Helping Los Angeles with Their Dizziness and Balance Challenges

Until you have experienced dizziness or vertigo, you never realize how debilitating and confidence-shattering it can be.

Whether you’re lying in bed and have a sudden sensation of the room spinning or you are finding yourself falling or losing your balance randomly, it’s an occurrence that can result in you wanting to isolate and spend less time socializing or outside of your places of comfort.

The most common reason for this is Benign Paroxysmal Positional Vertigo (BPPV), which is a common form of balance disturbance that originates in the inner ear.

With a team of advanced doctors of audiology, we have a leading track record for helping patients with these challenges and helping them to get back to their normal selves.

With many physicians throughout Los Angeles referring balance challenges to us, we’re able to help or guide you with any challenges that you may be facing.

Dr Greg sitting at desk

What Do Our Ears Do to Balance Us?

Inside your inner ear are three complex components used in transmitting sound to your brain: semicircular canals, the otolithic organs, and the cochlea. The semicircular canals look like three circular loops. Each is responsible for sensing movement in a different direction or different type in order to signal imbalance to your brain.

As the fluid within these tubes move, the hair cells sense the movement, much like the bubble in a carpenter’s level or plumb. When your brain receives the signals from these hair cells, it signals your body to make the proper adjustments.

VNG testing room

Common Symptoms and Causes of Balance Issues

When you are not moving, navigating uneven terrain, or even standing up, you can still experience symptoms of imbalance, dizziness, vertigo, and/or nausea.

These symptoms are common for those with damage or deterioration of structures in the inner ear, causing motion sickness, making sitting or standing complicated, and sometimes producing severe vertigo even when lying down.

These symptoms often relate to various other health conditions, like:

1. Labyrinthitis or Vestibular Neuronitis

An inner ear infection with inflammation in the labyrinth structure of the inner ear, which can produce tinnitus and hearing loss. It is similar to vestibular neuronitis, but hearing loss is not a symptom of vestibular neuronitis.

2. Meniere’s disease

An increase in pressure within the labyrinth structure, Meniere’s disease typically affects only one ear, though rare cases occur in both ears. There is no cure, but medications can help to manage the condition, which has a predictable buildup of pressure before an episode. The condition often disappears naturally after a few years.

3. Perilymph Fistula

Whenever fluid from the inner ear leaks into the middle ear, the condition is referred to as perilymph fistula. The condition is common in birth defects, in relation to a head injury or head surgery, in association with a severe ear infection, or after scuba diving.

4. Benign paroxysmal positional vertigo (BPPV)

Benign paroxysmal positional vertigo (BPPV) is a common but less critical issue related to positional balance.

5. Mal de Debarquement Syndrome (MdDS)

Mal de Debarquement Syndrome (MdDS) is a condition that continues to linger for a period of prolonged movement like the rocking of a boat or motion of a treadmill.

Schedule a Balance Test

Vertigo and nausea can show up out of nowhere, making it difficult to maintain your balance. The cause of these symptoms can relate to problems in the inner ear.

Seeking treatment before the problem causes you to fall and risk severe injury is essential.

The doctors at Pacific Hearing, Inc are experts in diagnosing and treating balance disorders.

To take advantage of our expertise, fill out our “Schedule a Balance Test” form and one of our doctors will call you back to discuss your challenges.

Patient Stories

This is Sarah's Story...

Sarah is the captain of the USA National Deaf Women’s Volleyball team, an actress, motivational speaker and a popular YouTuber that signs songs which have gotten recognition from Lin Manuel Miralda from Hamilton, and The Greatest Showman.

Sarah lost her hearing when she was three years old when was misdiagnosed and operated on by a surgeon that severed a facial nerve, paralyzing the right side of her face and resulting in her instantly losing her hearing.

After seeing many audiologists throughout her life, she was introduced to Dr. Gregory Frazer at Pacific Hearing Inc. when she was 18 by her grandma who had been a long-standing patient.

This is Dr. Rachelefsky's Story...

Dr. Rachelefsky was the director of the Executive Care Center for Asthma, Allergy, and Respiratory Diseases, professor of allergy and immunology, and associate director of the Allergy-Immunology Training Program at the David Geffen School of Medicine at UCLA.

He was president of the Respiratory and Allergic Disease Foundation and has been a principal investigator of multiple clinical trials. He is the author or co-author of more than 160 peer-reviewed publications dealing with allergy, respiratory disorders, and immunology and has personally treated between 80,000 and 100,000 patients in his 40 years in medicine.

This is Dr. Beroukhim's Story...

Dr. Beroukhim is an internal medicine physician. She immigrated to America due to an infection, which resulted in her losing much of her hearing. She first visited Dr. Greg, as he was one of the only audiologists on Los Angeles’s list that she could use her UCLA insurance with.

Although she previously had another audiologist, Dr. Beroukhim shared how Dr. Greg’s strong scientific background makes him stand out from the others. “In my experience, most of the audiologists I have worked with are kind people, understanding, and while they’re good at what they do, Dr. Greg has a strong scientific background.”

This is David's Story...

David is a highly renowned lawyer that practiced law in California for approximately 50 years, starting his career as a prosecuting attorney with one of his most landmark cases being People v. Cohen, during the Vietnam War. Upon leaving the government, he went on to run a successful litigation practice for around 20 years.

Following the adoption of his second child, David realized how much he enjoyed the life-changing and rewarding process and switched careers to adoption and surrogacy, helping approximately 3,000 families to adopt a baby across the United States. His first experience of a hearing challenge was in 2000, when he first realized that he had to adjust his television set to a much higher volume than the rest of his family. 

This is Cheyenne's Story...

Cheyenne is a 21-year-old student that has been seeing Dr. Greg since seventh grade. Her first encounter with Dr. Greg was different from what she had normally experienced with other audiologists, having had hearing challenges since fourth grade, and numerous hearing assessments.

She shared how she “learned the system”, commenting on how memorization of speech tests became her way of outsmarting the system. Dr. Greg realized what she was doing, challenged her, and helped to ensure the tests were accurate, unlike previous audiologists. When asked why Cheyenne continues to see Dr. Greg after ten years of being a patient, she said he is “like family”.