Treatment of Dizziness and Vestibular Disorders at the Helyos Medical Center


Treatment of Dizziness and Vestibular Disorders at the Helyos Medical Center
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Treatment of Dizziness and Vestibular Disorders at the Helyos Medical Center

ur medical center specializes in the diagnosis and treatment of vestibular disorders associated with inner ear pathology, such as benign paroxysmal positional vertigo (BPPV).

We follow modern evidence-based approaches and develop individualized treatment strategies for each patient.


Why Does Dizziness Occur?

Dizziness may occur due to damage to brain structures, but much more often it is caused by disorders of the inner ear and the vestibular nerve.

The most common causes related to the inner ear include:

  • benign paroxysmal positional vertigo (BPPV);
  • vestibular neuritis;
  • Ménière’s disease.

In such conditions, a medical vestibular examination is crucial, as instrumental diagnostic methods often have limited informative value.


When Should You See a Doctor?

An urgent consultation with a specialist is recommended as soon as possible if you experience dizziness on its own or dizziness accompanied by nausea, vomiting, ringing in the ears, or visual disturbances.

Timely diagnosis not only helps reduce symptoms but also prevents the condition from becoming chronic, when dizziness and instability may persist for years.


How Is the Diagnosis Performed?

The medical center applies a step-by-step comprehensive approach:

  • medical, therapeutic, and neurological examination;
  • specialized assessment of the vestibular system (functional and positional tests, evaluation of gait and balance);
  • instrumental studies — when indicated.

Before starting rehabilitation, we обязательно exclude potentially dangerous causes of dizziness.

The goal of diagnosis is to accurately identify the cause of the disorder and select treatment aimed not only at relieving symptoms but also at addressing the underlying mechanism of the disease.


Modern Treatment Methods

Treatment strategies are selected individually and may include:

Medication Therapy

Used to reduce dizziness and nausea, stabilize vestibular function, and manage associated symptoms.

Therapeutic Positional Maneuvers

Special maneuvers performed during the consultation.

They are particularly effective for benign positional vertigo.

In many cases, significant improvement occurs already at the first visit.

Vestibular Rehabilitation

Individually tailored exercises to train balance, stabilize gaze, and promote adaptation and compensation of impaired functions.

This is a key method for long-term recovery and prevention of chronic dizziness.


Advantages of Treatment at Helyos

  • physicians specialized in dizziness and vestibular disorders;
  • modern evidence-based protocols;
  • individualized vestibular treatment programs;
  • comprehensive diagnostics in one facility;
  • comfortable conditions of a private medical center;
  • patient support until stable results are achieved;
  • the ability to stay in contact with the physician to monitor recovery and adjust treatment.

In most of our patients, we achieve a significant reduction or complete resolution of dizziness.


Book a Consultation at Helyos

If you are experiencing dizziness or balance problems, do not postpone seeing a specialist.

Early diagnosis and properly selected treatment significantly increase the chances of full recovery.

Author: Ivan Volodymyrovych Berezutskyi,

Head of the Rehabilitation Department, Neurologist, Physical and Rehabilitation Medicine Physician, Reflexologist.



Photo of Berezutskyi Ivan Volodymyrovych
Berezutskyi Ivan Volodymyrovych
Neurologist Vestibulologist Physician in Physical and Rehabilitation Medicine (PRM) Reflexologist

Areas of practice:

Treatment of acute and chronic disorders of the central and peripheral nervous system in both outpatient and inpatient settings.

Therapies performed:

  • Paravertebral block
  • Plasma therapy
  • Manual therapy
  • Acupuncture (dry needling)
  • Kinesio taping


See also
Thyroid-Stimulating Hormone (TSH
Thyroid-Stimulating Hormone (TSH

The thyroid gland plays a vital role in the functioning of the entire body by regulating metabolism, energy balance, and the activity of the cardiovascular and nervous systems. One of the key indicators of thyroid function is the thyroid-stimulating hormone (TSH). A TSH blood test helps doctors assess how well the thyroid gland is working and detect potential disorders at an early stage.

At the Helyos Medical Center, patients can undergo laboratory testing, have a thyroid ultrasound, and receive a consultation with an endocrinologist for an accurate diagnosis and personalized treatment plan.

What Is Thyroid-Stimulating Hormone (TSH) and What Does It Do?

Thyroid-stimulating hormone (TSH) is produced by the pituitary gland and regulates the function of the thyroid gland. It stimulates the production of thyroxine (T4) and triiodothyronine (T3), hormones that affect nearly every organ and system in the body.

When thyroid hormone levels decrease, the pituitary gland produces more TSH to stimulate the thyroid. Conversely, when T3 and T4 levels are too high, TSH production decreases. This is why a TSH blood test is considered one of the most important methods for evaluating endocrine system function.

Normal TSH Levels in Women, Men, and Children

Reference ranges may vary slightly depending on the laboratory and the testing method used. In most cases, the normal TSH range for adults is approximately 0.4–4.0 mIU/L.

TSH levels can be influenced by:

  • age;
  • sex;
  • pregnancy;
  • certain medications;
  • underlying medical conditions.

During pregnancy, normal TSH values change, especially in the first trimester. Therefore, test results should always be interpreted by a healthcare professional.

In children, TSH levels also vary with age. Newborns typically have higher TSH levels, which gradually decrease and approach adult reference values as they grow.

When Should You Get a TSH Test?

A doctor may recommend a TSH test if you experience symptoms that may indicate thyroid dysfunction.

These symptoms include:

  • persistent fatigue;
  • drowsiness;
  • sudden weight changes;
  • dry skin;
  • hair loss;
  • irregular heartbeat;
  • excessive sweating;
  • insomnia;
  • irritability;
  • difficulty conceiving.

A TSH test is also commonly recommended during pregnancy, when planning pregnancy, to monitor thyroid disease treatment, and as part of routine preventive health check-ups.

Causes of High and Low TSH Levels

An elevated TSH level most commonly indicates an underactive thyroid gland (hypothyroidism). Possible causes include autoimmune diseases, iodine deficiency, the effects of thyroid surgery, or treatment with certain medications.

A low TSH level may occur in hyperthyroidism, a condition in which the thyroid gland produces excessive amounts of thyroid hormones. Changes in TSH levels may also be associated with pituitary disorders, severe stress, or the use of certain medications.

TSH test results should always be interpreted together with T3 and T4 levels, clinical symptoms, and the findings of additional diagnostic tests.

How to Prepare for a TSH Blood Test

To obtain the most accurate results, it is recommended to:

  • have your blood drawn on an empty stomach;
  • avoid intense physical activity the day before the test;
  • avoid alcohol for 24 hours before the test;
  • inform your doctor about all medications you are taking;
  • whenever possible, have follow-up blood tests performed at the same time of day.

Following these recommendations helps ensure the most reliable laboratory results.

What Do Abnormal TSH Levels Mean and When Should You See an Endocrinologist?

An abnormal TSH level is not a disease itself but rather an indicator of a possible endocrine disorder. To determine the underlying cause, your doctor may recommend additional blood tests, a thyroid ultrasound, and other diagnostic procedures.

You should consult an endocrinologist if you experience symptoms of thyroid dysfunction, receive abnormal thyroid test results, or have a family history of endocrine disorders. Children with suspected thyroid problems should be evaluated by a pediatric endocrinologist.

Conclusion

Thyroid-stimulating hormone (TSH) is one of the most important indicators of thyroid function. A timely TSH blood test can detect thyroid disorders before noticeable symptoms develop, allowing treatment to begin at an early stage. Regular preventive check-ups, consultations with an endocrinologist, and modern diagnostic methods help maintain endocrine health and reduce the risk of developing serious thyroid and hormonal disorders.