Cervical Vertigo: Symptoms, Causes, Treatment

What are the symptoms of cervical vertigo?

Cervical vertigo is a type of dizziness or imbalance that is related to neck movement or position. It is believed to be caused by a disturbance in the proprioceptive input from the neck to the brain, which can affect the vestibular system (the body’s balance system). Symptoms of cervical vertigo may include:

1. Dizziness: A sensation of spinning, lightheadedness, or unsteadiness, which may worsen with certain neck movements or positions.
2. Imbalance: Difficulty maintaining balance, especially when walking or standing, which may be aggravated by head or neck movements.
3. Neck pain: Pain or discomfort in the neck, which may be constant or occur with certain movements.
4. Headaches: Headaches, often located at the base of the skull or around the temples, which may be associated with neck pain.
5. Nausea: Some people with cervical vertigo may experience nausea or a feeling of being unwell, similar to motion sickness.
6. Visual disturbances: Blurred vision or difficulty focusing, especially with head or neck movements.
7. Tinnitus: Ringing or other noises in the ear, which may be worsened by neck movements.
8. Sensitivity to motion: Increased sensitivity to motion or visual stimuli, such as busy environments or scrolling on a screen.

It’s important to note that the symptoms of cervical vertigo can vary widely among individuals, and other conditions can also cause similar symptoms. If you are experiencing dizziness or imbalance, especially in association with neck pain or discomfort, it’s important to see a healthcare professional for a proper evaluation and diagnosis.

What are the causes of cervical vertigo?

Cervical vertigo is thought to be caused by dysfunction in the proprioceptive input from the neck to the brain, which can disrupt the body’s sense of balance and spatial orientation. Several factors can contribute to this dysfunction, leading to cervical vertigo:

1. Cervical spine disorders: Conditions affecting the cervical spine, such as cervical spondylosis (degenerative changes in the cervical spine), cervical disc herniation, or cervical stenosis (narrowing of the spinal canal in the neck), can irritate or compress the nerves in the neck, leading to cervical vertigo.
2. Neck trauma: Past neck injuries, such as whiplash from a car accident or a fall, can damage the structures in the neck and disrupt the normal proprioceptive signals to the brain.
3. Poor neck posture: Prolonged poor posture, such as slouching or craning the neck forward while working at a computer, can strain the neck muscles and ligaments, leading to cervical vertigo.
4. Muscle spasms: Spasms or tightness in the neck muscles, often due to stress or overuse, can affect the normal movement of the neck and contribute to cervical vertigo.
5. Degenerative changes: Degenerative changes in the cervical spine, such as arthritis or bone spurs, can affect the alignment of the vertebrae and compromise the stability of the neck, leading to cervical vertigo.
6. Neck surgery: Some people may experience cervical vertigo as a complication of neck surgery, such as cervical fusion or discectomy, due to the disruption of normal neck anatomy and proprioceptive input.
7. Other conditions: Certain neurological conditions, such as multiple sclerosis or Chiari malformation, can also affect the proprioceptive input from the neck and contribute to cervical vertigo.

It’s important to note that cervical vertigo is a complex condition, and its exact cause may not always be clear.

What is the treatment for cervical vertigo?

The treatment for cervical vertigo aims to address the underlying cause of the condition and alleviate symptoms. The specific approach to treatment may vary depending on the cause and severity of symptoms, but common strategies include:

1. Physical therapy: Physical therapy can help improve neck strength, flexibility, and posture, as well as reduce muscle spasms. Specific exercises may also be prescribed to improve proprioception and balance.
2. Medications: Pain relievers, muscle relaxants, or medications to manage dizziness or nausea may be prescribed to alleviate symptoms. In some cases, corticosteroid injections may be used to reduce inflammation and pain.
3. Neck collars: A soft cervical collar may be recommended to provide support and limit neck movement, especially if certain movements or positions trigger symptoms.
4. Balance training: Balance exercises and techniques to improve proprioception, such as tai chi or vestibular rehabilitation, may be beneficial in managing cervical vertigo.
5. Posture correction: Improving posture, especially during activities that involve prolonged sitting or standing, can help reduce strain on the neck and alleviate symptoms.
6. Surgical intervention: In rare cases where cervical vertigo is caused by a structural abnormality in the cervical spine, such as a herniated disc or spinal stenosis, surgery may be considered to correct the issue and relieve symptoms.
7. Lifestyle modifications: Making changes to your daily habits and activities, such as avoiding activities that exacerbate symptoms or using ergonomic devices to support the neck, can help manage cervical vertigo.

It’s important to work closely with a healthcare professional to develop a comprehensive treatment plan that addresses your specific needs and goals. Cervical vertigo can be a complex condition, and treatment may require a combination of approaches to achieve the best outcomes.