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Vertigo and Dizziness: Could Your Neck Be the Cause?

2 oct 2025

Written by Wesley Adora (Physiotherapist, APAM)

Feeling dizzy, light-headed, or unsteady can be unsettling. While most people associate vertigo and dizziness with inner ear problems, blood pressure, or even anxiety, your neck may also play a key role. This often overlooked condition is known as cervicogenic dizziness or cervical vertigo. Understanding this connection can help you get the right treatment and lasting relief.

What Conditions Are Treated with Acupuncture

How the Neck Affects Balance

Your neck does much more than support your head. Inside the joints, muscles, and ligaments are tiny sensors called proprioceptors, which send information to the brain about your head’s position. These signals work together with your eyes and inner ear to maintain balance.

When the neck is stiff, strained, or injured, the signals can become disrupted. This “mismatch” confuses the brain, which may result in dizziness, unsteadiness, or a sensation of floating.


Symptoms of Neck-Related Dizziness

Neck-related vertigo presents differently from other forms of dizziness. Common symptoms include:

  • Lightheadedness or unsteadiness rather than a strong spinning sensation

  • Tightness, discomfort, or pain in the neck

  • Headaches that often accompany dizziness

  • Blurry vision or visual fatigue

Dizziness triggered by turning the head, looking up or down, or holding the neck in one position for too long


Common Causes and Triggers

Several everyday factors and health issues can contribute to dizziness linked to the neck:

  • Whiplash or other neck trauma

  • Poor posture from long hours at a desk or using mobile devices

  • Age-related wear and tear in the cervical spine

  • Arthritis, disc problems, or joint stiffness

  • Muscle tightness and trigger points

  • Sleeping on an unsupportive pillow or in awkward positions


Diagnosis: Could Your Neck Be Responsible?

Diagnosing cervicogenic dizziness usually begins with a thorough history and physical assessment. A physiotherapist may look at:

  • When symptoms occur and whether they are linked to neck movement

  • Range of motion and mobility in the cervical spine

  • Posture, muscle strength, and joint function

  • Balance and coordination tests

Other potential causes of dizziness, such as ear or neurological conditions, may need to be ruled out to confirm the diagnosis.


Physiotherapy Treatment for Vertigo and Dizziness

Physiotherapy is one of the most effective ways to manage neck-related dizziness.

Treatment often includes:

  • Manual therapy to restore neck mobility and reduce stiffness

  • Muscle release techniques to ease tension and trigger points

  • Targeted exercises to strengthen deep neck muscles and improve posture

  • Vestibular and balance retraining to restore stability and coordination

  • Ergonomic and lifestyle advice for better posture at work and during daily activities

With consistent treatment, many people notice improvements within a few weeks. Long-term strategies, such as home exercises and ergonomic changes, help maintain progress and prevent flare-ups.


Preventing Neck-Related Dizziness

Simple lifestyle changes can reduce your risk of vertigo linked to the neck:

  • Adjust your workstation to keep screens at eye level

  • Take regular breaks from sitting or looking down at devices

  • Use a supportive pillow to maintain cervical alignment while sleeping

  • Stretch and strengthen your neck and upper back regularly

  • Stay physically active to support joint health and posture

When to Seek Professional Help

You should seek medical attention if dizziness comes with other concerning symptoms, such as:

  • Sudden severe headaches or vision changes

  • Numbness, tingling, or weakness in the arms and legs

  • Dizziness accompanied by hearing loss or ringing in the ears

  • Symptoms that worsen or don’t improve with self-care

Final Thoughts

Yes, your neck could be the hidden cause behind ongoing dizziness or vertigo. The good news is that with the right assessment and treatment, you don’t have to live with these frustrating symptoms.

At Norwest Central Physiotherapy and Sports Clinic, our experienced team provides tailored physiotherapy programs for headaches, dizziness, vertigo, and neck-related conditions. If you suspect your neck may be contributing to your symptoms, book an appointment today and start your journey toward better balance and relief.