Vertigo: the perception of movement or whirling – either of the self or surrounding objects.

Dizziness: a sensation of lightheadedness, faintness, or unsteadiness. Dizziness does not involve a rotational component.


Our Doctors of Audiology are the only Audiologist’s in Windsor-Essex performing balance assessments and offering rehabilitation services for vertigo, imbalance and falls-risk.  Paige Pierozynski and Bernice McKenzie have years of experience helping patients with dizziness.  They have teamed up with an in-house physiotherapist to collaborate to provide you or your loved one with a full vestibular diagnostic test battery and rehabilitation.

Do You Have Symptoms Of A Vestibular Disorder?

Our vestibular system is located in our inner ear and connected to the brain to help keep us oriented in space. Vestibular dysfunction can be brought upon by injury, age or disease. Symptoms that you may have a vestibular disorder include:

 Vertigo and/or dizziness, Imbalance, Vision or Hearing changes

Each person affected by a vestibular disorder is affected differently. Not all people with an inner ear disorder will experience the same symptoms. Symptoms may be severe to mild and be difficult to describe. They may come and go or may be constant. And these symptoms are not always caused by an inner ear vestibular disorder.

 Vertigo and/or Dizziness

  • A feeling that you are moving or that things around you are moving, when we know they are stationary (vertigo)
  • A feeling that you are floating or rocking or a light-headed feeling (dizziness)
  • Lateropulsion or a feeling of your body pulling to a particular side
  • Nausea, motion sickness or headaches


  • Poor coordination, including stumbling or trouble walking a straight line, stumbling
  • Poor posture
  • Needing additional support for movement i.e. holding the wall or using a cane or walker for mobility
  • Difficulty in crowds or open spaces

Vision or Hearing Changed

  • Poor depth perception, light sensitivity, double vision, trouble focussing or following objects with your eyes
  • Poor, distorted or fluctuating hearing which may be associated with tinnitus (ringing or buzzing in the ears)
  • Sensitivity to loud noises
  • Difficulty hearing in background noise
  • Difficulty following speakers in conversations, meetings, etc., especially when there is background noise or movement

How Can We Help At The Hearing & Dizziness Clinic?

Ruling out a vestibular disorder requires a series of complex and specialized tests.  The vestibular test battery takes 2-3 hours with our Doctors of Audiology to complete.  Below is a summary of the tests we perform, however, if you all any questions, please feel free to contact us at any time.

The first piece of the puzzle of a vestibular disorder is a very thorough vestibular case history and questionnaires which allow our Doctors of Audiology to gain valuable information about your symptoms. These documents help us to gain insight to your concerns and the ways that they affect you and your quality of life.

Secondly, we perform a diagnostic hearing test. This test not only reveals the status of your hearing and may  provide insight to your vestibular concerns.

Next we perform the Dix-Hallpike and Roll test to check for involuntary eye movements due to specific changes in positioning. This test helps us determine if your vertigo is central or peripheral (i.e. in the brain or inner ear) and if peripheral, which ear is involved.

The next piece of the puzzle is a VNG, a Videonystagmography test. This test is used to determine whether your vestibular symptoms are caused by your inner ear. A VNG records, analyzes and reports your involuntary eye movements through the use of video goggles worn while you look or lie in different positions. There are four parts to this test: Saccade test – evaluates eye movements, Tracking test – evaluates your eye movements as you follow a moving target, Positional test – measures dizziness as associated with moving your head, Caloric test – measures the responses to warm and cold air in your ear canal.

The tests are then interpreted by our Doctors of Audiology and explained to you and provided their recommendations if any (see Vestibular Rehabilitation Therapy).  We are more than happy to collaborate with your Physician and a detailed report can be sent to your Physician for your records.

Curious How Our Vestibular System Works – Watch This Video: