Balance
WELCOME TO OUR BALANCE CLINIC IN HARROW
At our vestibular clinic, we specialize in diagnosing and treating disorders related to the vestibular system. Whether you need vestibular function testing in Pinner or vertigo testing in Watford, the team of specialists at our hearing clinic in Harrow is here to help. Contact us today to discuss your specific requirements.
What is the Vestibular System?
The vestibular system is a complex network of structures within the inner ear that plays a crucial role in maintaining our sense of balance and spatial orientation. When the vestibular system malfunctions, it can lead to various balance disorders and related symptoms.
Ear balance, also known as vestibular balance, refers to the ability of our body to maintain stability and equilibrium. It is a complex interplay between the inner ear, eyes, and the brain. The inner ear contains tiny structures called semicircular canals and otolith organs, which detect changes in head position and movement. These signals are then sent to the brain to help us maintain balance.
Signs And/Or Symptoms Of Vestibular Disorders:
Common Vestibular Disorder
Benign Paroxysmal Positional Vertigo (BPPV)
BPPV is a common vestibular disorder characterized by brief episodes of intense vertigo triggered by specific head movements. It occurs when tiny calcium crystals in the inner ear, known as otoliths, become dislodged and float into the semicircular canals, disrupting the normal flow of fluid. BPPV can be effectively treated through repositioning maneuvers that help move the displaced crystals out of the affected canals.
Meniere's Disease
Is a chronic disorder that affects the inner ear and is characterized by recurring episodes of vertigo, fluctuating hearing loss, tinnitus (ringing in the ears), and a feeling of fullness or pressure in the affected ear. The exact cause of Meniere's disease is unknown, but it is believed to involve an abnormal buildup of fluid in the inner ear.
Vestibular Neuritis
Vestibular neuritis is an inflammation of the vestibular nerve, usually caused by a viral infection. It leads to sudden and severe vertigo, dizziness, imbalance, and difficulty with coordination. The onset is typically acute and may be accompanied by nausea and vomiting. The condition usually resolves on its own within a few weeks, but medications and vestibular rehabilitation can help manage symptoms during recovery
Labyrinthitis
Labyrinthitis is an inflammation of the inner ear that can result from viral or bacterial infections. It leads to sudden onset vertigo, hearing loss, and a sensation of fullness or pressure in the ear. Labyrinthitis often follows an upper respiratory tract infection. Treatment may include medication to manage symptoms, antibiotics if a bacterial infection is present, and vestibular rehabilitation
Vestibular Migraine
Vestibular migraine is a type of migraine that involves recurrent episodes of vertigo or dizziness along with headache. The exact cause of vestibular migraine is not fully understood, but it is believed to involve abnormal activity in the brain's vestibular system. Treatment may include medication to prevent migraines, lifestyle changes, and vestibular rehabilitation
Acoustic Neuroma
Also known as vestibular schwannoma, is a noncancerous tumor that develops on the vestibular nerve. As the tumor grows, it can affect the balance and hearing functions of the affected ear, leading to symptoms such as dizziness, hearing loss, tinnitus, and imbalance.
Trauma
Can result in disruption or damage to the vestibular system, leading to balance problems. Common causes of trauma include head injuries, falls, or accidents. Traumatic injury to the inner ear can cause a range of symptoms, including vertigo, dizziness, imbalance, and hearing loss. Depending on the severity and nature of the trauma, the vestibular symptoms can vary from mild to severe. Treatment for trauma-related ear balance issues may involve a combination of medication, physical therapy, and vestibular rehabilitation to promote recovery and regain balance function.
Ototoxic Medication
Certain medications can have adverse effects on the inner ear, leading to balance problems and hearing disturbances. These medications are known as ototoxic drugs. Ototoxic drugs may include certain antibiotics (such as aminoglycosides), chemotherapy drugs, nonsteroidal anti-inflammatory drugs (NSAIDs), and some diuretics. The vestibular system can be affected by these medications, resulting in symptoms like vertigo, dizziness, and imbalance.
Superior Canal Dehiscence Syndrome
Is a rare condition that affects the inner ear. It is characterized by a defect or absence of the bone covering the superior semicircular canal. This opening in the bone can lead to abnormal communication between the inner ear and surrounding structures
Persistent Postural-Perceptual Dizziness (PPPD)
Is a condition characterized by persistent dizziness or unsteadiness that may last for several months or even years. The condition often develops after an initial vestibular event, such as vestibular migraine, BPPV, or a viral infection. PPPD is characterized by a combination of non-specific symptoms, including dizziness, unsteadiness, brain fog, and visual disturbances. It is thought to involve central nervous system processing and integration of sensory inputs. Treatment for PPPD may involve a multidisciplinary approach, including medication, vestibular rehabilitation, cognitive-behavioral therapy, and education on strategies to manage symptoms and improve daily functioning.
Vestibular Examination: Comprehensive Examimation For Balance Disorders
Conveniently located in Harrow, the experts at our balance clinic offer a range of examinations to evaluate and diagnose vestibular disorders including vertigo testing, trauma, migraine testing, and more. Our dedicated team of specialists utilizes advanced diagnostic techniques to assess the function of the vestibular system and provide personalized treatment plans. If you’re looking for the leading balance clinic serving Watford and the surrounding area, then you’re in the right place. Some of the key examinations commonly performed during a vestibular function assessment include:
Clinical History and Physical Examination
Our audiologist will begin by taking a detailed clinical history to understand your symptoms, medical background, and any factors that may contribute to your balance issues.
Otoscopy
Audiologist will examine your ears using an otoscope or microscope to evaluate the condition and determine if microsuction is required.
Tympanometry
Is a test that measures the movement of the eardrum in response to changes in air pressure. During this test, a probe is placed in the ear, and changes in air pressure are applied.
Pure Tone Audiometry
Is a hearing test that measures your ability to hear different tones and frequencies. It helps identify any hearing loss or abnormalities in the auditory system that may be contributing to your balance issues. This test involves wearing headphones and responding to tones by pressing a button or raising your hand.
Video Head Impulse Test (vHIT)
Is a quick and accurate test used to assess the function of the vestibulo-ocular reflex. It measures the eye movements in response to rapid head movements. By examining the eye's ability to accurately track a target, this test can detect any abnormalities in the vestibular system of the 6 semicircular canals.
Vestibular Evoked Myogenic Potentials (VEMPs)
Are a group of tests that evaluate specific reflexes of the inner ear and neck muscles in response to sound or vibration stimulation. Cervical VEMPs (cVEMPs) assess the functioning of the saccule, a part of the inner ear involved in detecting vertical head movements. Ocular VEMPs (oVEMPs) evaluate the function of the utricle, another part of the inner ear involved in detecting horizontal head movements. These tests are performed by applying sounds or vibrations and measuring muscle responses typically in the neck or around the eyes.
Videonystagmography (VNG)
VNG is a non-invasive test that measures eye movements to evaluate the function of the vestibular system. It involves tracking eye movements in response to various stimuli, such as visual tracking, positional changes, and cold or warm air stimulation to the inner ear.
Caloric Testing
Is a diagnostic procedure that assesses the function of each inner ear separately. It involves the irrigation of warm or cool air or water into the ear canal to stimulate the vestibular system. By monitoring eye movements in response to these temperature changes, the clinician can evaluate the strength of the vestibular response in each ear.
Vestibular Examination Fees:
£900
Vestibular Function tests: includes PTA, tympanometry, VHIT, VEMPS and VNG
Vestibular Examination Fees:
£1100
Full Vestibular investigation: includes PTA, tympanometry, VHIT, VEMPS and VNG plus caloric testing
Book Your Vestibular Function Test in Pinner Today
We know just how much of an impact any balance disorder can have on your daily life. With decades of combined experience, the team at our balance clinic in Harrow is here to help find solutions specifically designed for your requirements. Whether you need vertigo testing in Watford or vestibular function testing in Pinner, then please don’t hesitate to contact the team at The Ear Clinic today to book your appointment and discuss your requirements.
Frequented Asked Questions:
What is dizziness?
Dizziness is a term used to describe a range of sensations, including lightheadedness, unsteadiness, and a spinning feeling. It can be caused by various factors, including inner ear issues, dehydration, or underlying medical conditions.
What are the common causes of dizziness?
Dizziness can be caused by conditions such as inner ear disorders, low blood pressure, dehydration, neurology or cardiovascular causes. Identifying the underlying cause is essential for effective management.
Can stress or anxiety cause dizziness?
Can stress or anxiety cause dizziness?
Yes, stress and anxiety can contribute to feelings of dizziness. Managing stress through relaxation techniques, exercise, and therapy may help alleviate symptoms.
Are there specific exercises to improve balance and reduce dizziness?
Vestibular exercises can be recommended by an Audiologist or physical therapist, can help improve stability and reduce dizziness after been properly tested by an Audiologist.
Can dizziness be a sign of a serious medical condition?
In some cases, dizziness can be a symptom of a serious medical condition such as a cardiovascular problem or neurological disorder. Seeking prompt medical attention is crucial for accurate diagnosis and treatment.
Is dizziness more common in certain age groups?
Dizziness can affect people of all ages, but it may be more common in older adults due to factors like changes in balance, medication use, and age-related health conditions.
How long does a vestibular examination take?
The duration of the examination varies depending on the specific tests performed. It can range from 1 to maximum 2 hours. Your Audiologist will provide more details based on your individual case.
What conditions can a vestibular examination help diagnose?
Vestibular examinations can help diagnose various conditions, including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere's disease, and other disorders affecting the vestibular system.
Will the vestibular examination be uncomfortable or painful?
The tests are generally non-invasive and not painful. However, some tests may induce temporary dizziness or discomfort. Inform your Audiologist if you have concerns or pre-existing conditions.