For many, understanding the root of their vertigo or imbalance may also unveil underlying auditory issues.

Managing Balance Disorders: When Falls Can Be Fatal and Vertigo Takes Control

by | Sep 29, 2023 | Balance, Patient Resources

Hearing loss and balance disorders often travel hand in hand. For many, understanding the root of their vertigo or imbalance may also unveil underlying auditory issues.

But what is the science that connects these two?

A Deep Dive Into the Inner Ear

To unravel this mystery, let’s embark on a microscopic journey through the ear canal, surpassing the eardrum and delving into the intricacies of the inner ear.

Here, nestled in the bony labyrinth of the inner ear, are two vital components: the cochlea and the vestibular system.

Cochlea: The Maestro of Sound


Acting as our body's sound mechanism, the cochlea efficiently captures vibrations from the eardrum, passing through the ossicle bones.

These vibrations are then transformed into electrical impulses and transmitted to the brain, which interprets them as sounds. In essence, the cochlea is our gateway to the world of sound.

Vestibular System: The Guardian of Balance


Balance, our unsung hero that keeps us upright and stable, owes its precision to the vestibular system. This system, comprising three canals and two sacs, constantly updates the brain on its orientation and motion.

From the tilt of our heads to the speed of our turns, it ensures our world doesn’t spin out of control.

Are Hearing and Balance Interconnected?

Given their close quarters in the inner ear, it’s tempting to believe that any ailment plaguing one would affect the other. However, this isn’t the case.

  1. Noise-Induced Hearing Loss: Loud noises can damage the hair cells within the cochlea, hindering sound interpretation. While this affects our auditory faculties, our balance remains untouched.
  2. BPPV: Known formally as benign paroxysmal positional vertigo, BPPV induces sudden dizzy spells. The cause? Displaced otoconia crystals within the vestibular sacs disrupt fluid flow, leading to confusion for the brain regarding balance. However, BPPV doesn’t impair hearing.
  3. Meniere’s Disease: Here lies the overlap. In Meniere’s disease, excess fluid in the inner ear disrupts both the hearing and balance systems. Consequently, the brain receives flawed information on both fronts, leading to impaired hearing and balance challenges.

Seeking Balance in a Topsy-Turvy World

If you or someone you care about is grappling with balance disorders, it’s crucial to not dismiss it as just another passing phase. Balance disorders, especially when accompanied by hearing loss, require a comprehensive diagnosis.

A comprehensive diagnosis should include a hearing assessment, a medical evaluation, and therapeutic interventions.

Hearing Assessment: Begin with a thorough hearing test. This not only pinpoints potential auditory issues but can also provide insight into underlying balance disorders.

Medical Evaluation: If the balance challenges persist, consider an evaluation by an ENT specialist. They can diagnose and provide tailored treatment options.

Therapeutic Interventions: From vestibular rehabilitation therapy to medications, several solutions can help manage and mitigate the effects of balance disorders.

Taking Control of Your Hearing Challenge

Life can be challenging when balance disorders like vertigo take the reins. But with the right knowledge, care, and intervention, you can regain stability and stride forward confidently.

Remember, every step counts, and understanding the link between your hearing and balance is the first step toward a steadier future.

If you’re looking for support with the myriad symptoms that can accompany a hearing challenge, don’t hesitate to reach out to us for more information. If you’d like to find your local office, visit our contact page here. Or you can request a callback and a member of our team will be happy to call you.

Take control today

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Nathan Griffin, Au.D

Au.D. - Doctor of Audiology Dr. Nathan K. Griffin is a clinical audiologist from Southeast Texas who completed both his Bachelors in Speech and Hearing Sciences and his Doctorate of Audiology at Lamar University in Beaumont, Texas. Dr. Griffin completed his fourth-year residency in East Tennessee at an ENT office where he was able to become proficient in his clinical skills. He joined the Hearing and Balance clinic in 2021 and serves the patients in Watkinsville, Lavonia, and Loganville. Dr. Griffin is a licensed Audiologist in the state of Georgia. He hold membership in the American Speech and Hearing Association (ASHA) and the Georgia Academy of Audiology (GAA). He is certified as a Center of Specialty Care with American Institute of Balance (AIB) and received certifications from the International Auditory Processing Disorder Institute. His experience in the field ranges from medical settings to private practices. Dr. Griffin has experience working with patients of all ages. He is proficient in comprehensive audiometric evaluations for both adult and pediatric patients, auditory processing disorder evaluations and therapy, vestibular diagnostics, hearing aid evaluations, hearing aid fittings, and hearing aid follow-up care utilizing best practices.