A Clear Guide to Ménière’s Disease
Precision Management for Ménière's Disease
Struggling with sudden vertigo, hearing fluctuations, or ear fullness? This inner ear disorder affects thousands and is manageable with proper care, not a sign of something dire. At Harley AVM, our team brings swift relief. Urgently seek AVM evaluation for severe, unrelenting headaches, facial weakness, or vision changes, as these demand immediate attention.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Inner-Ear Fluid Regulation Disorder
An Overview of Ménière's Disease
Ménière's disease is a long-term inner-ear condition that affects balance and hearing by disrupting the regulation of inner-ear fluid. People typically experience episodes rather than constant symptoms, with attacks that may include spinning vertigo, ear pressure, fluctuating hearing, and tinnitus affecting one ear initially.
Episodes occur when fluid pressure within the inner ear disrupts normal balance and hearing signals sent to the brain. The intensity and frequency vary widely between individuals, and symptoms may change over time. Although unpredictable and often distressing, Ménière's disease is not life-threatening. Accurate identification is essential, as management focuses on symptom control, attack reduction, and preserving balance and hearing function wherever possible.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.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.
Pinpointing the Cause
Diagnosing Ménière's Disease
When to Get Checked
You should get assessed if episodes of spinning vertigo recur without clear triggers, last longer than usual, or begin to affect hearing in one ear. Worsening ear pressure, tinnitus, or a sense of fullness accompanying attacks also warrants audiovestibular review.
You should seek urgent assessment if vertigo occurs with sudden hearing loss, severe headache, neurological symptoms, new visual disturbance, or difficulty walking. Early evaluation helps distinguish Ménière's disease from other balance conditions and guides safe, timely management.

How We Assess Ménière's Disease
At Harley Audiovestibular Clinic, our assessment starts with a detailed history from a senior audiovestibular consultant, exploring vertigo attack patterns, hearing fluctuations, tinnitus, and ear fullness to pinpoint the characteristics of Ménière's disease. We dedicate quality time with our consultants, fostering trust through unhurried discussions tailored to your symptoms.
We follow with audiometric testing, balance assessments, and possibly imaging or electrocochleography for confirmation. Our senior clinicians review results collaboratively, ensuring no detail is overlooked. This methodical pathway sets us apart, guiding precise management plans for effective symptom control and improved quality of life. Additionally, we prioritise your long-term stability through ongoing support.

Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Ménière’s Disease
Every Ménière’s Disease case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.