Symptom

Balance problems

Balance problems appear as unsteadiness when standing or walking, swaying, or a tendency to fall. They may be associated with dizziness or occur without a sensation of dizziness.

The most common causes are inner ear problems (BPPV, labyrinthitis), neurological diseases (Parkinson’s disease, stroke), medication side effects, or muscle weakness with age. Vision problems and reduced sensation in the feet also affect balance.

Physiotherapy and balance training are key treatment methods. Preventing falls is especially important in older adults.

Frequently asked questions

How does the inner ear affect balance?

The balance organ in the inner ear (the vestibular system) detects head movements and changes in posture and sends this information to the brain. Inner ear problems such as BPPV or labyrinthitis disrupt this system, causing dizziness and balance problems. Vestibular rehabilitation is an effective treatment for many inner ear balance disorders.

How do muscles and joints contribute to balance?

Balance is the result of several systems working together: vision, the inner ear and proprioception (the sense of body position in muscles and joints). Muscle weakness, especially in the lower limbs, significantly impairs balance. Strength training and balance training improve balance and reduce the risk of falls.

When do balance problems require urgent assessment?

Seek immediate care if the balance problem starts suddenly and is severe, or if it is associated with speech or swallowing difficulties, visual disturbances, double vision or weakness in the limbs. These may indicate a stroke.