Vertigo and vestibular disorders
Comprehensive evaluation of vertigo and dizziness to identify the specific cause and treat it.
Vertigo isn't normal — and it almost always has a treatment
Vertigo is the sensation that you or your surroundings are spinning. It usually originates in the inner ear, and there are many causes: the most common is benign paroxysmal positional vertigo (BPPV), which has a simple, highly effective treatment.
My training includes the Vestibular and Ocular Motor Disorder Master Class with Dr. Michael Strupp and panelist participation in the FASO vestibular block.
Common causes we evaluate
- Benign paroxysmal positional vertigo (BPPV)
- Ménière's disease
- Vestibular neuritis
- Bilateral vestibulopathy
- Vertigo associated with migraine
- Central vertigo (requires coordination with neurology)
Signs that warrant evaluation
- Spinning sensation when changing position or getting out of bed.
- Repeated dizziness affecting daily life.
- Nausea associated with vertigo.
- Ringing in the ear (tinnitus) or hearing loss.
- Persistent unsteadiness when walking.
How the consultation works
- Structured anamnesisDetailed history: type of vertigo, duration, triggers, and associated symptoms.
- In-office vestibular examDiagnostic maneuvers (Dix-Hallpike, head impulse test) to identify the origin.
- Complete otologic examHearing and inner-ear assessment.
- Management planRepositioning maneuvers, pharmacological management, vestibular rehabilitation, or referral as appropriate.
Common questions
Is vertigo the same as dizziness?
Not exactly. Vertigo is a spinning or tilting sensation; dizziness is more vague. Distinguishing them is key for diagnosis.
Can BPPV be cured?
Yes. Treatment consists of repositioning maneuvers that often resolve the condition in a single session.
Do I need an MRI or CT scan?
Not always. Only when history or examination suggest a central cause.
Can stress cause vertigo?
Stress can worsen pre-existing vestibular conditions but is rarely the primary cause.