Assessment & Services Offered

Our vestibular clinic provides an integrated diagnostic pathway to evaluate dizziness and balance disorders:

• Clinical Vestibular Examination: Detailed bedside assessment including head impulse test, Dix–Hallpike manoeuvre and gait/balance testing.

• Videonystagmography (VNG) / Electronystagmography (ENG): Objective recording of eye movements to identify peripheral or central vestibular dysfunction.

• Video Head Impulse Test (vHIT): High-speed assessment of semicircular canal function for subtle vestibular deficits.

• Vestibular Evoked Myogenic Potentials (VEMP): Tests to evaluate otolith organ function and asymmetric vestibular responses.

• Posturography & Balance Testing: Assessing postural control and fall risk using force-plate or clinical balance measures.

• Hearing & Audiological Evaluation: Audiometry and tinnitus assessment to correlate cochlear and vestibular function.

• Imaging & Specialist Referral: Coordination for CT/MRI and neurology referral when central causes are suspected.

• Individualised Treatment Planning: Clear explanation of results and tailored plans including vestibular rehabilitation, medical therapy or procedural options.

When to Seek Assessment

Consult the vestibular clinic if you experience:

• Spinning sensation (vertigo), true dizziness or unsteadiness

• Falls, near-falls or progressive imbalance affecting daily activities

• Recurrent brief attacks triggered by head movements (suggesting BPPV)

• Hearing loss, tinnitus or fullness associated with vertigo (possible Meniere’s disease)

Causes may include benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere’s disease, ototoxicity, age-related decline in balance, neurological disorders and multisensory impairment. Our testing helps distinguish peripheral from central causes and directs the most effective therapy.

Next Steps & Care Pathway

After assessment, we recommend a personalised care plan based on diagnosis:

• BPPV Treatment: Canalith repositioning manoeuvres (Epley/Semont) performed in-clinic for immediate relief.

• Vestibular Rehabilitation: Tailored exercise programmes to improve gaze stability, balance and functional mobility.

• Medical Management: Short-term vestibular suppressants for acute symptoms, plus targeted treatment for underlying disease when indicated.

• Hearing & Tinnitus Support: Audiology collaboration for hearing loss, hearing aids or tinnitus counselling if required.

• Follow-up & Fall Prevention: Regular monitoring, home-safety advice and multidisciplinary input for older adults or high-risk patients.