Balance Testing

It’s not about dizziness or balance. It’s about wellness, navigating your
environment, and aging in comfort.

If you have dizziness, especially dizziness with movement, you are not alone. Statistics from the US National Institute of Health report dizziness/vertigo to be among the most common reasons for doctor visits.

There is much that can be done to reduce or treat dizziness symptoms in our office. 

We provide videonystagmography (VNG) testing to evaluate patients’ balance difficulties.  Testing is benign, well tolerated, and is scheduled for 2 hours. The first part of the evaluation is a comprehensive hearing evaluation, specifically looking for certain markers that suggest a dizziness or balance issue. 

This second portion is completed using special goggles that use cameras to record eye movement. Our eyes are connected to our inner ear balance system in a reflex pathway and by recording eye movement and analyzing, we can learn a lot about your balance system. This final portion is separated into three tasks:

  • Following a visual target with the eyes

  • Moving to different positions on a chair

  • Presenting cool and warm air into the ear canal

Each task evaluates a distinct physical structure or neural connections in the balance system and helps to determine which part of the system is likely being affected. Finally, the audiologist will determine what steps to take to improve this problem. 


What Can You Gain From This Testing?

Many problems causing dizziness or imbalance are easily treatable. An accurate assessment of the level of your balance/dizziness problem leads to less dizziness, decreased risk of falling and injuries, and maybe even better sports performance! 

At the end of the appropriate evaluations, your audiologist will review the results with you and if it is apparent that your symptoms can be treated by canalith repositioning treatment, your audiologist will complete the appropriate maneuver as determined by the test. Typically, a 3-4 day follow-up visit to check-in on symptoms is recommended.


How Our Balance System Works

The inner ear is the amazing system in our bodies that controls balance. Within this system, there is a small portion called the vestibule. The vestibule consists of gravity, linear, and angular-sensing organs.  These gravity-sensing organs use crystals of calcium carbonate to determine which way is up and which way is down! When these crystals become dislodged and migrate, this can cause dizziness and/or imbalance.

The inner ear is the amazing system in our bodies that controls balance. Within this system, there is a small portion called the vestibule. The vestibule consists of gravity, linear, and angular-sensing organs.

These gravity-sensing organs use crystals of calcium carbonate to determine which way is up and which way is down! When these crystals become dislodged and migrate, this can cause dizziness and/or imbalance.