Preparing for Your Appointment

At UT Southwestern Medical Center, a team of doctors trained in balance problems, including specialists in ear, nose, and throat conditions, brain and nervous system conditions (neurologists), and other specialties, will work with you to develop an individualized treatment plan.

Your treatment may include:

Vestibular rehabilitation
People with inner ear or central nervous system disorders may benefit from balance retraining exercises, also called vestibular rehabilitation. Therapists trained in balance problems will work with you to design a customized program of balance retraining and exercises. Therapy may help you compensate for imbalance, adapt to less balance, and maintain physical activity.
Fall prevention
Your therapists will work with you to prevent falls. Some people may benefit from a balance aid, such as a walking stick or cane. Your therapist may also discuss home safety and assistive devices to help reduce your risk of falls in your home.
Positioning procedure
If the cause of your balance problems is benign paroxysmal positional vertigo (BPPV), a therapist may conduct a positioning procedure, which involves maneuvering the position of your head. This procedure clears particles from your inner ear canal and deposits them into a different area of your ear, often reducing or resolving your symptoms. The Canalith repositioning procedure may also help improve your condition.
Diet and lifestyle changes
May help some people with balance problems. If you have Meniere’s disease, reducing your salt intake may help your symptoms. Some people with migraine-related dizziness also may benefit by reducing caffeine, alcohol, nicotine, and chocolate. If you experience drops in blood pressure when standing (orthostatic hypotension), you may need to drink more fluids, wear compressive stockings, or undergo postural conditioning.
Medications
May help manage your balance problems if you have Meniere’s disease, migrainous vertigo, or psychiatric disorders.
Surgery
If you have Meniere's disease or acoustic neuroma, your treatment team may recommend surgery. Stereotactic radiosurgery may be an option for some people with acoustic neuroma. This procedure delivers radiation precisely to your tumor and doesn’t require an incision.