Understanding Balance Problem by Dr Winnie Lim Khoo, Adult Neurologist

Balance problem is one of the most common reason why senior citizens visit a neurologist; They are often caused by disturbances on the inner ear. There are Three (3) main parts of the ear — the external or outer ear, the middle ear , and the inner ear (the labyrinth). The balance system is a complex system of nerves, small tubes called semicircular canals, and fluid inside the labyrinth. It includes parts of the brain and other components

To be able to keep a good balance of our body is a complex function and, although the ear is a very important component in the balance system, other factors play a role. To have a good sense of balance we need to be able to see where we are and be aware of the position of certain key parts of our body in relation to other parts of the body, and in relation to the world around us.

A crucial aspect of a good balance system is that your brain can control your balance by using the most reliable information it receives for any given moment or situation. For instance, in the dark, when the information conveyed by your eyes is reduced or unreliable, your brain will use more information from your legs and feet and your inner ear.

Having good balance means being able to control and maintain your body’s position, whether you are moving or remaining still. Good balance helps you walk without staggering, get up from a chair without falling, climb stairs without tripping, and bend over without falling. Good balance is important to help you get around, stay independent, and carry out daily activities.