Complete Vertigo Solutions – पूरा इलाज एक जगह
🏆 पूरे Uttar Pradesh में ONLY Complete Vertigo Diagnostic & Treatment Center!
✨ VNG (COG Equidor System) – Advanced eye movement tracking और inner ear testing
✨ Stabilometry (Equipoise System) – Computerized balance measurement और fall risk assessment
✨ BPPV Treatment (Bangalore Maneuver) – Same day cure, 90%+ success rate
✨ fHIT Testing – Quick vestibular reflex assessment (5 minutes)
✨ Vestibular Rehabilitation Therapy – Complete exercise protocols
✨ Dr. Prateek Porwal – CAMVD Certified Vertigo Specialist, 15+ years experience
Prime ENT Center Hardoi यह Uttar Pradesh का पहला और एकमात्र comprehensive vertigo diagnostic और treatment center है जहाँ सभी advanced tests एक ही जगह उपलब्ध हैं। Lucknow में नहीं, Kanpur में नहीं, Bareilly में नहीं – entire UP में सिर्फ Hardoi में!
हम समझते हैं कि vertigo और balance problems patient की life को कितना affect करते हैं – driving नहीं कर सकते, work पर focus नहीं कर सकते, बार-बार गिरने का डर, constant dizziness। इसलिए हमने complete vertigo care solution बनाया है – diagnosis से लेकर cure तक, सब एक ही center में।
🏥 पूरे Uttar Pradesh से मरीज़ आते हैं – Hardoi Regional Vertigo Hub!
200km+ radius में कोई और complete vertigo facility नहीं। Patients travel from:
🚨 चक्कर से परेशान? आज ही Complete Evaluation करवाएं!
✓ Same Day Diagnosis ✓ Advanced Testing ✓ Expert Treatment ✓ Proven Results
Lucknow, Kanpur, Bareilly – कहीं भी VNG + Stabilometry नहीं है। ONLY Hardoi में!
💰 Consultation: ₹300-1200 | Tests Available Same Day
Our Complete Vertigo Diagnostic Protocol – सभी Tests एक जगह
हमारा approach systematic और comprehensive है। हर vertigo patient को proper diagnosis मिलना चाहिए – guess work नहीं। इसलिए हमने पूरे UP में unique diagnostic setup बनाया है।
1. VNG – Videonystagmography (COG Equidor System)
🏆 EXCLUSIVE: पूरे Uttar Pradesh में ONLY VNG Facility!
COG Equidor – International Standard VNG System। Lucknow, Kanpur, Bareilly – कहीं नहीं। Nearest facility Delhi में (450+ km)!
VNG (Videonystagmography) यह gold standard test है vertigo diagnosis के लिए। Specialized infrared goggles पहनकर eye movements को precisely track करते हैं जबकि different tests perform होते हैं।
VNG Test Components:
- Ocular Motor Testing (10-15 min): Central nervous system function check – brain और brainstem properly working हैं? Gaze test, saccade test, smooth pursuit movements analyze।
- Positional Testing (10-15 min): BPPV detection – different positions में head move करके nystagmus observe। किस canal में crystals हैं exactly पता चलता है।
- Caloric Testing (20-25 min): सबसे important part! Each ear (left और right) को separately test – warm और cool air से। Inner ear function comparison। Unilateral weakness, bilateral loss, central vertigo – सब detect होता है।
- Results: Computer analysis, detailed report, same day discussion with doctor। Exact diagnosis – guesswork नहीं!
VNG Detects:
- BPPV (Positional Vertigo): किस canal में problem, left या right ear
- Vestibular Neuritis: एक side की inner ear weakness
- Meniere’s Disease: Inner ear dysfunction patterns
- Central Vertigo: Brain/brainstem problem (stroke, MS, tumor) – urgent MRI needed
- Bilateral Vestibular Loss: दोनों ears affected (rare but serious)
Duration: 45-60 minutes complete test। थोड़ा dizzy feel हो सकता है caloric test में (temporary!)। Results same day। Investment worth it है – proper diagnosis = proper treatment!
2. Stabilometry – Balance Testing (Equipoise System)
🏆 EXCLUSIVE: पूरे UP में ONLY Equipoise Stabilometry!
Computerized balance platform। Objective measurement। Fall risk quantification। पूरे Uttar Pradesh में सिर्फ यहाँ!
Stabilometry (Computerized Posturography) यह test objectively measure करता है body balance और postural stability। Special computerized force platform पर खड़े होकर different conditions में balance test होता है।
Test Conditions (6 Scenarios):
- Eyes Open, Stable Surface: Baseline – सभी three balance systems (vestibular, visual, proprioception) working
- Eyes Closed, Stable Surface: Visual input removed – vestibular + proprioception depend
- Sway-Referenced Vision: Confusing visual surroundings – visual system unreliable बनाते हैं
- Unstable Surface (foam): Proprioception disrupted – leg sensors काम नहीं कर रहे
- Eyes Closed + Unstable: Only vestibular working – सबसे challenging!
- All Disrupted: Pure vestibular function test
Stabilometry Results:
- Composite Balance Score (0-100): Overall stability। 70+ normal, <50 high fall risk।
- Sensory Analysis: किस system में weakness – vestibular/visual/somatosensory?
- Fall Risk Category: Low/Medium/High – objective quantification
- Strategy Score: Ankle strategy vs Hip strategy compensation
Who Needs Stabilometry:
- Elderly (65+): Fall prevention screening। 1 in 3 elderly गिरते हैं yearly – prevention crucial!
- Recurrent Falls: बार-बार गिरने की history – why? Balance assessment।
- Vertigo Patients: BPPV treatment के बाद balance recovery monitoring। Chronic vertigo compensation assessment।
- Neurological Conditions: Parkinson’s, stroke, MS – balance decline tracking
- Vestibular Rehab: Baseline + progress monitoring + outcome measurement
Duration: 10-15 minutes। Completely safe (safety harness)। Immediate results और interpretation।
3. BPPV Testing & Treatment – Same Day Cure!
🎯 Bangalore Maneuver – Dr. Prateek Porwal का Innovation!
Internationally recognized BPPV treatment technique। 90-95% success rate। More comfortable than traditional Epley। Published in international journals!
BPPV (Benign Paroxysmal Positional Vertigo) सबसे common vertigo cause – 20-30% of all vertigo cases। लेटते/उठते/करवट बदलते intense spinning (10-30 seconds)।
Diagnostic Tests (Bedside):
- Dix-Hallpike Maneuver: Posterior canal BPPV detect – head turn 45° + quickly lie down। Positive = nystagmus + vertigo (specific pattern)।
- Supine Roll Test: Horizontal canal BPPV – head quickly left/right turn while lying।
- VNG Positional Testing: Video recording – more accurate, permanent record।
Treatment Maneuvers (Same Visit!):
- Bangalore Maneuver (Our Specialty!):
- Developed by Dr. Prateek Porwal specifically for posterior canal BPPV
- Unique sequence – displaced crystals को utricle (proper place) में move
- Patient comfortable – less neck strain, lower nausea
- Quick – 5-7 minutes
- 90-95% success rate in 1-2 sessions
- International recognition – many ENT specialists globally use this
- Epley Maneuver: Standard treatment – 4 positions, 90% success
- Semont Maneuver: Alternative – more vigorous movements
- BBQ Roll: Horizontal canal BPPV – 360° rotation steps
Treatment Success:
- 80-90% patients: Cured in 1-2 sessions!
- Immediate relief possible: Many patients vertigo-free तुरंत after maneuver
- Post-treatment: 48 hours head upright रखें, elevated pillow, avoid lying flat
- Recurrence: 30-50% lifetime recurrence possible – simply repeat maneuver, same effectiveness!
4. fHIT – Functional Head Impulse Test
Quick bedside test (5 minutes) जो vestibular reflex check करता है – Vestibulo-Ocular Reflex (VOR)। यह fastest human reflex है (10 milliseconds!) जो head movement के दौरान vision stable रखता है।
Test Procedure:
- Patient sitting, focus on examiner’s nose
- Quick, unpredictable head turns (left/right)
- Eyes remain on target? = Normal VOR
- Eyes move then jump back? = Abnormal (catch-up saccade) = Vestibular dysfunction
Clinical Applications:
- Acute Vertigo: Differentiate peripheral (inner ear) vs central (stroke) – critical decision!
- Vestibular Neuritis: Confirms diagnosis
- Rehab Monitoring: Track recovery progress
- Bilateral Loss Detection: Both sides positive = severe problem
5. Vestibular Rehabilitation Therapy (VRT)
Customized exercise protocol जो brain की compensation ability को enhance करती है। जब inner ear damaged है, brain को adapt करना पड़ता है – VRT यह process accelerate करती है।
VRT Components:
- Gaze Stabilization Exercises: Head movements के दौरान vision stable रखना सीखना
- Balance Training: Unstable surfaces पर exercises, sensory conflict training
- Habituation Exercises: Positions जो vertigo trigger करते हैं – repeated exposure से sensitivity reduce
- Adaptation Exercises: Brain को new neural pathways develop करने में help
- Home Exercise Program: Daily practice essential – typically 3-6 months
VRT Success:
- Vestibular neuritis – 70-80% significant improvement
- Chronic uncompensated vertigo – major benefit
- Elderly fall prevention – balance improvement documented
Common Vertigo Conditions We Treat – Comprehensive Care
1. BPPV (Benign Paroxysmal Positional Vertigo)
- Symptoms: लेटते/उठते/head turn करते intense spinning (10-30 sec)। Nausea। Usually one ear।
- Diagnosis: Dix-Hallpike test + VNG positional testing। Which canal exactly पता चलता है।
- Treatment: Bangalore Maneuver (our specialty!) या Epley Maneuver। 90%+ cure in 1-2 sessions!
- Success Story: Most patients vertigo-free same day। No medicines needed। Simple head maneuvers cure!
2. Vestibular Neuritis
- Symptoms: Sudden severe continuous vertigo। Hours/days duration। Usually viral infection से।
- Diagnosis: VNG (unilateral weakness) + fHIT (positive catch-up saccade)। Central causes rule out (no stroke)।
- Treatment:
- Acute phase: Medications (anti-vertigo, anti-nausea, steroids sometimes)
- Recovery phase: Vestibular Rehabilitation crucial! Brain compensation enhance
- Timeline: Acute symptoms 3-7 days। Complete recovery 2-6 months with VRT।
3. Meniere’s Disease
- Symptoms: Vertigo episodes (20 min-24 hours) + hearing loss + tinnitus (ear ringing) + ear fullness। Fluctuating pattern।
- Diagnosis: Clinical diagnosis + VNG (low-frequency hearing loss pattern) + Audiometry। Episodes documented।
- Treatment:
- Lifestyle: Low salt diet, avoid caffeine/alcohol, stress management
- Medications: Diuretics, betahistine, anti-vertigo as needed
- Advanced: Intratympanic gentamicin (severe cases), surgery (rare)
- VRT: Between episodes balance improvement
4. Chronic Dizziness/Imbalance
- Symptoms: Constant off-balance feeling। Not true spinning। Walking unsteadiness। Multiple causes possible।
- Comprehensive Workup:
- VNG: Rule out vestibular causes
- Stabilometry: Objective balance assessment – which system weak?
- Medical evaluation: BP, diabetes, medications, anxiety, neurological
- Customized treatment: Based on exact findings
5. Elderly Balance Problems & Falls
- Problem: Multiple contributing factors – age-related vestibular decline, vision changes, proprioception loss, medications, strength decline।
- Our Approach:
- Stabilometry: Fall risk quantification। Sensory analysis।
- fHIT + VNG: Vestibular function assessment
- Customized VRT: Multi-sensory exercises। Balance training।
- Fall prevention counseling: Home modifications, walking aids, vitamin D
ONLY Complete Facility in UP
VNG + Stabilometry + Expert vertigo specialist। 200km+ radius में nowhere else। Lucknow, Kanpur – कहीं नहीं। सभी tests एक ही जगह – time saving, cost effective!
Expert Vertigo Specialist
Dr. Prateek Porwal – CAMVD Certified। Developer of famous Bangalore Maneuver। 15+ years dedicated vertigo practice। 5000+ successful cases treated। International recognition!
Same Day Diagnosis & Treatment
Complete evaluation same visit। BPPV treatment immediate – usually cured same day! VNG results same day। Stabilometry instant। No waiting, no multiple visits!
Comprehensive Protocols
Diagnosis से treatment तक complete। Not just tests – proper treatment plans। Follow-up care included। Vestibular rehabilitation programs। Long-term management support!
Patient Journey at Prime ENT Vertigo Clinic – Step by Step
Step 1: Initial Consultation (30-45 minutes)
- Detailed History: Vertigo symptoms कब start? किस position में? कितनी duration? Associated symptoms (hearing loss, tinnitus, headache)?
- Symptom Analysis: True vertigo (spinning) या dizziness/lightheadedness? Episode pattern? Triggers?
- Clinical Examination: Ear examination, neurological examination, cranial nerves
- Bedside Tests:
- fHIT (Head Impulse Test) – 5 minutes
- Dix-Hallpike (BPPV screening) – 10 minutes
- Romberg test, gait assessment
- Provisional Diagnosis: Initial clinical impression
Step 2: Advanced Testing (If Needed – Same Day or Scheduled)
- VNG Indication: Complex vertigo, diagnostic uncertainty, central vertigo suspected, Meniere’s workup
- Stabilometry Indication: Chronic imbalance, fall risk assessment, elderly, rehab planning
- Scheduling: Some tests same day possible। VNG usually scheduled appointment (preparation needed)।
Step 3: Diagnosis & Treatment Planning (15-20 minutes)
- Results Discussion: Test results detailed explanation। Visual diagrams, reports provided।
- Diagnosis Clarity: Exact cause identified। Prognosis discussed।
- Treatment Options:
- BPPV: Immediate maneuvers offered
- Vestibular neuritis: Medications + VRT plan
- Meniere’s: Medical management protocol
- Multifactorial: Customized approach
- Patient Education: What to expect, timeline, do’s and don’ts
Step 4: Treatment (Duration Varies)
- BPPV Maneuver: 10-15 minutes। Bangalore/Epley। Usually immediate relief। Post-treatment instructions (48 hours head upright)।
- Medications: Prescription if needed। Clear instructions।
- VRT Initiation: First session exercises taught। Written handout। Video demonstration। Home program।
- Lifestyle Counseling: Diet (Meniere’s), triggers avoid, safety measures
Step 5: Follow-up & Monitoring
- BPPV: 1 week follow-up। If recurrence, repeat maneuver। 80-90% no recurrence।
- Vestibular Neuritis: Weekly initially, then monthly। VRT progress tracking। Stabilometry repeat (improvement measure)।
- Meniere’s: Regular follow-ups। Episode frequency monitoring। Hearing tests periodic।
- Chronic Cases: Ongoing support। Adjustments as needed। Long-term relationship।
Total Timeline:
- Simple BPPV: 1-2 visits। Usually cured!
- Vestibular Neuritis: 3-6 months recovery with VRT
- Meniere’s: Long-term management। Episodes reduce with treatment।
- Chronic Imbalance: 2-4 months VRT। Significant improvement expected।
Meet Our Vertigo Specialist – Dr. Prateek Porwal
डॉ. प्रतीक पोरवाल – CAMVD Certified Vertigo Expert
Qualifications: MBBS, DNB (ENT), CAMVD (Certificate in Audiovestibular Medicine & Dizziness)
Specialized Training:
- International fellowship in Vestibular Disorders – trained under leading global experts
- CAMVD Certification – specialized course in vertigo diagnosis and management
- VNG interpretation masterclass
- Vestibular rehabilitation therapy advanced training
Experience & Expertise:
- 15+ years dedicated vertigo and balance disorders practice
- 5000+ vertigo patients successfully treated
- Developer of Bangalore Maneuver – innovative BPPV treatment technique now used internationally
- Expert in all canal variants – posterior, horizontal, anterior BPPV
- Complex vertigo cases – Meniere’s, vestibular neuritis, bilateral loss
Achievements & Recognition:
- Published research: Bangalore Maneuver published in international ENT journals
- International presentations: Presented at conferences in India and abroad
- Teaching: Trained numerous ENT doctors in vestibular disorder management
- First in UP: Established first comprehensive vertigo clinic with VNG facility in Uttar Pradesh
Philosophy:
“Vertigo affects every aspect of patient’s life – driving, work, daily activities। My goal is not just symptom relief but complete cure wherever possible। BPPV can be cured same day – why should patients suffer? For complex cases, proper diagnosis with VNG/Stabilometry leads to targeted treatment। Every patient deserves accurate diagnosis और effective treatment।”
Dr. Harshita Singh – ENT Specialist & Co-Founder
MBBS, DNB ENT, Fellowship in Rhinology & Skull Base Surgery
12+ years experience। Pediatric ENT expert। Nasal endoscopy specialist। Supports vertigo clinic with comprehensive ENT care – hearing tests, nasal evaluations, complete ENT assessment।
Patient Success Stories – Real Results
“2 साल से severe vertigo attacks। Lucknow में multiple ENT doctors देखे – कोई proper diagnosis नहीं। VNG facility नहीं थी वहाँ। Hardoi Prime ENT आया – same day VNG test किया। BPPV detect हुआ। Dr. Prateek ने Bangalore Maneuver किया – instantly better! अब 8 months – कोई attack नहीं। Life completely changed। Worth traveling 110km absolutely!”
“Meri mother को balance problem था – बार-बार गिर रही थीं। Kanpur में कोई proper balance test facility नहीं। Hardoi गए – Stabilometry test किया गया। Detailed fall risk assessment। VRT exercises start किए। 3 months में remarkable improvement! No falls in 6 months now। Dr. Prateek very patient और thorough। Explained everything clearly।”
“Vestibular neuritis hua tha। Sudden severe vertigo – hospital admit। Recovery slow थी। Balance issues continue। Hardoi Prime ENT recommended। Complete VNG workup + fHIT testing। VRT program start। Regular follow-ups। Dr. Prateek guided properly। 4 months में almost normal। Back to work। Very grateful!”
“मुझे Meniere’s disease है – confirmed by VNG। Episodes frequent थे। Dr. Prateek ने comprehensive management plan बनाया। Diet changes, medications, VRT। Regular monitoring। Episodes significantly कम हो गए। Quality of life improved। पूरे UP में VNG facility यहाँ ही है – lucky that it’s accessible!”
📞 चक्कर से परेशान? Complete Vertigo Solution यहाँ है!
✓ All Tests Under One Roof ✓ Expert Specialist ✓ Same Day Treatment ✓ Proven Results
पूरे Uttar Pradesh में ONLY Complete Vertigo Center:
✨ VNG (COG Equidor) + Stabilometry (Equipoise) + BPPV Expert + Vestibular Rehab
✨ CAMVD Specialist + Bangalore Maneuver + 15+ Years Experience
✨ Same Day Diagnosis + Immediate Treatment + Long-term Support
Lucknow, Kanpur, Bareilly, Agra, Mathura – कहीं भी complete facility नहीं!
📍 Nagheta Road, Near Railway Station, Hardoi, UP 241001
🕐 Mon-Sat: 10 AM – 8 PM | Sunday Closed
💰 Consultation: ₹300-1200 | Tests: Prior Appointment Recommended
Frequently Asked Questions – Your Doubts Answered
Initial consultation + bedside tests (fHIT, Dix-Hallpike) – same day always। BPPV treatment भी same visit! VNG test के लिए usually prior appointment recommended (preparation needed – 48 hours alcohol avoid, 24 hours caffeine avoid)। Stabilometry often same day possible। Complex cases में 2-3 visits हो सकती हैं complete workup के लिए।
VNG बहुत specialized equipment है – COG Equidor system लाखों में आता है। Trained specialist चाहिए interpretation के लिए। पूरे UP में Dr. Prateek ने ONLY यहाँ establish किया है। Nearest VNG facility Delhi में है (450+ km दूर!)। इसलिए पूरे Uttar Pradesh से patients Hardoi आते हैं।
Consultation fees ₹300-1200। BPPV maneuver treatment usually consultation में ही include। कोई separate procedure charges नहीं normally। यह simple office procedure है – no equipment, no anesthesia। Compare with months of medicines और discomfort – maneuver one-time solution है!
Complete VNG test: 45-60 minutes। Consultation + results discussion: additional 30 minutes। Total appointment: 90 minutes समझें। Charges consultation के time discuss होते हैं। यह specialized diagnostic test है। However, compared to traveling to Delhi (450km, overnight stay, higher costs), Hardoi में करवाना much more convenient और cost-effective!
Typically 3-6 months। Daily home exercises essential – 20-30 minutes। Initial sessions: weekly or biweekly clinic visits। Progress के साथ frequency reduce। Vestibular neuritis recovery usually 3-4 months with consistent VRT। Chronic cases longer हो सकते हैं। Improvement gradual but steady – patience important!
Absolutely! Actually elderly population specially benefit होती है। Stabilometry (safety harness के साथ) – very safe। VNG – non-invasive। BPPV maneuvers – elderly के लिए Bangalore Maneuver specially comfortable है। VRT exercises – age-appropriate modifications। हम elderly patients को encourage करते हैं – fall prevention crucial है!
📞 Call करें: +91-7393062200। या 💬 WhatsApp: https://wa.me/917393062200। Walk-in भी welcome (but wait time हो सकता है)। VNG test के लिए prior appointment strongly recommended (preparation instructions देने के लिए)। Monday-Saturday: 10 AM – 8 PM। Sunday closed।
हाँ! VNG – detailed computer-generated report with graphs। Stabilometry – balance scores, sensory analysis, fall risk report। सभी reports printed। Future reference के लिए keep करें। अगर दूसरे doctor को दिखाना हो – comprehensive documentation है।
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