Our balance system is quite complex, therefore, any dizziness or vertigo can be multifactorial. For some people balance problems or vertigo is linked to the inner ear (peripheral dizziness) and for others, it may be linked to problems in the central pathway, leading up to the brain (central dizziness). That is why it is important to obtain an accurate and thorough history which can then be backed up with tests if required.
Without realising it, our bodies work quite hard in order to remain balanced. Our eyes are connected to our ears with something called the vestibulo-ocular reflex. This allows us to focus and stabilise an image when we turn our heads. We also have balance organs in our ears, which sends information to our brains to tell us when we are making certain movements. Imagine your ears working like the wings on an aeroplane. All of this information needs to pair up with our muscles, spine and movement and what is sent to our brains. If one or more of the signals are impaired or broken, it can cause us to feel dizzy.