Balance and Dizziness

Everyone likes to feel steady on their feet, so why let vertigo affect that when most balance disorders can be successfully treated?

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Balance and Dizziness

Do you feel like your life is spinning out of control?

Vertigo, dizziness and unsteadiness can be deeply disruptive, but the encouraging news is that around 90% of balance disorders can be successfully treated once they are properly diagnosed. At Dr Tami Mehl Audiology we offer a comprehensive vestibular and equilibrium evaluation to pinpoint the exact cause of your symptoms.

We may work alongside other professionals, such as an ENT specialist or neurologist, and we use the latest technology, including computerised dynamic posturography and virtual reality therapy, to support both diagnosis and rehabilitation.

Our assessment

What you need to know about our assessments
  • They usually require approximately 3 hours of your time.
  • We conduct an extensive evaluation involving several professionals. The team usually includes an audiologist, ear nose and throat (ENT) specialist and/or a neurologist.
  • The assessment may leave you feeling slightly dizzy or off-balance, so it’s a good idea to arrange for someone else to drive you home afterwards.

  • Diagnostic hearing assessment
  • Posture and gait assessment (using Computerized Dynamic Posturography or CDP)
  • Positional and positioning assessment
  • Videonystagmography (VNG)
  • Auditory Brainstem Response (ABR) testing
  • Vestibular Evoked Myogenic Potentials (VEMPS)
  • Video Head-Impulse Test (vHIT)
  • Dynamic Visual Acuity (DVA) & Gaze Stabilization Test (GST)

FAQs

What are the signs of a balance or vestibular disorder?

Common signs include vertigo (a sense that the room is spinning), dizziness or lightheadedness when you move your head, and disequilibrium (feeling unsteady). If you experience two or more of these regularly, a vestibular and balance evaluation is worthwhile. Encouragingly, around 90% of balance disorders can be successfully treated once properly diagnosed.

What does a balance assessment involve?

A balance assessment may include a diagnostic hearing test, computerised dynamic posturography, positional testing, Videonystagmography (VNG) with caloric testing, Auditory Brainstem Response, Vestibular Evoked Myogenic Potentials (VEMP), the Video Head-Impulse Test (vHIT), and dynamic visual acuity and gaze stabilisation testing.

How long does a balance (VNG) assessment take?

A full vestibular assessment, including VNG, typically requires about three hours. Because the evaluation can leave you feeling slightly dizzy afterwards, it is a good idea to arrange for someone to drive you home.

Do I need to prepare for a VNG test?

Yes. You will be given specific preparation instructions, which generally include avoiding certain medications, alcohol and caffeine beforehand, as these can affect the results. Set aside roughly three hours and arrange a lift home.

What is vestibular rehabilitation therapy?

Vestibular rehabilitation therapy (VRT) is a specialised, exercise-based programme designed to reduce vertigo, dizziness, gaze instability, imbalance and fall risk. At Dr Tami Mehl Audiology this is supported by computerised dynamic posturography and virtual reality therapy.

What causes vertigo and dizziness?

Vertigo and dizziness most often arise from the inner ear, the balance nerves or central (brain) causes. Other contributors can include medical disorders, infections, anaemia, diabetes, psychiatric conditions or some medications. The exact reason can only be determined through a thorough vestibular evaluation.