Balance Center

If you or a loved one is experiencing dizziness or balance problems, you are not alone. In fact, it is estimated that more than 50 percent of the American adult population will experience dizziness or balance problems in their lifetime. Have no fear. With proper diagnosis and treatment at the Balance Center, you or your loved one can recover from balance disorders and regain control, even at an advanced age.

Balance Center

Why Choose Jefferson for Balance and Dizziness Disorders Treatment?

Jefferson otolaryngologists, along with our audiologists, work together to rule out inner ear pathologies that cause balance and dizziness problems.

Rated among the best in the nation for Ear, Nose and Throat by U.S.News & World Report, our centers feature physicians and doctors of audiology that offer comprehensive evaluation, treatment and rehabilitation. We also dispense state-of-the-art hearing aid technology, cochlear implants, custom ear molds and other implantable devices.

We are committed to restoring balance to our patients’ lives – be they difficulties brought on from strokes, seizures, inner ear disorders, Parkinson’s disease, vision problems, brain injury, multiple sclerosis (MS) or any other disorder. 

Signs You May Need Balance Testing

If you have experienced any of the below signs or symptoms, you may be a good candidate for balance testing. Keep in mind, these are only some of the indicators for recommended balance testing. Check with your doctor, if you're unsure. When in doubt, it's always better to err on the side of caution.

  • Difficulty getting up from a chair or out of bed
  • Numbness or loss of sensation in your legs
  • Trouble walking up or down inclined surfaces
  • Loss of balance when standing still
  • The need to look for support or grab on to something when moving around
  • Problems judging distances when walking
  • Feelings of dizziness or light-headedness
  • Suffered a stroke
  • Suffered any type of head or neck trauma
  • Decrease in hearing or fluctuating hearing
  • Vision problems, such as double vision or blurred vision
  • Increased sensitivity to light and/or sound
  • Tinnitus

Did You Know?

  • Falls are the number one cause of accidental death and the number one reason for hospital admissions for people over age 65.
  • More than one-third of adults 65 years and older fall each year in the United States.
  • Falls are the most common cause of traumatic brain injuries.
  • Injuries related to falls have reached epidemic proportions. Most falls occur because people have a balance disorder. However, the majority of people who have a problem with balance are totally unaware of it.

Comprehensive Diagnosis and Treatment

The Balance Center can help diagnose the reasons for dizziness and/or falls. Our compassionate and highly-trained staff members will conduct a number of painless tests that will help your doctor diagnose the cause of your balance issues and develop an effective treatment plan. The testing process takes just a little over an hour. Some of the tests offered include:

  • VNG - Videonystagmography is a series of tests that determines a person's ability to follow visual objects with their eyes. These tests evaluate how the eyes respond to information coming from the vestibular (balance) system. Video camera goggles are used to record these eye movements. Eye movement tests are useful, as some patients with balance system problems report difficulty seeing clearly when moving. Some patients also report an erroneous sense that objects are moving around them. If you are experiencing problems with your balance or are feeling dizzy, this test will help determine if a vestibular disease is the cause of your problem.
    • Three Parts to VNG Testing
      • Ocular and optokinetic testing: These may indicate a central or neurological problem, or a problem in the pathway connecting the vestibular system to the brain.
      • Positional nystagmus: This test evaluates the effect of positional changes on the vestibular system.
      • Caloric testing: This test assesses your vestibular system for each ear and reveals whether they are working and responding to stimulation. Testing is conducted with warm and cool water or air.
  • Electrophysiology
    • Auditory Brainstem Response (ABR)
      • An ABR test may be performed to determine if you have delayed nerve conduction due to a disturbance of the auditory nerve. This safe and painless test measures the speed of electrical impulses traveling along the acoustic nerve from the inner ear to the brain.
    • Electrocochleography (EcochG)
      • The EcochG test is an objective measure of the electrical potentials generated in the inner ear as a result of sound stimulation. This test is most often used to determine if the inner ear (cochlea) has an excessive amount of fluid pressure. Excessive fluid pressure in the cochlea can cause symptoms such as hearing loss, aural fullness, dizziness, and/or tinnitus. These symptoms are sometimes indicative of certain ear pathologies such as Meniere’s disease or endolymphatic hydrops.
    • Vestibular Evoked Myogenic Potential (VEMP) 
      • The VEMP test is an emerging tool used to evaluate the otolithic organs of the inner ear (utricle and saccule). A myogenic response from the muscles of the neck or eyes is recorded in response to high level acoustic stimulation. Results obtained from the VEMP test complement the information provided by the VNG and other inner ear testing to help evaluate dizziness.
  • Rotational Chair
    • The purpose of rotary chair testing is to determine if the vestibular system or the neurological system is the cause of a balance disorder. Rotary chair testing is often ordered in addition to the VNG test to evaluate a balance disorder because it allows measurement of responses to movements of the head that are closer to speeds encountered in daily activities. During this test, the patient sits in a computerized chair that moves. The rotary chair test is very useful in determining if an individual has a problem with both sides of the vestibular system (bilateral vestibular loss).
  • vHIT
    • The vHIT is an ear-specific test that detects disorders of the vestibule-ocular reflex and evaluates which ear is affected. This emerging test is able to evaluate several parts of the vestibular system simultaneously in addition to providing ear-specific information.

Balance Center Locations

Jefferson Health offers three Balance Center locations in New Jersey, for your convenience:

Balance Center at Jefferson Cherry Hill Hospital
2211 Chapel Avenue, Suite 403
Cherry Hill, NJ 08002

Balance Center at Jefferson Washington Township Hospital
400 Medical Center Drive, Suite D
Sewell, NJ 08080

Balance Center at Jefferson Stratford Hospital
101 East Laurel Road
Stratford, NJ 08084