Balance Clinic

At our Balance Clinic, located at 127 Harley Street, we specialise in assessing individuals experiencing dizziness, vertigo, nausea, or balance problems. Using the latest testing methods delivered by our expert audiologists, we aim to help patients improve their quality of life. We work closely with ENT specialists to provide comprehensive care and coordinated treatment.

Individuals experiencing symptoms of a balance disorder should consult an ENT specialist for a referral to our clinic, or they may visit their GP.

For healthcare professionals, we offer a single point of contact to refer patients with balance symptoms. Our experienced audiologists understand the complexity of these conditions and provide prompt, thorough assessments to support effective treatment decisions.

Why choose Harley Street Hearing’s Balance Clinic?

Fast access to appointments with our audiologists to help avoid delays in diagnosis
Clear, detailed reports delivered within 5 working days to support clinical decisions between our audiologists and ENT specialists
Access to advanced testing not routinely available in many healthcare settings
A team of specialists working together to provide an accurate diagnosis and personalised care for patients

Diagnostics

We offer a full range of balance and hearing tests, using both the latest technology and proven traditional methods, including:

Video Head Impulse Testing (vHIT)
Ocular VEMPs (oVEMPs) and Cervical VEMPs (cVEMPs)
Caloric Irrigation Testing
Positional Testing
Videonystagmography (VNG)

Conditions

Our highly experienced audiologists regularly assess and treat patients with:

Benign Paroxysmal Positional Vertigo (BPPV)

Symptoms include brief episodes of vertigo triggered by head movements, dizziness, loss of balance or unsteadiness, nausea (sometimes vomiting), and nystagmus (involuntary eye movements).

If you are experiencing symptoms of BPPV, you can self-refer directly for assessment and treatment. No referral from a GP or ENT is required. Our audiologists will perform specific positional tests to confirm the diagnosis. Contact us here or call us on 020 7486 1053 to book an appointment.

You may opt to self-pay for BPPV treatment or use private medical insurance. Please be advised that insurance coverage is subject to your provider’s policies and may vary.

Vestibular Neuritis / Labyrinthitis

Symptoms include sudden, severe vertigo, nausea and vomiting, unsteadiness or difficulty walking, and oscillopsia (the sensation of your vision bouncing when walking). In labyrinthitis, additional symptoms may include hearing loss and/or tinnitus (ringing in the ear)

Vestibular Migraine

Symptoms include episodic vertigo, dizziness or lightheadedness, motion sensitivity, headache, sensitivity to light, sound, or visual patterns, and nausea.

Meniere’s Disease

Symptoms include recurrent vertigo attacks, fluctuating hearing loss (often affecting low frequencies), tinnitus, a sensation of fullness or pressure in the affected ear, nausea, and imbalance during or after attacks.

Superior Semicircular Canal Dehiscence (SSCD)

Symptoms include vertigo triggered by loud sounds (Tullio phenomenon) or pressure changes such as coughing or sneezing, unusually loud perception of one’s own voice or heartbeat (autophony), sensitivity to bone-conducted sounds, possible hearing loss, and episodes of imbalance or dizziness.

Central Vestibular Disorders

Symptoms include persistent dizziness or vertigo that may not be related to head position, imbalance or coordination problems, visual disturbances such as double or blurry vision, nausea, and sometimes additional neurological signs like slurred speech, limb weakness, numbness, or difficulty swallowing.

Balance & Diagnostics

Patient journey

Step one

Consultation

The journey usually begins with a consultation with an ENT specialist, who will evaluate symptoms, medical history, and overall health to determine if a referral to our Balance Clinic for diagnostic testing is appropriate. Alternatively, a patient may visit their GP, who will refer them to an ENT specialist to evaluate symptoms, who will then refer to us for further testing if required.

Step two

Balance testing

The patient attends Harley Street Hearing for comprehensive balance testing performed by one of our experienced audiologists. These assessments evaluate the function of the inner ear and the overall balance system.

Vestibular testing for balance disorders

Step three

Results

The test results are interpreted into a detailed written report which will be received by the ENT specialist within 5 working days.

Step four

Treatment

The ENT specialist will create a personalised treatment plan tailored to the patient’s specific condition. This plan may include Audiologist-led vestibular rehabilitation therapy, medication, lifestyle changes, or other interventions aimed at managing symptoms and improving the patient’s balance and overall quality of life.

How to refer a patient

We have a direct referral service where you can email patient details directly below, or alternatively download our referral form using the button below.

Refer via email: [email protected]

Download Referral Form

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Providing the highest standards of care

I had an initial consultation with Andreza Oliveira, one of Harley Street Hearing’s senior clinical audiologists. She was very professional and thorough and explained the hearing test process in great detail and the possible outcomes and solutions going forward. First class service and would highly recommend this company. Thank you!

David Aird

Went in to have impressions of my ear taken for some custom earplugs, it was quick, easy, and pleasant, and I got an ear exam too, which was also quick and easy.

Freddie Firth

Fantastically kind, helpful, informative & useful! Looking forward to receiving my hearing protection soon!

Eleanor Medcalf

Cosy waiting room with water supply. Very professional medics for ear cleaning.

Z Jiawei

All about

Can you have Meniere’s disease without vertigo?

Vertigo is a hallmark symptom of Meniere’s disease, but some patients may initially experience hearing loss, tinnitus, or ear fullness before vertigo occurs.

What can trigger vertigo?

Vertigo can be triggered by head movements (as in BPPV), infections or inflammation of the inner ear (vestibular neuritis), migraines, Meniere’s disease, head injury, or neurological conditions.

Does tinnitus cause dizziness or vertigo?

Tinnitus itself does not usually cause dizziness, but the conditions that cause tinnitus (such as Meniere’s disease or vestibular disorders) can also cause dizziness or vertigo.

Does vestibular neuritis cause hearing loss?

Vestibular neuritis primarily affects balance but in cases of labyrinthitis may also present with hearing loss and tinnitus.

Can earwax cause dizziness?

Dizziness is more commonly provoked by the causes listed above but if the ear canal is completely blocked by wax, this could cause some feelings of pressure and disruption within the inner ear.

What causes vestibular migraines?

Vestibular migraines are caused by changes in brain activity affecting balance and sensory processing.

Can stress or anxiety cause vestibular symptoms?

Yes, both stress and anxiety can exacerbate pre-existing balance disorders.

How long does vestibular rehabilitation take to work?

Your audiologist will determine how long vestibular rehabilitation may take, as recovery times vary for each individual depending on their specific condition.

Can patients use insurance for these conditions?

Yes, pre-authorisation should be obtained before the appointment.