen to the whole episode. Link in bio!

New episode alert! 🔗 Link in bio!
04/21/2026

New episode alert!

🔗 Link in bio!

Deeply inspired by Thich Nhat Han's Gathas, "Mindful Moments" are a great way to regulate the nervous system and tap int...
04/20/2026

Deeply inspired by Thich Nhat Han's Gathas, "Mindful Moments" are a great way to regulate the nervous system and tap into our inherent resilience.

These short mantras are paired with routine daily activities, making even the smallest actions an opportunity for well-being.

Examples include:

Brushing your teeth
Turning off a light
Opening the fridge.

Simply take a moment to silently recite the verse with the paired task. These images can also be printed out and pasted around the house as a gentle reminder.

This will be an ongoing series. I'll have a Google album dedicated to this concept.

If you'd like to have access to these images, just comment MINDFUL and I'll send you the album link.

04/17/2026

PPPD patients often report a feeling of being "off"

And that's because they often are! With otolith dysfunction, a person's sense of midline gets skewed.

Simple tests include sit to stands eyes closed, sustained head tilts on a slang board, and of course a Subjective Visual Vertical bucket test!

To dive deeper into otolith dysfunction be sure to check out courses!

04/17/2026

Vestibular Evoked Myogenic Potentials (VEMPs) are the clinical gold standard for assessing otolith dysfunction.

But VEMP tests have become largely unavailable due to decreasing insurance reimbursements.

With the right clinical skills however, vestibular therapists are still able to capture otolith dysfunction upon physical examination.

This just illustrates the power of performing physical tests in real space. Tests that are tied to actual physical movement and function.

The subjective visual vertical bucket is a great example! 🪣

Wanna learn more?

Listen to the whole episode! Link in bio!

04/15/2026

Sight & vision are not the same! 👀

Think of sight like the hardware of a camera. Are there cataracts? Astigmatism? Is the eye structurally intact?

Vision is how your eyes and brain work together to ultimately produce what you see.

Eye movements need to be coordinated properly. And the image from each eye needs to be integrated in the brain so you only see one image!

That's why people can have a "normal" eye exam but still have visual complaints!

Luckily the visual system is trainable with tools like

A Marsden Ball for visual tracking
A 3 dot card for convergence insufficiency
A remy separator for divergence insufficiency & anti suppression.

Want to learn more about the systems involved in headaches & dizziness?

📚 Download my free Pocketbook Guide! Link in bio!

04/15/2026

What are some common pitfalls when it comes to treating 3PD in vestibular rehab?

1) Not looking at the otoliths. Studies are now suggesting up to 60% of those living with 3PD have otolith dysfunctions. By ignoring the otoliths, we leave a lot on the table.

2) Jumping to visual motion sensitivity training too fast. It's hard to build a resilient system on a faulty foundation. Just because 3PD is a central disorder, doesn't mean they can't ALSO have peripheral deficits.

A thorough evaluation that includes assessing the otoliths is key to better outcomes!

Want to learn more? Listen to the whole episode!

🔗 Link in bio!

📣 New episode alert!Persistent postural perceptual disorder (PPPD) is a vestibular disorder characterized by chronic non...
04/13/2026

📣 New episode alert!

Persistent postural perceptual disorder (PPPD) is a vestibular disorder characterized by chronic non-spinning dizziness lasting 3 months or more.

While responsive to vestibular therapy, there's a piece that often goes unaddressed. And that is the OTOLITHS.

The otoliths are two sense organs in your inner that help detect linear movements. Vertical movements can include riding an elevator and horizontal can include sitting in a moving car.

Recent studies indicate a large portion of people living with PPPD have otolith dysfunction.

Check out the whole episode with to learn more!

🔗 Link in bio!

🌝 Y'all have no idea how much I paid for this billboard...Join SD Healthcare Preneurs - a network exclusively for licens...
04/13/2026

🌝 Y'all have no idea how much I paid for this billboard...

Join SD Healthcare Preneurs - a network exclusively for licensed healthcare providers in greater San Diego.

Our digital hub on Discord makes collaboration easy and is FREE to join. It's also a great way to build community and exchange business tips!

Current members include:
- A Brain Injury physician
- A Neuro PT specializing in Parkinson's
- a Pelvic Health PT
- an Ortho PT
- a Massage Therapist
- and yours truly, a Vestibular Therapist.

Entrepreneurship is rewarding but can also be incredibly lonely. Don't be on an island and find community here!

📨DM to join and I'll send you an invite link





04/10/2026

🚩Lateral Gaze Evoked Down Beating Nystagmus

End range lateral physiological nystagmus CAN be normal with oculomotor end ranges. But a down beating nystagmus is a clear central sign.

Central meaning that a patient's dizziness is likely coming from the central nervous system, ie brain, as opposed to the inner ear.

This patient had been cleared for vestibular rehab but if he wasn't, this would've been a clear referral to neurology or neuro-otology.

👉 Follow this account for more nystagmus videos and vestibular content!

Address

San Diego, CA

Opening Hours

Monday 10am - 4pm
Tuesday 10am - 4pm
Thursday 10am - 4am
Friday 10am - 4pm

Telephone

+14084617676

Website

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