Cervicogenic vertigo is defined as dizziness caused by dysfunction or degeneration of the cervical vertebrae. Primary causative factors include:
The muscles and joints in your neck contain a complex network of sensors that seek to keep you in balance by communicating sensory information about head movement and its orientation to the brain and vesitbular apparatus, located in the inner ear. This system works as a small piece of a larger puzzle to coordinate balance throughout the body. When the system doesn’t function, sensory confusion, including dizziness, is a frequent result. Cervicogenic vertigo is often accompanied by other symptoms including neck pain, headaches, nausea and vomiting.
When we suspect cervicogenic vertigo, we perform diagnostic tests such as the Dix Halpike Maneuver and the Head Fixed Body Turn test, both of which seek to gently articulate vertebrae in the neck in order to reproduce vertigo symptoms. Reproduction of vertigo during the DHM is an indicator of benign paroxysmal positional vertigo, not cervicogenic vertigo; reproduction of vertigo during the HFBT is a positive indicator of cervicogenic vertigo. These two tests allow us to narrow down the cause of your cervicogenic vertigo which allows us to move on toward treatment.
By excluding BPPV, we exclude the most common cause of vertigo, which strengthens the case for true cervicogenic vertigo. The vital difference between the two is that BBPV is caused by disorder in the inner ear while cervicogenic vertigo has a true mechanical cause; that means that chiropractic is one of the most effective methods for treating CV. CV responds well to spinal manipulation, myofascial release and other rehabilitative modalities. If you are interested in getting a clear diagnosis and plan for treatment regarding the cause of your vertigo, give our office in Park Slope a call to schedule an appointment today.