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The Balance Center
Given the complexity of the vestibular and balance systems, experience counts when it comes to diagnosis and treatment. Penn Medicine's clinicians have a combined experience of many decades diagnosing and treating even the most difficult cases. The Balance Center utilizes a multidisciplinary approach, drawing on the expertise of specialists in the area of Otorhinolaryngology – Head and Neck Surgery, Neurology, Neuroradiology, Audiology, and Physical Therapy to address each patient’s medical and rehabilitative needs. This collaborative approach to patient care makes this facility a unique and outstanding resource for both patients and healthcare providers who work with individuals experiencing dizziness or balance problems. Diagnostic ServicesSkilled, experienced specialists with master's and/or clinical doctorate degrees in Audiology provide the Center’s diagnostic testing. Diagnostic services begin with a thorough neurotologic history obtained via a comprehensive questionnaire and a detailed interview aimed at understanding the patient’s symptoms and history. Based on the patient’s unique profile, decisions are made regarding which diagnostic test procedures would be most appropriate for diagnosing the cause of the presenting symptoms. The maintenance of balance is extremely complex, requiring input from three areas:
If one or more of these systems is malfunctioning, it can result in one or more of the following:
In addition to assessing which of these systems may be the cause of a particular patient’s symptoms, it must also be determined how the patient is compensating for these abnormalities. Compensation status is extremely valuable information when formulating a patient’s treatment plan. The Balance and Dizziness Center utilizes the most comprehensive and state-of-art equipment to evaluate symptom cause and determine compensation status. The tests are painless, but some of them may make the patient feel unsteady, dizzy, or occasionally nauseated for a few minutes. This does not happen to every patient, and most patients do not have any difficulty with the testing. The typical Balance Function Test lasts 1 1/2 - 3 hours. Each patient will receive one or more of the procedures listed in the Balance Test section. Review these instructions, which will provide you with more information in preparing for the tests.
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