Auditory neuropathy spectrum disorder affects how sound signals travel from the inner ear to the brain, so hearing can seem inconsistent, especially in noise.
London’s Leading Audiovestibular Clinic – Where Sound Finds Clarity and Balance Finds You
At Harley Street Audiovestibular Clinic, we bring deep expertise to every case. Our team of leading specialists pair medical precision with inventive thinking to solve complex hearing and balance problems with confidence and care. Every visit moves you closer to clarity, comfort, and control.
What Drives Us Forward
Redefining Care for Every Ear and Every Step
Harley Street Audiovestibular Clinic exists to do more than treatment; we help you reclaim your life. Our consultants aim to restore balance, confidence, and quality of life. From hearing clarity to steadier steps, every solution is backed by science and delivered with genuine compassion, because your well-being is the centre of everything we do.
What makes us different is how we think. We combine the latest diagnostic technology with a personalised approach, ensuring no two treatment plans are the same. Our team of leading audiovestibular specialists works together to tackle the most complex hearing and balance challenges, setting a new standard for care in London.
our services
Conditions We Are Treating At Harley Street Audiovestibular Clinic
Auditory processing disorder affects how the brain interprets sound, even when hearing tests appear normal. It is common in both children and adults and often manageable with the right support.
Autoimmune inner ear disease can cause fluctuating hearing loss, tinnitus, or imbalance as the immune system affects inner ear structures. For many people, symptoms respond well to early treatment.
Feeling dizzy with sudden spins when turning in bed or looking up? You’re not alone; this common inner ear issue affects millions and is rarely serious.
Hearing a constant sound in both ears can feel unsettling, but bilateral tinnitus is common and often linked to hearing changes, stress, or sound exposure rather than serious disease.
Chronic unsteadiness or oscillopsia in dim light? Bilateral vestibular failure is a recognised condition often linked to ageing or medications, manageable for most, not typically ominous.
Sudden hearing loss, dizziness, or tinnitus with fatigue? Blood disorder symptoms affecting the inner ear are common and usually treatable, and they are not typically a sign of something serious. At Harley AVM, we address them effectively.
Many people experience listening difficulties even when hearing tests appear normal. Problems with sound processing, focus, or understanding speech in noise are common and often manageable.
Headaches, dizziness, or balance issues with neck pain? Chiari malformation symptoms are common and often manageable, not usually a sign of something acutely serious.
Conductive hearing loss is frequently caused by changes in the outer or middle ear, such as fluid build-up, infection, or blockage, and is often reversible.
Ear pain is a common experience and often comes from infections, pressure changes, or jaw and muscle strain rather than serious disease. Most episodes settle quickly with simple care.
Progressive hearing loss or balance issues in children or adults? An enlarged vestibular aqueduct is a common congenital inner ear anomaly that is long-term manageable and usually not a sign of acute danger.
Episodes of vertigo, ataxia, or imbalance lasting minutes to hours? Episodic ataxia type 2 is a manageable genetic condition affecting coordination, which is not typically dangerous.
Genetic hearing loss often runs in families and may appear at birth or later in life, progressing slowly over time. Many people live full, active lives with care.
Glue ear commonly affects children and adults when fluid collects behind the eardrum, causing muffled hearing or pressure. It settles with time and treatment.
Facial rash with ear pain, hearing changes, or vertigo? Herpes zoster (Ramsay Hunt Syndrome) reactivation is common, especially post-50, and usually treatable, not a serious long-term threat.
Hyperacusis makes everyday sounds feel uncomfortably loud or overwhelming, often without causing ear damage.
Hyperacusis makes everyday sounds feel uncomfortably loud or overwhelming, often without causing ear damage. Many people improve with the right guidance and care.
Itchy ears are very common and often relate to dry skin, mild irritation, allergies, or wax changes rather than serious disease. Symptoms usually settle with simple care.
Sudden vertigo with hearing changes after infection? Labyrinthitis is a common inner ear inflammation that improves for most and is not typically serious.
Dizziness, hearing changes, or tinnitus after starting medication? Ototoxicity side effects are common, usually reversible with prompt management, and are not typically a sign of a serious condition. At Harley AVM, we resolve them effectively.
Struggling with sudden vertigo, hearing fluctuations, or ear fullness? This inner ear disorder affects thousands and is manageable with proper care, not a sign of something dire.
Sudden clicking, fluttering, or tapping sounds in the ear can feel alarming, but middle ear myoclonus is often related to benign muscle spasms rather than serious disease.
Misophonia causes strong emotional and physical reactions to specific everyday sounds, such as chewing or breathing. Many people experience this sensitivity, and it does not indicate ear damage.
Dizziness, balance issues, or hearing changes? These vestibular symptoms are common in MS and often manageable, not usually a sign of something acutely serious.
Hearing a sound that others can hear too can feel unsettling, but objective tinnitus often relates to benign muscle or vascular activity near the ear.
Ototoxicity refers to hearing or balance changes linked to certain medications and treatments. Many effects are mild, temporary, or monitored safely during care.
Sudden dizziness or hearing shift after trauma or pressure changes? Perilymph fistula is a treatable inner ear fluid leak, not uncommon post-injury and rarely life-threatening.
Dizziness, vertigo, or balance problems after concussion? These symptoms are common and usually resolve with targeted rehab, not a sign of something serious.
Hearing changes after a head injury are common and may follow concussion, whiplash, or minor trauma. Symptoms often improve with time and support.
Persistent dizziness without spinning? PPPD is a common vestibular disorder triggered by prior events, manageable with targeted therapy, and not a sign of serious illness.
Hearing a rhythmic sound that matches your heartbeat can feel alarming, but pulsatile tinnitus is often linked to benign blood-flow changes or middle-ear factors rather than serious illness.
Sensorineural hearing loss is common and often develops gradually due to inner ear or auditory nerve changes linked to ageing, noise exposure, or illness, and it is usually not dangerous.
Unsteady gait, coordination issues, or dizziness? Spinocerebellar ataxia symptoms are common in genetic forms and progressive but manageable, not typically a sign of acute danger.
Rapid clicking or buzzing from the ear can be unsettling, but stapedial myoclonus commonly reflects brief muscle spasms rather than serious disease.
Sudden dizziness, hearing loss, or imbalance after a stroke? These vestibular symptoms are common in recovery and often improve with targeted rehab, not typically a sign of new serious issues.
Hearing your heartbeat or footsteps loudly? This thinning of the inner ear structure is uncommon but treatable, and it typically does not signal grave illness.
Tightening, fluttering, or rumbling sensations in the ear can feel distressing, but tensor tympani syndrome often reflects an overactive protective muscle rather than a serious disease.
Sudden dizziness, hearing loss, or imbalance? Transient ischaemic attacks (TIAs) are common, especially over 50, and often resolve quickly, not usually a lasting threat.
Hearing rapid clicking or tapping noises can be unsettling, but typewriter tinnitus is often linked to nerve irritation rather than serious disease.
Hearing a sound in one ear can feel worrying, but unilateral tinnitus is often linked to local ear changes, hearing variation, or temporary irritation rather than serious disease.
Dizzy spells with or without headaches? Vestibular migraine affects many and is highly manageable, not a harbinger of serious disease. At Harley AVM, our team delivers targeted control.
Sudden, severe vertigo after a viral illness? Vestibular neuritis is a common inner ear inflammation that resolves for most, not a sign of something grave.
Brief dizzy bursts or unsteadiness? Vestibular paroxysmia is a treatable nerve irritation disorder, not uncommon and rarely serious. At Harley AVM, our team provides effective control.
Unilateral hearing loss, tinnitus, or balance issues? Vestibular schwannoma (acoustic neuroma) symptoms are common and usually slow-growing, and are not typically a sign of something acutely serious.
What Our Patients Say
EXCELLENT Based on 103 reviews Posted on Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should bePosted on Daniel SawayaTrustindex verifies that the original source of the review is Google. Very thorough hearing test- well explained and Dr Rudy is very professional.Posted on Carrie WeidnerTrustindex verifies that the original source of the review is Google. Highly recommended private specialist for audiovestibular issues. In my opinion, absolutely worth the money, and they assist with letting UK GPs know results so that I can access NHS services with my diagnosis. Thank you to Dr Pajaniappane and his brilliant staff for their compassionate care and honest discussions.
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Aligned with Leading Medical Associations
our team
The Team Behind
Our Practice
Guided by experience and driven by care, our specialists set the benchmark for audiovestibular treatment and patient trust. At Harley AVM, we work alongside some of the leading specialists in the audiovestibular field, combining expertise with compassion to deliver the best patient experience.
Major Insurance Providers Accepted
FAQS
Your Audiovestibular Questions,
Answered
What is Audiovestibular Medicine?
Audiovestibular Medicine is a physician-led speciality dedicated to diagnosing and managing disorders of hearing and the inner-ear balance system. It focuses on non-surgical, evidence-based care for conditions like chronic dizziness, vertigo, ringing in the ears, sound sensitivity, and complex hearing disorders. AVM specialists understand how audio and vestibular systems connect with neurology, ageing, and daily functioning, offering patients accurate diagnosis, long-term management, and improved quality of life through tailored treatment plans.
What Audiovestibular Services Does Your Clinic Offer?
Our clinic provides comprehensive medical diagnostics and personalised management for hearing and balance disorders. Core services include advanced hearing assessments, inner-ear balance evaluations, tinnitus profiling, dizziness diagnostics, guidance on vestibular physiotherapy, and long-term rehabilitation strategies. We assess both peripheral and central vestibular influences and manage complex cases requiring integrated care. Patients receive structured follow-up support, lifestyle-aligned therapy pathways, and precise clinical insight led by expert specialists practising at Harley St Medical Area.
What Makes The Audiovestibular Services at “Harley AVM” Unique?
Our clinic stands apart through medically led, integrated AVM expertise, assessing hearing and balance as connected systems rather than isolated symptoms. We combine advanced diagnostics, root-cause investigation, personalised management, and rehabilitation-driven care for chronic or complex inner-ear and neuro-vestibular conditions. Patients receive tailored therapy pathways, clinical precision, multidisciplinary guidance, structured follow-ups, and human-first care planning. Our approach redefines patient outcomes by merging medical insight with long-term, quality-of-life-focused support.
Who Can Benefit From Audiovestibular Services at Your Clinic?
Patients who experience persistent ringing in the ears, sound sensitivity, progressive or complex hearing loss, recurring vertigo, imbalance, or unexplained chronic dizziness benefit most. We support individuals requiring non-surgical diagnosis, inner-ear clinical insight, rehabilitation guidance, or long-term symptom management. Complex cases overlapping auditory and vestibular dysfunction, migraine-linked dizziness, or neuro-otological influences are carefully assessed. Our specialists design customised care plans and therapy pathways to restore clarity, comfort, and stability for everyday life. An Audiovestibular Physician (AVP) is a medical doctor who specialises in Audiovestibular Medicine.
Are You an ENT Clinic?
We are not a surgical ENT clinic. Our clinic is dedicated exclusively to Audiovestibular Medicine, focusing on medically rigorous, non-surgical diagnosis and management of hearing- and inner-ear-related balance disorders. Our core work remains advanced clinical diagnostics, chronic condition management, vestibular therapy pathways, hearing rehabilitation, and holistic patient support. Our team blends auditory and vestibular medical expertise to deliver precise, specialist-first care.
Why is Early Diagnosis of Hearing and Balance Disorders Important?
Hearing and balance disorders can worsen subtly, affecting safety, confidence, communication, work, mobility, and emotional well-being. Early AVM diagnosis identifies underlying inner-ear or neuro-vestibular causes, preventing misdiagnosis and long-term decline. Patients receive timely medical management, therapy guidance, and rehabilitation planning, reducing complications like falls, anxiety, or worsening auditory strain. Early detection leads to better stability, stronger treatment outcomes, improved daily functioning, and long-term quality-of-life benefits guided by expert clinic protocols.
Trusted Experts in Hearing & Balance
Helping You Overcome Dizziness, Tinnitus, and Hearing Loss
Take the first step towards better hearing and balance! Schedule your consultation today and experience expert care that truly makes a difference.

















































