At this appointment you will see an audiologist who is
specifically trained in balance assessment. There are lots of
different pieces of information that your brain uses to maintain
your balance and information from your inner ears is just one of
them, meaning that it can often be difficult to find out exactly
what is causing your symptoms. We may be able to give you a
definite answer regarding your dizziness however we may need to
refer to other professionals who can assess possible factors
contributing to the dizziness. Balance assessment appointments
usually last for between 60 and 90 minutes and will usually include
This will involve an in-depth discussion about your balance
problems and concerns. We will also ask you about your general
health, hearing, and other issues which may affect your balance.
This discussion can often provide a lot of useful information
regarding the origin of the balance problem and help us to select
the most appropriate tests for your symptoms.
The tests carried out will be based upon the information you
give us regarding your symptoms. Some of the tests that we
may do are explained below:
Otoscopy - where we look in your ears
This is to check your ears are free of wax and are healthy.
Tympanometry - Where we test how well your ear drums
This procedure measures how your ear drum moves to different
pressures. We place a soft tip in your ear and you will feel a
slight change in pressure.
Audiometry (Hearing test)
This test is to measure the quietest levels you can hear in each
ear at different pitches of sound. We measure one ear at a time and
ask you to press a button when you hear a sound. If you haven't had
a recent hearing test or if you feel your hearing fluctuates or has
changed since the last test, then we may test it again.
We place goggles over your eyes that have a camera within them
and will ask you to follow a dot on the screen with your eyes.
Although these tests seem a lot like eye tests they actually allow
us to assess your balance organs. These tests take about 10
We may ask you to move your head, neck, or body into a
particular position, or stand still in the same position for 30
seconds. Here we are testing for specific types of common balance
problem. This takes about five minutes.
This test allows us to compare how well the left and right
balance organs are working on the day of your appointment. In
this test, we warm up or cool down your ears one at a time by
running some warm or cool water into the ear for about 30 seconds,
and catching it in a bowl when it runs back out. We use the
camera goggles to record your eye movements during the test and
compare your eye movements for each ear. This tells us how
well your balance organs are working on the day of the
appointment. This test usually lasts approximately 30
Discussion of Results and Care Plan
We may be able to discuss the results with you on the day of
your appointment or we may need to review the results and they will
be explained to you when you return to see your doctor.
We may talk to you about ways you can help with your balance and
may discuss balance rehabilitation. Please
look at the section on balance rehabilitation for more
We will also be able to discuss any concerns you have regarding
hearing or tinnitus and discuss management options with you.
Depending on your needs we can refer you to other professionals or
book further appointments with an Audiologist or Hearing
- It is advised that you do not drive after your appointment for
an hour or so and that you may like to bring a friend or family
member with you as some of the tests may make you feel unsteady for
a little while.
- We ask that if you have been prescribed any medication for your
balance/dizziness that you stop taking these 36 hours before your
appointment as the medicine can affect our test results.
- We also ask that you do not drink any alcohol for 36 hours
before your appointment as this can affect our test results.
- We also ask that you do not wear any eye make-up to the
appointment as this can affect the image recorded by the camera in