Vertigo and Tinnitus Management

Vertigo and Tinnitus Management at Apex ENT Hospital

At Apex ENT Hospital, we provide specialized care for managing vertigo and tinnitus. These conditions, often debilitating, can significantly impact an individual’s quality of life. Our comprehensive approach includes advanced diagnostics, personalized treatments, and ongoing support to help patients regain control over their health.


What is Vertigo?

Vertigo is a sensation of spinning or dizziness, often caused by problems in the inner ear or brain. It can lead to balance issues, nausea, and difficulty performing daily activities.

Common Causes of Vertigo:

  1. Benign Paroxysmal Positional Vertigo (BPPV): Caused by dislodged calcium crystals in the inner ear.
  2. Meniere’s Disease: Associated with fluid buildup in the inner ear.
  3. Vestibular Neuritis: Inflammation of the vestibular nerve due to viral infections.
  4. Labyrinthitis: Infection of the inner ear affecting hearing and balance.
  5. Migrainous Vertigo: Linked to migraines causing dizziness episodes.

What is Tinnitus?

Tinnitus is the perception of ringing, buzzing, hissing, or other sounds in the ear without an external source. It can vary from mild to severe, often interfering with concentration, sleep, and overall well-being.

Common Causes of Tinnitus:

  1. Hearing Loss: Age-related or noise-induced hearing loss.
  2. Earwax Blockage: Impacted earwax creating pressure in the ear canal.
  3. Ototoxic Medications: Certain drugs causing ear damage.
  4. Meniere’s Disease: Associated with both tinnitus and vertigo.
  5. Acoustic Neuroma: A benign tumor on the auditory nerve.

Our Management Approach

1. Comprehensive Diagnosis:

  • Hearing Tests (Audiometry): To assess hearing levels and identify associated hearing loss.
  • Videonystagmography (VNG): To evaluate inner ear and balance function.
  • Electrocochleography (ECoG): For diagnosing Meniere’s disease.
  • MRI or CT Scans: To rule out structural abnormalities or tumors.
  • Questionnaires: To understand the impact of vertigo or tinnitus on daily life.

2. Personalized Treatment Plans:

For Vertigo:

  • Canalith Repositioning Maneuvers: Techniques like the Epley maneuver for BPPV.
  • Vestibular Rehabilitation Therapy (VRT): Exercises to retrain the balance system.
  • Medications:
    • Anti-nausea drugs for symptom relief.
    • Steroids for inflammation (e.g., vestibular neuritis).
  • Surgical Options: For severe cases like Meniere’s disease.

For Tinnitus:

  • Sound Therapy:
    • White noise machines or tinnitus maskers to reduce awareness of tinnitus.
    • Hearing aids with built-in sound masking.
  • Cognitive Behavioral Therapy (CBT): To address the emotional impact of tinnitus.
  • Medications: To manage anxiety, depression, or insomnia linked to tinnitus.
  • Tinnitus Retraining Therapy (TRT): Combining counseling and sound therapy for long-term relief.

3. Lifestyle Modifications:

  • Avoiding caffeine, alcohol, and nicotine, which can worsen symptoms.
  • Managing stress through mindfulness, yoga, or relaxation techniques.
  • Staying hydrated and maintaining a low-sodium diet (for Meniere’s disease).

4. Advanced Interventions:

  • Intratympanic Steroid Injections: For severe Meniere’s disease or tinnitus.
  • Surgical Interventions:
    • Labyrinthectomy or vestibular nerve sectioning for intractable vertigo.
    • Cochlear implants in cases with significant hearing loss.

Why Choose Apex ENT Hospital?

  • Expertise in ENT Care: Led by Dr. Ravikant Singh, with extensive experience in vertigo and tinnitus management.
  • State-of-the-Art Technology: Advanced diagnostics and treatment modalities tailored to patient needs.
  • Multidisciplinary Approach: Collaboration with audiologists, neurologists, and physical therapists for holistic care.
  • Patient-Centric Care: Personalized plans focusing on symptom relief and improved quality of life.