This time, I'd like to talk about neck pain and vertigo.
I have a symptom called cervical vertigo. Can you explain the relationship between neck pain and vertigo?In this case, the patient was not treated with medication, but with interventions such as neck adjustment.
Case Report
24-year-old female
For two years, she complained of intermittent neck pain and dizziness caused by head movement.
The woman was experiencing severe neck pain and dizziness that could be aggravated by head movements.
However, this woman does not have tinnitus and hearing loss.
She has no history of head trauma, vestibular or systemic disorders.
Brain magnetic resonance imaging and cervicobrain MR angiography ruled out intracranial lesions, vascular stenosis, aneurysms, vascular malformations, or dural sinus thrombosis.Caloric washout and ocular vestibular evoked myogenic potential testing showed normal responses bilaterally.
The patient was prescribed ibuprofen and acetaminophen, which provided partial relief of symptoms.
On initial evaluation, the patient presented with a protected neck posture and forward head carriage.
She rated her peak pain intensity as 8/10 on the numerical pain scale (PNS) and scored 60 points on the Vertigo Handicap Inventory.
Joint mobility was assessed and showed limitation at the C5 / 6 and C6 / C7 levels, with limited range of motion in the neck and pain at 10° extension (usually > 60°) and 30° right rotation (usually > 80°).
Spinal palpation revealed tenderness at the cervicothoracic junction.
Cervical radiographs showed degenerative spondylolisthesis of the lower cervical spine with osteophytes at posterior C5 and 6.Based on the symptoms of dizziness associated with neck pain and the exclusion of systemic, neurological and vestibular disorders, the patient was diagnosed with CGD.
The woman was treated three times a week with cervical adjustments and ultrasound thermotherapy, with an emphasis on restoring mobility to stiff joints and relieving tension in the neck muscles.At the end of the four-week intervention, the patient reported that her neck pain was gone and her vertigo symptoms had resolved simultaneously.
The patient continued to receive monthly chiropractic adjustments to correct the forward head posture.Recovery of neck curvature was demonstrated on cervical radiographs at a seven-month follow-up.
In general, there is a statistically significant relationship of less than 20° between neck pain and spinal kyphosis angle.
Now, 18 months after the start of treatment, the patient remains medication-free and symptom-free.
Point
Problems with neck movement can affect the vestibular system and other parts of the body, causing vertigo symptoms.
However, this is a result that can be achieved by excluding other diseases such as this case, so it should not be applied to this case based on easy judgment.In order to know the exact degree of folding, it would be better if you can also view the radiographs.
Eric Chun Pu Chu, Wui Ling Chin, Amiya Bhaumik, Cervicogenic dizziness, Oxford Medical Case Reports, Volume 2019, Issue 11, November 2019, Pages 476-478
Conclusion
Under limited conditions, the results may be similar to this case, but as mentioned, it is necessary to exclude other diseases.
However, as mentioned above, it is necessary to exclude other diseases. I have met a client who had an adverse reaction to neck adjustment without these exclusions.This was a case that showed that a properly performed neck adjustment can have a positive result.
