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Inside the inner ear are tiny, fluid-filled canals that sense movement and position. When these structures aren’t working properly, the signals they send to the brain become confused. This can lead to symptoms like:
A spinning sensation (vertigo)
Feeling off-balance or unsteady
Nausea
Difficulty walking straight
Ear pressure, ringing, or temporary hearing changes
Several inner-ear conditions may trigger dizziness or balance issues:
BPPV (Benign Paroxysmal Positional Vertigo): The most common cause. Tiny crystals in the inner ear shift out of place, causing brief, intense spinning with head movement.
Vestibular Neuritis / Labyrinthitis: Often follows a viral infection and leads to sudden, severe dizziness and imbalance.
Meniere’s Disease: Fluid pressure in the inner ear creates episodes of vertigo along with tinnitus, ear fullness, or fluctuating hearing loss.
Other causes include migraines, age-related balance changes, and sometimes medications.
You should be evaluated if dizziness:
Happens repeatedly
Lasts more than a few minutes
Interferes with daily life
Comes with hearing changes, ringing, or ear pressure
Occurs after a cold or viral illness
Repositioning maneuvers for BPPV
Medication to reduce inflammation or ease symptoms
Vestibular rehabilitation therapy to retrain balance pathways
Lifestyle adjustments for conditions like Meniere’s disease
Dizziness and vertigo can be unsettling, but most inner-ear balance disorders respond very well to proper care. If you’re experiencing ongoing dizziness, don’t ignore it — a simple evaluation at Vitale ENT in the Tampa Bay Area can help you get answers and begin feeling steady again.