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Conditions - what do we treat?

Benign Paroxysmal
Positional Vertigo

A very common condition especially in the middle aged and elderly population, where a short intense vertigo is induced by certain positions of head. It is quite easy to treat by positional manoeuvres.

Vestibular neuritis/ labyrinthitis

Manifests as sudden onset of intense vertigo (sometimes with hearing loss) due to an insult to balance organ. Treated by vestibular rehabilitation with good effect

Bilateral Peripheral vestibulopathy

Conditions where peripheral organs of balance have failed or have been underperforming due to various reasons. Treated by vestibular rehabilitation

Persistent Postural Perceptual Dizziness (3PD)

Another common condition, which can come as a sequel from other causes, where a person feels persistent dizziness and unsteadiness exacerbated by posture and complex visual surrounding, causing significant functional impairment to one's life. Treated with intense vestibular rehabilitation exercises and relaxation modalities. (sometimes with psychotherapy).

Vestibular migraine 

A very common condition especially in  young female patients who have a history or family history of migraine. Treatment is by medications to prevent migraine and if required vestibular rehabilitation exercises including exercises for motion sensitivity.

'Central' causes of vertigo and dizziness

Multitude of causes of 'central' vestibular abnormality ranging from a stroke to genetic disease. Brain stem, cerebellum or cerebrum is at fault here. Luckily, it comprises of  only about 5-15% of overall vestibular patients. Management depends on cause, including further investigations, neurology referral, vestibular rehabilitation etc.

Meniere's Disease

Another cause of dizziness, where symptoms  classically are sudden onset of intense vertigo with fluctuating hearing loss, ear pressure and ringing sounds (tinnitus) in ear.  Treatment consists of salt restriction, medications and vestibular rehabilitation.

Other uncommon causes for dizziness
  • Mal de Debarquement (MDD) Disease.

  • Post-concussion Syndrome.

  • Vestibular Schwanomma (Acoustic neuroma)

  • Non vestibular causes like peripheral neuropathy.

  • Other causes of lightheadness - like anaemia, anxiety, thyroid abnormalities

Other ENT conditions we treat.
  • Ear infection of the outer ear canal

  • Fungal ear infections.

  • Foreign body in ear canal.

  • Hearing loss assessment.

  • Tinnitus assessment.

  • Recurrent bleeding from nose (epistaxis)

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