Original photo by Pakawadee Wongjinda/ iStock

Otoscope with ear model for otolaryngologist

Did you know that hidden within your inner ear are microscopic crystals called otoconia? These tiny grains of calcium carbonate help your brain sense gravity and linear movement. 

The crystals rest on a gelatinous membrane above sensory hair cells inside two small chambers called the utricle and saccule. When you tilt your head or move forward, backward, or sideways, the otoconia shift slightly, moving the membrane and bending the hair cells beneath them. That movement sends signals to your brain about your body’s orientation relative to gravity, helping you stay balanced and aware of your position in space.

That process is just one component of your balance system, which also relies on the semicircular canals (SCC) to detect rotation, the eyes to track visual movement, and sensory feedback from the muscles and joints. But without otoconia, your sense of “up” and “down” would blur, and even small motions could leave you disoriented.

There are two types of vertigo.

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Peripheral vertigo originates in the inner ear or the vestibular nerve and can be caused by dislodged otoconia, Ménière’s disease, or vestibular neuritis (an inner ear infection). Central vertigo is caused by a problem in the brain, such as a stroke, tumor, or other neurological disorder.

With age — or occasionally after a head injury — some otoconia can become dislodged and move into the nearby canals. Once there, they disrupt normal fluid movement, sending conflicting signals to the brain and causing sudden spinning sensations known as benign paroxysmal positional vertigo (BPPV). Though the dizziness can be startling, BPPV is common and treatable. A series of gentle head and body movements can use gravity to guide the stray crystals back to their proper chamber, often relieving symptoms within minutes.

So yes, you really do have tiny “ear rocks” — and though they’re microscopic, they play a surprisingly large role in keeping your world steady. 

Numbers Don't Lie

Numbers Don't Lie

Average size (in micrometers) of an otoconium
10
Estimated age (in years) of the oldest known crystal on Earth
4.4 billion
Year a Harvard researcher theorized BPPV may be caused by detached otoconia
1962
Semicircular canals in each ear that help detect rotation
3

The painter ______ wrote that he had frequent “dizzy spells,” which researchers speculate were bouts of vertigo.

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The painter Vincent Van Gogh wrote that he had frequent “dizzy spells,” which researchers speculate were bouts of vertigo.

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Astronauts often have trouble with balance and coordination when they return to Earth.

After months in weightlessness, the body’s vestibular system — including the otoconia — is no longer calibrated to the pull of Earth’s gravity. In space, those crystals don’t settle downward the way they do on Earth, so they send mixed signals to the brain about which way is up. When astronauts reenter Earth’s gravitational environment, they may feel dizzy, off-balance, or unsteady while their brains and vestibular systems readjust.

To help reduce those effects, NASA uses simulations that create brief moments of weightlessness to challenge the inner ear. That training helps astronauts’ brains adjust more quickly once they return to Earth. Even with such preparation, though, it can take days or weeks for the otoconia to “relearn” how to respond to gravity and for the brain to interpret those signals correctly again.

Kristina Wright
Writer

Kristina is a coffee-fueled writer living happily ever after with her family in the suburbs of Richmond, Virginia.