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The Balance Clinic London

If you are experiencing dizziness or imbalance, your physician can refer you to our balance clinic in London.

What is our Balance Clinic?

Your balance is controlled by three things: What you see, sensory input from your muscles and joints, and the vestibular system of the inner ear. The brain processes information from these three inputs and co-ordinates your balance.

If you are experiencing dizziness or imbalance, your physician can refer you to our balance clinic in London. We will perform a vestibular function test, which will determine whether or not it’s being caused by a problem in your inner ear.

All of our audiologists have either BSc or MSc qualifications in Audiology as well as registration as either Clinical scientists in Audiology with the HCPC or Clinical Audiologists with the RCCP. All have been thoroughly examined and assessed to ensure they are working to the highest possible clinical standards.

Our team has over 30 years of combined experience delivering diagnostic hearing and balance services to ENT consultants both in the NHS and private clinics.

What is vestibular testing?

Vestibular testing examines your balance through a range of methods. Your balance tests will be conducted by one of our expert audiologists, Mr Rony Ganguly or Mr Nilesh Parekh – between them they have over 30 years experience in the assessment of dizziness and vestibular problems.

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A typical session of vestibular testing will last for approximately 2 to 3 hours. It incudes:

Video Nystagmography (VNG)

This is a method of recording reflex eye movements (nystagmus) that naturally occur when your vestibular system is stimulated. You will wear a pair of lightweight goggles with infrared cameras, which will record the movement. During the first part of the test you will be asked to follow moving targets on the wall with your eyes and to fix your gaze in different positions.

Positional tests including Dix-Hallpike

This involves lying in different positions, as well as sitting up and lying down to see if nystagmus is contributing to your dizziness.

Video Head Impulse test (VHIT)

This test also involves wearing a pair of lightweight goggles. You will be asked to focus on a target while we measure your eye movements during small but quick head movements.

Bi-thermal Caloric tests

The last of the balance tests requires putting cool and warm water in the ear canal for one minute to stimulate the inner ear and measure the response. This may cause a mild sensation of dizziness

Vestibular evoked Myogenic Potentials (VEMP)

Unlike VNG and rotary chair testing, VEMP testing does not measure nystagmus. Small surface electrodes are placed on a muscle on your neck, your sternum (breastbone) and your forehead. You wear headphones, similar to those worn for a hearing test, and a loud clicking noise is played while you look over your shoulder. We test both the left and the right ear and it takes approximately 20 minutes.

You will be given a full explanation of your test results on the day, and a full written report with recommendations will be sent to your ENT consultant or physician. If required, you may need to begin balance rehabilitation.

Preparing for vestibular testing

Once you have been referred to us for vestibular testing, there are some things you should know and prepare for.

Certain medications or substances may alter the vestibular test results. To prevent this from happening, please DO NOT take any of the following 48 hours prior to your appointment (Always consult your physician before discontinuing any prescribed medication):

  • Anti-dizziness or anti-nausea pills
  • Alcoholic beverages
  • Beverages that contain caffeine
  • Sleeping pills or tranquilizers
  • Over the counter allergy or cold medications

DO NOT STOP any mediation for heart/blood pressure disorders, endocrine (thyroid, hormonal) disorders, blood/sugar disorders for diabetes, seizure disorders, anxiety medications, or medications for depression. If you are in doubt, please contact your physician BEFORE YOU STOP taking the medication.

We also recommend the following:

Ask a friend

The purpose of the balance tests is to evaluate your vestibular (balance) system. Some of the tests may give you a sensation of motion. It is not uncommon for you to feel fatigued for the remainder of the day and it is recommended that you ask someone to accompany you to and from the appointment.

Dress comfortably

The tests take approximately 2 to 3 hours, so please wear comfortable clothing.

Eat a light meal 3-4 hours before your test

If you are a diabetic or have low blood sugar, please follow your regular mealtime routine as well as your normal injections or pills.

Keeping you safe during COVID-19

At Pindrop Hearing the safety of our patients, visitors and staff is of utmost importance. We continue to follow guidance from the Department of Health and Public Health England to ensure that all our clinics are COVID safe. We ask that all patients and visitors observe social distancing in communal and waiting areas and you may have your temperature checked on arrival. All our staff are subject to regular COVID testing. We have enhanced cleaning and hygiene regimes between all appointments, and the use of surgical facemasks is mandatory for all clinical procedures.

We will offer remote services wherever possible or appropriate, such as postal hearing aid repairs or online hearing appointments but will be continuing with face to face appointments for the majority of our services.

Rony Ganguly Pindrop Director

Our locations

Book an appointment today

If you have been referred for a test or are in need of our services, you can make your appointment by phone on 02074872660 or email info@pindrophearing.co.uk in the usual way.

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Patient Info


Harley Street

41 Harley Street, London W1G 8QH

0207 487 2660

Winchmore Hill

748 Green Lanes, Winchmore Hill, London N21 3RE

0208 360 2510

Chelsea Outpatients Centre

280 Kings Road Chelsea, London SW3 5AW

Spire Bushey Hospital

Healthbourne Road, Bushey Herts, WD23 1RD

Pindrop Hearing Limited is registered in England and Wales No 05909296 Trading address 41 Harley Street, London, W1G8QH. Pindrop Hearing Limited acts as a credit broker and only offers credit products from Duologi.

Pindrop Hearing Limited is authorised and regulated by the Financial Conduct Authority. Our registered number is 796909. Credit subject to age and status.

© Pindrop Hearing 2022