If vestibular symptoms persist or require additional expertise, what action is recommended?

• A. Canalith repositioning
• B. Rehab plan
• C. Habituation program
• D. Refer to a clinician with vestibular expertise prn

Answer: (D)

When vestibular symptoms linger or you need more specialized input, the best course is to refer to a clinician with vestibular expertise as needed. A vestibular specialist can re-evaluate the diagnosis, perform or interpret advanced tests (such as VNG/ENG, calorics, VEMP, or posturography), and tailor a treatment plan to the specific disorder—whether peripheral, central, or complex. Initial maneuvers or general rehab programs are helpful, but persistent or unclear cases benefit from expert assessment to guide further therapy or investigations.