Neck Pain and Dizziness: What is Causes and Treatments

Neck Pain and Dizziness: What is Causes and Treatments

Neck pain and dizziness can be troublesome duos that significantly impact one’s quality of life and affect posture control. These symptoms often co-occur, creating a cycle of discomfort and disorientation that can be challenging to break. 

Research suggests that up to 40% of people who have neck pain also experience some type of dizziness. There is a correlation between neck pain and dizziness disorders in up to 8.57% of patients in specific studies. A physical examination, including X-rays and examination of motion segments, can help identify particular neck movements or positions that trigger symptoms, aiding in diagnosis.

This article will explore the potential causes, symptoms, and treatment options for neck pain and dizziness, including conditions such as cervical vertigo, helping you understand and manage this common but often perplexing issue.

What Causes Neck Pain and Dizziness?

Cervical Vertigo (Cervicogenic Dizziness)

Cervical vertigo, or cervicogenic dizziness, is a condition where dizziness has a correlation between neck painCervical vertigo, or cervicogenic dizziness, is a condition where dizziness has a correlation with neck pain. afferent signals from the cervical spine, often resulting from whiplash injuries. A physical examination, including examination of motion segments, can help identify specific neck movements or positions that trigger symptoms, aiding in diagnosis.

Vertebral Artery Insufficiency

The vertebral arteries, which are blood vessels running through the cervical spine, supply blood to the brain. Any insufficiency or compression can be a causative factor for dizziness and other neurological symptoms due to altered afferent signals from the cervical spine. Examination of motion segments may reveal specific issues contributing to these symptoms.

Muscle Tightness or Spasms

Tight or spasming muscles, including muscle spasms, in the neck can affect balance and proprioception, potentially leading to symptoms of dizziness. These symptoms can sometimes overlap with those of cervical vertigo, involving altered afferent signals and examination of motion segments, which complicates the diagnosis and treatment process.

Prolonged Postural Changes

Sustained poor posture can strain the neck muscles and cervical spine, potentially limiting neck movement and altering afferent signals, leading to both pain and dizziness.

Neck Trauma

Neck injury, such as whiplash or a severe blow to the neck, can be a causative factor for damage to the cervical spine and surrounding tissues, resulting in neck pain, dizziness, and potential changes in blood pressure. Laboratory tests or imaging studies, including the diagnosis of longus colli and evaluation for cervical vertigo, may be necessary to assess the extent of tissue damage and altered afferent signals. Examination of motion segments is crucial in evaluating the structural integrity of the cervical spine following such trauma and diagnosing related disorders.

Arthritis (Cervical Spondylosis)

Degenerative disease in the cervical spine due to arthritis can be a causative factor for neck pain and dizziness. Cervical spondylosis can lead to the narrowing of the spinal canal and compression of the spinal cord or nerve roots, potentially affecting the function of the spinal cord. X-rays and diagnostic tools such as blood tests may be used to assess these risk factors. Radiofrequency ablation or other interventions may be considered in managing severe symptoms associated with cervical spondylosis.

Atherosclerosis in the Neck

Atherosclerosis, or the buildup of plaques in the arteries, can reduce blood flow to the brain when it occurs in the neck arteries, potentially causing dizziness. Certain risk factors, such as smoking and high cholesterol levels, can increase the likelihood of developing atherosclerosis in the neck. Diagnostic tools such as blood tests may be used to assess these risk factors.

Cervical Degenerative Disk Disease

This condition involves the breakdown of the intervertebral discs in the cervical spine, potentially leading to neck pain and possibly dizziness if nerve roots are compressed. Laboratory tests or blood tests may be conducted as part of the diagnosis of exclusion to rule out other underlying degenerative disease conditions. Examination of motion segments can provide insights into the extent of degeneration and its impact on spinal stability.

Poor Posture

Poor posture, primarily when maintained over long periods, can be a causative factor for muscle strain and cervical spine issues that contribute to both neck pain and dizziness. Prolonged poor posture can also lead to narrowing of the spinal canal, exacerbating these symptoms. Diagnostic tools such as posture assessment or spine imaging may be used to evaluate the extent of spinal degenerative disease issues and specific problems identified through the examination of motion segments.

Neck Pain and Dizziness Symptoms

Neck Pain and Dizziness Symptoms

The combination of neck pain and symptoms of dizziness, including those associated with cervical pain syndromes, cervical vertigo, and potential diagnosis of longus colli, can manifest through a variety of symptoms related to impaired control of posture, including:

  • Stiffness and Limited Range of Motion: Difficulty in moving the neck freely, often due to neck stiffness.
  • Muscle Tension and Spasms: Persistent tension or muscle spasms in the neck muscles.
  • Headaches: Often tension-type headaches originating from the neck, including different types of headaches.
  • Vertigo and Dizziness: Sensations of spinning or lightheadedness, which are common symptoms sometimes referred to as positional vertigo.
  • Nausea and Vomiting: Often accompanying severe dizziness.
  • Shoulder and Arm Pain: Pain can radiate from the neck to the shoulders and arms.
  • Tingling or Numbness: These sensations can occur in the arms or hands.
  • Difficulty Concentrating: A result of the discomfort and dizziness.
  • Sleep Disturbances: Pain and discomfort can interfere with sleep.
  • Visual Disturbances: Blurred vision or difficulty focusing can accompany dizziness.

What Does Neck Pain with Dizziness Feel Like?

People with neck pain and dizziness often describe a dull ache or general soreness in the neck that can radiate to the shoulder or sharp, electric-like pain that may come and go, possibly extending down into the arm and/or hand. The dizziness may feel like a spinning sensation, lightheadedness, or a loss of balance, which can be a common symptom in individuals experiencing these issues. The dizziness may feel like a spinning sensation, lightheadedness, or a loss of balance, which can be particularly disorienting.

Neck Pain and Dizziness Treatments

There are several treatment strategies available to address neck pain and dizziness, including cervical pain syndromes, cervical vertigo, and other degenerative disease treatments aimed at improving control of posture:

Medication

Pain relievers, anti-inflammatory drugs, and muscle relaxants can help alleviate pain and reduce inflammation.

Physical Therapy

Physical therapy, such as that provided by Scottsdale Physical Therapy and Performance, can help strengthen the neck muscles, improve posture, increase neck movement, and include balance exercises. Therapy is essential in addressing the root causes of neck pain and dizziness.

Chiropractic Care

Chiropractic adjustments can help realign the cervical spine, potentially reducing both pain and dizziness. Neck pain and dizziness can significantly impact daily life, but understanding the potential causes and treatment options can help manage these symptoms effectively, including issues like stiff neck and possible fluctuations in blood pressure.

Acupuncture

Acupuncture may help by reducing pain and improving blood flow to the affected areas.

Massage Therapy

Massage therapy can relieve muscle tension and improve circulation, which may help reduce symptoms.

Stress Management

Techniques such as mindfulness, meditation, and yoga can help manage stress, which can exacerbate neck pain and dizziness anxiety.

Heat and Cold Therapy

Applying heat or cold to the neck can help reduce pain and inflammation.

Ergonomic Adjustments

Improving ergonomics at work and home can prevent strain on the neck.

Neck Braces or Collars

These can provide support and limit movement, helping to reduce pain and allow healing.

Surgical Interventions

In severe cases, surgery may be required to address structural issues in the cervical spine, such as decompressing the spinal cord, stabilizing the vertebrae, or performing procedures like disc decompression procedures or radiofrequency ablation.

When to Seek Medical Attention for Neck Pain and Dizziness

When to Seek Medical Attention for Neck Pain and Dizziness

If neck pain and dizziness persist despite home treatments, worsen over time, or are accompanied by severe symptoms such as loss of consciousness, severe headaches, or neurological deficits, it is important to seek medical If neck pain and dizziness persist home treatments, worsen over time, or are accompanied by severe symptoms such as loss of consciousness, severe headaches, or neurological deficits, it is important to seek medical attention promptly. A thorough medical evaluation, which may include tests and sometimes a diagnosis of longus colli, is crucial to determine the underlying cause, including the consideration of disc decompression procedures if indicated.

Conclusion

Neck pain and dizziness can significantly impact daily life, but understanding the potential causes and treatment strategy can help manage these symptoms effectively, including issues like stiff neck and possible fluctuations in blood pressure. Many people wonder, “Can neck pain cause headaches and dizziness?” Indeed, neck pain can lead to these symptoms, underscoring the importance of addressing the underlying issues. Manual therapy, such as techniques used in physical therapy to alleviate muscle tension and improve neck movement, plays a crucial role in the treatment of cervical pain syndromes and enhancing control of posture. If you experience persistent or worsening symptoms, including visual disturbances, and require more intensive intervention, procedures like diagnosis of longus colli or disc decompression procedures may be considered under the guidance of a healthcare professional.

FAQs

What is the best position to sleep in when you have neck pain?

Sleeping on your back with a supportive pillow that keeps your neck in a neutral position is often recommended. If you prefer sleeping on your side, ensure your pillow is high enough to keep your neck aligned with your spine.

How do you know if neck pain is serious?

Neck pain caused by cervical pain syndromes may be serious if it is severe, persistent, accompanied by dizziness, weakness, numbness, or radiates to the arms or legs. Additionally, if it follows an injury or is associated with other concerning symptoms, seek medical attention.

How do you get rid of dizziness in your neck?

To alleviate dizziness associated with neck pain, physical therapy should be considered, including manual therapy, improving posture, engaging in relaxation techniques, and using heat or cold therapy. Medications and other treatments like chiropractic care, disc decompression procedures, or acupuncture may also be beneficial.

dr-tyler-sinda

Dr. Tyler Sinda
PT, DPT, FAAOMPT

Tyler’s specialty is helping golfers, athletes and active individuals in Scottsdale find ways to allow them to continue to workout while rehabbing from injury.

Scroll to Top