A Clear Guide to Multiple Sclerosis
Targeted Care for Multiple Sclerosis
Dizziness, balance issues, or hearing changes? These vestibular symptoms are common in MS and often manageable, not usually a sign of something acutely serious. At Harley AVM, we address them effectively. Seek urgent AVM care for sudden weakness, vision loss, severe coordination loss, or swallowing problems; these concerning symptoms need immediate evaluation.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Inflammatory Disease of the Central Nervous System
An Overview of Multiple Sclerosis
Multiple sclerosis (MS) is a long-term neurological condition in which the immune system attacks the protective covering of nerves within the brain and spinal cord. This inflammation disrupts normal nerve signalling, leading to a wide range of symptoms that may include dizziness, imbalance, visual disturbance, weakness, altered sensation, or coordination difficulty.
Symptoms often develop in episodes, with periods of relapse and recovery, though some people experience gradual progression over time. Balance and visual symptoms can occur when pathways involved in movement and spatial control are affected. MS presents differently in each individual, making accurate clinical assessment essential for diagnosis, monitoring, and appropriate long-term management planning.
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 Multiple Sclerosis
When to Get Checked
You should get assessed if new episodes of dizziness, imbalance, visual disturbance, or weakness develop without a clear explanation, especially if symptoms recur or affect different parts of the body over time. Fluctuating neurological symptoms or incomplete recovery between episodes should prompt a healthcare professional review.
You should seek urgent assessment if symptoms appear suddenly or worsen rapidly, or include severe weakness, vision loss, speech difficulty, confusion, or difficulty walking safely. Early evaluation helps identify inflammatory neurological conditions and supports timely treatment.

How We Assess Multiple Sclerosis
At Harley Audiovestibular Clinic, our process starts with discussing your detailed history, exploring dizziness episodes, balance difficulties, hearing changes, progression patterns, and MS diagnosis details to identify vestibular and auditory involvement. We prioritise unhurried consultations with our consultants, creating a personalised understanding of your symptoms.
We advance with neurological exams, vestibular function tests, audiometry, imaging review, and evoked potentials to confirm involvement accurately, ruling out alternatives. Our senior clinicians review these collaboratively for precise insights. This expert pathway distinguishes us, informing tailored rehabilitation that enhances balance and quality of life effectively.

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 Multiple Sclerosis
Every Multiple Sclerosis 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.