Quick Answer
Both CNS offices assess dizziness, perform objective balance testing and can treat positional vertigo in the visit it is confirmed. Both are in the Las Vegas valley: 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147 and 1691 W. Horizon Ridge Parkway, Suite 100, Henderson NV 89012.
Part ofThis guide sits beneath dizziness and vertigo, which covers the study itself, how it is performed and what the report should contain.
Dizziness, Vertigo and Balance in Las Vegas and Henderson →Key Takeaways
- Both offices assess dizziness and perform objective balance testing.
- Positional vertigo can frequently be treated in the same visit it is confirmed.
- Balance testing requires someone to drive you home, so distance costs two people.
- Vestibular rehabilitation and audiology are arranged externally from either office.
- Adults 18 and older, at both addresses on the locations page.
Vertigo
Vertigo is the false sensation that you or your surroundings are spinning or moving. It points to the balance system — the inner ear, the balance nerve, or the brain pathways that process balance signals — rather than to the cardiovascular causes behind lightheadedness.
Four different symptoms, one word
Dizzy is used for at least four distinct experiences with four different lists of causes. Establishing which you mean is most of the diagnosis, and it is the question patients are most often not asked precisely.
The four
Spinning, where you or the room appears to move, which points to the balance organs or their central connections. Faintness, a sense of nearly passing out, which is usually a blood pressure or cardiac question rather than a vestibular one. Unsteadiness with a clear head, which points to sensory feedback from the feet, the cerebellum, or vision. And a foggy detachment, which more often accompanies anxiety, medication effects or migraine. Being told which one you mean changes where the assessment goes entirely.
Timing separates the causes within spinning
Seconds, triggered by a change in head position such as rolling over in bed, is the pattern of positional vertigo, which is mechanical and frequently treatable in the visit it is confirmed. Minutes to hours in episodes, often with a migraine history, suggests vestibular migraine. Hours with hearing change and ear fullness suggests an inner-ear cause needing prompt assessment. Days of continuous severe vertigo suggests inflammation of the balance nerve. Constant unsteadiness for months without discrete attacks suggests a compensation problem rather than an active lesion.
When it is an emergency
Sudden severe dizziness with double vision, slurred speech, weakness, numbness, a severe new headache, or inability to walk unaided. Those can indicate a stroke affecting the balance pathways and need an emergency department rather than an appointment. Dizziness with new hearing loss in one ear also needs prompt rather than routine assessment.
The caution about suppressant medication
Medication that suppresses dizziness has a place over days in severe acute vertigo. Taken for months it blunts the signal the brain uses to recalibrate, which slows the compensation that would otherwise resolve symptoms. For positional vertigo specifically it treats the sensation while leaving the mechanical cause in place. A patient who has been on a suppressant for a year is frequently worse off for it, and saying so is more useful than continuing it.
| Also considered | How it is distinguished |
|---|---|
| Benign paroxysmal positional vertigo | Brief spinning triggered by head position change; positional testing identifies it and repositioning often addresses it in a single visit. |
| Vestibular migraine | Episodes lasting hours with light or sound sensitivity and a migraine history. |
| Meniere's disease | Vertigo with fluctuating hearing loss, ear fullness and tinnitus. |
| Presyncope | Lightheadedness on standing without a spinning sensation, pointing to blood pressure rather than the inner ear. |
What the assessment involves
01
What brings people in
Spinning episodes, unsteadiness, or dizziness that has not been explained.
02
What the evaluation settles
Whether the pattern is positional, episodic or continuous, whether it is peripheral or central, and whether in-office VNG testing is indicated.
03
What you leave with
A pattern-based diagnosis where testing supports one, in-office repositioning when BPPV is identified, and a plan for what to do next.
Describing it precisely is the work
Which of the four you mean. How long an episode lasts, by the clock rather than by impression. What brings it on. Whether hearing changed. Whether anything neurological accompanied it. And your full medication list, since several common medications cause light-headedness on standing.
What is performed here
Clinical assessment including positional testing, and objective balance testing at both offices, described on the VNG page. Where positional vertigo is confirmed, canalith repositioning can frequently be performed in the same appointment, which means arriving with vertigo and leaving without it. Where a vascular cause is suspected, transcranial Doppler is available.
What is coordinated rather than provided
Vestibular rehabilitation is not delivered at either office. It is physical therapy directed at retraining balance and it is arranged with outside providers. It matters substantially where a compensation problem has developed, and stating plainly that it happens elsewhere prevents a wasted booking. Audiology is also external, since the practice provides no hearing testing.
Bring a driver for balance testing
Objective balance testing deliberately provokes dizziness in parts, so someone should drive you home. It is the most commonly ignored instruction in this area.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Attending from Your Area
There are two offices, both in the Las Vegas valley: 7751 W. Flamingo Road on the west side and 1691 W. Horizon Ridge Parkway in Henderson to the southeast. Both carry all six in-office studies and hold the same records. Say where you are travelling from and the team will advise from your actual starting point.
Dizzy and not sure what kind?
Say which of the four you mean and how long an episode lasts. That narrows it faster than anything else.
The Bottom Line
Both offices do the assessment and the treatment, and balance testing needs a driver, so the shorter drive counts twice.
Frequently Asked Questions
Why does it matter which kind of dizziness I have?
Because the word covers at least four distinct experiences with four different lists of causes: spinning, faintness, unsteadiness with a clear head, and a foggy detachment. Establishing which you mean is most of the diagnosis. Describing what you actually felt, rather than reaching for the word dizzy, is the single most useful thing you can prepare.
What does brief vertigo when I roll over in bed mean?
That pattern, lasting seconds and triggered by a change in head position, is the commonest cause of true vertigo. It is mechanical and can frequently be treated in the same visit it is confirmed, rather than needing medication. Noting which side you were turning toward when it happened helps identify the affected ear.
When is dizziness an emergency?
Sudden severe dizziness with double vision, slurred speech, weakness, numbness, a severe new headache or inability to walk unaided. Those can indicate a stroke affecting the balance pathways. Dizziness with new hearing loss in one ear also needs prompt assessment. Dizziness that begins after a head or neck injury also warrants prompt assessment rather than a routine appointment.
Is long-term dizziness medication a good idea?
Rarely. It has a place over days in severe acute vertigo, but taken for months it blunts the signal the brain uses to recalibrate, slowing the compensation that would otherwise resolve symptoms. For positional vertigo it treats the sensation while leaving the cause in place. Reducing it is planned rather than done abruptly.
Is vestibular rehabilitation provided at the practice?
No. It is physical therapy directed at retraining balance and it is arranged with outside providers rather than delivered at either office. It matters substantially where a compensation problem has developed. The practice establishes whether it is the right treatment, makes the referral, and interprets progress against the diagnosis, which is the part that decides whether the course was the right one.
Do I need someone to drive me?
For objective balance testing, yes. Parts of it deliberately provoke dizziness and some patients feel unsteady afterwards. It is the most commonly ignored instruction in this area. Eat lightly beforehand, avoid eye makeup because the goggles need a clear view of your eyes, and allow extra time for the appointment.
My balance test was normal but I am still dizzy. What now?
That is common and informative rather than a failure. It redirects attention toward causes the study does not measure: blood pressure, medication effects, cardiac rhythm, migraine-associated dizziness, and anxiety, which frequently accompanies dizziness of any cause. A normal study also narrows the list usefully, because it makes an inner-ear cause considerably less likely.
Which office should I use?
Whichever is the shorter drive, since both assess dizziness, perform balance testing and can treat positional vertigo. It matters more here because balance testing requires a driver. Both offices hold the same records and can perform repositioning, so alternating does not restart anything or repeat your testing. Arrange the driver either way.
Which CNS office will be nearer to me?
There are two, both in the Las Vegas valley: West Flamingo Road on the west side and West Horizon Ridge Parkway in Henderson to the southeast. Say where you are travelling from on the booking call and the team will advise from your actual starting point rather than from a map, since route matters more than straight-line distance.
Does it matter which one I choose?
Both are fully equipped with all six in-office studies and both hold the same records, so neither refers testing to the other and moving between them restarts nothing. Where care runs across repeated visits the shorter drive compounds over years, so it is worth choosing on journey time rather than on anything else.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: that clinical assessment, objective balance testing and canalith repositioning are provided at both offices, and that vestibular rehabilitation and audiology are coordinated with outside providers rather than delivered on site. Clinical context is sourced to the organisations listed below.
No success rates, recurrence rates or specific manoeuvre sequences appear. The omission of step-by-step repositioning instructions is deliberate: the correct manoeuvre depends on the affected ear and canal, and performing the wrong one can worsen symptoms. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “Epley maneuver near me.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/dizziness-vertigo/epley-maneuver-near-me/
References
- Vestibular Disorders Association — patient information on balance and vestibular disorders.
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
- American Academy of Neurology — clinical practice guidance.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.