If your dizziness seems tied to your neck — flaring when you turn your head, traveling with neck pain or stiffness, or lingering long after you expected it to fade — you may be dealing with cervicogenic dizziness: dizziness that originates in the neck rather than the inner ear. The hard part is knowing what…
Dizziness after whiplash is common, well documented, and frequently dismissed — particularly once imaging is normal and the neck pain has settled. Patients are told the injury…
Lightheadedness is a different symptom from vertigo, and conflating the two sends people down the wrong diagnostic path. Vertigo is an illusion of movement. Lightheadedness is a…
Balance problems and vertigo are not the same complaint. Vertigo is an illusion of motion. Balance disturbance is a failure of postural control — you are not spinning, you are…
Visual vertigo in busy environments reflects disrupted brainstem integration of visual, vestibular, and cervical proprioceptive inputs. Understanding why grocery stores, crowds, and scrolling screens trigger symptoms clarifies the underlying sensory reweighting and where cervical structural factors may contribute to the integration problem. Patients with PPPD describe a distinctive and often disabling pattern: their dizziness, unsteadiness,…
Vestibular migraine is now recognized as the most common cause of spontaneous recurrent vertigo, with population estimates around 1 to 2.7%. It is also routinely missed for years,…
This is the most mechanically informative dizziness complaint there is. Not dizziness when standing up, not dizziness at random — dizziness specifically triggered by rotating the…
POTS dizziness on standing reflects inadequate autonomic compensation when posture changes. The autonomic centers in the brainstem and the cervical sympathetic chain that mediate this compensation can be affected by head and neck trauma, creating a specific subset of POTS patients with cervical involvement contributing to their autonomic dysfunction. Patients with POTS describe a distinctive…
Meniere’s disease is defined as endolymphatic hydrops — excess fluid pressure in the inner ear — producing episodic vertigo, fluctuating hearing loss, tinnitus, and a sensation of…