How is Cervicogenic Dizziness diagnosed?

How is Cervicogenic Dizziness diagnosed is a common question we get as neck and vestibular health experts.

Cervicogenic dizziness can be challenging to diagnose because its symptoms can overlap with other types of dizziness and vestibular disorders.

A comprehensive evaluation by a healthcare professional, often involving a combination of clinical assessment, is typically necessary to reach a diagnosis.

We discuss this in more detail in our professional books and course, but here are some highlights for you.

Here are the steps commonly involved in the diagnostic process for cervicogenic dizziness:

1. Medical History:
   • The healthcare provider will begin by taking a detailed medical history.
   • They will ask about your symptoms, including the nature of dizziness, when it started, any associated symptoms (such as neck pain or headaches), and any factors that trigger or worsen the symptoms.
2. Physical Examination:
   • A thorough physical examination will be conducted, with a focus on the neck and cervical spine.
   • The healthcare provider will assess range of motion, muscle strength, and tenderness in the neck and surrounding areas.
3. Vestibular Assessment:
   • To rule out other vestibular disorders, the healthcare provider may perform tests of vestibular function, such as the Dix-Hallpike test and the head impulse test, which assess eye and head movement coordination.
4. Response to Treatment:
   • Sometimes, healthcare providers may use a trial of treatment, such as physical therapy or medications, to see if symptoms improve.
   • A positive response to treatment can support a diagnosis of cervicogenic dizziness.
5. Diagnostic Injections:
   • Even though not common, diagnostic injections, such as cervical facet joint injections or nerve blocks, may be used.
   • If these injections alleviate the dizziness or vertigo temporarily, it can provide further evidence of cervicogenic dizziness.

Conclusion

Healthcare providers often exclude other potential causes of dizziness or vertigo before arriving at the diagnosis of cervicogenic dizziness.

It’s important to consult with a healthcare professional if you suspect you have cervicogenic dizziness or are experiencing persistent dizziness and neck pain, as a thorough evaluation is necessary to determine the underlying cause and develop an appropriate treatment plan.

Treatment options for cervicogenic dizziness

Specialized physical therapy treatment can assist in alleviating musculoskeletal elements and improve spinal alignment contributing to cervicogenic dizziness. A systematic approach of orthopedic, vestibular and sensorimotor re-training is usually necessary to alleviate symptoms.

At PhysioFit of NC, we have the expert team in both vestibular and cervical spine conditions to help you to the fullest.

We provide a comprehensive treatment approach through our Cervicogenic Dizziness Relief Program.  This includes manual therapy and exercises to improve neck posture and mobility. The primary goal of treatment is to address the underlying cervical spine issues and vestibular dysfunction causing cervicogenic dizziness.

If you are a professional and looking for training options, check out our diagnosis and treatment courses on Cervicogenic Dizziness!

Don’t hesitate to contact us today so we can help you!