is cervicogenic dizziness real?I see some physical therapists and chiropractors claim so, but my neurologist said absolutely not.I have chronic non-spinning vertigo dizziness, legs don't feel attached to body, dropping sensation, internal swaying, not able to balance in dark rooms or with my eyes closed.My brain mri is normal, and my ears are normal.I have pretty horrible forward neck posture and a "knot" behind my neck. I didn't know what this was until a nurse brought it up.
My dick causes cervicogenic dizziness.
>>16963223thank you
It is an accepted medical diagnosis. But it is a diagnosis of exclusion (ie. only considered if every other explanation has been ruled out). These kinds of diagnoses are tricky because the only way to confirm you had it is if the treatment alleviates symptoms.Here's a bit of medical literature discussing the phenomenon:https://www.jospt.org/doi/epdf/10.2519/jospt.2000.30.12.755*Important* do not go to a chiropractor. Chiropractic is pseudoscience and, especially for anything neck related, you are risking serious and life ruining injury.Physical therapy is an accepted treatment, however.
>>16963191>is cervicogenic dizziness real?yes>but my neurologist said absolutely notIs your neurologist picrel lmao. Get a new neurologist>My brain mri is normal, and my ears are normal.As you can imagine, cervicogenic diziness aka cervical vertigo is caused by the cervical spine. Brain scans will look fine.
>>16963338>>16963339The pt I was referred to is a neuro pt and I'm worried that she'll scoff at the idea too and just do vestibular treatment for the pppd that my neurologist diagnosed me with, and not check the neck. guess I'll find out on monday
>>16963191just do some saunas and eat some natto.
>>16963339I wouldn't go as far as to call OP's doctor incompetent or black. CD is genuinely disputed as a unique pathology.The idea has been around for decades and no real test exists for it and there isn't even a real mechanism that everyone agrees on. See: https://pmc.ncbi.nlm.nih.gov/articles/PMC8544230/>>16963348If your neurologist has a diagnosis, you should probably default to his judgement. Though it's never a bad idea to get a second opinion.Is your neck's range of motion normal? When you experience symptoms, does neck pain or discomfort come along with them?
>>16963365>If your neurologist has a diagnosis, you should probably default to his judgement.I am like 60% confident it's spine related and 40% confident it's just mental (I am a very anxious person and I have noticed my dizziness is worse during panic attacks)it's been ongoing since 2023 and flares up bad, usually in the spring, but it's all year, all day, for most of the day. I remember exactly a week before the first vertigo episode happened I had a very stiff neck that I couldn't move, but it resolved one it's own. Exactly two days later was when I woke up with the dizziness. It wasn't spinning dizziness, just a disturbing swaying type. I do regularly get occipital headaches, but it's somehow quiets down on the days that my dizziness is particularly bad. Like they switch places. The part that makes me think it could be cervical related is because I get extra dizzy when I look down at my phone, wash the dishes, or water my plants. I am mostly ok when I move my neck to the side though, it doesn't make my dizziness worse. I guess I am a bit cynical about his diagnosis because it seemed like he didn't know how else to diagnose me. I don't have ear spinning vertigo (just mild fluid whooshing) nor do I have a brain tumor or ms. I went to the ER recently during a very bad dizzy flare (couldn't walk without a rolling bag) and asked for a neck X-ray which they reluctantly gave me, and it confirmed my straight neck.
>>16963378more info, if anyone is still reading:my brain mri notes:1. No acute intracranial abnormality.2. Low-lying cerebellar tonsils extending 5 mm below the plane of foramen magnum. (?)3. Stable asymmetric enlargement of the right cerebellopontine angle cistern favored to be related to the presence of an arachnoid cyst in this locale.4. No hemodynamically significant stenosis, aneurysm or arterial vascular malformation involving the major intracranial arteries within the limits of MRA technique..........On VOG with fixation, the following were noted:There was no spontaneous nystagmusPursuit: normalOKN: normal With video-oculography (VOG - monocular OD) and removal of visual fixation, there was no spontaneous nystagmus. Provocative maneuvers demonstrated the following: There was no head-shaking-induced nystagmus There was bow-induced subtle DB nystagmus (?) There was no lean-induced nystagmus There was no left Dix-Hallpike-induced nystagmus There was no right Dix-Hallpike-induced nystagmus
>>16963378Dizziness is normal during panic attacks and is probably coincidental to whatever's causing flair-ups when you're not anxious (though I'm sure your bouts of dizziness are understandably distressing in their own right and can snowball things rather quickly).If a specific type of neck movement seems to reliably trigger episodes, that is a pretty strong indication of CD. Make sure to mention that to your physical therapist when you come in. Be a little mindful of how you breach the subject though. Medical practitioners deal with hypochondriacs and self-diagnosers all the time and if you start exponding on irrelevant details or going on a tirade, their human biases may kick in and she may dismiss the parts that actually matter. It's unfortunate but a real factor to consider.
>>16963386ok I will keep that in mind, thank you
>>16963378do you have any mold in your domicile? Are you sure you don't have any mold?
