Hi @njh I have imbalance issues as well and found physical therapy and neuroplasticity to be very helpful. PT had me do the same exercises plus practice walking backwards and forward. Besides using stairs I also did exercises with a stepper as used in step aerobics. Because of my imbalance I was in a wheel chair at first but slowly after practicing neuroplasticity I am now using a quad cane. An uneven surface such as a lawn is very difficult for me but everyday I walk( with the quad cane) in my backyard which has inclines and declines, very challenging. I find the walks have become easier. I plan to continue improving my balance through neuroplasticity. Part of my imbalance issues are from double vision( i.e. diplopia or strabismus). I will be having the corrective eye surgery in the coming new year. I also believe in neuroplasticity. Keep practicing balance exercises for your brain to relearn. Perseverance will lead to improvement. Don’t give up! Wish you well.