The first step is determining what is causing the vertigo, which involves a thorough physical exam as well as a test of the hearing and balance nerve that is performed by our partner audiologists at the Institute. Medical therapy is an important part of treatment for most causes of vertigo; however, balance exercises and physical therapy often play an important role as well. In some patients with persistent cases, injections across the eardrum may be appropriate. Surgery is rarely recommended. Since vertigo can sometimes be the sign of a serious condition it’s important to be evaluated quickly once you experience symptoms.