Clues for Cervicogenic Dizziness


Dizziness attributed to the neck has historically been a sketchy diagnosis. For a long time, many ENTs and neurologists denied that it even existed because there weren’t any tests that can confirm as a diagnosis.⁣

It lead to a lot of dizzy patients getting normal inner ear/vestibular testing, and a 🤷🏻‍♂️ diagnosis defaulting to psychogenic illness.⁣

Fortunately, we have some evidence that has come from the #whiplash #concussion and neurosurgery research that has provided some clarity on when to suspect cervicogenic dizziness.⁣

Some important clues include:⁣
– History of neck or head trauma⁣
– Dizziness without vertigo/spinning that is agitated by neck movement⁣
– Degenerative changes in the upper neck⁣
– Absence of vestibular findings⁣
– History of neck or radiating arm pain⁣

In addition to those findings, I have found a few functional exams that help point towards cervical origin. ⁣

One shown here is a neck torsion balance test.⁣

Lots of clinicians test balance, but adding a challenge to a balance exam where you have a patient turn their torso, or turn their head can put stress on the neck that may worsen a sense of imbalance.⁣


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A post shared by Keystone Chiro Neuroplasticity (@keystoneneuro)

Have your clinician give this test a try, to see if the neck might be a cause of your dizziness.⁣

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