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.

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

Discover how our expert care has transformed the lives of individuals struggling with hearing and balance issues. These testimonials reflect our unwavering commitment to clinical excellence and patient satisfaction.
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clive drake profile picture
clive drake
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I have had my unbalance / vestibular medical problems for many years and almost given up on finding a knowledgeable Doctor and a clinic with the capabilities to help me understand the complex problem and work towards finding solutions. The Dr here and the facilities are exceptional, which I cannot praise enough. Very happy to found this place and cannot recommend high enough.
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Soydan Osman profile picture
Soydan Osman
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I was seen by audiologist and Dr Arun, they were attentive, caring and took time to listen and adaptations were made throughout the appointment to support my anxiety and claustrophobia. This made a significant difference and genuinely helped me through the audiology testing. I gave an explanation of my current symptoms to Dr Arun he displayed great listening, compassion and understanding. The treatment I received on the day has greatly improved my symptoms, the one reassuring thing is any follow up is required is knowing that I will be in safe hands. I received my clinic letter promptly. After care queries handled by the admin team was exceptional, prompt and helpful. Overall the service was impeccable.
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Diana Granados profile picture
Diana Granados
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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.
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erika thomazi profile picture
erika thomazi
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Great positive experience!
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Carol Bunyan profile picture
Carol Bunyan
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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.
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Ged Robinson profile picture
Ged Robinson
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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.
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Adrian Lowe profile picture
Adrian Lowe
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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!
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Evan profile picture
Evan
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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.
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shahram zarafshan profile picture
shahram zarafshan
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Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.

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.

Orthostatic blood pressure and pulse response at Harley HVM

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.

Postural blood pressure and heart rate changes at Harley HVM
Harley Street AVM clinic reception and waiting area for audiovestibular patients

Major Insurance Providers Accepted

Insurance partner health insurance accepted at Harley AVM (9)
WPA
AXA PPP health insurance accepted at Harley AVM
Cigna
Insurance partner health insurance accepted at Harley AVM (12)
Healix
Bupa
Allianz

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.

Enquire

Take the first step towards better hearing and balance! Schedule your consultation today and experience expert care that truly makes a difference.