In this video, we explain why balance is affected in acoustic neuroma and vestibular schwannoma, how the brain tries to adapt through central compensation, and why balance can fluctuate from day to day. We discuss why fatigue, crowds, and low-light environments often make walking harder, and why balance does not always return to how it was before. We also talk about vestibular rehabilitation therapy and gentamicin injections, including how gentamicin may sometimes be used before surgery to help the brain adjust gradually to changes in balance. This video is for patients, caregivers, and anyone living with balance issues who wants clarity, not false reassurance. If walking feels unpredictable or exhausting, you are not alone.