Stop Feeling Like the Floor Is Moving Beneath You
Peninsula Hearing & Balance Center's doctors of audiology deliver comprehensive vestibular diagnostic testing in San Diego Metro — so you know exactly what is causing your dizziness and what to do about it.
Dizziness and balance problems are disorienting in every sense of the word.
One moment you're standing in your kitchen, the next the room is spinning and you're grabbing for the counter.
If that sounds familiar, you're not imagining it — and you're not alone.
Balance disorders are among the most common reasons adults visit a doctor, yet they're routinely dismissed, misdiagnosed, or left unexplained for months.
What We're Actually Looking For
Your balance system is a three-way partnership between your inner ear, your vision, and the sensory feedback your muscles and joints send to your brain. When any part of that system breaks down, your body loses its ability to accurately judge where you are in space — and dizziness is the result. Balance testing isolates which part of the system is struggling so treatment can target the actual source, not just manage symptoms.
Tests We Use and Why They Matter
Videonystagmography (VNG) is the cornerstone of most balance evaluations. It uses infrared goggles to track involuntary eye movements that reveal how well each inner ear is functioning. Positional testing identifies whether loose crystals in the inner ear — the cause of benign paroxysmal positional vertigo, or BPPV — are triggering your vertigo. Additional assessments may include rotational chair testing or posturography depending on what your symptom history suggests. Every test we use has a specific clinical purpose; nothing is routine for its own sake.
Conditions These Tests Help Identify
Balance testing can identify a range of vestibular conditions, including BPPV, vestibular neuritis, labyrinthitis, Ménière's disease, and age-related changes in inner ear function that increase fall risk. Some patients come in with a diagnosis already on paper but symptoms that don't match — testing frequently brings that picture into sharper focus. Identifying the correct condition is what makes it possible to choose a treatment that actually works.
What Happens After Your Results
Your provider reviews findings with you before you leave. If your results point to a vestibular condition that responds to in-office treatment — BPPV is the most common example — that treatment may begin the same day. If your results suggest a condition that benefits from vestibular rehabilitation, medication management, or coordination with another specialist, your provider will explain that recommendation clearly and help you understand the next step. You will always leave knowing what was found and what happens next.
“Peninsula Hearing & Balance Center's doctors of audiology bring subspecialty vestibular training to every balance evaluation — the same level of diagnostic rigor typically found only in hospital-based balance programs, available at our Point Loma office, serving Coronado and greater San Diego County.”
Common Questions
How do I know if I need balance testing rather than just a regular doctor's visit?
If your dizziness or unsteadiness is recurring, unexplained by a general exam, or affecting your daily life, balance testing gives you information that a standard office visit cannot. A doctor of audiology has the specialized equipment and training to evaluate your vestibular system directly, which is not part of a routine physical. If you're unsure, calling us to describe your symptoms is a good first step.
Is the testing uncomfortable or painful?
Balance testing is non-invasive and not painful. Some tests — particularly the caloric portion of VNG, which uses gentle air or water temperature changes near the ear canal — can briefly provoke a sensation of dizziness, because that response is exactly what we're measuring. Your provider will explain what to expect before each step so nothing catches you off guard.
How long does the evaluation take?
Most comprehensive balance evaluations are completed in a single appointment. The length depends on which tests your symptoms indicate, but you should plan for a visit of roughly one to two hours. We schedule enough time to review your results with you before you leave.
What should I do to prepare for balance testing?
Your provider's office will give you specific preparation instructions when you schedule, because some tests are affected by certain medications, caffeine, or alcohol in the 24 to 48 hours before your appointment. It's also helpful to bring a written timeline of your symptoms — when they started, what triggers them, and how they've changed — since that history shapes which tests are most relevant for you.
Can balance testing tell me if my dizziness is related to my hearing?
Yes, and that connection matters more than many patients realize. The inner ear structures responsible for hearing and those responsible for balance are closely linked, and conditions like Ménière's disease affect both simultaneously. Because our providers are doctors of audiology, your balance evaluation includes an assessment of hearing function when clinically indicated — giving you a more complete picture than a standalone vestibular test alone.
Get Answers to Your Dizziness — Starting With One Appointment
Our doctors of audiology will identify exactly what is causing your dizziness and give you a clear path forward.