Can Vertigo Come from the Neck?

Vertigo is commonly described as a spinning sensation or feeling of dizziness, and it is often linked to inner ear problems. However, Dr Varun Rehani explains that in some cases, the root cause may actually lie in the neck—a condition known as cervicogenic vertigo.

The cervical spine plays an important role in maintaining balance and posture. It contains receptors that send information to the brain about body position. When there is a disturbance in this system—due to stiffness, injury, or degeneration—it can lead to dizziness or imbalance.

This type of vertigo is often associated with neck-related issues such as cervical spondylosis, muscle strain, or poor posture, especially in people who spend long hours on screens.

Patients with cervicogenic vertigo may notice that their dizziness is closely linked to neck movement. Unlike inner ear vertigo, it may not always involve a spinning sensation but rather a feeling of imbalance or lightheadedness.

Common associated symptoms include:

• Neck pain or stiffness
• Headaches
• Dizziness triggered by turning the head
• A sense of unsteadiness

Diagnosing this condition can be challenging because there is no single test for it. Doctors typically rule out other causes such as inner ear disorders or neurological conditions before confirming the diagnosis.

Treatment usually focuses on addressing the underlying neck problem. Physiotherapy, posture correction, and targeted exercises can significantly improve symptoms. In some cases, pain management and lifestyle modifications are also recommended.

Dr Varun Rehani advises that persistent or severe dizziness should always be evaluated properly, especially if it is accompanied by other neurological symptoms.

In conclusion, vertigo is not always an ear problem. Sometimes, the issue lies in the neck, and identifying the correct cause is essential for effective treatment.