- Johar Town, Lahore
- Mon - Sun 24/7
Dr. Sajid Iqbal
ENT Specialist · Lahore
Balance depends on the inner ear, the eyes and the sensors in your joints working together. When the inner ear sends the wrong signal, you feel movement that isn’t happening. Vertigo (true spinning) usually comes from the ear; light-headedness or faintness more often comes from blood pressure, heart, or medication; unsteadiness may be nerve or brain related. Sorting out which is the first job of the consultation.
Dr. Sajid assesses all forms of dizziness and treats the ear-related causes directly, referring onward when the cause lies elsewhere.
A detailed description of your attacks gives most of the answer. Examination includes ear inspection, eye-movement (nystagmus) tests, the Dix-Hallpike test for BPPV, balance and gait testing, and a hearing test. Video head-impulse testing, VNG or MRI are arranged when needed. Red-flag symptoms prompt immediate urgent evaluation.
For Meniere’s disease that fails medical treatment, intratympanic steroid or gentamicin injections through the eardrum can control attacks. Mastoid surgery is done when chronic infection or cholesteatoma is eroding the inner ear. Persistent BPPV unresponsive to manoeuvres is exceptionally rare and is managed with specialized canalith repositioning techniques.
History and positional testing. If BPPV is confirmed, the Epley manoeuvre is done immediately — 5 minutes, no equipment, no medicine.
Mild unsteadiness for a day or two is normal. Sleep slightly propped up the first night. Most patients are symptom-free within 1–3 sessions.
Meniere's: medication plan and hearing monitoring. Neuritis: short symptomatic treatment then balance exercises — early movement speeds recovery.
2–4 weeks to confirm resolution and repeat the manoeuvre if needed. Home exercise programme provided.
BPPV can recur (about 15–20% per year); you are taught to recognise it and return early.
Consultation and Epley manoeuvre: PKR 4000. Injections or surgery are quoted individually.
Ready to get it sorted? Book a consultation with Dr. Sajid Iqbal at Horizon Hospital, Johar Town, Lahore — call 0321 4496160 or WhatsApp.
Rarely, but it can be. Vertigo with double vision, weakness or numbness, difficulty speaking, severe headache, or inability to walk needs emergency care. Isolated spinning triggered by head position is almost always the inner ear.
BPPV — the most common cause — is usually cured with a repositioning manoeuvre. Meniere’s disease is controlled rather than cured. Vestibular neuritis recovers over weeks with exercises.
This is the classic description of BPPV. Tiny calcium crystals have moved into one of the balance canals. The Epley manoeuvre moves them back.
Vestibular sedatives help for a few days in an acute attack but slow recovery if taken long-term. They should not be used for weeks without an accurate medical diagnosis.
Only when the picture doesn’t fit an inner-ear cause, when hearing loss is one-sided and unexplained, or when there are neurological signs. Most vertigo does not need a scan.
Same-week appointments at Horizon Hospital, Johar Town, Lahore.
Timings: Mon – Sun 24/7
Consultation Fee: PKR 4000
Dr. Sajid Iqbal, MBBS, MS-ENT, is a consultant ENT surgeon with 20+ years of experience treating patients in Lahore. Read his profile →
Clinic in Johar Town, Lahore, Mon – Sun 24/7