Posture Shift Monitoring
Spot Dizziness Roots in Position Changes
Changes in posture can affect how blood pressure and heart rate respond, influencing blood flow to the brain and inner ear. When this response is delayed or exaggerated, people may feel light-headed, dizzy, unsteady, or faint on standing. Symptoms can appear suddenly or gradually and may worsen after illness, dehydration, or prolonged rest.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Orthostatic Vital Tracking
Catch Balance Busters on the Rise
Postural blood pressure and pulse testing assess how your cardiovascular system responds as you move from lying to standing. We measure blood pressure and heart rate at rest and again after standing, observing whether levels drop, rise, or change abnormally. This helps identify postural hypotension or autonomic patterns that may contribute to dizziness or imbalance.
At Harley AVM, the test is performed in a controlled clinic environment and takes only a few minutes. It is non-invasive, low-risk, and does not require recovery time. Results support accurate diagnosis and help differentiate circulatory causes of dizziness from inner-ear or neurological conditions.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 109 reviews Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my appointment today as the whole experience was excellent. Right from my initial inquiry to seeing Dr Aran who was very thorough and took the time to listen to my concerns and has set me on a recover plan. I would highly recommend this practice.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Google Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Google Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approach
Pinpointing the Cause
Sequential Stability Checks
Postural Mastery Leaders
Assessment begins with a detailed symptom history, focusing on triggers such as standing, walking, or prolonged sitting. We combine postural measurements with audiovestibular examination and hearing or balance tests when indicated.
Management usually starts conservatively. This may include hydration advice, medication review, lifestyle adjustments, and monitoring. Further investigation or referral is considered only when symptoms persist, worsen, or significantly affect daily safety and independence.
Stabilise with Our Vital Vigilance
At Harley Street Audiovestibular Clinic, we recognise that dizziness often has more than one contributing factor. Our team specialises in complex hearing and balance disorders, allowing us to integrate postural blood pressure testing with detailed vestibular and auditory assessment. We focus on explanation, helping you understand whether symptoms arise from circulation, inner-ear function, or both.
Care remains coordinated from assessment through follow-up, with clear discussion of results and next steps. If dizziness occurs when standing, feels unexplained, or continues despite basic measures, we invite you to book an assessment, request a call back, or submit an enquiry to explore tailored care with our team.
Major Insurance Providers Accepted
our services
Conditions We Are Treating At Harley Street Audiovestibular Clinic
Expert Medical Care for Hearing, Tinnitus & Balance
Request An Appointment With One of Our Consultants
If you are living with dizziness, vertigo or unsteadiness, our team can help identify the cause. Your consultant will carry out the right combination of tests, explain the results in clear language and agree a treatment plan with you - so you know exactly what is happening and what can be done.