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Through Euthymiades Audiology Centres we offer scientific clinical balance assessment and management in a highly equipped and friendly environment.

We accept referrals from Ear Nose Throat doctors, Neurologists, Pathologists and other doctors. We also accept self referrals provided a recent medical check has been performed.

MODERN METHODS FOR TESTING BALANCE

Diagnostic testing includes among others:

  • Video-Nystagmography (VNG) which is the latest version of ENG (Electro-nystagmography) with higher precision.
  • Caloric testing of the labyrinths.
  • CTSIB: Clinical Test for Sensory Organization of Balance.
  • Dix Hall Pike: to test for BPPV
  • Horizontal and Positional Tests

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DIAGNOSIS AND MANAGEMENT

We analyze and interpret the results in a written report combined with the medical history of the patient:

– If the results show a normal balance system and symptoms are not associated with the ear, then the patient is referred to his doctor for further investigation.

– If there is a dysfunction in the labyrinths, then we discuss and agree on the management with the patient’s doctor.

The best and most effective treatment is through an individualized ‘Rehabilitation Program’. We strongly believe this in EAC. The program is comprised of specific exercises using the head, the body and the eyes, aiming to eliminate the symptoms by strengthening the balance system and enhance confidence in movement. We then review the patient after 4-5 weeks to measure the outcomes.

The need for this program is discussed with the patient’s doctor, who based on the results, may also deem appropriate to prescribe medication along side it.

In most cases eliminating coffee, salt, smoking, and alcohol can also significantly improve your balance.

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WHAT CAN CAUSE A BALANCE (VESTIBULAR) DYSFUNCTION

50% of balance problems are caused by vestibular or labyrinth dysfunction in the inner ear. A balance dysfunction can cause vertigo, unsteadiness, dizziness, disorientation, sensation of movement or rotation.

A healthy and normal balance system collects and delivers all the information from 3 different sources:

(1) Labyrinths in our ears

(2) Our Eyes

(3) Our Legs, Muscles and Joints

When all 3 agree between them, we can move our head and body feeling fine. When there is a conflict between these 3, symptoms of Dizziness etc are caused with particular movements.

HOW COMMON ARE BALANCE DIFFICULTIES

Balance dysfunction such as Vertigo, Dizziness, Unsteadiness are common difficulties encountered by 5-10% of people of all ages. When a person reaches 40 years of age, this percentage rises to 40%. The symptoms range from mild occasional unsteadiness to severe vertigo. Unsteadiness in third age is also very common.

NOT ALL BALANCE PROBLEMS ARE THE SAME

Labyrinthitis, Neuritis, Meniere’s, Vestibular Migraine, Orthostatic Hypotension are common balance diagnoses you may hear. Each one has particular symptoms and is treated differently. This is why a good history and clinical assessments are needed to be able to select the most effective treatment for each individual. The majority of balance disorders, i.e. 20% of people, may present with positional vertigo (BPPV) which we can very easily diagnose and treat within minutes.