Dr. John Stenberg is an upper cervical chiropractor in Colorado Springs, Colorado and the host of Atlas of Chiropractic Podcast. This show shines light on the science and practice of upper cervical chiropractic.
On this episode, Dr. Stenberg discusses cervicogenic dizziness with Dr. Cameron Bearder of Keystone Upper Cervical Spine Clinic in Lake Norman, North Carolina.
https://spotifyanchor-web.app.link/e/SchJTEGirAb for the full episode
Cervicogenic dizziness is a complex and multifactorial condition characterized by a sensation of dizziness or unsteadiness that originates from dysfunction or pathology in the cervical spine (neck). It is considered a subtype of dizziness and is often challenging to diagnose and manage.
The term "cervicogenic" implies that the dizziness arises from the neck region. It is believed that cervical spine disorders, such as degenerative changes, whiplash injuries, or cervical muscle imbalances, can lead to abnormal input to the central nervous system, resulting in dizziness. The exact mechanisms underlying cervicogenic dizziness are not fully understood, but it is thought to involve a combination of sensory, musculoskeletal, and vestibular factors.
Patients with cervicogenic dizziness typically experience a variety of symptoms, including a persistent sense of unsteadiness, head or neck pain, reduced neck range of motion, and sometimes visual disturbances. The dizziness may worsen with neck movements or prolonged static positions, such as sitting at a computer or driving. Some individuals also report associated symptoms like headache, tinnitus (ringing in the ears), or shoulder pain, which help doctors to rule in the cervical spine as a key driver of symptoms.
Diagnosing cervicogenic dizziness can be challenging because its symptoms can overlap with other vestibular or neurological conditions. A thorough history and physical examination, including a detailed assessment of the cervical spine, are essential for diagnosis. Diagnostic tests, such as cervical spine imaging or vestibular function tests, may be used to rule out other potential causes. Dr. Stenberg of Zenith Upper Cervical Chiropractic in Colorado Springs utilizes CBCT imaging of the cervical spine to evaluate the condition and dysfunctional areas of the cervical spine.
Additional testing discussed in this podcast episode include the smooth pursuit neck torsion test (SPNT), cervical relocation test, and neck torsion test. Dr. Stenberg and Dr. Bearder discuss how these bedside exam procedures help
to identify the cervical spine as a source of dizziness, ruling out or identifying concomitant vestibular dysfunction.
Treatment for cervicogenic dizziness focuses on addressing the underlying cervical spine dysfunction and managing associated symptoms. It typically involves a multidisciplinary approach, including physical therapy, chiropractic care, medication, and patient education. The Blair Technique of upper cervical chiropractic is a system of analysis and adjustment utilized by Dr. Stenberg to correct cervical spine dysfunction in combination with supportive therapies including proprioceptive rehabilitation, cervical range of motion reeducation training, and corrective exercise procedures.
Patient prognosis with cervicogenic dizziness in an upper cervical chiropractic office is very favorable, and the key to finding relief from cervicogenic dizziness lies in accurate diagnosis.
Residents of Colorado Springs and surrounding areas who are experiencing these issues can consult with Dr. John Stenberg of Zenith Upper Cervical Chiropractic to discuss their needs by reserving a complimentary consultation online.