No. There is no cure for Ménière's disease. Its natural course is unusual and worth understanding: the violent vertigo attacks tend to become less frequent over years and may stop altogether, while hearing loss and imbalance usually persist. Treatment aims at reducing attacks and protecting function, not at removing the condition.
No. There is no cure for Ménière's disease. Its natural course is unusual and worth understanding: the violent vertigo attacks tend to become less frequent over years and may stop altogether, while hearing loss and imbalance usually persist. Treatment aims at reducing attacks and protecting function, not at removing the condition.
An attack is vertigo lasting twenty minutes to several hours, with hearing loss, ringing and a sense of fullness in the same ear, usually with nausea. Duration is the most useful discriminator: seconds of spinning triggered by rolling over in bed is benign paroxysmal positional vertigo, which is treated entirely differently and often in a single visit. Continuous unsteadiness for weeks is a different problem again. Getting this apart is what determines whether treatment has any chance of working.
First-line management is dietary sodium restriction, with diuretics commonly added, and the evidence for both is modest rather than strong, which patients deserve to be told. Betahistine is widely used in other countries but is not approved in the United States. Where attacks continue, intratympanic corticosteroid injection is a next step. Beyond that, intratympanic gentamicin deliberately reduces balance function in the affected ear, and surgical options run from endolymphatic sac procedures to labyrinthectomy or vestibular nerve section, which stop attacks at the cost of balance function or hearing. This practice performs no surgery and does not provide intratympanic injection; those are ear, nose and throat procedures.
Diagnosis is clinical, supported by audiometry showing the pattern and fluctuation of hearing loss, which is performed by an audiologist. VNG balance testing documents how much vestibular function has been lost on the affected side, which matters for planning and for rehabilitation, and VNG is performed in these offices. MRI is arranged elsewhere and is used to exclude other causes rather than to confirm this one.
Vestibular rehabilitation therapy helps the persistent imbalance, though not the attacks themselves. Hearing aids matter, and are frequently deferred far too long. In this climate, sodium restriction is harder than it sounds when heat drives fluid and electrolyte intake, and that tension is worth raising with your clinician rather than abandoning the diet quietly. Attacks are unpredictable enough that driving during an active phase needs an honest conversation.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: MedlinePlus: Ménière disease; MedlinePlus: dizziness and vertigo; National Institute of Neurological Disorders and Stroke.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.