What is a Balance Disorder?
Any sensation of abnormal involuntary movement causing instability can be termed as a balance disorder. A majority of balance disorders are related to the vestibular system which is part of the inner ear.
Balance Disorder Symptoms
Apart from a sense of instability many patients may also have a spinning sensation or dizziness(vertigo), nausea, vomiting, ringing sensation in the ears (tinnitus ), and a feeling of fullness in the ear. In this case, consult your nearest vertigo treatment doctor as soon as possible.
Causes of Balance Disorder
Balance Disorder can occur when your brain and inner ears are not in synchrony or if there is a disease process directly affecting the vestibular system. They are usually caused by inner ear infections, certain ototoxic medications, or head injuries.
Most Common Balance Disorders
- Benign Paroxysmal Positional Vertigo (BPPV) involves brief but intense periods of vertigo that are triggered by specific changes in head position. It occurs when tiny crystals in the otolith organs become dislodged and migrate to the semicircular canals.
- Meniere’s Disease affects the inner ear. The outer ear doesn’t get affected. It can cause vertigo and ringing in the ear. It might lead to gradually worsening hearing loss.
- Labyrinthitis is an infection of the inner ear. It causes dizziness, and vomiting can affect hearing, and sometimes can cause a ringing sensation in the ears.
Balance Disorder Treatment
In order to decide what treatment you need, initially an ENT surgeon takes a detailed history of your vertigo and also conducts a basic neuro otologic examination including Rhomberg’s test and a pure tone audiogram. Special tests like positional tests if BPPV is suspected or VNG if Menieres or labyrinthitis is suspected are also done. Based on the history, examination and special tests the ENT surgeon will be able to guide your treatment.
Treatment Options
- Medications (antihistamines, labyrinthine suppressants, antibiotics, or steroids).
- Physical or occupational therapy.
- Surgery.
- Repositioning exercises.
- Vestibular retraining programs.
- Lifestyle modifications (such as dietary changes and elimination of alcohol and nicotine).