Feeling off-balance? If so, you might have encountered a condition commonly called “ear rocks.” Despite the simple (and slightly silly) name, ear rocks can cause significant discomfort and disrupt your daily activities.
Most common among older adults, you may have ear rocks if you’re experiencing sudden bursts of vertigo when you make head movements, like sitting up or tilting your head.
What Are Ear Rocks?
Ear rocks, medically known as otoconia or otoliths, are tiny calcium carbonate crystals in the inner ear. These crystals play a crucial role in our sense of balance and spatial orientation.
Normally, they reside in two organs of your vestibular system called the sacculus and utricle, where they help detect linear movements and gravity. However, problems pop up when these crystals become dislodged and migrate into the semicircular canals, another part of the inner ear responsible for detecting rotational movements.
Causes of Ear Rocks
Many factors can cause ear rocks to dislodge and move into the semicircular canals:
- Head Trauma — A blow to the head can jostle the crystals out of place.
- Aging — As we age, the otoconia can naturally degrade and break free.
- Inner-Ear Disorders — Conditions such as Ménière’s disease or labyrinthitis can lead to the dislodgment of these crystals.
- Viral Infections — Infections that affect the inner ear can disrupt the placement of otoconia.
Symptoms of Ear Rocks
When ear rocks move into the semicircular canals, they interfere with the normal flow of fluid that helps detect head movements. This disruption sends mixed signals to the brain, leading to a variety of symptoms:
- Vertigo — A spinning sensation often triggered by changes in head position.
- Dizziness — General feelings of lightheadedness or unsteadiness.
- Nausea — Motion sickness-like symptoms.
- Balance Problems — Difficulty standing or walking without feeling off-balance.
Can Sinus Issues Mimic These Symptoms?
Interestingly, some people with dizziness, vertigo, or balance trouble may not have ear rocks at all — instead, they could be dealing with sinus-related problems. That’s why it’s important to understand the overlapping symptoms and how to tell them apart.
To be 100% clear — while sinus issues can cause dizziness, they do not directly affect otoconia or cause benign paroxysmal positional vertigo (BPPV). However, a common question people ask is: “Can a sinus infection make you dizzy?” The answer is yes. Infections in the sinus cavities — especially the ethmoid and sphenoid sinuses near the inner ear — can cause inflammation and pressure changes that affect your equilibrium. When sinuses swell and press against nearby structures, it can affect the vestibular nerve or even impact inner ear fluid regulation, leading to dizziness or balance concerns.
Another frequent question is: “Can sinus pressure cause dizziness?” Yes — sinus pressure from allergies, congestion, or changes in barometric pressure can create a sensation of dizziness or lightheadedness, even without actual vertigo. In fact, sinus pressure and dizziness without congestion is something ENT specialists hear about often. You don’t always need to have a runny or stuffy nose to feel sinus-related pressure. The pressure may be isolated deeper in the sinus cavities, particularly around the eyes or forehead, and still impact your balance system.
Similarly, many people wonder: Can sinus infection cause dizziness? Absolutely. The inflammation, drainage blockage, and fluid buildup associated with sinus infections can affect not only your sinuses but also your ears — especially the eustachian tubes, which help regulate pressure in the middle ear. Disruption in this system can mimic vestibular disorders like BPPV.
When googling symptoms, people often search for “sinus infection symptoms dizziness” because of the confusing overlap between ENT and vestibular conditions. It’s always wise to have both avenues explored — by an audiologist and an ENT specialist — when persistent dizziness or balance issues occur.
How Trinity Hearing & Balance Can Help
At Trinity Hearing & Balance, we specialize in diagnosing and treating conditions that affect your hearing and balance. If you’re experiencing symptoms related to ear rocks, our team of experts is here to provide comprehensive care and effective treatment options.
Diagnostic Process
First, we listen. Understanding your symptoms, concerns, and medical history helps us tailor our approach to your specific needs. Next would be a balance assessment, which is a thorough examination of your ears and balance function. We provide expert assessment of balance disorders, which often originate in the vestibular system found in the inner ear.
Treatment
Once a diagnosis is confirmed, we can offer several treatment options. The Mayo Clinic suggests several common treatment options such as canalith repositioning maneuvers. These are specific head and body movements designed to move the dislodged crystals back to their proper place in the utricle. The Epley maneuver and the Sémont maneuver are common techniques used to treat BPPV, which, according to the University of California San Francisco, is the most frequent condition caused by ear rocks.
If you experience lingering balance issues, vestibular rehabilitation therapy (VRT) can help. This therapy includes exercises tailored to improve balance and reduce dizziness by training your brain to compensate for inner ear issues.
Preventive Measures
While not all cases of ear rocks can be prevented, some steps can reduce your risk:
- Protect Your Head — Wear helmets during activities that pose a risk of head injury.
- Monitor Ear Health — Regular checkups can help detect and manage inner ear disorders.
- Stay Hydrated — Proper hydration supports overall ear health.
Ear rocks might sound like a minor issue, but their impact on your balance and well-being can be profound. At Trinity Hearing & Balance, we are dedicated to helping you regain your balance and live free from the discomfort of dizziness. If you’re experiencing symptoms, don’t hesitate to reach out to our experienced team for personalized care and effective treatment solutions.
Rediscover stability and take the first step toward better balance. Please contact us today for a consultation about your unique dizziness and balance difficulties, and to start your journey to relief.
If you want to discover more about dizziness, loss of balance, and vertigo, we invite you to visit Trinity Hearing & Balance online to learn more.
InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Benign paroxysmal positional vertigo: Learn More – What can you do if you have BPPV? [Updated 2023 Oct 4]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556950/ Accessed Apr. 10 2025
Bachert C, Bhattacharyya N, Desrosiers M, Khan AH. Burden of Disease in Chronic Rhinosinusitis with Nasal Polyps. J Asthma Allergy. 2021 Feb 11;14:127-134. doi: 10.2147/JAA.S290424. PMID: 33603409; PMCID: PMC7886239. Accessed Apr. 10 2025
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