Thermal Ear Stimulation
Warm-Up Reveals Side Weaknesses
Balance relies on both inner ears working together. When one side responds differently, people may experience spinning sensations, imbalance, nausea, or veering to one side. These symptoms can appear suddenly or persist after illness or injury. Caloric testing helps identify whether one inner ear is weaker, guiding accurate diagnosis when dizziness feels asymmetrical or unexplained.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Temperature-Driven Vestibular Probe
Flush and Film for Labyrinth Lows
The caloric test evaluates how each inner ear responds to gentle temperature changes. During the test, warm and cool air or water is introduced into each ear canal separately. This creates a controlled stimulation of the balance organ, triggering eye movements that reflect inner-ear function. By comparing responses from each side, we can identify reduced or absent balance activity.
At Harley AVM, caloric testing is carried out in a supervised clinic setting. The test is safe and widely used, though it may cause brief dizziness or nausea that settles quickly. Results provide valuable information when investigating persistent vertigo, imbalance, or suspected one-sided vestibular weakness.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 105 reviews Posted on 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 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 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 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 Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
Staged Spin Diagnostics
Caloric Calibration Champions
Assessment begins with a detailed history, ear examination, and routine hearing and balance tests. We consider symptom onset, triggers, and recovery patterns before recommending caloric testing as part of a broader vestibular evaluation.
Management is usually non-surgical. Caloric results guide vestibular rehabilitation, medical treatment, or reassurance where appropriate. Further investigation or referral is considered only when symptoms persist, worsen, or significantly affect daily function and safety.
Ignite Balance Answers Here
At Harley Street Audiovestibular Clinic, caloric testing is interpreted by clinicians who focus exclusively on balance and hearing disorders. Our experience allows us to place results in a meaningful context, explaining how one-sided findings relate to your symptoms and recovery expectations. We prioritise clarity, avoiding unnecessary escalation while ensuring important vestibular conditions are not missed.
Assessment, testing, and follow-up are coordinated within one clinic, ensuring continuity of care. If vertigo, imbalance, or dizziness persists or feels uneven, we invite you to book an assessment, request a call back, or submit an enquiry to discuss the most appropriate next steps with our team.
Major Insurance Providers Accepted
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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.