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.