
Causes of Vertigo in the Elderly
Last Updated March 13, 2025 4 Min ReadFor many seniors, vertigo is more than an occasional dizzy spell. It’s a reoccurring issue that can significantly disrupt daily life. While vertigo becomes more common with age, understanding its causes can help manage symptoms effectively.
Why does vertigo happen in seniors?
As we age, vertigo becomes more common because the systems in our body that help us stay balanced don’t work as well as they used to. Here are some of the primary reasons this sensation is more common older adults:
Inner ear issues
Conditions affecting the inner ear are among the most common causes of vertigo in the elderly. Benign paroxysmal positional vertigo (BPPV) occurs when tiny calcium crystals in the inner ear become dislodged from head movements, causing dizziness. Meniere’s disease results from fluid buildup in the inner ear, leading to vertigo, hearing loss, and a sensation of fullness in the ear. Labyrinthitis, often caused by a viral infection, involves inflammation of the inner ear, leading to dizziness and balance problems.
Blood pressure changes
Sudden changes in blood pressure can contribute to dizziness. Orthostatic hypotension occurs when blood pressure drops suddenly when standing up, causing lightheadedness. Postprandial hypotension, which refers to a drop in blood pressure after eating, can also result in dizziness.
Medication side effects
Many medications taken by seniors, including blood pressure medications, diuretics, and certain antibiotics, list dizziness as a possible side effect. Taking multiple medications can further increase the risk of experiencing vertigo.
Neurological conditions
Disorders affecting the nervous system can impact balance and cause dizziness. Parkinson’s disease, a progressive neurological disorder, often leads to balance issues. Small strokes, known as transient ischemic attacks (TIAs), can also temporarily result in vertigo and dizziness.
Other contributing factors
Additional factors like neck problems, vision impairments, and even anxiety or depression can contribute to episodes of vertigo in the elderly. Conditions such as degenerative disc disease or issues with the cervical arteries can impact balance. Vision problems, like cataracts, can change depth perception, increasing the chances of dizziness. Additionally, anxiety and depression can sometimes manifest as vertigo.

How to manage vertigo in the elderly
While vertigo can be frustrating, it’s often manageable with the right approach. There are several ways to alleviate symptoms and improve balance:
Lifestyle adjustments
Simple lifestyle modifications can help minimize dizziness. Managing blood pressure, staying hydrated, avoiding sudden movements, and engaging in regular exercise can enhance balance and reduce vertigo episodes.
Targeted treatments
When considering treatments for vertigo, it’s important to focus on the underlying cause. Various treatment options are available. Vestibular rehabilitation therapy (VRT) can help retrain the body and brain to handle balance issues. If medications are causing dizziness, a doctor may recommend adjustments or alternatives. In some instances, medical procedures such as inner ear injections or surgery may be necessary.
Medical consultation
If you experience frequent or severe vertigo, it’s important to speak with a doctor, especially if it’s accompanied by other symptoms like headaches, changes in vision, or hearing loss. A medical evaluation can help identify the underlying cause and determine the appropriate treatment.
Vertigo can pose significant challenges for seniors, but it’s not insurmountable. With appropriate medical treatment and lifestyle modifications, seniors can effectively manage their symptoms. This approach can enable them to maintain their independence, remain active, and improve their confidence.
How in-home care can help seniors with vertigo
The consequences of vertigo go beyond feeling dizzy. Falls are one of the most serious risks, as they can lead to broken bones, hospital stays, and even long-term disability. Fear of falling can lead to inactivity, which in turn weakens muscles, further affecting balance.
While medical treatments address the physical causes of this sensation, day-to-day support is equally important. In-home care can be a lifesaver for seniors navigating the challenges of dizziness and balance problems, especially those who wish to remain in their own homes. Professional caregivers, with their expertise and compassion, can help with tasks like bathing, dressing, and meal preparation when vertigo makes activities unsafe.
Contact us today to learn how LifeWorx can help your loved one stay steady, secure, and independent in their home. By addressing vertigo with care and expertise, seniors can reclaim their confidence and live more actively.