Hearing Evaluation Services (HES) understands the importance of continuity of care. To that end, any treatment you may require will be administered or monitored by your primary audiologist. HES is largely comprised of audiologists who specialize in various audiological areas such as balance and counseling. This ensures that our patients receive expert care.

The results of a comprehensive balance test battery should indicate why you are experiencing symptoms of dizziness. Your audiologist is then able to make recommendations to rehabilitate and reduce your symptoms, as well as answer any questions or concerns you may have.

At HES, we believe that everyone experiences dizziness differently. Therefore, treatment should be custom-fit to meet the individual needs of each patient. Though treatment will vary from person to person, the following solutions are frequently recommended.



Vestibular Rehabilitation


Vestibular rehabilitation is an exercise-based therapy program designed to improve balance and minimize dizziness symptoms.

These balance problems may include benign paroxysmal positional vertigo (BPPV); unilateral or bilateral vestibular hypofunction, balance weakness affecting one or both sides of the body; and symptoms associated with Ménière’s disease, labyrinthitis, and vestibular neuritis.  It can also help people with an acute or abrupt loss of balance function following surgery for vestibular problems.

At HES, our audiologists work closely with qualified physical therapists who have years of experience with a multitude of balance problems.  We are happy to evaluate you and refer you for this service if it is medically necessary. Contact any of our HES locations to schedule an appointment, and discuss if vestibular rehabilitation is right for you.



Canalith Repositioning Treatment (Epley Maneuver)


Canalith Repositioning Treatment, commonly referred to as the Epley maneuver, can help relieve vertigo associated with a positive diagnosis of benign paroxysmal positional vertigo (BPPV).  BPPV is a complex condition in which you have brief, but intense, episodes of dizziness that occur when you move your head in a certain position or hold it at a particular angle. Sufferers of BPPV should always be evaluated by an audiologist to determine which angle of the head is provoking vertigo. There are several variants of BPPV, but it commonly occurs when tiny particles in your balance system – called “otoconia” – break loose and fall into your inner ear canals.

The Epley maneuver can help the otoconia move back into a position where they won’t cause vertigo. This procedure consists of several simple head maneuvers, and should always be performed by an audiologist or physical therapist specializing in balance disorders.  If you have been diagnosed with BBPV, and want to learn more about the Epley maneuver, please Contact any of our HES locations to schedule an appointment.



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