Balance disorder symptoms can be placed in two classifications:

• Motion Intolerance. Dizziness and vertigo sometimes occur after rapid head movements or turning too quickly, which can lead to feelings of nausea. These symptoms can come and go quickly or continue for several hours at a time.
• Imbalance or Unsteadiness. This class of symptoms involves difficulty walking as well as issues of imbalance or unsteadiness related to any kind of upright movement.

Balance testing helps identify which of the three systems related to balance is no longer working properly or identifies coordination issues between these systems.

Although there is no point in cramming for a balance test, there are certain guidelines to follow in preparation for your balance test, including:

• Avoid drinking alcohol during the immediate 24 hours before your balance test.
• Please refrain from wearing mascara, eyeliner, or facial lotion when you come to the clinic.
• Try to arrive 15 minutes before your appointment time so you can relax and get settled in before testing begins.

Many private health insurance companies, including Medicare, Medicaid, and V.A., cover all or portions of balance testing.

Depending on the condition, its severity, and the treatment used, some can see improvements within three to four short treatments.

VRT, or vestibular rehabilitation therapy, involves a series of exercises designed to help decrease your symptoms of dizziness and vertigo as well as protect you against balance-related falls. In addition, adjusting your diet, lifestyle, and participating in various activities also help prevent or limit the number or intensity of certain balance disorder episodes.

Treatment for balance disorders depends on the cause. Options include medications, physical therapy like vestibular rehabilitation, and procedures such as canalith repositioning for BPPV. Lifestyle changes and specialized therapies can also help manage symptoms.

Balance disorders can be linked to various medical conditions including inner ear infections, migraines, cardiovascular issues, and neurological disorders. Some medications can also affect balance. During your evaluation, we'll review your complete medical history and current medications to identify any potential connections that could be contributing to your symptoms.

If you experience sudden, severe dizziness or vertigo, find a safe place to sit or lie down immediately to prevent falls. Note any triggers or accompanying symptoms, as this information helps with diagnosis. While some episodes may pass quickly, persistent or severe symptoms warrant immediate medical attention, especially if accompanied by other symptoms like severe headache, difficulty speaking, or weakness.

Making your environment safer is crucial when managing a balance disorder. We recommend removing tripping hazards like loose rugs, ensuring adequate lighting, installing handrails in bathrooms and stairways, and using nightlights. Keep frequently used items within easy reach, and consider using assistive devices when recommended. During episodes of dizziness, move slowly and avoid sudden head movements. Regular exercise programs focused on strength and balance can also help reduce fall risk when done under proper supervision.