Otolith Reflex Testing
Spark Inner Ear Reflex Responses
Balance depends on more than just movement sensors. Certain inner-ear organs respond to sound and vibration, helping the brain detect head position and stability. When these pathways are disrupted, people may experience imbalance, dizziness, sound-induced symptoms, or unexplained unsteadiness. VEMP testing helps identify whether these specific balance structures are functioning normally.
Advanced Hearing & Balance Tests
Advanced Hearing & Balance Tests
Reflex Arc Activation
Probe Gravity Sensors Electrically
Vestibular evoked myogenic potentials assess how specific balance organs respond to sound or vibration. During the test, brief tones are delivered through headphones while small sensors placed on the neck or around the eyes record muscle responses. These reflexes indicate how well the otolith organs and their nerve pathways are working.
At Harley AVM, VEMP testing is performed in a quiet clinic setting and tailored to individual tolerance. The test is non-invasive, short, and generally well-tolerated. Results help clarify causes of dizziness, imbalance, or sound-triggered symptoms and support accurate diagnosis when other vestibular tests do not provide complete answers.
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
Phased Otolith Probing
Otolith Authority Ally
Assessment begins with a detailed history, ear examination, and routine hearing and balance tests. We consider symptom patterns, triggers, and associated features before recommending VEMP testing as part of a broader evaluation.
Management remains non-surgical for most patients. VEMP results guide diagnosis, monitoring, and rehabilitation strategies rather than immediate intervention. Further investigation or referral is considered only when symptoms persist, worsen, or significantly affect daily confidence and safety.
Ground Your Balance with Experts
At Harley Street Audiovestibular Clinic, VEMP testing is integrated into expert balance assessment rather than used in isolation. Our team focuses exclusively on hearing and vestibular disorders, allowing us to select appropriate tests and interpret results in a meaningful clinical context. We explain what the findings show, how they relate to your symptoms, and what they mean for ongoing care.
Assessment, testing, and follow-up are coordinated through one clinic, ensuring continuity and clarity. If dizziness, imbalance, or sound-triggered symptoms persist or feel unexplained, we invite you to book an assessment, request a call back, or submit an enquiry to discuss next steps 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.