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Understanding Vertigo and the Balance System of the Ear

Category: Neurology

Published DateTue Jan 20 2026
By Lokmanya Hospitals

The human ear has three main parts.
The outer ear is the visible part. Inside it is the eardrum, and beyond the eardrum lies the middle ear. Deeper inside is the inner ear, which plays a crucial role in maintaining balance.

Inside the inner ear, there are two important systems:

  • One is responsible for hearing
  • The other is the balance system (vestibular system)

In many people—nearly 15–20% of the population—this balance system is slightly weaker. This does not mean there is a disease. Vertigo can occur due to hundreds of possible reasons, and not all of them are related to ear infections or structural problems.

Why Vertigo Happens Repeatedly in Some People

If vertigo keeps coming and going over years, it is important to look beyond temporary relief. Many patients with long-standing vertigo also suffer from chronic sleep problems. Poor sleep often indicates mental or emotional stress, which can directly affect balance.

Simply taking medicines in such cases is like applying a temporary patch. Instead, it is essential to address the root cause, not just suppress the symptoms.

When Are Vertigo Medicines Actually Useful?

There are medicines for vertigo, but they are helpful only in specific situations—such as:

  • When the balance organ is inflamed
  • When there is a viral infection affecting the inner ear
  • When vertigo episodes last 2–3 days continuously

In these cases, medications can help reduce symptoms. However, these medicines are often expensive and not useful for everyone. If your vertigo comes and goes and is linked to lifestyle factors, these medicines may not benefit you.

Discipline Is More Powerful Than Medicine

What truly makes a difference is discipline, not money or costly drugs.

1. Balance Exercises

Simple vestibular (balance) exercises can strengthen the balance system.

  • Do them 4–5 times a day
  • Each session lasts just 3 minutes
  • These exercises can be done at home

2. Pranayama (Breathing Exercises)

From over 40 years of clinical experience, pranayama has shown tremendous benefits for vertigo patients.
Yes, it requires consistency, and many people give up due to boredom—but its impact on balance, sleep, and mental stability is significant.

3. Fast Walking

At least one hour of brisk walking daily is strongly recommended. It improves circulation, balance coordination, and mental well-being.

Final Takeaway

Vertigo is not always a serious disease, and it is not always cured by pills. For many people, it is a signal that the balance system, sleep cycle, and mental health need attention.

With regular exercises, breathing practices, and an active lifestyle, vertigo can be managed effectively—often without long-term medication.

If symptoms persist or worsen, consulting a specialist is always advised.


Video Insight By  Dr. Charudutt Apte

Dr. Charudutt Apte

  • M.B.B.S., M.S. Neurosurgery

Head Department of Neurosurgery

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