symptoms of cervical vertigo

3 min read 17-03-2025

Cervical vertigo, also known as cervicogenic vertigo, is a type of vertigo (a sensation of spinning or dizziness) that originates from the neck. Unlike vestibular vertigo, which stems from problems in the inner ear, cervical vertigo is caused by issues in the neck, specifically the cervical spine. Understanding its unique symptoms is crucial for accurate diagnosis and effective treatment. This article will explore the common symptoms experienced by those with cervical vertigo.

Key Symptoms of Cervical Vertigo

The symptoms of cervical vertigo can be quite varied and sometimes overlap with other conditions. However, several key indicators can point towards a cervical origin.

Dizziness and Vertigo

The hallmark symptom is a feeling of dizziness or vertigo, often described as a spinning sensation. This dizziness is typically less intense than that experienced with vestibular vertigo. It may be triggered by specific head movements or positions.

Headaches

Many individuals with cervical vertigo experience headaches, often in the back of the head or neck. These headaches can be chronic or occur episodically, worsening with neck movement. The pain might radiate to the temples or forehead.

Neck Pain

Neck pain is another common symptom. This pain can range from mild discomfort to severe, sharp pain, and may be accompanied by stiffness or limited range of motion. The pain may be localized to a specific area of the neck or radiate to other parts of the head or shoulders.

Visual Disturbances

Visual symptoms can occur in cervical vertigo. These may include blurred vision, double vision (diplopia), or difficulty focusing. Eye strain and headaches may contribute to these visual problems.

Balance Problems

Individuals with cervical vertigo often experience problems with balance. They might feel unsteady on their feet, particularly when turning their head or bending their neck. This instability can lead to falls.

Other Associated Symptoms

Other symptoms that may be associated with cervical vertigo include nausea, tinnitus (ringing in the ears), and cognitive difficulties like difficulty concentrating or memory problems. These symptoms are not always present, but their presence can support the diagnosis.

How Cervical Vertigo Differs from Vestibular Vertigo

It is important to differentiate cervical vertigo from vestibular vertigo. While both cause dizziness, the origins and associated symptoms differ. Vestibular vertigo often involves sudden, severe attacks of spinning, while cervical vertigo tends to be more gradual and less intense. Vestibular vertigo is usually not associated with significant neck pain, unlike cervical vertigo. A doctor can perform specific tests to determine the underlying cause of vertigo.

When to Seek Medical Attention

If you experience any of these symptoms, particularly if they are severe, persistent, or accompanied by other neurological symptoms, seek medical attention immediately. Early diagnosis and treatment can help manage symptoms and prevent further complications.

Diagnosing Cervical Vertigo

A doctor will conduct a thorough physical examination, focusing on the neck and head. They may also use imaging techniques like X-rays, CT scans, or MRI scans to rule out other conditions. Specialized tests, such as the Dix-Hallpike maneuver (usually used for vestibular vertigo), may be performed to assess the contribution of the neck. A detailed history of your symptoms is crucial for proper diagnosis.

Treatment for Cervical Vertigo

Treatment for cervical vertigo typically involves a combination of approaches, including physical therapy to improve neck mobility and strength, medication to manage pain and other symptoms, and postural adjustments. In some cases, manipulation by a chiropractor or osteopath might be recommended. Lifestyle adjustments, such as maintaining good posture and avoiding prolonged static positions, are also important. Specific exercises tailored to improve neck and head stability are often part of a comprehensive treatment plan.

Conclusion: Recognizing and Managing Cervical Vertigo

Cervical vertigo can significantly impact daily life. Understanding its symptoms, including dizziness, headaches, neck pain, visual disturbances, and balance problems, is crucial for early diagnosis and effective management. Remember, it's always best to seek professional medical advice if you suspect you may have cervical vertigo. Early intervention can lead to improved outcomes and better quality of life. Do not self-diagnose; consult a healthcare professional for accurate assessment and a personalized treatment plan.