About Balance & Vertigo
Your sense of balance depends on the inner ear, the brain, the eyes and the muscles and joints working together. The inner ear contains tiny canals and sensors that tell your brain how your head is moving. When this system is disturbed, you may feel the room spinning, lightheadedness, unsteadiness while walking, nausea, ringing in the ears, or a feeling of fullness in the ear.
At Centosa, our ENT specialists and audiologists look for the cause of vertigo, dizziness and balance problems. We use a detailed history, ear examination, hearing tests and balance assessments to reach an accurate diagnosis. We then offer personalized treatment, from positioning maneuvers for ear crystal problems and medicines to balance exercises and, when needed, further care for inner ear conditions.
Steady steps and a calm head. The right diagnosis helps the world stop spinning.
Balance & Vertigo Care
Expert evaluation and treatment for vertigo, dizziness and balance problems, from vestibular testing and repositioning maneuvers to rehabilitation, so you can move with confidence again.
01
Vertigo & dizziness evaluation
Find the cause of spinning, light-headedness or unsteadiness.
View detailsVertigo is a false feeling that you or the room is spinning. Dizziness can also feel like light-headedness or unsteadiness. A careful evaluation helps find whether the cause is in the inner ear or elsewhere.
Common symptoms
- Spinning sensation
- Light-headedness
- Unsteadiness while walking
- Nausea or vomiting
- Dizziness on head movement
How we evaluate it
- Detailed history of your symptoms
- Bedside balance and eye-movement tests
- Hearing tests alongside balance checks
- Vestibular function tests when needed
Sudden dizziness with weakness, slurred speech or severe headache needs emergency care.
02
BPPV & positional vertigo
Quick relief for vertigo triggered by head movements.
View detailsBPPV (benign paroxysmal positional vertigo) is the most common cause of vertigo. Tiny crystals in the inner ear move out of place and cause short spells of spinning when you turn your head or lie down.
Common symptoms
- Brief spinning on turning in bed
- Vertigo on looking up or bending
- Nausea with head movement
- Spells lasting under a minute
How we treat it
- Positional tests to confirm BPPV
- Repositioning maneuvers (e.g. Epley)
- Home exercises to prevent recurrence
- Follow-up until symptoms settle
Many patients feel better after one or two repositioning sessions.
03
Vestibular function tests
Specialised tests to check how your balance organs work.
View detailsThe balance organs in the inner ear work closely with your eyes. Vestibular tests measure eye movements and responses to find out how well each balance organ is working.
Tests we offer
- VNG (videonystagmography)
- Positional and positioning tests
- Caloric testing
- Video head impulse test (vHIT) when available
- Hearing tests with balance checks
What to expect
- Tests are safe and non-invasive
- Some tests may cause brief dizziness
- Results explained clearly
- A written report for your records
Avoid anti-dizziness medicines for 48 hours before testing, unless your doctor advises otherwise.
04
Vestibular rehabilitation
Exercises that retrain your balance and reduce dizziness.
View detailsVestibular rehabilitation is an exercise-based therapy that helps the brain adapt to inner ear problems. It reduces dizziness, improves balance and builds confidence in daily activities.
Who it helps
- Long-lasting dizziness
- Imbalance after an inner ear infection
- Unsteadiness in older adults
- Recovery after vertigo attacks
What it includes
- Gaze stability exercises
- Balance and walking training
- Habituation exercises
- A personalised home exercise plan
05
Ménière’s & inner ear disorders
Care for vertigo attacks with hearing changes and ear fullness.
View detailsSome inner ear conditions cause vertigo along with hearing loss, ringing or a full feeling in the ear. Diagnosing them early helps control attacks and protect your hearing.
Conditions we see
- Ménière’s disease
- Vestibular neuritis
- Labyrinthitis
- Vestibular migraine
Common symptoms
- Vertigo attacks lasting hours
- Fluctuating hearing loss
- Ringing in the ear
- Ear fullness or pressure
How we help
- Hearing and balance testing
- Diet and lifestyle guidance
- Medicines to control attacks
- Rehabilitation and regular follow-up
06
Fall risk & imbalance
Balance checks to reduce falls, especially in older adults.
View detailsPoor balance increases the risk of falls, especially in older adults. A balance assessment finds the weak areas and helps build a plan to keep you steady and safe.
Signs to watch for
- Feeling unsteady when walking
- Recent falls or near-falls
- Holding walls or furniture
- Fear of falling
How we help
- Balance and gait assessment
- Hearing and vision-related checks
- Balance training exercises
- Home safety advice
Book an Appointment
For . Two quick steps and our team will call you to confirm.
- 1Details
- 2Schedule
Conditions We Treat
We diagnose and manage a wide range of vertigo, dizziness and balance conditions, including:
BPPV
(Spinning With Head Movements)
Vestibular Neuritis & Labyrinthitis
(Sudden Vertigo After an Infection)
Meniere's Disease
(Vertigo, Tinnitus & Ear Fullness)
Vestibular Migraine
(Dizziness With Headaches)
Imbalance & Unsteadiness
(Trouble Walking Steadily)
Dizziness in Older Adults
(Fall Risk & Unsteadiness)
Middle Ear Disease
(Infection, Fluid & Dizziness)
Dizziness After Head Injury
(Balance Changes After a Blow)
Our Approach
Accurate Diagnosis. Targeted Treatment. Steadier Living.
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Consultation & Dizziness History
Understanding what your dizziness feels like, when it happens and what triggers it, with a detailed ear and nerve exam
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Hearing & Balance Tests
Hearing tests, eye-movement checks and positional tests to find the exact cause of your vertigo
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Personalized Treatment Plan
Positioning maneuvers, medicines, balance exercises or further care, tailored to your diagnosis
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Rehabilitation & Follow-up
Balance retraining, regular reviews and guidance on preventing falls and repeat episodes
Advanced Treatments & Solutions
From accurate testing to steadier everyday living, we offer modern treatment options matched to the cause of your vertigo or balance problem, including:
Vestibular & Balance Testing
Hearing tests, eye-movement checks and positional tests that show whether the problem is in the inner ear, and which part of the balance system is affected.
Positioning Maneuvers for BPPV
Gentle, guided head movements such as the Epley maneuver that move loose ear crystals out of the balance canals, often relieving spinning vertigo in the clinic.
Medical Management
Medicines and lifestyle guidance for sudden vertigo, Meniere's disease, vestibular migraine and ear infections that cause dizziness.
Vestibular Rehabilitation
A personalized exercise program that helps the brain adapt to inner ear changes, improves steadiness and confidence, and lowers the risk of falls.
Take the First Step
Towards Steadier Balance
Get expert care for vertigo, dizziness, unsteadiness and inner ear balance problems, with accurate testing and personalized treatment so you can move with confidence again.
Book an Appointment
Three quick steps and our team will call you to confirm.
- 1Details
- 2Treatment
- 3Schedule
Frequently Asked Questions
Find answers to common questions about vertigo, dizziness and balance problems.