buy indomethacin 50mg on line zocor information alcohol buy viagra from thailand online buy aciclovir canada yasmine galenorn website order elocon viagra sold in the usa canada viagra cheap omnicef side effects rash synthroid dosages viagra bangkok online zestril 10 mg side effects norvasc and pregnancy complicationsnosipren viagra for sale professional drug stores online usa apetamin cyproheptadine syrup do they sell trazadone over the counter generic propecia 2012 florinef 0.1 mg for dogs doxycycline next day delivery cephalexin monohydrate keflex ketazol venezuela newspapers lasixs water pill dosages ntpharma nolvadex review cytoxan chemotherapy and lupus no prescription pharmacy 5mg cialis como comprar orlistat em miami doxitab 100mg clomid mobicox 15 mg boehringer fentanyl citrate mechanism of action arthritis pain relief medicine taladifil without a script spiriva handihaler capsules supreme suppliers cialis generic lipitor no prescription buy cialis 40 mg in toronto aleve ingredients drug effexor no rx canada cheap propecia lowest price cialis 20mg avapro 150 mg tablet celebrex generic brand name pletal medication information atrovent nasal spray dose provera 10mg online no prescription contrave diet pill where to buy macrodantin antibiotic dosage i need viagra overnight delivery aviane reviews polipos no utero viagra pills 100 mg walmart valtrex herpes transmission venlafaxine side effects 150mg tramadol sin recetas antidote to tadalafil actos pioglitazone 15mg buy zithromax using papal gumigem usa solupred 20 mg prednisolone ma©dicament avodart sale vente cialis au canada magnesium deficiency treatment www viagraonlinepharmacyusa pentrexyl ampicillin used ampicillin side effects yeast infection rx order support colchicine to buy terramycin for chickens viagra for women names buy methocarbamol domperidone canada no prescription clomid side effects for men propecia 1 or 5 orderpharma coupon suzy warfarin and alcohol interaction deltasone common side effects swift current online nautisol 5mg ambien over counter anxiety pill adderall xr side effects in women omifin embarazo de gemelos probabilidadomnicef supreme suppliers in india generique du cialis 5mg maxifort 50 mg cefovex 500 internal server metformin hydrochloride side effects cytotec for sale cabaser vs dostinex buy mylan doxycycline bonadoxina pfizer dosis pastillas para dormir protonix vs nexium drug cleocin t gel 1 medrol dose pack dosage for asthma ampicillin for dogs doses flappy bird primatene taken off the market canadian pharmacy price check minoxidil topical solution for men buy warfarin online no prescription nimesulide 100mg prospect amazon vancouver viagra cheapest propecia tablets amitriptyline buy online in uk diazepam for dogs drugs cooper pharma manly claritin ingredients allergy ventolin without prescription canada carafate for dogs drugscardinal where can i buy tadalafil content analysis in research cialis fast delivery in 3 days terbinafine 250mg tablets reviews clonazepam no prescription overnight flazol medicine shoppe grifulvin v 500mg information on leukemia doxycycline for dogs dosage depomedrol injection side effects toradol online no rx xanax dosage for anxiety septra antibiotic uses arthrotec medication side effects apo prednisone without prescription tegretol side effects drug information plant vigra wholesale generic viagra cialis package vigrx plus in uk amoxil side effects dose prevacid shortage xanax and alcohol effects accutane in mexico subliminal viagra clenbuterol cycle dosage side effects la pastilla diclofenaco para que sirve lidocaine and prilocaine cream 2.5 2.5 order gabapentin online uk xatral od price aldactone medication for hair loss cialis cost walmart polarmeds complaints against companies nj cialis medication interactions allegra side effects and weight gain i wanna buy a primatene mist inhaler leukeran for dogs which is trust website to buy viagra natural fertility pills for twins ketorolac eye drops for cataract surgery levitra bestellen ohne rezept where to purchase alli cheapest unprescribed clomid propecia tablets viagra in bangalore price cheapest kamagra uk fosamax 70mg medication lexapro dosage kamagra uk next day delivery paypal 306 maxifort zimax pills 100 mg sedanafil for sale trappe tavern doxepin medication for sleep euro pharmacy famvir 500mg treatment famciclovir 500 india online pharmacy tramadol buy kamagra in soho amerimedrx coupon pravachol 40mg tab albendazole 400mg advair diskus coupon printable viagra preise deutschland clenbuterol for sale in canada unisom overdose suicide order cheap periactin online strattera coupons from lilly dermizol crema de zahar levothroid inactive ingredients where can i find pile x oil minocycline side effects antibiotic discover card login online account pfizer news 2015 allpills complaints board scabies ciproflox best online pharmacy for generic viagra aldara reviews molluscum buy zithromax suspension online healthy man advertised on the radio cialis delivered overnight amlodipine 5 mg side effects lida daidaihua amantadine hydrochloride prinivil side effects lisinopril mg comprar antabus terbinafine and alcohol stilnox side effects insomnia buy tetracycline without prescription metpamid 10mg amikacin trough levels 5 mg cialis prices childrens motrin ingredients propecia for sale in usa us pharmaceuticals liquid viagra permethrin cream 5 rask levering cialis diane 35 and yasmin pharma online levitra canadian on line pharmacies flexeril medication pictures viagra professional scam get viagra no prescription bonadoxina dosis infantil spiriva handihaler how to use combivent to buy uk ciprodex otic suspension ambien withdrawal symptoms drugs rumafen gelsons glucovance dosages cicloferon treatment reglan and pregnancy risks clozapine drug dosages cialis strengths canada welbutrin no prescription clopidogrel 75mg tablets images approved canadian pharmacies online buy movalis without prescription arthrotec 50 mg side effect januvia mexico warfarin side effects long term alzytec tablet 247overnightpharmacy scam staxyn free trial coupon lamisil for sale viagra getpharma the real pharmacy discount cialis canada eurax cream 10 buy tetracycline canada picareta de diamante minecraft videos mometasone furoate ointment no prescription required only canadaian vytorin 1020 sumycin syrup of black affordable cialis without prescription asacol hd 800 mg cost maximum cialis dose aldactone medication indication acnelyse cream reviews budesonide drug interactions curacne 20mg capsules side effects cardinal health dublin ohio ranigast skutki uboczne chemioterapii sotalex medicine cabinets blue vgr 100 pill haldol dosage forms vilches chile zoloft weight gain loss prilosec otc side effects metoprolol tartrate 25mg price elocon 0.1 lotion decadron injection side effects over the counter antibiotics canada trental side effects in dogs coumadin blood thinner and alcohol canada male enancement pills protonix 40mg pantoprazole ingredients buy tramadol overnight purchase perscription viagra cheap viprogra soft 100 cialis to buy buy diovan 80 mg online aldara treatment pictures clotrimazole lozenges reviews florinef dose orthostatic hypotension cialias online over night delivery losartan potassium 100 mg information morphine band you tube estradiol side effects risk risnia medicine man does voltaren gel need a prescription viagra fait maison vytorin medication generic canadian vigra percocet and alcohol combination efek samping xenical antibiotics from canada online st paul brands angela ginseng chloroquine phosphate fish medication brand pfizer viagra online how to get codeine syrup fucidin cream usa is alli back on the market yet 2014 viagra in stores low dose zyprexa and weight gain lexapro side effects weight gain prednisolone sod phos 15mg 5ml sol used for vimax malaysia agent rimadyl 100mg chewable 180ct bottle order 40mg accutane online tretinoin 0.05 cream uses kemadrin vs mirapex drug eutirox 50 prednisolone where sale in usa ca meclizine 12.5 mg side effects vardenafil pharmacy viagra order doxylamine succinate dosage furosemide orders finasteride side effects for women no prescription accutane catafast medicine parkcataflam legitimate online abortion pharmacy rocket launch tonight cytotec online fda getpharma pakistan airglipizide nasonex vs nasacort cleocin t solution benicar lawsuit ct lower my sodium levels in the body carbohydrates skelaxin side effects kidney levitra cost at walgreens lubexyl uk provigil weight loss forum buy finasteride australia debit card coumadin vitamin k foods cup allegra printing cedar rapids rizatriptan 10 mg odt tab uschemist on line elavil information medication amitriptyline secnidazole indications definition viagra patent information in canada cialis ohne rezept deutschland viagra use with age proventil no prescription rimonabant weight loss obesity foundation azulfidine sulfasalazine dosage buy online pharmacy russia furacin ointment horse cialis information cost can you get high from buspirone orderpharma scammers albuterol online paypal potassium hydroxide ph order cutotec online in usa albuterol inhaler dosage for dogs buy amatriptyline exelon stock price duphaston pregnancy category prednisone deltasone 5 mg biaxin 500mg medication tablet cardular side effects estrofem tablets na hrvatskom jeziku apetamin ingredients in meth acheter du cialis en ligne find pharmacy that sells avandamet pheromones for men viagran plus cipro 500mg best prices buy roaccutane in uk with mastercard trileptal oxcarbazepine for nerve pain desogestrel ethinyl estradiol generic levitra with dapoxetine ny welbutrin online antibiotics without prescription buy order femara novartis flovent hfa 110 mcg generic where can i buy hydrochlorothiazide lidocaine and prilocaine cream for sunburn doxycycline hyclate price walmart cabergoline side effects in men lexapro online no rx clozaril side effects treatment prandin generic release date how long paxil withdrawal side effects himcolin cream of broccoli valtrex prescription online buy cheap nolvadex online content definition kamagra in canada diflucan pill claritin coupon 2014 nosipren prednisone 5mg aspirin vs ibuprofen nsaids propecia pl 1mg czy 5 mg cialis eli lilly and company flurazepam medication walgreens pharmacy locations near me lisinopril hctz 10 12.5 liquidex bodybuilding diet chloroquine dosage for ra viagra with no subscription viagra stores in akld primatene mist in canada for sale lumigan 0.01 cost magnesium deficiency in children samonas realty nh adipex p 37.5mg buy generic pharmacy india accutane allopurinol 300 mg picture amazon tretinoin cream lesofat price philippines sifrol for parkinson pay for concert tickets with echeck raloxifene vs tamoxifen pct stromectol long term side effects cheapest sildalis 120 mg cymbalta order clomid paypal online authentic viagra from uk to us supradol ketorolac english to italian buy viagra online prinivil 10 mg picture imitrex generic amoxicillin and alcohol intake acyclovir ointment cost clonidine hcl 0.1mg for withdrawal symptoms from hydrocodone lisinopril hctz online no prescription actos generic name medication metronidazole indonesia 100 mg clomid and twins vytorin 10 20 mg daily indocin 25mg zovirax tablets mail order roxifen gel viagra 120 mg diclofenaco sodico english qualityrx coupon coderabeprazole promethazine buy by pay al on line buy minocycline i line on line mexican pharmacy propranolol substitute for cialis ventolin tablets clinsol gel for treatment of acne generic viagra fastest shipping comprar viagra en ecuador tadalafil generico morbido rx4u drugs aspirin dosage for pain relief isoniazid for sale free novolog couponnuvigil sotalol 80 mg cost online birth control pill cheap terbutaline injections viagra on line no prescription viagra vente libre nexium vs prilosec treatment topiramate medication uses buy wellbutrin 75 mg novolog 70 30 insulin price periactin buy no prescription cialis what happens if double the dose harga misoprostol cytotec compare viagra canadian costs buy phenergan no prescription buy propecia online ukraine soviclor acyclovir dosage is lopid genericlorinase cipro antibiotics buy finasteride 1mg mirapex side effects gambling clavupen en costa rica parlodel dosage of aspirin prozac and weight gain side effects digoxina dosis de amoxicilina septilin benefits buy 1 mg prednisone pills online lavestra tablettage celebrex generics milanuncios motos de cross buspar without prescription marcumar phenprocoumon and warfarin blopress 8 mg periactin no prescription require caffeine pills cvs kosovarja revista e fundit abilify price without insurance online chemist metronidazole 500mg tablets amazon viagra 10mg vermox order best pheromones perfume for women to attract men rabeprazole sodium generic approval zolpidem tartrate 10 mg tablet ingredients antabuse side effects medication lidoderm coupon cardizem cd 120 mg zocor and grapefruit juice cheap inhalers online online horny goat weed online stores buy citalopram mail online uk buy lipitor online coumadin side effects risk cialis 40 mg dose ed trail pack overnight yp health care viagra provigil reviews for add terbinafine hydrochloride cream 1 viagra para la mujer coversyl advanced proscar finasteride patient education sky pharmacy viagra adhd drugs online buy corega tabs dental weiss imitrex buy u s canada rocco siffredi onlaintv ntvmsnbcoptimmune lidoderm pain patches for knee pain thyroxine side effects l thyroxine
You are here: Home Audiology Balance/Dizziness

Medical Arts


E-mail Print

Having a balance and/or dizziness disturbance can be very detrimental to an individual’s way of life.  We conduct a battery of different tests to determine what is causing your balance and/or dizziness problems so that we are able to determine what can be done to correct or alleviate them. 


There are many different signs and symptoms of balance and/or dizziness disturbances.  These can include: drifting to one side or the other when walking, unsteadiness, falling for no reason, severe headaches, vertigo, dizziness anytime, dizziness when you turn your head a certain direction, dizziness lasting a couple seconds, minutes, or longer, nausea, vomiting, tinnitus, double vision, and many more.


There are many different factors that could be causing your balance and/or dizziness disturbances.  Some possible causes of dizziness include but not limited to:

Otologic Issues (inner ear related)
Benign Paroxysmal Positional Vertigo (BPPV)
Meniere’s Disease
Vestibular Neuritis

Central/Neurologic Issues (brain related)

Multiple Sclerosis
Head trauma
Low Blood Pressure

Some possible causes of balance disturbances include but is not limited to:
Peripheral neuropathy
Multiple Sclerosis
Peripheral issues
Muscle Disease
Spinal Cord Disorders


There is a battery of different tests that we conduct to assess your balance and/or dizziness issues.  After we have conducted all of the necessary tests, we will pull all of the information together to determine the next course of action.  The first test conducted is a comprehensive hearing evaluation as described earlier.

Gans Sensory Organization Performance Test
is performed to determine postural stability by looking at three different sensory inputs: vision, somatosensory, and vestibular.  The patient will be asked to perform 7 different positions with their eyes open or closed.

Vestibular Evoked Myogenic Potential (VEMP) Test
looks at a couple different locations to determine if there is a lesion that is affecting the vestibulo-collic reflex pathway.  This test provides us with diagnostic information that can help diagnose a range of different causes from otologic to neurologic disorders.  Three electrodes will be placed on the patient, one on the forehead and then one on each side of the neck on the sternocleidomastoid muscle (SCM).  Insert earphones are placed in the patient’s ear and clicks are presented to one side at a time.  When the clicks begin, the patient will need to turn their head as far as they can to the opposite side that the clicks are on.  The clicks are presented for about a minute than the other side will be tested.  A couple measurements on each side will be completed.

Vestibular Autorotation Test (VAT)
is testing impairments of the vestibular-ocular reflex (VOR) which can cause balance and/or dizziness disturbances, as the VOR’s primary focus is to allow one to have clear vision when walking or moving quickly.  Electrodes are placed on the forehead and on each side of the patient’s eyes.  The patient will be required to keep their eyes focused on one spot while they move their head to beeps.  Beeps will be presented that the patient has to move their head side to side to.  The beeps will increasingly become faster, which requires the patient to move their head faster too with the beeps.  This part takes less than a minute to complete.  Then the patient will be asked to do the same thing, but instead of moving their head from side to side to the beeps, they will be asked to move their head up and down to the beeps.  Both the horizontal and vertical tests will be completed a few times in each direction.

Videonystagmography (VNG)
is the last part of the assessment.  This test involves the patient sitting in a chair with a pair of goggles on that have little cameras inside them to record the patient’s eye movements.  There will be a light bar in front of the patient with a red dot on it.  Through a series of different tests, the patient will be required to follow or look at the dot with their eyes and not move their head or body.  Then the patient’s eye movements will be recorded as they are lying in different positions (for example, lying with their head turned to the left).  The last part of the test, cool and warm air will be put into the patient’s ear canals, one side at a time.  These tests can make you dizzy, but the dizziness usually goes away after a couple minutes.  This part of the test can take about an hour to complete.


Depending on the outcome of your test, different treatments will be recommended.  Most of the time, a physical therapy program designed for your diagnosis will be recommended.