Older patients with two or more chronic diseases may have multiple reasons for experiencing vertigo or dizziness. They may lose their balance due to muscle weakness, misalignment of the spine, brittle bones, vascular problems, vision loss, polypharmacy, or a sedentary lifestyle. Vertigo and dizziness affects approximately 70% of individuals age 65 or older. Heart disease, medication reactions, and inner ear problems are often the top causes of dizziness in older adults. In many instances complaints of dizziness and imbalance lead to hospitalization.