To establish the cause of your symptoms and to determine appropriate treatment your doctor is likely to order one or more of the following tests:

  • Hearing Evaluation – A complete hearing evaluation will be administered to determine if middle or inner ear disorders exist which may explain the cause of the balance disorder.
  • VNG (video nystagmography) – Is a series of tests that record eye movements in relationship to moving and static targets.
  • Dix-Hallpike maneuver – Your audiologist will use this maneuver to determine if vertigo is evoked from specific head movements.
  • Caloric Testing – Eye movements are recorded in response to warm and cool air being introduced to each ear one at a time. The recordings will confirm that your vestibular system for each ear is working and responding to stimulation.
  • Imaging tests – Magnetic resonance imaging (MRI) or computerized tomography (CT) scans are often ordered to determine if brain conditions may be causing your balance problem.

Treatment options include:

  • Repositioning Therapy – Three maneuvers are used to treat BPPV: 1) Brandt-Daroff exercises, 2) CRT, and 3) Liberatory maneuver. Your audiologist will recommend which is best for you. He may perform a maneuver in office and/or send you instructions for exercises to do at home.
  • Vestibular rehabilitation – Program consisting of a group of exercises designed to facilitate recovery from specific balance disorders.
  • Medications – Some medications may help manage balance problems.
  • Diet and lifestyle changes – Diet and lifestyle changes may help some people with balance problems. Reducing salt, caffeine, alcohol, nicotine and chocolate from your diet may improve your symptoms.

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