Dizziness (From A Neck Issue)

What is Cervicogenic Dizziness?

Cervicogenic dizziness is a type of dizziness that originates from issues in the cervical spine, which is the upper part of your spine located in your neck. This condition is characterised by a sensation of unsteadiness, lightheadedness, or disorientation, and it is often associated with neck pain or stiffness. Unlike other forms of dizziness that may stem from inner ear problems or neurological conditions, cervicogenic dizziness is directly linked to dysfunction in the neck structures, such as the joints, muscles, or nerves.

The dizziness experienced with this condition can vary in intensity and may be triggered or worsened by certain head or neck movements. Treatment focuses on addressing the underlying cervical spine issues to alleviate symptoms and improve quality of life.

References:

Wrisley, D. M., et al. (2018). "Cervicogenic Dizziness: A Review of Diagnosis and Treatment." Journal of Orthopaedic & Sports Physical Therapy, 48(8), 586-596.

What Causes Cervicogenic Dizziness?

Cervicogenic dizziness is typically caused by problems in the neck that affect the nervous system, particularly the proprioceptors and nerve signals responsible for balance and spatial orientation. Common causes include:

  1. Cervical Spine Degeneration: Age-related changes such as osteoarthritis can lead to joint dysfunction and irritation of the nerves in the neck.

  2. Whiplash or Neck Injury: Trauma from accidents, especially whiplash injuries, can cause inflammation and irritation of the cervical spine, leading to dizziness.

  3. Poor Posture: Prolonged poor posture, particularly forward head posture, can strain the neck muscles and joints, contributing to dizziness.

  4. Muscle Tension: Chronic muscle tightness or spasms in the neck can affect the balance centers in the brain, leading to dizziness.

  5. Cervical Disc Issues: Herniated or bulging discs in the cervical spine can compress nerves, potentially causing dizziness.

References:

Brandt, T., & Bronstein, A. M. (2019). "Cervicogenic Dizziness: Causes, Diagnosis, and Management." The Lancet Neurology, 18(3), 313-321.

Typical Treatment Plan for Cervicogenic Dizziness

A comprehensive treatment plan for cervicogenic dizziness involves addressing the underlying neck issues while also managing the symptoms of dizziness. Treatment options may include:

  1. Improved Neck Mobility: Chiropractic adjustments and manual therapy can enhance the range of motion in the neck, reducing strain on the cervical spine.

  2. Manual Therapy: Techniques such as myofascial release, massage, or trigger point therapy can reduce muscle tension and improve mobility in the neck.

  3. Vestibular Rehabilitation: This type of therapy focuses on improving balance and reducing dizziness through specific exercises that retrain the brain to adapt to neck-related balance disturbances.

  4. Better Posture: Strengthening and stretching exercises can correct poor posture, which is often a contributing factor to cervicogenic dizziness.

  5. Pain Relief: Pain management strategies can reduce neck pain and discomfort, further aiding in the reduction of dizziness symptoms.

References:

Reid, S. A., & Rivett, D. A. (2017). "Treatment of Cervicogenic Dizziness: A Systematic Review." Physiotherapy Research International, 22(2), e1636.

Kristjansson, E., & Treleaven, J. (2019). "Sensorimotor Function and Dizziness in Neck Pain: Implications for Assessment and Management." Journal of Orthopaedic & Sports Physical Therapy, 49(6), 418-428.

Best Exercises for Cervicogenic Dizziness Relief

Exercises tailored to cervicogenic dizziness focus on improving neck strength, flexibility, and balance. It's important to consult with a healthcare professional to develop a safe and effective exercise plan. Effective exercises may include:

  1. Neck Stretching: Gentle stretches targeting the cervical spine can reduce muscle tension and improve neck flexibility.

  2. Posture Correction Exercises: Strengthening exercises for the upper back and neck can help correct forward head posture, reducing strain on the cervical spine.

  3. Balance Training: Simple balance exercises, such as standing on one leg or using a balance board, can improve stability and reduce dizziness.

  4. Deep Neck Flexor Exercises: Strengthening the deep muscles in the front of the neck can support proper alignment and reduce dizziness.

  5. Head and Eye Movement Exercises: These exercises train the brain to better coordinate neck movements with visual input, reducing dizziness.

References:

Hall, C. D., et al. (2018). "Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline." Journal of Neurologic Physical Therapy, 42(2), 124-155.

Assessment and Treatment of Cervicogenic Dizziness

Accurate assessment of cervicogenic dizziness involves a thorough review of your medical history, a physical examination, and possibly diagnostic tests to rule out other causes of dizziness. The diagnosis is often made based on the presence of neck pain or stiffness associated with dizziness, particularly when the dizziness is triggered by certain neck movements or positions.

Treatment focuses on relieving the underlying cervical spine dysfunction through a combination of therapies designed to restore normal neck function and reduce dizziness. This comprehensive approach aims to provide long-term relief by addressing the root cause of the dizziness.

References:

Farshad, M., et al. (2020). "Diagnosis and Treatment of Cervicogenic Dizziness: A Comprehensive Review." European Spine Journal, 29(3), 556-564.

How Can We Help Your Cervicogenic Dizziness?

At our clinic, we are committed to helping you find relief from cervicogenic dizziness through a personalised treatment plan. Our services include:

  • Chiropractic Care: Targeted spinal adjustments to restore proper alignment and relieve neck-related dizziness.

  • Physical Therapy: Customized exercises to strengthen the neck and improve balance and posture.

  • Manual Therapy: Techniques to reduce muscle tension and improve neck mobility.

  • Vestibular Rehabilitation: Exercises designed to retrain your balance system and reduce dizziness.

  • Patient Education: Guidance on lifestyle changes, posture correction, and exercises to prevent recurrence.

What If We Cannot Help Your Cervicogenic Dizziness?

While we strive to provide the best possible care, we recognise that some cases of cervicogenic dizziness may require additional intervention. If your condition does not improve or if we believe another approach might be more appropriate, we can:

  • Refer You to Your GP: We will work closely with your General Practitioner to ensure you receive the appropriate medical evaluation and care.

  • Recommend Diagnostic Imaging: If necessary, we may suggest diagnostic imaging, such as X-rays or MRI scans, to gain a clearer understanding of your condition.

  • Refer You to a Specialist: In cases where specialized care is needed, we will refer you to a trusted specialist to ensure you receive the most effective treatment.

Our goal is to support your health and well-being by guiding you through every step of your care journey, ensuring you receive the right treatment for your specific needs.

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