Surgery & Treatment
Dizziness & Vertigo Treatment
At London ENT Surgeons, we provide expert assessment and treatment for patients experiencing vertigo and balance disorders: conditions that can cause dizziness, spinning sensations, unsteadiness, nausea, and significant disruption to daily life.
Our team of ENT consultants, audiologists, and vestibular specialists offer comprehensive diagnostics and tailored treatment plans, ensuring you receive rapid access to world-class care in a private, patient-focused setting.
Step 1: Booking Your Appointment
You can:
- â Self-refer by contacting our clinic directly
- Be referred by your private GP or another specialist
We will arrange a prompt consultation with one of our ENT or neuro-otology consultants who specialise in balance disorders.
Step 2: Specialist Consultation
Your consultation includes a detailed review of:
- Your symptoms and medical history
- Triggers and duration of vertigo episodes
- â Previous test results (if available), please send it to us before the consultation.
- Focused ENT and neurological assessment
Step 3: Diagnostic Investigations
To accurately identify the cause of vertigo and balance problems, we offer a comprehensive range of advanced vestibular tests, all performed in our specialist diagnostic suites:
Audiological Assessment :
- hearing tests to detect inner ear conditions often linked to dizziness.
Videonystagmography (VNG):
- Measures eye movements to assess vestibular function and detect abnormalities.
Caloric Testing:
- Uses gentle warm and cool air or water in the ear canal to evaluate the function of each inner ear balance organ individually.
Video Head Impulse Test (vHIT):
- A quick, precise test that measures eye reflexes during small head movements, detecting vestibular weakness.
Vestibular Evoked Myogenic Potentials (VEMP):
- Measures reflexes in the neck and eyes to assess inner ear (otolith) function.
Computerised Posturography:
- Analyses how well you maintain balance under different conditions, helping detect subtle vestibular or neurological issues.
MRI or CT Imaging:
- Recommended when structural or neurological causes are suspected.
Blood Tests:
- To rule out metabolic, autoimmune, or systemic contributors to dizziness.
This detailed diagnostic process allows us to pinpoint the root cause of vertigo and design the most effective treatment pathway.
Step 4: Multidisciplinary Review & Treatment Planning
Your case will be reviewed by our expert team, including:
- ENT Surgeons
- Audiologists
- Neurologists (where appropriate)
- Physiotherapists (vestibular rehabilitation specialists)
We will develop a personalised treatment plan tailored to your diagnosis, lifestyle, and needs.
Step 5: Treatment Options
Depending on the underlying cause, treatment may include:
Medication :
- to reduce vertigo, nausea, or inner ear inflammation
â Canalith Repositioning Manoeuvres (Epley, Semont, etc.):
- highly effective for benign paroxysmal positional vertigo (BPPV)
Surgical Options :
- in rare, resistant cases (e.g. inner ear surgery for MÊnièreâs disease)
â â Lifestyle & Preventative Advice:
- managing triggers such as stress, diet, or posture
Step 6: Rehabilitation & Recovery
For many patients, targeted rehabilitation is the most effective way to restore balance and reduce dizziness. At London ENT Surgeons, we offer a full range of rehabilitation therapies, tailored to your needs:
Vestibular Rehabilitation Therapy (VRT):
- Specialised exercises to retrain your balance system and reduce vertigo.
Gait & Balance Training:
- To improve stability, reduce fall risk, and restore confidence in everyday movement.
Osteopathy & Manual Therapy:
- Gentle techniques to release tension in the neck and spine, particularly helpful when musculoskeletal issues contribute to dizziness.
Virtual Reality (VR) Rehabilitation:
- Cutting-edge VR-based therapy that simulates motion and retrains the brainâs balance responses in a safe environment.
Physiotherapy:
- Personalised programmes to strengthen posture, coordination, and mobility.
Lifestyle & Wellness Support:
- Practical advice on diet, hydration, stress management, and sleep to reduce triggers and promote long-term recovery.
Our multidisciplinary approach means youâll have access to ENT consultants, physiotherapists, osteopaths, and audiologists â all working together to help you regain confidence and independence.
Step 7: Recovery & Aftercare
After treatment, you will receive:
- Clear guidance on recovery and self-care strategies
- â Follow-up appointments to track progress
- Direct access to our team for ongoing support
Most patients notice a significant improvement in symptoms once the cause of vertigo is identified and treated effectively.
Why Choose London ENT Surgeons?
- Direct access to leading ENT and balance specialists in London
- Comprehensive vestibular testing, including caloric, vHIT, VEMP, and posturography
- â Tailored treatment plans â from medication to rehabilitation and surgery
- Rapid access to appointments and diagnostics
- Compassionate, patient-focused private care