Treatment Options

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. 

Canalith repositioning maneuvers
A specialized form of VRT is available to treat benign paroxysmal positional vertigo, or BPPV. This treatment, often referred to as the Epley maneuver, involves a series of specifically patterned head and trunk movements to move tiny displaced otoliths to a place in the inner ear where they can’t cause symptoms.
Dietary adjustments
Many people with Ménière’s disease, secondary endolymphatic hydrops, and migraine-associated dizziness find that certain diet modifications help in managing their disorder. Avoiding nondietary substances such as nicotine and some types of medications may also reduce symptoms.
Home exercise
Is often a vital part of treatment. Your physical or occupational therapist will prescribe appropriate VRT exercises to be performed at a prescribed pace, along with a progressive fitness program to increase your energy and reduce stress.
Medication
Depends on whether the vestibular system dysfunction is in an initial or acute phase (lasting up to 5 days) or chronic phase (ongoing).
Surgery
When medical treatment isn't effective in controlling vertigo and other symptoms caused by vestibular system dysfunction, surgery may be considered. Surgical procedures for peripheral vestibular disorders are either corrective or destructive. The goal of corrective surgery is to repair or stabilize your inner ear function. The goal of destructive surgery is to stop the production of sensory information or prevent its transmission from the inner ear to the brain.
Talk therapy
Symptoms from vestibular disorders are invisible and unpredictable. This does not mean that they are imaginary, but that they often contribute to a wide range of psychological impacts. You may benefit from counseling to cope with lifestyle changes, depression, guilt, and grief that comes from no longer being able to meet your own or others’ expectations.
Vestibular Rehabilitation Therapy (VRT)
Uses specific head, body, and eye exercises designed to retrain the brain to recognize and process signals from the vestibular system and coordinate them with information from vision and proprioception. The choice and form of VRT exercises will differ from person to person.