Diagnostic and Evaluation Procedures

Balance and Dizziness: Diagnostic Balance and Vertigo Evaluations

The physician’s evaluation of the dizzy patient often requires assessment of the vestibular, or balance, system. Through Electronystagmography and Video-Electronystagmography we obtain an electrical recording of eye movements caused by positional or caloric stimulation of the inner ear balance structures. The test battery will identify the presence of dizziness or imbalance due to unequal neural messages to the vestibular system.

Vestibular Rehabilitation

In many cases, the vertigo, or balance, diagnosis indicates that the patient can benefit from vestibular rehabilitation. Dr. Gresham was trained at the American Institute of Balance in assessment and therapy. Vestibular rehabilitation therapy (VRT) is an exercise-based program designed to promote central nervous system compensation for inner ear deficits. VRT can help with a variety of vestibular problems, including benign paroxysmal positional vertigo (BPPV) and the unilateral or bilateral vestibular hypo function (reduced inner ear function on one or both sides) associated with Ménière’s disease, Labyrinthitis, and vestibular neuritis. Even individuals with long-term unresolved inner ear disorders who have undergone a period of medical management with little or no success may benefit. VRT can also help people with an acute or abrupt loss of vestibular function following surgery for vestibular problems.

ABR-Screening and Diagnostic Evaluations

Auditory brainstem response (ABR) is a diagnostic test that is similar to an electroencephalogram (EEG). This procedure involves the use of clicking sounds to stimulate the auditory nerve, which produces an electrical response. Electrodes placed on the patient’s face and ears pick up the electrical activity of the nerve, and a computer displays the results for the audiologist to interpret.

Cochlear Implants

We provide diagnostics, referral, and management.

Tinnitus Diagnostics and Management

Tinnitus is a common condition, where a person experiences a ringing, rushing, or buzzing in the ears. Tinnitus will not cause you to go deaf, but its presence may affect your daily activities.

Our professionals can help recommend a course of action to deal with this persistent problem. Each person has an individual response to treatment. Our goal is to work with you to minimize and potentially eliminate this condition.