Dizziness and balance problems are evaluated and treated in our office. The sense of balance is controlled by a complex relationship between the central nervous system, inner ears, eyes, joints, muscles and sensory receptors. A variety of problems may arise to cause loss of balance, dizziness or vertigo. Several steps are involved in diagnosing balance problems. A thorough history, medical examination and hearing evaluation are required. 
Dr. Jones may request further tests to help diagnose the problem: electronystagmography (ENG), Auditory Brainstem Response (ABR), Magnetic Resonance Imaging (MRI), or Computorize Tomography Scan (CT).

The ENG is performed in our office by the Audiologist. This test is divided into three sections evaluating eye movements responding to a stimulus, inner ear function in response to head and body orientation, and calorics. Calorics stimulates each inner ear separately by slightly cooling down and and warming up the ear via water irrigation. Its a simple procedure which helps determine whether each inner ear is responding similarly to the same stimulus. The ENG usually takes a little more than one hour to complete.

The ABR, also performed by the Audiologist, measures the neural integrity of the auditory pathway to the brain. It involves quietly listening to a noise while relaxing. If the nerves from the ear to the brain are not responding properly, an MRI or CT may be ordered. These results are used to visually detect abnormalities of the head and brain.

Treatment, depending on the diagnosis, may include medications. One treatment for balance problems may be vestibular rehabilitation. This involves simple exercises designed to help the patient regain balance. Patients are encouraged to perform these exercises at home and return to our office to monitor their progress.