How are balance problems diagnosed?

Diagnosing the cause of a balance problem starts with a visit to your doctor. He or she will want to know when symptoms occur, and whether they are long-lasting or come and go. Any recent illnesses or injuries, particularly from falls, may provide clues, too. For example, even a bad cold can temporarily upset the inner ear’s balance system. During the physical exam, your doctor will check your muscle strength and range of motion of your joints.

A “get up and go test” requires you to rise from a chair without pushing off with your arms, and then walk several steps back and forth. This allows your doctor to assess your balance and gait (the speed and rhythm of the way you walk). Taking a few steps with your eyes closed shows whether proprioception is impaired. Tests for peripheral neuropathy (nerve damage that is a long-term complication of diabetes and other conditions), such as the ability to perceive a light touch or vibration on the feet and ankles, may also be done.