The dysequilibrium

refers to more generalized problems of unsteadiness. These complaints

are usually not related to the inner ear, but to more general problems

such as high blood pressure, hyperventilation or a disruption in blood

circulation.

Because there

are so many possible causes, identifying the cause of a balance disorder

is a challenging task. The first step is a medical examination, including

a complete history.

Specialized

tests may include audiologic testing and vestibular testing (electronystagmography,

or ENG). Neurologic and X-ray studies may be done, as well as balance

testing (posturography).

Treatment

If the examination

results indicate a specific cause, treatment can be directed at the cause

of the balance disorder. In other cases, medication or a chage in diet

may be used to control the symptoms.

A vestibular

rehabilitation program may be recommended. This is a series of exercises

designed to teach the brain to compensate for the loss of balance function.

The brain can also be trained to rely on other modalities, such as vision

and support, to aid in balance.