A report is not a diagnosis
Findings become meaningful only when a physician relates them to your symptoms and examination.
Vertigo & Balance Disorders | Golf City, Lucknow
Stop collecting reports.
Get a diagnosis.
Chakkar is a symptom of many different conditions, each with a different treatment. At HealthNest, one ENT surgeon examines you, performs and interprets VNG when needed, and treats BPPV.
Doctor-led VNGPerformed and interpreted in-house when clinically appropriate.
Same-visit treatmentBPPV repositioning manoeuvres are done when indicated.
Specialist assessmentHistory, examination and test findings are considered together.
Why diagnosis comes first
Vertigo testing is useful only when it answers a clinical question
A VNG report is data, not a diagnosis. Eye-movement traces must be read alongside your history and examination. Many patients with BPPV need a bedside positional test and a correctly targeted manoeuvre, not a long list of investigations.
Treatment and tests are recommended only after clinical assessment. The right plan depends on the individual patient.
Not everyone needs a machine
BPPV, the most common positional vertigo, is usually diagnosed at the bedside.
The examination decides
Testing is chosen because it can change diagnosis or treatment, not as a standard package.
Questions worth asking
Before you book vertigo testing
These questions help distinguish a standalone test from a complete medical evaluation.
| Ask this question | A standalone testing pathway may offer | HealthNest doctor-led pathway |
|---|---|---|
| Who takes the history? | A technician or allied professional may collect it. | The ENT surgeon takes and interprets your history. |
| Who decides which tests are needed? | A predefined battery may be used. | The examination decides; sometimes no machine test is needed. |
| Who interprets the VNG? | Ask who reviews and signs the findings. | The surgeon who examined you interprets the study. |
| Who performs a repositioning manoeuvre? | This varies between centres. | The surgeon performs a canal-specific manoeuvre when indicated. |
| Can medicines and medical causes be reviewed? | A separate physician visit may be required. | Medicines, ear causes and warning signs are assessed together. |
| What do you leave with? | You may receive a report for another clinician. | You receive an explained diagnosis or differential diagnosis and a plan. |
Audiologists and vestibular therapists are important members of a multidisciplinary team. The key question is whether the visit includes medical diagnosis and a clear next step.
One visit, start to finish
How your vertigo consultation works
History
Triggers, timing, hearing changes, headaches and medicines are reviewed.
Examination
Eye movements, positional tests and balance are assessed.
VNG, if needed
An in-house VNG may be performed when it can clarify the diagnosis.
Treatment
BPPV manoeuvres can be performed during the same visit when indicated.
Written plan
You leave with clear instructions, follow-up advice and warning signs.
Our testing policy
Tests are recommended only when they can help
If a test is unlikely to change your treatment, it may not be necessary. When VNG is appropriate—for example in unexplained recurrent vertigo, suspected vestibular weakness or when objective documentation matters—the findings are interpreted in the context of your examination.
New to VNG? Read our complete VNG guide: procedure, preparation, results and contraindications.
Conditions assessed
Different causes need different treatment
BPPV
Brief spinning triggered by turning in bed, looking up or bending. It is diagnosed with positional testing and treated with a canal-specific manoeuvre.
Vestibular neuritis
A severe prolonged attack of vertigo. Early assessment guides symptom control and vestibular recovery.
Ménière’s disease
Episodes associated with ear pressure, tinnitus or fluctuating hearing require ongoing medical and hearing assessment.
Vestibular migraine
Vertigo or motion sensitivity may occur with or without a typical migraine headache, and vestibular tests can be normal.
PPPD
Long-lasting rocking, swaying or visual-motion sensitivity after an initial event is real and treatable.
Central and other causes
Medicines, blood pressure and neurological conditions can cause dizziness. Recognising a non-ear cause is an important part of assessment.
Seek urgent care
Some dizziness is an emergency
Go to an emergency department immediately if vertigo occurs with:
- Sudden weakness or numbness of the face, arm or leg
- Slurred speech, difficulty swallowing or double vision
- Inability to stand or walk even with support
- A sudden severe headache unlike any before
- Sudden hearing loss in one ear
These symptoms can signal a stroke or another urgent neurological or ear condition. Do not wait for a clinic appointment.
Your vertigo doctor
Dr. Akansha Tewari
MBBS | MS ENT | DNB | AIIMS Fellow
Dr. Tewari personally performs the clinical vestibular examination, interprets VNG findings and carries out repositioning manoeuvres. Keeping assessment and interpretation together helps build a practical plan around the patient, not around a test report.
Straight answers
Questions patients ask
Does every vertigo patient need a VNG test?
No. BPPV is commonly diagnosed using a bedside positional test. VNG is considered when it can clarify the cause, document vestibular function or guide treatment.
Can BPPV be treated in one sitting?
Many patients improve after one correctly targeted repositioning manoeuvre, while some need repeat sessions. BPPV can recur.
I have taken chakkar tablets for weeks. Should they be reviewed?
Yes. Some vestibular suppressants are helpful for short-term severe symptoms but may not be appropriate for prolonged use. Do not stop prescribed medicine on your own; bring it for review.
I already have VNG or other reports. Should I bring them?
Yes. Bring previous reports, scans and prescriptions. Adequate tests do not need to be repeated without a clinical reason.
How do I book a consultation?
WhatsApp is the quickest way to request an appointment. You can also call +91 83828 11224.
One doctor. One visit. One clear next step.
If dizziness has left you with reports but no explanation, book a specialist assessment at HealthNest Clinic, Golf City, Lucknow.