Browse Medications by Everyday Health Concerns: Difficulty balancing

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by James Wong
Pharm.D • NiHowdy Founder
Updated Jan 27, 2025
•Published Jan 15, 2025

What is Difficulty balancing?
Symptoms of Difficulty balancing
- Feeling unsteady or dizzy when standing up or walking
- Frequently losing your balance, especially when turning or walking on uneven surfaces
- A sensation of spinning or dizziness (vertigo)
- Falling or near-falling, even in familiar spaces
What causes Difficulty balancing?
- Inner ear problems: Conditions like benign paroxysmal positional vertigo (BPPV) or Meniere's disease affect the inner ear, which is responsible for balance.
- Neurological conditions: Disorders such as Parkinson's disease, multiple sclerosis, or stroke can affect your nervous system and impair balance.
- Low blood pressure: A sudden drop in blood pressure (orthostatic hypotension) when standing can cause dizziness and balance issues.
- Vitamin deficiencies: Deficiencies in certain vitamins, such as vitamin B12, can affect nerve function and balance.
- Age-related changes: As you age, your sense of balance may naturally decline, and you may be at higher risk for falls.
Risk factors for Difficulty balancing
- You are over 65 years old
- You have a history of ear infections or inner ear conditions
- You suffer from neurological disorders like Parkinson's disease or stroke
- You experience frequent dizziness or low blood pressure
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How is Difficulty balancing diagnosed?
- A physical exam to assess your strength and coordination
- Hearing tests to check for inner ear problems
- Balance tests, such as the Romberg test, to evaluate your stability
- Blood tests to check for any underlying conditions, like vitamin deficiencies or blood pressure issues
How is Difficulty balancing treated?
- Physical therapy: Balance exercises and strength training can help improve stability and prevent falls.
- Medications: If the cause is related to a condition like vertigo or low blood pressure, medications may help manage symptoms.
- Lifestyle adjustments: Simple changes, such as avoiding sudden position changes and improving lighting at home, can reduce fall risk.
- Surgical intervention: In some cases, surgery may be required for conditions like Meniere's disease or a vestibular disorder.
Medications for Difficulty balancing
Can Difficulty balancing be prevented?
- Exercising regularly to strengthen muscles and improve flexibility
- Managing medical conditions like blood pressure and diabetes
- Getting regular eye and ear exams to detect any problems early
- Improving home safety by removing tripping hazards and installing grab bars
Managing Difficulty balancing at home
- Practicing balance exercises (such as standing on one foot or walking heel-to-toe)
- Using assistive devices like canes or walkers if recommended by your healthcare provider
- Maintaining a healthy diet with enough nutrients, including vitamin B12, to support nerve function
- Ensuring your home is safe by eliminating obstacles and using non-slip mats
When should you seek help for Difficulty balancing?
- Your balance problems are sudden or worsen over time
- You experience frequent falls or a sensation of spinning (vertigo)
- You have difficulty walking or maintaining posture
- You notice other symptoms like numbness or tingling in your limbs
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