These feelings can make you unsure of each next step. Will I fall? When will this stop? Vertigo, dizziness and balance disorders can leave you wanting to get off of the ride that’s happening in your own body.
When vertigo, dizziness and balance disorders have you feeling off balance, count on the experts at Cleveland Clinic to help. Our team includes specialists dedicated to finding the cause of — and the solution to — vertigo and balance disorders. At Cleveland Clinic, we work together to develop plans that keep you balanced and reduce your risk of falls.
Why choose us for vertigo and balance disorders care?
Skilled collaborative providers:
Our expert care team includes physicians, nurse practitioners, physician assistants, as well as vestibular audiologists and physical therapists. These providers have extra training and education in vestibular (inner ear) diagnostics and rehabilitation. Meet our team.
We get to know you to learn how dizziness affects your daily life. We never rush our thorough evaluation appointments.
We treat hundreds of people with vertigo and balance disorders each year. We’re experts in creating effective management plans that meet your health goals.
Our specialists focus on patient outcomes research. We follow up with the people we’ve treated to see how they’re doing. You can be confident that we offer options to help you manage vertigo and balance disorders.
Diagnosing vertigo and balance disorders at Cleveland Clinic
Vertigo, dizziness and balance problems can happen for many reasons. If you have sudden vertigo or dizziness, especially with a headache, call your doctor right away. Sudden vertigo could be a sign of stroke.
You might have vertigo or loss of balance because of a disturbance in your vestibular system (part of the inner ear responsible for balance) due to:
- Age-related changes.
- Ear conditions like tinnitus or Ménière’s disease.
- Headache or migraine.
- Medications you’re taking.
- Motion sickness.
- Neurologic conditions like Alzheimer’s disease or Parkinson’s disease.
Vertigo can also happen if you get up too quickly, causing a sudden change in your blood pressure. If you change positions too fast, you might experience benign paroxysmal positional vertigo (BPPV).
Our experts diagnose vertigo and balance disorders with a full evaluation. You may be asked to complete an online questionnaire before coming to our clinic for your appointment.
During your appointment, our specialists will:
- Take a thorough medical history.
- Review your online questionnaire.
- Examine your vestibular system, which may include a vestibular test battery.
- Check your balance and how you move and walk.
Our vestibular specialists (audiologists and physical therapists) work with healthcare providers to rule out growths, tumors or other system-related causes of vertigo and balance disorders. We recommend you to other specialists for evaluation if needed and talk with your primary care provider about what we learn.
Who Treat Vertigo and Balance Disorders
Vertigo treatment and balance disorders treatment at Cleveland Clinic
Our experts develop management plans that relieve dizziness and help you stand strong. We may recommend:
Medication management for vertigo and balance disorders
Some medications or taking too many drugs at the same time (polypharmacy) can cause vertigo and balance problems. Our experts safely wean you off medicines that may be contributing to balance issues.
Vestibular therapy for vertigo and balance disorders
Our physical therapists use specific exercises to improve your balance and reduce dizziness. We design a personalized vestibular rehabilitation program to address your unique needs.
Psychological therapy for vertigo and balance disorders
Vertigo and balance problems can make daily activities challenging and create stress. Our experts may recommend that you meet with a psychologist to learn techniques and strategies to manage these feelings, such as:
- Breathing exercises: We teach you how to use your breath to reduce stress and anxiety.
- Cognitive behavioral therapy: We help you change how you think about dizziness and balance problems. During cognitive behavioral therapy, we give you problem-solving skills you can use to feel more confident and in control.
- Grounding: We teach you to orient yourself to your physical space and how to distract yourself from dizziness.
Surgery for vertigo and balance disorders
Sometimes, medication changes and other therapies may not help. Cleveland Clinic surgeons in neurology and otolaryngology help relieve causes of vertigo and balance disorders with specialized surgical procedures, such as:
- Microvascular decompression: We relieve pressure in blood vessels affecting the ear’s nerves.
- Removal of growths or tumors: We remove benign growths on the nerves (acoustic neuroma) and structures of the ear (cholesteatoma).
Falls prevention therapy at Cleveland Clinic
Vertigo and dizziness can increase your risk of falling. Our falls prevention therapy specialists develop personalized exercise programs to help you move safely and confidently.
Taking the Next Step
Balance isn’t something many people think about. But when you experience dizziness, vertigo or balance disorders that make your world tilt, it can cause anxiety and stress. Our experts can help set your world right again and let you enjoy each day with confidence.
Getting an appointment with Cleveland Clinic’s vertigo experts is easy. We’re here to help you get the care you need.
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