Vertigo can be caused by neck pain and stiffness too, you know?
Vertigo is a feeling of dizziness that causes a sensation of body movement when the body is not moving or a sensation that does not correspond to normal head movement. This sensation is felt like spinning or shaking. Vertigo is a symptom of a disease syndrome that affects the balance system including the brain, vestibular, visual, neck, somatosensory and proprioceptive systems.
Cervical vertigo/cervical dizziness is a condition that causes dizziness accompanied by pain in the neck and head. Cervical dizziness can be related to chronic or chronic conditions such as unergonomic body positions/activities that can cause muscle tension, disruption of the condition of the cervical joints and even degeneration and herniation of cervical discs. Acute conditions such as neck trauma and inflammation can also cause the condition.
Symptoms felt by sufferers generally are dizziness, a sensation of floating, swaying, headaches that are felt in the neck, back of the head to the top of the head or the whole head feels tight, the neck feels stiff, and can be accompanied by nausea and vomiting. Dizziness may or may not be influenced by changes in head position.
On physical examination, there is tension or spasm in the neck and shoulder muscles. There were no other neurological abnormalities such as nystagmus, ringing disorders, hearing loss or weakness in the limbs.
Cervical vertigo can resemble or coincide with symptoms of other conditions such as BPPV or central vertigo. So an examination is needed to rule out other causes of vertigo. To do this, a neurotological examination is required by a neurologist, x-ray of the cervical spine, laboratory examination, brain CT scan, MRI, carotid ultrasound, audiometry and so on according to indications.
To treat cervical vertigo requires a combination of medical therapy, physical therapy and vestibular rehabilitation. Medications needed include anti-vertigo drugs, analgesics/pain relievers, muscle relaxants, anti-nausea drugs and so on according to indications. Vestibular rehabilitation consists of eye movement exercises, neck movements, balance when sitting and walking. Physiotherapy can be done to relax tense or spasm muscles, including the installation of neuromuscular tapping.
Prevention can be done by improving body posture, carrying out activities ergonomically, reducing the position of the body or neck looking down when working, studying or playing on a cell phone, avoiding using pillows that are too high, avoiding activities that can trigger injury to the muscles or neck bones such as lifting or pulling. heavy loads, as well as accidents/whisplash injuries.
If you experience this complaint, please do a health check at the nearest health service and you can also go to RSU Hermina Manado, especially at the nerve polyclinic to get direct treatment from our specialist doctor. The doctor's practice schedule at RSU Hermina Manado can be accessed via the Halo Hermina website and mobile application.