Understanding Vertigo and Balance Tests (Romberg's & Unterberger's tests)

[@johnlees4776]

Great video, thanks so much! It’s so hard to find anyone who has knowledge of these vestibular symptoms, let alone explain them so well and so simply. Look forward to more videos!

[@VikVeerENTSurgeon]

You are very kind. I will do my best to make more.

[@arrasonline]

I cannot tell you how much I appreciate your videos. I am struggling with ear fullness in the left ear along with vertigo (about once a week) and some dizziness off and on, especially at night in bed and when I make sudden head movements. Sadly I have tinnitus in the left ear as well. I tried Brandt-Darnoff exercises as prescribed by my ENT, but he has just ordered vestibular testing as the exercise did not really help and sometimes made things worse. Hearing test showed up normal two weeks ago. Whatever is going on, it is annoying. CT and MRI scans did not show any immediate problems. The funny thing is last Friday, my left ear seemed to clear...there was some beating sounds like a drum 5 times and I felt movement in the ear...the tinnitus went away for a few days, but on the third day, the ear felt tight and full again and the tinnitus came back. Anyway, thank you for the video...I don't really know what vestibular tests are yet, but I keep watching your material to educate myself on my issues. Thank you from the USA.

[@marianadalaqua5376]

I hope you're feeling better by now. For how you tell, you seem to possibly have Ménière's disease.

[@christinecargill5669]

Thank you so much for your explanations, particularly of the tests.. and outcomes of vestibular neuritis. No one in 7 years has ever explained any of this to me. So grateful

[@VikVeerENTSurgeon]

Glad it was helpful!

[@Josh-pe5pl]

So well explained! Thanks for helping me figure out what my key symptoms are beyond "dizzy"

[@marinajanic1984]

Thank you for Unterberger test explained, i just started ent, senior doctor questioned us today, and we didnt knew it well, thank you😭💖

[@milla5525]

BRAVO!!!! I love the simple way you explained a difficult concept! Thank you so much.

[@VikVeerENTSurgeon]

Glad it was helpful - agree it is a hard topic, scared to do anything more on it - working on it.

[@wahabbaig9830]

Your honesty integrity sound knowledge helping nature and great expln are all lovable and laudable lot of thanks God bless with the best

[@VikVeerENTSurgeon]

So nice of you

[@jonasestevan4217]

Great explanation! I had the Unterberger test done before, but I didn’t know it had a name. Thank you so much for bringing awareness about the different vestibular disorders.

[@VikVeerENTSurgeon]

Glad it was helpful!

[@preethyalexander7838]

Thank you doctor for teaching in such a simple way. God blessssss you. A good Vestibular rehab therapist can help in developing compensatory strategies.

[@omtalyahaltayeb5841]

Thanks Dr Veer Am a GP trainee just found your channel by chance trying to sort myself in GP land when dizziness are there !so much informative

[@TaylorTiree]

Very interesting and informative video. I have had Vertigo, dizziness, tinnitus and balance problems since January. I’ve seen the ENT doctor at my local hospital. I have tried to be positive doing vestibular exercises every day. I’m waiting for results of an MRI (ears) in a letter to my GP the consultant stated Romberg- negative, the problem is I was never tested for this. I definitely cannot keep my balance if my eyes are closed. Your description at the end of the video was very familiar when I get up at night to go to the toilet I stagger and usually bump into the doorway. Hopefully will get some answers soon. Thank you again.

[@maureensheehybrichetto]

Thank you. My husband has Vertigo. I’m going to share this video with him. I found your channel via a link on Conor’s channel.

[@dr.priyankasingh8391]

Perfectly explained ,thanks a lot.

[@Mona-ps9sf]

Oh how I wish you were in the US. Your videos are amazing. So very informative, plus your speaking voice is nice. Thank you so much. I highly recommend subscribing.

[@farisahamedsaduli1639]

Excellent explanation

[@bjarnetungland4544]

What a fabulous way of describing it!

[@carolerhodes5383]

Very helpful and clear explanation

[@pinkahboo925]

I have been dealing with vertigo for 6 months!!!

[@danielghafoor9516]

Great video and explanations. Thank you

[@faraz1231]

Excellent!! I would really appreciate if you could do a comparison between the different ent related diseases causing vertigo and how to diagnose one over the other... Secondly any easy differentiating points between vertigo and dizziness clinically? Oh and how to take history and examination in vertigo patient? Would appreciate a systematic approach.. Thanks!

[@gunasegaranmurugiah1326]

Wonderful explanation!

[@VikVeerENTSurgeon]

Really glad you think so. I have been meaning to do more videos about vertigo. it's a very misunderstood topic.

[@fr2k11ster]

Absolutely awesome explanation ..Thankyou 🙏

[@VikVeerENTSurgeon]

You're most welcome

[@maysaalwa8437]

Great explanation ! Thanks for your efforts 🙏🏻

[@wahabbaig9830]

Another amazing explanation of the subject similar to the one where you produced throat sounds to explain different conditions I am an alternative medicine research officer retired aged 65 I think I am suffering with post BPPV syndrome as after 3 to 4 years of off and on attacks I now only have swaying side to side or front to back problem i shall be more than happy if you have any suggestions for my condition thanks for the video .

[@rajenyqueen4779]

Thank you verrrry much dr. I really honorable to watching you ❤️

[@alifti4130]

Clear & crisp!

[@Its_ur_girl12]

thank you for this information ❤

[@gary8388]

Thank you very much . Really helpful . God Bless you.

[@VikVeerENTSurgeon]

Glad it helped

[@gary8388]

Thank you.

[@SerenaCarr-h4f]

fab video - thank you

[@sandrawood7710]

I've never had either test but was diagnosed with vestibular neuritis, then bilateral BPPV and possibly vestibular migraine and likely vestibular hypofunction. It's literally been a roller coaster ride and taken a year trying to get back to 'normal' and still not fully there.

[@deanobuzz372]

Hi Vik. Great channel. May i ask yo, do you have any other videos on virtigo please. And do you do referrals or private treatment in the uk. Hope to hear from you.. keep up the informative videos.

[@kellieknight2561]

Thanks for this! Can you explain a bit about the difference (or relation) between Meniere's and vestibular migraines?

[@suerandle6637]

I had issues with balance and kept falling over. After some tests, which I couldn't do, I had a calorics test, which diagnosed right ear canal paresis.

[@VikVeerENTSurgeon]

You will probably have a positive unterberger test then. you should rotate to the right.

[@braxtonp.3991]

Wonderful video

[@moufasfoumas]

excelent! Thank you.

[@ozwatts]

great work - please cover bvvp

[@dzisw]

I wish I could come to you. My ENT does no answering just a phony quote of we want to see why you have lost hearing. Even though I had been to the same office 9 months before and no mention of my hearing loss

[@TaylorTiree]

Thanks

[@VikVeerENTSurgeon]

Thank you ever so much, that was very kind of you.

[@trislineker]

Nice one, thanks

[@VikVeerENTSurgeon]

No problem 👍

[@immadisarojini2775]

Nice video doc

[@captainbuggernut9565]

Thanks for this. I'm now confused. I saw an ent chap recently. He told me to stand with arms by my sides and my feet together, eyes closed. I started to sway. He said quite abit. He then said I didn't have an inner problem. He stated he thought the issue was elsewhere probably a neck or back issue maybe pppd. I've just done your tests. Both of them and I have very little movement. So what does that mean, is it inner ear or not? My GP is equally confused by my diagnosis or lack of it. I have normal hearing.

[@yuvarajramammoorthy6165]

thank you sir

[@huseyinbarknyavuz8132]

Great explanation, thanx a lot. Fukuda and unturberger is same ?

[@chakradhar7972]

Thanks for the explanation. I had one such acute even as mentioned in the video 2 months back. My balance has retorted well. But I still feel a bit of dizziness when I can make sudden head movements to the left. And I’ve returned a positive result for unterberger test. I’m making a full rotation towards my left. ENT has established I have some problem with my left year. But I haven’t been told what exactly the problem was. I have bit of fullness in my left ear as well. Is there any exercises which can help me restore that balance ? Or is it a permanent thing ? What is the prognosis? Doesn’t it eventually get restored to normalcy in course of time? I’m a 29 year old. Thank you.

[@VikVeerENTSurgeon]

That will require another video. I would look into cooksey cawthorne exercises, but generally they are too easy for most people.

[@BrodeyDoverosx]

Untberger or Fukuda? Who said it first? I ended up failing on this twice. Once at physio and once at home. I tested myself because I got brutally seasick during a stormy cruise. I’ve got a long history of wrestling, cycling and Motorsports so it caught me off guard by a lot. So what do we do if we fail?

[@jonye9160]

Hi, i stumbled across your very helpful page tonight...I had vertgo a year ago and dont take the medication but now i have nystagmus and labrintitus and do the brandt daroff exercises but it does not go, i have hearing loss, tinnitus and constant wax in the left ear and i get dizzy and had for about three months now its getting me down. The dr does nothing.. what can i do please help!

[@Theone.fitness]

Hi Doc.. After following your famous Tinnitus advice on Quora , my 3 months old Tinnitus has reduced somewhat and is now only audible in silence. Do you think it would go away if I don't have hearing loss upto 8 khz?

[@VikVeerENTSurgeon]

Really glad that things have improved. If you have hearing loss, the treatment is harder, but not impossible. Keep Going! you are nearly there. Take care and thank you for commenting.

[@asadsabir2193]

Useful- thanks. Would betahistine also delay recovery in the same way as Stemetil?

[@VikVeerENTSurgeon]

Sadly betahistine will do nothing for this type of vertigo. I'm sorry it's so confusing. I will slowly try and explain it as I go along.

[@abhisheksingh-mw7os]

Hello Doctor Sir,namaste , greetings from India ,I m 38 years old ,I am facing walking issues in balance after 13 months of viral fever,plz guide me MRI of middle ear or MRI of inner ear which is helpful for confirming vestibular problem.

[@physiotherapy1602]

Great 👍

[@deanobuzz372]

Only me again i just seen that your are from london, im in leeds, would you or could you recommend an ENT doctor in the Leeds west Yorkshire area that i could visit please. I when to my gp, didnt do any tests they said i had Bppv i think they called it, i was dizzy just once that lasted about 20 seconds juts felt like i was been pushed/walking to the right, the anxiety it has caused me is terrifying me and i dont want to have to take medication for this.

[@jasonmathias5343]

What does it mean when you do the Unterberger's tests and you spin to the right, but then when you do the test again right after for a 2nd time you spin to the left?

[@lubnakhan2073]

What is the cause of being easy to get vertigo so quickly even though I’m not having infection and without doing any movement? Also sometimes I feel like I’m having a quick Shift in Pressure in my Head like I’m going up in an alleviator in speeding way and then in three seconds it’s gone?

[@VikVeerENTSurgeon]

Sounds interesting.... What you are saying sounds like a peripheral labyrinthine issue, but those symptoms can be caused by a lot of neurological things too. I would see a balance centre (ENT + Audiology + Neurology + physio etc) and get checked out.

[@lubnakhan2073]

@@VikVeerENTSurgeon i forgot to mention that I had a head injury long time ago got me unconscious, did my MRI nothing serious. But I’ll conceder your advice. Thanks a lot

[@jimkline6285]

Hi sir i have a question, i was told by a ENT in the USA I have mal de debarquement syndrome caused by vestibular migraines, is this possible?, and what can be done about MdDS if one has it, thanks

[@VikVeerENTSurgeon]

personally I would just call it vestibular migraine. just sort out the migraines and it should settle down.

[@wabarawb2988]

Have you ever heard of people who drive for a living experience any problems that may effect their driving.

[@daniloasenov7795]

Hello, can I ask if a clogged Eustachian tube can cause dizziness?

[@VikVeerENTSurgeon]

yes it can, but I don't think it causes vertigo.

[@daniloasenov7795]

@@VikVeerENTSurgeon Yeah, i don’t have vertigo, only dizzines like leghtheadednes. These symptoms will gone when eustachan tube will be “unblock” ?

[@VikVeerENTSurgeon]

I wouldn't say it causes light headedness. But if you are having the ETD sorted, it might work so i guess just hope and be positive.