
Assessing dizziness and balance difficulties is rarely a single quick test. Vertigo (a spinning sensation) is only one type of dizziness, and balance symptoms can come from multiple systems working together: the inner ear, vision, neck and body movement, and the brain's ability to coordinate them. At AudioSense, our vestibular audiologists perform bedside balance assessments, using a thorough screening approach in clinic to narrow down what's happening and determine what type of care will help most. In some cases, additional testing may be recommended through other providers, but our role is to evaluate your auditory and vestibular picture carefully and guide you toward the right next steps.
Because hearing and balance are deeply connected, your balance assessment always begins with a hearing evaluation. The organ of hearing and the organ of balance live side-by-side in the inner ear and share connected pathways in the brain. When one system is affected, the other is often involved too. That's why at AudioSense, no matter what kind of dizziness or imbalance you describe, we start by completing a full hearing test. For patients experiencing vertigo, this hearing test for vertigo gives us information about inner ear status, nerve function, and auditory-brain processing that can help explain your balance symptoms.
After your hearing assessment, we move into the balance screening itself. Together, we complete a structured set of bedside tests that examine different aspects of vestibular and balance function. These may include dizziness questionnaires, visual tracking tasks, positional observations, walking and gait screening, and standing balance activities. The goal is to reduce guesswork by identifying patterns that point to specific vestibular causes, postural contributions, or neurological factors that may be contributing to how you feel.
When it comes to treatment, AudioSense approaches dizziness and balance care with a strong awareness that there are many possible causes. Some are primarily vestibular and fall within our audiology scope. Others require physiotherapy, vision rehabilitation, medical management, or neurological investigation. For this reason, we never work in isolation. We believe the best outcomes happen when care is team-based and coordinated, so we collaborate with your circle of care, including your family doctor, ENT, physiotherapist, optometrist, and any other health providers involved in your recovery. If we identify concerns outside our scope, we'll explain them clearly and guide you toward the right referral pathway.
Our balance services are focused on helping you move toward steadier, safer, more confident daily life. Whether your symptoms are mild and recent or persistent and complex, we take your experience seriously and aim to give you clarity about what's happening and what will help next.
A balance assessment typically takes one to two hours. Your audiologist will start by asking about your symptoms, when they started, and what makes them better or worse. The appointment usually includes a hearing test, since your hearing and balance systems are connected through the inner ear, according to the Vestibular Disorders Association.
Testing may involve wearing video goggles that track your eye movements while you follow patterns on a screen, change head positions, or have warm and cool air puffed into your ears. Some tests check how well your inner ear and brain work together to keep your vision steady when you move. You may feel briefly dizzy during parts of the testing, but this usually passes quickly, according to Cleveland Clinic. It is a good idea to arrange for someone to drive you home afterward.
In Ontario, you do not need a referral from your family doctor to see an audiologist for a balance assessment. Audiology is a self-referral service, which means you can book an appointment directly, according to the College of Audiologists and Speech-Language Pathologists of Ontario (CASLPO).
At AudioSense, you can call or email to book your balance assessment appointment directly. If needed, we work with your family doctor or ENT to share test results and coordinate your care.
The most common cause of balance problems is the inner ear. Your inner ear contains a balance system (called the vestibular system) that sends signals to your brain about your head position and movement. When something disrupts these signals, you may feel dizzy or unsteady, according to the National Institute on Deafness and Other Communication Disorders (NIDCD).
Common inner ear causes include:
Other causes include head injuries, certain medications, migraines, low blood pressure, and conditions affecting the brain or nervous system, according to Johns Hopkins Medicine. A balance assessment helps identify the cause so you can get the right treatment.
Dizziness is a general term for feeling off-balance, lightheaded, woozy, or unsteady. Vertigo is a specific type of dizziness where you feel like you or the room around you is spinning or moving when it is not, according to Cleveland Clinic.
Vertigo is often accompanied by nausea, vomiting, and difficulty walking. It is usually caused by problems in the inner ear or brain. Dizziness without a spinning sensation can have many causes, including low blood pressure, dehydration, medication side effects, or anxiety.
Being able to describe your symptoms accurately helps your audiologist or doctor determine what is causing the problem and recommend the right treatment, according to MedlinePlus.
Recovery time depends on the type of balance disorder and how your body responds to treatment. Some conditions improve quickly while others take longer.
BPPV often improves within a few days to a week after repositioning maneuvers, according to Fyzical Therapy. Vestibular neuritis or labyrinthitis may take several weeks to months as your brain adapts to changes in your inner ear. Chronic conditions like Meniere's disease or vestibular migraine often require ongoing management rather than a set recovery timeline.
For vestibular rehabilitation therapy, most patients start to notice improvement within two to four weeks. Full benefits are typically felt after six to twelve weeks of regular sessions, according to Innovative HCC. Doing your exercises consistently at home speeds up recovery. Your audiologist or vestibular therapist can give you a better idea of what to expect based on your specific condition.
If you're feeling dizzy, experiencing vertigo, imbalance, or fear of falling, you don't have to figure it out alone. At our Toronto balance clinic, balance testing starts with a complete hearing evaluation to assess inner ear function, followed by careful vestibular testing to help identify the cause. If vestibular rehabilitation or other treatment is needed, we'll guide you to the right care.
Book your dizziness and balance assessment today and take the first step toward feeling steady, confident, and comfortable in your body again.