Vertigo is not a disease itself—it is a symptom. People experiencing vertigo feel:
Spinning or rotating sensation
Lightheadedness or faintness
Imbalance while walking
Feeling pulled to one side
Difficulty focusing
Nausea or vomiting
Motion sensitivity
Blurred vision
Most vertigo occurs because of problems in the inner ear (vestibular system) or the brain’s balance centers.
Understanding the type helps determine the right treatment:
Peripheral Vertigo
Caused by inner ear disorders
Most common type
Conditions: BPPV, Ménière’s disease, vestibular neuritis, labyrinthitis
Central Vertigo
Originates from brain conditions (cerebellum or brainstem)
Seen in migraine, stroke, multiple sclerosis
Often more serious and requires detailed evaluation
Dr. Ankit Daware evaluates all possible causes, including:
1. Benign Paroxysmal Positional Vertigo (BPPV)
The most frequent cause.
Occurs due to crystals in the inner ear shifting out of place.
Triggers:
Head movements
Turning in bed
Looking up/down
2. Vestibular Neuritis / Labyrinthitis
Viral infection causing inflammation of the inner ear nerve.
Symptoms: severe vertigo, nausea, imbalance.
3. Ménière’s Disease
Abnormal fluid pressure inside the inner ear.
Symptoms: episodes of vertigo + tinnitus + hearing fluctuation + ear fullness.
4. Migraine-Associated Vertigo
Vertigo triggered by migraine without always having a headache.
5. Motion Sickness
When the brain receives conflicting sensory signals.
6. Ear Infection or Fluid Buildup
7. Head Injury / Whiplash
8. Neurological Conditions
Stroke
Multiple sclerosis
Tumors (rare)
9. Medication Side Effects
10. Cervical (Neck) Vertigo
Arises due to neck strain or cervical spondylosis.
Patients usually report:
Sudden spinning sensation
Trouble standing or walking
Nystagmus (eye jerking movement)
Hearing loss
Ringing in the ears
Head heaviness
Anxiety during episodes
Difficulty concentrating
Fatigue after spells
If your symptoms last for days, return frequently, or affect your routine, you should consult a specialist like Dr. Ankit Daware.
1. Specialised Vertigo & Balance Disorder Expertise
He has extensive experience diagnosing complex vestibular disorders with precision.
2. Advanced Diagnostic Technology
Includes vestibular tests such as:
Positional testing
Audiometry
Caloric test
VNG (Videonystagmography)
Balance assessment
MRI/CT referrals when needed
3. Personalized Treatment Plans
Every patient receives care tailored to the exact cause of their vertigo.
4. Non-Surgical & Minimally Invasive Options
Most vertigo conditions are treated without surgery.
5. Faster Recovery With Evidence-Based Protocols
Treatment methods are scientifically proven and offer long-term results.
A detailed evaluation is the key to accurate treatment. The process includes:
1. Detailed Medical History
Nature of dizziness
Triggers
Duration and frequency
Associated symptoms (nausea, headaches, hearing loss)
2. Physical Examination
Checking balance, gait, coordination, and neurological signs.
3. Ear & Vestibular Examination
Assessing:
Middle ear
Inner ear
Vestibular nerve function
4. Diagnostic Tests
Depending on symptoms:
VNG
Dix-Hallpike test
Audiogram
Head impulse test
Imaging if required
This structured approach helps identify the root cause quickly.
Treatment varies depending on the diagnosis.
1. Canalith Repositioning Maneuvers (For BPPV)
Example: Epley maneuver
This is the most effective treatment for BPPV and gives instant relief in 1–2 sessions.
Benefits:
Quick
Non-invasive
Proven results
Performed safely in clinic
2. Medications
Used when necessary:
Anti-vertigo pills
Anti-nausea medicines
Vestibular suppressants
Migraine control medication
Corticosteroids for inflammation
Medication is always symptom-specific.
3. Vestibular Rehabilitation Therapy (VRT)
A specialized physiotherapy program designed to:
✔ Improve balance
✔ Reduce dizziness
✔ Strengthen the vestibular system
✔ Help the brain adapt
Important for chronic cases and post-infection vertigo.
4. Dietary & Lifestyle Modifications
Recommended for conditions like Ménière’s disease and migraine:
Low-salt diet
Avoid caffeine & alcohol
Adequate hydration
Good sleep hygiene
Stress reduction techniques
5. Migraine Management
If vertigo is migraine-related:
Preventive medication
Avoiding triggers
Dietary adjustments
Regular exercise
Lifestyle discipline
6. Treatment for Neck (Cervical) Vertigo
Neck physiotherapy
Posture correction
Muscle-strengthening exercises
Ergonomic guidance
7. Infection or Inflammation Management
When vertigo arises from viral or bacterial attacks:
Anti-inflammatory treatment
Antibiotics if needed
Steroids in select cases
Ear infection care
8. Surgical Options (Rarely Needed)
Only for severe cases of:
Tumors
Structural abnormalities
Ménière’s disease resistant to medication
Surgery is always the last option.
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