From the Research
Cervicogenic dizziness is diagnosed through a comprehensive evaluation that includes a detailed history, physical examination, and exclusion of other causes of dizziness, with treatment typically involving a multimodal approach focusing on addressing the underlying cervical spine dysfunction, as supported by the most recent study 1. The diagnosis of cervicogenic dizziness is primarily clinical, based on the presence of neck pain or stiffness accompanied by dizziness that worsens with head movements. Some key points to consider in the diagnosis and treatment of cervicogenic dizziness include:
- A thorough understanding of the proper tests and measures to accurately rule in or rule out competing diagnoses, such as central and peripheral vestibular disorders, vestibular migraine, labyrinthine concussion, cervical arterial dysfunction, and whiplash associated disorder 2.
- The use of manual therapy techniques, such as cervical mobilization, manipulation, and soft tissue work, as the cornerstone of treatment 3.
- The importance of specific exercises targeting cervical proprioception, balance training, and postural correction as essential components of rehabilitation 4.
- The potential use of medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, muscle relaxants like cyclobenzaprine, and occasionally vestibular suppressants like meclizine, to manage symptoms 5. The condition results from disturbed sensory input from the upper cervical spine, particularly from mechanoreceptors in the facet joints, muscles, and ligaments, which affects the integration of vestibular, visual, and proprioceptive information in maintaining balance. Most patients experience significant improvement with conservative management within 3-6 months, though some may require longer treatment periods, as noted in the study 1.