Tinnitus &
Vestibular Management
Specialist care for ringing in the ears and balance disorders. Comprehensive evaluations followed by evidence-based treatments — TRT, VEMP testing, sound therapy and targeted vestibular rehabilitation.
Tinnitus & Vestibular — Two Specialist Areas
What is Tinnitus?
Tinnitus is the perception of sound — ringing, buzzing, hissing, whooshing or clicking — in the absence of an external source. It is a symptom, not a disease, and can be caused by hearing loss, noise exposure, ear conditions, medications, stress or systemic health issues.
While there is currently no universal cure for tinnitus, highly effective management strategies can significantly reduce its impact on daily life, sleep and emotional wellbeing.
Tinnitus Evaluation at Unikol
A comprehensive tinnitus assessment includes a detailed audiological evaluation, tinnitus pitch and loudness matching, Minimum Masking Level (MML), Residual Inhibition testing, and a THI (Tinnitus Handicap Inventory) questionnaire to assess the degree of distress.
Identifies the frequency of your tinnitus to guide sound therapy settings.
Determines how loud the tinnitus is and what level of masking provides relief.
Measures the functional, emotional and catastrophic impact of tinnitus on your daily life.
The vestibular system in the inner ear controls balance and spatial orientation. Damage or dysfunction leads to dizziness, vertigo, unsteadiness and nausea. Our audiologists assess and manage a range of vestibular conditions using advanced testing and targeted rehabilitation.
BPPV — Benign Positional Vertigo
Brief, intense spinning triggered by head movement. Caused by displaced calcium crystals (canaliths) in the semicircular canals. Highly treatable with the Epley or Semont manoeuvre.
✔ Canalith RepositioningMeniere's Disease
Recurring episodes of vertigo, fluctuating hearing loss, tinnitus and ear fullness. Caused by excess fluid (endolymph) in the inner ear. Management includes dietary changes, medication and vestibular rehab.
✔ VRT + Dietary GuidanceVestibular Neuritis
Sudden severe dizziness without hearing loss, typically following a viral infection. The vestibular nerve is inflamed. Treated with vestibular rehabilitation exercises to retrain the brain.
✔ Vestibular ExercisesLabyrinthitis
Inflammation of the inner ear causing both hearing loss and dizziness. Viral or bacterial in origin. Requires audiological monitoring alongside vestibular rehabilitation.
✔ Monitoring + VRTPresbyvestibulopathy
Age-related decline in vestibular function leading to chronic unsteadiness and increased fall risk in older adults. Balance training and safety strategies are central to management.
✔ Balance TrainingPersistent Postural Dizziness (PPPD)
Chronic dizziness triggered by movement or visual stimulation. Often follows an acute vestibular event. Managed with vestibular rehabilitation and cognitive behavioural strategies.
✔ VRT + CBT ApproachHow We Treat Tinnitus & Balance Disorders
Tinnitus Retraining Therapy (TRT)
The gold-standard tinnitus management protocol combining directive counselling with sound therapy. TRT aims to reclassify tinnitus as a neutral signal so the brain learns to ignore it. Evidence shows 80%+ long-term improvement in distress.
Gold StandardSound Therapy & Masking
Therapeutic use of environmental sound, white noise generators or hearing aid sound therapy features to reduce tinnitus awareness and provide relief, especially during quiet periods and at night.
Immediate ReliefTinnitus Counselling
Education-based counselling that demystifies tinnitus, addresses fear and anxiety around the condition, and equips patients with effective coping strategies. Often combined with TRT or CBT-informed approaches.
Psychological SupportVestibular Rehabilitation (VRT)
A structured programme of gaze stabilisation exercises, balance training, and habituation exercises — personalised to your vestibular diagnosis. VRT retrains the brain to compensate for inner ear dysfunction.
VRT ProgrammeCanalith Repositioning (Epley)
A highly effective in-clinic manoeuvre for BPPV — repositioning displaced calcium crystals in the semicircular canal. Most patients experience significant relief after 1–3 treatments.
BPPV — 90% SuccessVEMP Testing
Vestibular Evoked Myogenic Potential testing assesses the otolith organs (saccule and utricle) — complementary to VNG and rotary chair testing for a complete vestibular diagnostic picture.
Advanced DiagnosticsVEMP Testing — Vestibular Evoked Myogenic Potentials
VEMP testing is an objective, non-invasive test of the otolith organs of the inner ear — the saccule and utricle — which are responsible for detecting linear acceleration and gravity. It is particularly valuable in diagnosing conditions affecting these structures.
VEMP is often ordered alongside other vestibular tests as part of a comprehensive balance assessment to determine the precise site and degree of vestibular dysfunction.
cVEMP — Cervical VEMP
Measures saccular function via the sternocleidomastoid muscle response. Used to assess the inferior vestibular nerve and saccule. Useful in Meniere's disease and superior canal dehiscence diagnosis.
oVEMP — Ocular VEMP
Measures utricular function via the extra-ocular muscle response beneath the eye. Particularly sensitive for detecting superior semicircular canal dehiscence (SSCD) and utricular dysfunction.
Who Should Have VEMP?
Patients with suspected Meniere's disease, unexplained unilateral dizziness, suspected SSCD, or abnormal rotary chair results may be referred for VEMP by their audiologist or ENT specialist.
Your Journey from Consultation to Relief
Specialist Consultation
Detailed history of your symptoms, triggers, duration and impact on daily life.
Audiological Evaluation
Full PTA, Speech Audiometry and Tympanometry alongside tinnitus-specific or vestibular-specific tests.
Advanced Testing
VEMP, Tinnitus Pitch/Loudness Matching, THI questionnaire — as clinically indicated.
Diagnosis & Report
Clear explanation of findings. Referral to ENT or neurology if needed.
Treatment Plan
Individualised management — TRT, VRT, sound therapy, repositioning or counselling.
Follow-Up Care
Regular review of progress. Adjustment of plan as needed. Long-term monitoring where required.
Common Questions
There is currently no universal cure for subjective tinnitus. However, TRT and sound therapy can dramatically reduce the distress and awareness of tinnitus for the vast majority of patients — to the point where it no longer interferes significantly with daily life.
BPPV is the most common cause of vertigo — triggered by head movement and caused by displaced crystals in the inner ear. The Epley manoeuvre, performed in clinic, resolves BPPV in 85–90% of cases, often in just 1–2 sessions.
No referral is necessary. You can book directly with our specialist audiologist. If we identify a condition requiring ENT or neurological input, we will coordinate the appropriate referral for you.
TRT typically shows significant improvement over 12–18 months, though many patients notice reduced distress within the first few months. The combination of counselling and consistent sound therapy use is key to success.
Yes. Stress and anxiety are among the most common triggers for increased tinnitus awareness. Managing the psychological response to tinnitus — through counselling and coping strategies — is a central part of effective tinnitus management.
Take the First Step Towards Quiet and Balance
Book a specialist tinnitus or vestibular consultation at Unikol Hearing & Speech Clinic, Indirapuram, Ghaziabad. Evidence-based care. Compassionate approach.
📅 Book Specialist Consultation →