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VerityMD Neurology accepts new patient referrals by fax: (916) 244-3875
Comprehensive Neurology Evaluation for Dizziness, Lightheadedness, Vertigo, and Imbalance
Dizziness can be frustrating and difficult to explain. Some patients feel spinning or vertigo, while others feel lightheaded, unsteady, off balance, faint, foggy, or like they may pass out when standing.
At VerityMD Neurology, we evaluate dizziness from a neurological perspective and consider the brain, nerves, inner ear balance system, autonomic nervous system, blood pressure regulation, medication side effects, neuropathy, migraine, and other medical contributors.
Symptoms We Evaluate
Dizziness or vertigo
Lightheadedness or near-syncope
Imbalance while walking
Falls or fear of falling
Dizziness when standing or turning the head
Brain fog with position changes
Numbness, tingling, or neuropathy symptoms with imbalance
Dizziness associated with migraine or headache
Conditions We Help Evaluate or Manage
Vestibular migraine
Benign positional vertigo
Orthostatic hypotension
Autonomic nervous system dysfunction
Peripheral neuropathy
Small fiber neuropathy
Medication side effects
Stroke or TIA in selected cases
Anemia, thyroid disease, vitamin deficiency, or metabolic problems
Services and How They Help
Neurology Consultation for Dizziness and Imbalance
The evaluation reviews symptom timing, triggers, position changes, walking difficulty, falls, headaches, hearing symptoms, medications, blood pressure history, prior imaging, and examination.
How this helps:
Clarifies whether symptoms sound like vertigo, lightheadedness, imbalance, presyncope, migraine, neuropathy, or autonomic dysfunction
Identifies red flags
Guides targeted testing and treatment planning
Autonomic Nervous System Testing
Autonomic testing can help evaluate whether dizziness is related to abnormal blood pressure, heart rate regulation, or autonomic responses to standing.
How this helps:
Evaluates dizziness with standing or position changes
Helps assess orthostatic hypotension or autonomic dysfunction
Provides objective data for hydration, compression, medication review, and treatment planning
EMG and Nerve Conduction Testing
EMG/NCV may be helpful when dizziness is associated with imbalance, falls, numbness, tingling, burning pain, weakness, foot drop, or difficulty walking.
How this helps:
Detects neuropathy or radiculopathy that may impair balance
Helps explain unsteady gait
Supports physical therapy and fall-risk reduction
Medication Review for Dizziness
Many medications can contribute to dizziness, sedation, imbalance, low blood pressure, or brain fog.
How this helps:
Identifies medication contributors
Reviews interactions and additive sedating effects
May reduce fall risk and improve alertness when medication effects are contributing
Migraine-Related Dizziness Evaluation
Vestibular migraine can cause dizziness, vertigo, motion sensitivity, nausea, imbalance, and brain fog even when headache is not the main symptom.
How this helps:
Identifies migraine-related dizziness patterns
Reviews triggers
Guides migraine prevention and rescue planning
When Dizziness & Balance Evaluation May Be Helpful
Dizziness when standing
Near-fainting or fainting episodes
Brain fog that worsens upright
Falls with numbness or neuropathy symptoms
Unexplained dizziness after basic evaluation
Dizziness associated with migraine, stroke history, or medication changes
What to Bring or Have the Referring Office Send
Referral from PCP, specialist, or referring provider
Medication list, including over-the-counter medications and supplements
Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available
Blood pressure readings if available
Prior cardiology or ENT notes if available
Description of dizziness episodes
List of falls or near-falls
Prior EMG, autonomic, vestibular, or cardiac testing if available
Important Note
This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.
Emergency Symptoms
Call 911 or go to the nearest emergency department for:
Sudden weakness, facial droop, trouble speaking, or new vision loss
Severe sudden headache or rapidly worsening neurological symptoms
Loss of consciousness, seizure, chest pain, or severe shortness of breath
New inability to walk or sudden severe dizziness with stroke-like symptoms
New Patient Referrals
VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.
Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.
We accept the following insurance
Client Stories
What Our Patients Say
My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.
Dr. Manoj Mittal thoroughly understands the complexities of my condition (involving my brain, neck, and nerves) and developed a comprehensive action plan. During my follow-up visit, he carefully assessed my progress to ensure I was staying on track. I had been neglecting a few aspects of my treatment, but he guided me back on course. My treatment involves a team of specialists, multiple surgeries, and personal effort, and I’m truly satisfied with the plan. For the first time in nearly a decade, I feel genuinely hopeful. Thank you, Dr. Manoj Mittal. A+
I was concerned about issues and I called their office. My appointment was not until January and after hearing my concerns, the staff had me scheduled on a Monday, which happens to be two days from when I called voicing my concerns. Nice job.
Dr. Manoj Mittal is an excellent neurologist. He listens carefully, explains everything clearly, and truly cares about his patients. My mom is under his care, and we are very grateful for his expertise and compassion. Highly recommend!
Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.
My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.
VerityMD Neurology offers expert neurological care for Sacramento, Carmichael, Folsom, and surrounding communities under the guidance of board-certified neurologist Dr. Manoj Mittal.
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Contact
Phone: (916) 500-4989
Fax Referral: (916) 244-3875
Office Hours
Mon-Fri: 8:00 AM–12:00 PM and 1:00 PM–5:00 PM
Closed for lunch: 12:00 PM–1:00 PM
Sat–Sun: Closed
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