Regain Your Stability and Walk Again Without Fear of Spinning
Dr. Karla Sanz evaluates the inner ear and vestibular system to resolve the physical cause of your vertigo, helping you recover your balance with clinically proven treatments.
Balance system disorders manifest in various ways. Identifying your symptoms helps focus the diagnosis:
You feel the room or things around you spinning violently, especially when lying down, getting up, or turning in bed.
Sensation of floating, walking on clouds, or losing direction, as if your body is not responding correctly to your steps.
Vertigo accompanied by constant whistling (tinnitus), temporary hearing loss, or pressure inside the affected ear.
Cold sweats, upset stomach, and nausea triggered by simply moving your eyes or head.
The inner ear is the mechanical balance center (vestibular system). For this reason, Otolaryngology is the first line of assessment to diagnose peripheral vertigo (representing over 80% of cases), including Benign Paroxysmal Positional Vertigo (BPPV), Ménière's disease (which is often accompanied by ringing in the ear or tinnitus), and vestibular neuritis.
On the other hand, a Neurologist focuses on central vertigo, which originates in the brain or nervous system, such as vestibular migraine or brain circulatory issues. The subspecialty of Neurotology / Otoneurology manages complex, difficult-to-control cases of the inner ear or skull base.
Dr. Karla Sanz performs a comprehensive vestibular examination at her Guadalajara office to identify the origin of your symptoms. If she detects signs of central neurological origin during the office evaluation (atypical nystagmus, loss of strength or sensation), she will collaborate closely with a Neurology specialist for your timely referral and complete safety.
Transparent, surprise-free pricing structure
Comprehensive clinical evaluation of the ear, nose, throat, and upper airway. Includes your detailed medical history, physical examination, and initial treatment plan guidance.
From $1,300 MXN
The initial vestibular evaluation consultation is priced from $1,300 MXN. This appointment includes your detailed clinical history, physical examination for nystagmus (involuntary eye movements), and diagnostic maneuvers in the office (at Justo Sierra or Hospital Ángeles Andares).
BPPV Treatment: If a diagnosis of Benign Paroxysmal Positional Vertigo (loose crystals) is confirmed and clinically viable, physical repositioning maneuvers (such as Epley or Semont) will be performed during the same initial consultation at no extra cost. (Subsequent repositioning or rehabilitation sessions, if required, are quoted individually from $800 to $1,300 MXN).
Additional Diagnostic Studies: If clinical suspicion warrants technological studies to locate the lesion (such as videonystagmography or the vHIT test), the doctor will refer you to highly trusted imaging and testing centers in Guadalajara. These studies are quoted and paid for separately (local market average: $2,500 to $4,500 MXN) and are not included in the basic consultation.
In-person Consultation Notice: The WhatsApp channel is strictly administrative for booking appointments and requesting cost information. For medical ethics and legal compliance, diagnoses or prescriptions are not provided remotely without an in-person evaluation.
We analyze the duration of your episodes (seconds vs. hours), triggers, ear symptoms, and your general medical history.
The doctor evaluates your eye reflexes in response to head movements and performs controlled positional maneuvers in the office.
We identify whether your case corresponds to BPPV, Ménière's, vestibular neuritis, or if it requires additional tests like vHIT or MRI.
If it is BPPV, physical repositioning maneuvers are performed on the spot. If it has another cause, medical management or rehabilitation therapy is initiated.
Immediate mechanical treatment in the office for BPPV (such as Epley or Semont maneuvers). It consists of guided head movements to return the crystals (otoconia) to their original site in the inner ear, relieving vertigo without medication.
A diagnostic study that records involuntary eye movements (nystagmus) using special goggles equipped with infrared cameras. It allows precise determination of whether the balance problem originates in the ear or in the brain.
A rapid, advanced technological evaluation that analyzes the vestibulo-ocular reflex using high-speed sensors. It is painless and individually evaluates each of the six semicircular canals in the inner ear.
A brain retraining exercise program based on adaptation, habituation, and sensory substitution. Indicated for patients with persistent vestibular damage (such as aftermath of vestibular neuritis) to regain visual and body stability.
Request your evaluation via WhatsApp, selecting the reason for your visit (dizziness when lying down, instability, or ringing in the ears).
The doctor performs physical ocular, coordination, and balance tests to find the physical cause of your symptoms.
If BPPV is diagnosed, physical repositioning maneuvers are performed during the same consultation to relocate the crystals.
We define whether you need preventive medical treatment, personalized vestibular rehabilitation, or referral for advanced studies.
We monitor your progress and the complete restoration of your balance to prevent relapses or falls.
Otolaryngology & Sleep Medicine
Medical surgeon graduated from Universidad de Guadalajara, specialist certified by the Consejo Mexicano de Otorrinolaringología y Cirugía de Cabeza y Cuello, A. C.. Her clinical and surgical practice prioritizes responsible diagnosis, combining respiratory health and functionality with natural and balanced aesthetic results.
Patient reviews
Public reviews related to ear, tinnitus, and vertigo care.
“I consulted the doctor about ringing in my ear. She was very professional; she reviewed my case calmly, explained possible causes, and guided me through the next steps without alarming me.”
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“Dr. Karla helped me from the very first moment with my severe ear pain and the endless dizziness I had all the time. I was afraid to see a doctor, but she changed my perspective on going to one.”
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“A very good experience. The doctor was kind and warm from the start. She explained the diagnosis and treatment clearly and in great detail. You can tell she is passionate about medicine from the enthusiasm with which she explains everything. Highly recommended.”
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“The doctor was professional and empathetic at all times, and she explains things clearly and simply with examples you can understand. 100% recommended.”
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Dr. Karla Sanz works with all insurers, issues invoices, and completes insurance and reimbursement forms.
Coverage, authorization, and payment arrangements depend on the terms of your policy.
Some insurers, among others
Answers about the service and your in-person medical evaluation.
Last content review and update: June 2026. This information is for guidance purposes only and does not replace an in-person medical evaluation.
If you or a family member experience vertigo or instability accompanied by any of the following symptoms, do not wait to schedule an office appointment. Go immediately to the nearest hospital emergency room:
Schedule a consultation with Dr. Karla Sanz.
