Cervicogenic Dizziness & Vertigo
Article by J. Miller, S.Armfield

Cervicogenic Dizziness & Vertigo
Understanding Dizziness Causes
Cervicogenic dizziness often arises from neck disorders, presenting as imbalance or light-headedness without the spinning typical of vertigo. It contrasts with cervicogenic vertigo, which results in a distinct sensation of spinning, usually accompanied by neck pain and stiffness. Understanding the nuances between them is vital for correct diagnosis and treatment.
Cervicogenic Dizziness Explained
Cervicogenic dizziness manifests as a sensation of wooziness or being off-balance, triggered by neck movement or maintaining a particular posture for extended periods. Unlike cervicogenic vertigo, it does not involve the perception of spinning. Neck pain is a common symptom, and factors like poor posture or muscle imbalances can exacerbate the condition.
Distinguishing Cervicogenic Vertigo
Cervicogenic vertigo stems directly from neck dysfunctions that send false signals to the brain, causing the environment to seem as though it’s spinning. It often correlates with specific neck movements or postures. Pain, stiffness, and limited movement in the neck area are usual accompaniments.
Identifying Dizziness Causes
Pinpointing the causes of cervicogenic dizziness can be challenging due to its symptom overlap with other conditions. Accurate identification relies on a healthcare professional’s expertise in the cervical spine and vestibular matters. The diagnostic process may include a thorough medical history review, physical examinations, and diagnostic tests to craft a tailored treatment approach.
Understanding Vertigo Causes
While the exact causes of cervicogenic vertigo are not always clear, several contributors have been identified:
- Neck Injuries: Trauma, such as that from car accidents, can impair neck function and lead to vertigo. eg Whiplash
- Spine Disorders: Conditions like herniated discs might irritate nerves in the neck, inducing dizziness and vertigo.
- Postural Issues: Chronic poor posture can strain the neck, contributing to these conditions.
- Muscle Imbalance: An imbalance in neck muscle strength or flexibility can destabilise the cervical spine.
- Repetitive Strain: Continuous activities, such as extended periods of computer use, can lead to cervicogenic dizziness or vertigo.
Stress and anxiety are also known to amplify symptoms, underscoring the importance of a comprehensive evaluation by healthcare professionals.
Symptoms of Cervicogenic Dizziness and Vertigo

Cervicogenic dizziness symptoms range from a general feeling of imbalance to specific instances of unsteadiness during motion. Common symptoms include:
- A vague sense of dizziness
- Unsteadiness or difficulties with walking and turning the head
- A feeling of wooziness or floating
- Neck pain, often localised at the back of the neck
- Variably intense headaches
- Stiffness and reduced neck movement
- Visual disturbances, like focusing difficulties
Cervicogenic vertigo, on the other hand, includes symptoms such as:
- Spinning sensations, particularly after neck movements
- Persistent neck pain, usually at the back of the neck
- Stiffness and limited neck mobility
- Dull headaches at the skull’s base
- Balance issues without spinning, often related to neck positioning
- Visual problems during dizzy spells
Consult a healthcare professional if you experience these symptoms for an accurate diagnosis and advice. Your doctor or physiotherapist are excellent options to assess you further.
Treatment and Management
Addressing underlying neck issues is central to treating both cervicogenic dizziness and vertigo. Treatment options include:
- Physiotherapy: Exercises and techniques to enhance neck mobility and balance. See Neck treatment.
- Medications: Prescription of muscle relaxants or anti-inflammatory drugs.
- Posture Correction: Adopting proper ergonomics to reduce neck strain. See Posture improvement tips.
- Lifestyle Adjustments: Avoiding movements that trigger symptoms and practising stress-relief techniques.
- Medical Interventions: More severe cases may require medications, injections, or surgery.
Education on the condition, identifying personal triggers, and applying self-management strategies are beneficial steps.
Conclusion
Cervicogenic dizziness and vertigo require a specialised approach for effective management. Healthcare providers with expertise in this area can determine the best course of action. A personalised treatment plan, with an emphasis on understanding triggers and managing symptoms, will often yield the best outcomes. If you’re dealing with these symptoms, it’s essential to reach out to a trusted healthcare team for specific guidance and care.
Related Articles
- Vertigo & Dizziness: This article discusses various aspects of dizziness and vertigo.
- Vestibular FAQs: It provides answers to frequently asked questions about vestibular issues, including cervicogenic vertigo.
- Vertigo Causes & Dizziness Causes: This piece explores different causes of vertigo and dizziness, including cervicogenic sources.
- Vestibular Physiotherapy: Balance & Dizziness Solutions: This article offers solutions for balance and dizziness issues.
- How Do I Know If I Have Vertigo or Dizziness?: It helps differentiate between vertigo and dizziness, which is useful for understanding cervicogenic issues.
- Neck Strengthening – What Specific Exercises To Do & Why?: This is relevant as it links neck issues to vertigo or dizziness.
- Vestibular Migraine: Since it discusses vestibular migraine, which can cause dizziness and vertigo.
- Neck Headache: It covers neck headaches that can be related to cervicogenic dizziness.
- Effective Cervical Facet Joint Pain Management: This article can be helpful since cervical facet joint pain might relate to dizziness and vertigo issues.
- Whiplash: This article explores the connection between neck issues and vertigo or dizziness, relevant to the topic of cervicogenic conditions.
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