Treatment of dizziness by neurologist Igor Stanislavovich Shkinder in Dnipro.

Patients seek help with complaints of periodic sensations of dizziness, unsteadiness while walking, the onset of unpleasant symptoms after stress, or a progressive worsening of their condition.

The doctor performs a thorough clinical assessment, carefully analyzes the complaints and medical history, and, if necessary, orders additional examinations to clarify the causes.

The patient receives a clear and understandable action plan: what to do in the current situation, which tests are worth undergoing, and how to monitor changes in their condition over time.

Igor Stanislavovich Shkinder pays special attention to the differential diagnosis of the causes of dizziness and to monitoring the dynamics of symptoms, which helps tailor treatment to the patient’s specific needs.

When to See a Doctor

Dizziness can present in different ways and affect various aspects of life. Sometimes symptoms appear for the first time, and sometimes they recur or gradually worsen over time. If you notice increasing discomfort, changes in your overall well-being, or difficulties that interfere with everyday life, it is important to discuss this with a neurologist. You should make an appointment with a neurologist if, along with dizziness, you notice:

• Frequent or persistent feelings of unsteadiness and loss of balance
• A sensation of spinning or the surface around you “swaying”
• Dizziness that worsens with sudden head movements or changes in body position
• Problems with concentration and memory in the context of dizziness
• Nausea or weakness accompanying the dizziness
• Symptoms appearing for the first time without an obvious cause
• Dizziness interfering with work, daily activities, or causing sleep difficulties
• Recurrent episodes of dizziness that do not go away on their own
• No improvement after self-care measures or previously prescribed treatment
• Worsening of symptoms during stress or after an illness

Even if the dizziness seems temporary and not very severe, a consultation with a specialist can help identify possible causes and choose the right course of action. You should not delay seeking medical advice if the symptoms become more pronounced or interfere with your usual lifestyle.

Emergency situations, or when you need to see a doctor urgently

• Sudden severe dizziness with impaired balance and coordination
• A sudden decline in consciousness, confusion, or difficulty speaking
• Dizziness combined with a severe headache or chest pain
• Sudden weakness or numbness on one side of the body
• Dizziness accompanied by loss of consciousness

If you experience these symptoms, do not wait for a scheduled appointment — seek emergency medical care. Our clinic offers a doctor-on-call home visit service for prompt evaluation and support.

Causes and Risk Factors of Dizziness

Dizziness can have different causes, so it is important to understand what exactly is triggering the symptoms. This section will help explain the main mechanisms behind dizziness and the factors that increase the likelihood of developing or worsening the condition. An accurate diagnosis requires a doctor’s evaluation and additional tests.

Main causes / mechanisms (briefly)

• Disorders of the vestibular system, which is responsible for balance
• Changes in blood supply to the brain, affecting stability
• Nervous reactions and stress, which can intensify the feeling of dizziness
• Side effects of certain medications
• Associated nervous system disorders

Risk factors

• Age-related changes affecting coordination and sensitivity
• Chronic conditions such as hypertension and diabetes
• Frequent stress and overexertion
• A history of head or neck injuries
• Smoking and poor sleep patterns
• Lack of physical activity
• Taking certain medications that affect the nervous system

Reversible causes that should be ruled out

• Dehydration or metabolic disorders
• Increased intracranial pressure
• Acute ear inflammation
• Taking medications with pronounced side effects that cause dizziness

Dizziness requires careful attention and timely medical evaluation in order to determine the cause and minimize the impact of risk factors.

Diagnosis

Diagnosis of dizziness is aimed at identifying possible causes and developing a plan for further action. The approach includes several stages that help understand the nature of the problem and choose the appropriate examination.

Diagnostic approach

• Collecting a detailed medical history: description of symptoms, their frequency, intensity, and the circumstances under which they occur
• Medical examination with assessment of coordination, balance, and neurological function
• Ordering basic tests when indicated to rule out acute conditions
• Additional examinations based on individual indications to clarify the cause
• Analyzing the obtained data and forming a preliminary treatment plan or plan for further examinations

Typical tests when indicated

May include:

• MRI or CT of the brain to assess structural changes
• Doppler ultrasound of the blood vessels of the head and neck
• Vestibular tests to evaluate the balance system
• General laboratory tests to rule out metabolic disorders
• ECG and cardiac monitoring if vascular causes are suspected

What to bring to the appointment

• Medical records and results of previous examinations
• A list of medications being taken
• A symptom diary describing the frequency and circumstances of dizziness
• Information about past injuries or illnesses

Diagnosis of dizziness is a gradual evaluation process that helps the doctor understand the cause and determine the next steps, taking into account the patient’s individual characteristics.

Treatment

Treatment for dizziness is aimed at relieving symptoms and improving the patient’s quality of life. The treatment plan is always selected individually, taking into account the specifics of the condition and the results of examinations, which requires a physician’s assessment.

Goals of therapy

• Reducing the frequency and severity of dizziness
• Addressing possible causes and factors affecting the condition
• Restoring balance and improving physical function
• Preventing complications and recurrent episodes

Main treatment approaches

• May include medication therapy, when indicated, to relieve symptoms
• Non-drug methods such as rehabilitation and physical therapy help improve coordination
• Lifestyle changes and risk factor management under medical supervision
• Individual selection and adjustment of treatment regimens depending on progress
• Additional interventions if needed, prescribed by a doctor

What the doctor does

• Selects and adjusts treatment with consideration of coexisting conditions
• Evaluates the effectiveness of therapy and makes timely changes
• Monitors possible side effects and interactions
• Explains the treatment plan and how results will be monitored
• Coordinates care with other specialists when necessary

What to expect: plan and follow-up

• The results of treatment are assessed regularly; the schedule depends on the situation
• The doctor may recommend follow-up visits to monitor effectiveness and adjust the regimen
• If there is no improvement or new symptoms appear, the treatment plan is revised
• Therapy is always adapted to changes in the patient’s condition

To create an individual plan, make an appointment with Dr. Igor Stanislavovich Shkinder.

Prevention

Prevention of dizziness is important for reducing the risk of symptoms and improving overall well-being. The preventive plan is always selected individually, taking into account the patient’s health status.

Main measures of primary prevention

• Monitoring blood pressure and blood sugar levels
• Quitting smoking and reducing alcohol consumption
• Reducing stress and normalizing sleep patterns
• Maintaining physical activity as recommended by a doctor
• Following a balanced diet and proper hydration

Screening and secondary prevention / regular monitoring

• Regular blood pressure monitoring as indicated
• Evaluation by a specialist to assess the nervous system, as recommended by a doctor
• Monitoring of associated chronic conditions
• Adjusting treatment if the patient’s condition changes, according to the doctor’s decision

Practical tips

• Discuss medication adjustments with your doctor if you have accompanying medical conditions
• Avoid sudden movements and prolonged staying in uncomfortable positions
• Monitor your level of physical activity and rest when fatigued
• Keep a symptom diary to track changes and discuss them with your doctor

Preventive measures for dizziness help maintain quality of life and require regular discussion with a doctor.

Important to know

Dizziness is a symptom that requires careful attention to determine the cause and choose the right treatment approach. It is important not to focus only on relieving the unpleasant sensation, but also to understand the factors that trigger or worsen the symptoms. Early evaluation helps reduce the risk of complications and select appropriate recovery methods. In some cases, ongoing monitoring and adjustment of the plan are needed so treatment can be adapted to changes in the condition. General factors also play an important role — physical activity, stress, sleep quality, and the presence of other medical conditions all affect the course of dizziness.

• Identifying the cause of dizziness is more important than simply eliminating the symptom
• Early consultation helps reduce the risk of progression and complications
• Ongoing monitoring and treatment adjustments are necessary if symptoms change
• Stress, physical activity, and sleep affect the severity of dizziness
• Self-treatment may mask symptoms and delay an accurate diagnosis
• A doctor in the clinic takes accompanying conditions into account for effective treatment
• The treatment plan is adapted to each patient’s individual characteristics and condition

If dizziness occurs regularly or changes over time, it is important to see a specialist to receive a full examination and support. For detailed information and recommendations, you can read our general page on the topic.

Self-help before your appointment: what you can and cannot do

Before your doctor’s appointment for dizziness, it is important to take safe steps to ease your condition and gather information. If your symptoms worsen, seek help immediately from Dr. Igor Stanislavovich Shkinder.

What you can do before the appointment

• Write down when and how the dizziness started, note the circumstances and what makes the symptoms worse
• Keep a symptom diary, including the intensity and time of onset
• Bring a list of all medications and supplements you are taking
• Measure your blood pressure and pulse rate if you know how
• Reduce physical activity and try to rest
• Drink water to avoid dehydration
• Avoid sudden head movements and prolonged sitting or standing in uncomfortable positions
• Gather information about any existing medical conditions and past injuries

What you should not do before the appointment

• Do not stop or change any medications without consulting your doctor
• Do not start taking new medications or supplements on your own
• Do not use unproven folk remedies to quickly relieve symptoms
• Do not ignore worsening dizziness or the appearance of new symptoms
• Do not engage in intense physical activity if your condition is getting worse
• Do not try to diagnose yourself or interpret test results on your own
• Do not delay seeing a specialist if your condition worsens

If signs of an emergency appear, seek help from Dr. Igor Stanislavovich Shkinder immediately.

How I can help as a doctor with dizziness

During a dizziness consultation, I will help you understand the nature of your symptoms and the history of their onset in order to identify the possible causes of what you are experiencing. I will assess the severity of the symptoms and identify risk factors that may be affecting your condition. Based on this, I will develop a plan for next steps, including indicated examinations, treatment options, and monitoring of progress. In addition, I will take into account any underlying medical conditions and the medications you are taking. I will discuss recommendations regarding routine and lifestyle, as well as the criteria for when you should return for a follow-up visit.

During a dizziness consultation, I can help you with the following:

• Review your symptoms and history to identify possible causes of dizziness
• Assess the severity and potential risks associated with your condition
• Review your current medications and treatment tolerance, and adjust them if necessary
• Develop a logical plan for evaluation, treatment, and monitoring
• Consider underlying conditions and interactions with the medications you are taking
• Provide lifestyle and routine recommendations based on your individual circumstances
• Discuss a symptom-monitoring plan and criteria for future visits
• Carry out an initial assessment and differentiate the causes of dizziness
• Support prevention of exacerbations and complications when needed

It is important to remember that dizziness requires a comprehensive approach, and the consultation evaluates the full picture of your health. The treatment and follow-up plan is developed gradually, taking into account changes in your condition and your response to therapy. This approach helps improve the effectiveness of care and reduce possible risks.

What questions can you ask a doctor about dizziness?

At an appointment for dizziness, you can discuss the following topics with Igor Stanislavovich Shkinder:

• Frequent or constant feelings of dizziness and unsteadiness
• Sudden or worsening symptoms that interfere with daily life
• Dizziness that appears after injury, stress, or infection
• Recurrent episodes of dizziness without an obvious cause
• No effect from previously prescribed treatment, or the need for a second opinion
• The impact of coexisting conditions (high blood pressure, diabetes) on your condition
• Sleep problems and reduced concentration due to dizziness

If you have sudden severe dizziness with speech impairment, severe headache, or loss of consciousness, emergency care is needed — do not wait for a scheduled appointment.

Questions you can discuss during the consultation:

• What is happening to me, and what could it be?
• Why did the dizziness start now?
• How can I tell whether it is related to dizziness and not another condition?
• What examinations are needed in my case specifically?
• Which tests or studies are essential, and which can be skipped?
• How should I prepare properly for the examinations and the doctor’s appointment?
• What treatment options are available, and how do they differ?
• Is this condition completely treatable, or is long-term follow-up needed?
• Why is the prescribed treatment not helping, and what should I do if there is no effect?
• Can I manage without medications and procedures?
• How long does treatment usually last, and how often is follow-up needed?
• What signs show that the condition is improving or worsening?
• What should I do if my condition suddenly gets much worse or a flare-up occurs?

If your symptoms are acute or accompanied by serious disturbances, seek emergency care. Otherwise, a consultation with a doctor will help clarify the situation, choose the necessary examinations, and determine a treatment and follow-up plan that is convenient for you.

How the consultation takes place

A consultation for dizziness includes reviewing your complaints, assessing your current condition, and creating a plan for next steps. The scope of examinations is selected individually, based on your symptoms and medical history. During one appointment, the doctor performs an initial assessment and plans further examination and treatment, without promising a final diagnosis right away.

1. Clarifying your complaints and the purpose of the visit: the doctor finds out what is bothering you, how long the symptoms have been present, what makes them worse or better, and what you expect from the appointment.
2. Medical history review and identification of risk factors: previous events, chronic conditions, and other important details are discussed.
3. Review of previous treatment and examination results: if necessary, you may be asked to provide medical records and a list of medications you are taking.
4. Examination and simple functional tests, if indicated: these are aimed at assessing coordination and the overall condition of the nervous system.
5. Preliminary assessment: the doctor discusses which possible causes of dizziness are being considered and what needs to be ruled out.
6. Examination plan: if indicated, an MRI or CT scan of the brain, Doppler ultrasound of the blood vessels, laboratory tests, and other studies may be prescribed.
7. Treatment and management plan: general treatment directions and lifestyle recommendations are suggested.
8. Follow-up and next steps: timing for follow-up visits and criteria for evaluating improvement or worsening are agreed upon.

If this is your first visit, more time is spent clarifying symptoms and looking for possible causes. If treatment has already been prescribed, the focus is on reviewing the results and adjusting the approach if the expected effect has not been achieved.

Preparing for Your Appointment

To make your neurology appointment for dizziness as effective as possible, prepare in advance. This will help the doctor understand your situation more quickly and choose the right plan for tests and treatment.

• Bring a list of all current medications, including names, doses, and how you take them.
• Bring the results of any previous examinations, scans, and lab tests — originals or copies/photos.
• Write down your main symptoms: when they started, and what makes them worse or better.
• Do not stop taking prescribed medications without consulting your doctor.
• If recommended, come on an empty stomach — do not eat or drink for 8–12 hours (confirm this when booking).
• Prepare any questions and concerns you want to discuss during the appointment.
• Tell the doctor about any other medical conditions and previous injuries.
• If there are specific preparation instructions (for example, not using makeup), follow them.

If you have any questions about the preparation, check the details with the reception when booking, and do not change your medication schedule without consulting your doctor.

About the Doctor

Igor Stanislavovich Shkinder is a neurologist of the highest category with more than 20 years of experience. He often works with patients who suffer from recurrent or chronic dizziness, as well as with those whose previous treatment has not helped.

The doctor pays special attention to accurately diagnosing the causes of dizziness and monitoring symptom progression in order to adjust treatment in a timely manner. His approach is aimed at identifying the impact of comorbid conditions and risk factors.

During the consultation, you will receive a clear explanation of your situation and a plan for next steps.

Why Patients Choose Dr. Igor Stanislavovich Shkinder

When treating dizziness, careful diagnosis and thoughtful patient management are essential. The doctor pays special attention to understanding the causes and symptoms, which helps avoid unnecessary tests and keeps the focus on the individual features of the condition. In his practice, he takes into account comorbidities and medications to ensure that the prescribed treatment is as safe as possible. Ongoing monitoring of progress with treatment adjustment allows the plan to be adapted if the condition changes. The patient receives a clear explanation of the current situation, the goals of therapy, and the criteria for effectiveness, which makes the recovery process easier to understand and follow.

• A clear treatment plan with a precise description of the next steps and follow-up timing
• Tests are ordered strictly when indicated, without unnecessary procedures
• Consideration of comorbidities and drug interactions for safety
• Monitoring of the condition and treatment adjustment if the effect is insufficient or side effects occur
• Review of the results of any existing examinations to optimize next steps
• Clear explanation of the goals and possible risks in plain language, without false promises
• Emphasis on preventing flare-ups and complications to preserve quality of life
• Experience in managing complex and chronic cases with an individualized approach

This approach helps patients receive a structured solution for dizziness while avoiding unnecessary stress and ineffective prescriptions. The consultation is results-oriented and takes possible changes in the condition into account, ensuring high-quality support at every stage of treatment.

Case Studies

Initial Consultation for Occasional Dizziness

A middle-aged patient presented with sudden, intermittent episodes of dizziness occurring without an apparent cause. It was important to rule out serious vascular and neurological conditions, as well as assess the impact of lifestyle and comorbidities. The necessary examinations were performed, and the complaints were carefully reviewed to clarify the most likely causes. Over time, the symptoms became less frequent and less pronounced, which helped avoid unnecessary interventions. The patient continues follow-up and adheres to recommendations regarding lifestyle and control of contributing factors.

Treatment Adjustment in the Absence of Improvement

A middle-aged woman sought care after several months of treatment for dizziness had produced no noticeable improvement. The physician conducted a detailed review of previous prescriptions and possible side effects, and reassessed her symptoms. The treatment plan was adjusted based on the new findings and comorbid conditions. At the follow-up visit, the symptoms were less severe and her overall well-being had improved. The patient continues scheduled monitoring and treatment adjustments as needed.

Chronic Course with Associated Disorders

An elderly patient with a long history of dizziness and hypertension presented for comprehensive management. The main task was to take the impact of comorbidities on the symptoms into account and choose a safe treatment strategy. The physician reviewed the patient’s condition, assessed the risks, and proposed a structured plan for therapy and follow-up. According to serial monitoring, the condition stabilized; the symptoms persist but are much less troublesome. Regular follow-up and treatment adjustments continue as needed.

Exacerbation Triggered by Stress and Overwork

A young woman presented with worsened dizziness after prolonged stress and sleep deprivation. It was important to distinguish a temporary flare-up from serious neurological conditions and to choose supportive measures. The contributing factors were reviewed, and a recovery plan was developed, including guidance on routine and rest. Over the following weeks, the symptoms eased and quality of life improved. The patient remains under observation with regular visits to help prevent recurrent exacerbations.

Need for a Second Opinion and Diagnostic Clarification

A middle-aged man presented with unclear episodes of dizziness, and previous evaluations had not provided a definitive answer. The physician repeated the history-taking and reviewed the investigations already performed, which helped narrow the list of possible causes. Additional tests were ordered when indicated, and a treatment plan with subsequent monitoring was developed. The patient appreciated the comprehensive approach and the opportunity to gain a clearer understanding of the situation. Follow-up continues with treatment adjustments as needed.

How long does the consultation last?

A consultation usually takes 30–60 minutes; please уточняйте the exact time when booking.

How should I prepare for the appointment?

It is recommended to write down your symptoms and questions, and prepare a list of medications you are taking.

What should I bring to the appointment?

Please bring results of previous examinations, scans, discharge summaries, and a list of medications.

Do I need to come on an empty stomach?

Usually no, unless the doctor gives different instructions when you book.

How many visits are usually needed for treatment?

The number of visits depends on the cause and your condition; usually several visits are required.

When can I expect the first results of treatment?

Results depend on individual factors and the treatment; timelines vary.

What should I do if my condition worsens before the appointment?

If there is a significant worsening or any warning signs, seek emergency medical care.

Can treatment be combined with my current medications?

We discuss compatibility during the appointment; do not change your medications on your own.

Is an online consultation available?

Yes, an online consultation is available by prior appointment.

Can I come with tests already done?

Yes, please bring all available examination and test results.

Do I need follow-up appointments?

Follow-up visits are scheduled when indicated to monitor the effectiveness of treatment.

Can I get a second opinion from this doctor?

Yes, the doctor is ready to discuss your condition and previous examination results.

What should I do if symptoms return after improvement?

It is important to see a doctor for evaluation and possible treatment adjustment.

What tests are needed for dizziness?

The list of tests is selected individually based on symptoms and examination findings.

How can I tell whether dizziness is related to another condition?

The doctor will determine this based on your medical history and examinations.

Can treatment be combined with chronic conditions?

The doctor takes all coexisting conditions into account when choosing treatment.

What should I do if treatment is not helping?

You need to return for a consultation to assess the situation and adjust the treatment plan.

Can I change the treatment on my own?

No, it is not recommended. Please discuss all changes with your doctor.