The Balance Program for Treatment of Balance and Dizziness
A Service of Maxwell, Kluger & Makaretz, ENT Associates

Dizziness, vertigo and other balance problems are bothersome disorders that many people face everyday. If you are suffering from any of these problems (take our self test to assess your balance) then you know that diagnosing vestibular disorders can be very frustrating. Risk of falling, which often results in serious injury and loss of independence - especially for the elderly, is only one of the many problems facing people with balance disorders.

We can help. Maxwell, Kluger & Makaretz, ENT Associates offers patients with balance disorders balance and vestibular testing using a team approach, state-of-the-art equipment and vestibular therapy to diagnose quickly, treat and monitor balance disorders. The treatment of balance and dizziness, as well as vertigo and vestibular disorders, is accomplished with a goal-oriented approach to improve function and develop strategies for the patient to manage on their own.

Upon referral to the Balance Center from your primary care physician, our team leader, Dr. William Maxwell, MD or our resident vestibular therapist, Paul Albert, provides the balance and vestibular testing for an initial assessment. Balance and vestibular testing available at our facility includes full audiologic testing, Video Electro Nystagmography (VNG), Auditory Brain Stem Evoked Response (ABR) and Computerized Dynamic Posturography (CDP), head shake testing, Dynamic Gait Index (DGI) & Vestibular Ocular Reflex (VOR) testing to include Dynamic Visual Acuity (DVA) & Gaze Stabilization.

Once the diagnostic assessments are complete, Maxwell, Kluger & Makaretz, ENT Associates will develop a treatment plan, including the treatment of balance and dizziness problems. If appropriate, vestibular rehabilitation will be initiated.

Treatment of Balance and Dizziness
Treatment of balance and dizziness and vertigo treatment may begin with a comprehensive therapy evaluation that documents a patient's medical history, assesses medications and conducts a physical examination of vision, posture, strength, movement and balance. Once a functional baseline is established, goals will be identified and a treatment plan will be developed that may include:

• Proprioceptive retraining to improve position sense and enhance balance in various situations
• Visual, vestibular-ocular reflex exercises to improve gaze stability while a patient is in motion
• Specific vestibular exercises to stimulate the inner ear balance system

For more information about balance and vestibular testing, treatment of balance and dizziness, the treatment of vertigo and vestibular rehabilitation, contact our offices.