Fear
Anxiety disorders or depression can also cause dizziness. Many anxiety and panic patients suffer from dizziness, although often no neurological or vestibular causes can be identified. A distinction can be made between two syndromes: in many cases, anxiety and dizziness are mutually dependent, because those who suffer from dizziness more often become afraid of possible vertigo attacks and their consequences.
- Phobic attack swindling with and without panic symptoms
- Psychogenic stance and gait disorders
The diagnosis of dizziness, which occurs due to changes in the area of the cervical spine, cannot be made by a simple test. The observation that a rotation or lifting of the head triggers the dizziness symptoms may indicate both cervical vertigo and a disturbance of the balance organ in the ear. Every movement of the cervical spine inevitably leads to an accompanying movement of the head, which makes the diagnosis more difficult.
It is therefore difficult to differentiate the cause of dizziness in the cervical spine from other diseases that cause dizziness.Basically, it is important to reliably exclude other causes that cause dizziness symptoms, such as: reliably exclude other causes. Hardenings, poor posture and restricted movement in the neck area can also be indications of cervicogenic dizziness. A muscular cause can be diagnosed relatively quickly by means of a physical examination (for example by finding painful pressure points).
A slipped disc of the cervical spine can also be easily detected by radiological imaging (magnetic resonance imaging, MRI of the cervical spine). The reliable diagnosis of blockages and other causes of dizziness is somewhat more difficult. Under certain circumstances, cooperation between a general practitioner, ear, nose and throat specialist, neurologist, orthopedist and ophthalmologist is required to clarify the cause of a dizziness symptom.
- Benign positional vertigo
- Meniere’s disease
- Fear-induced attack deception
- Sudden deafness etc.
Since the causes of dizziness are so varied, the therapy is also very different. In principle, it is important that the therapy is directed specifically against the cause of the dizziness. In the case of dizziness caused by the cervical spine, orthopedic-sports medical treatment is recommended.
Sometimes, however, a neurological clarification may be necessary (e.g. in the case of a slipped disc in the cervical spine). Dizziness caused by an accidental event in the cervical spine often resolves itself well when the pain and muscular tension of the cervical spine are treated. Within a few weeks, the symptoms usually improve (in about 75% of cases) with anti-inflammatory, pain-relieving and muscle-relaxing medication in combination with physiotherapy exercises.
Additional exercises can be performed. Hyperextension of the cervical spine should be avoided and exercises to relax the neck should be performed regularly, especially during neck straining activities (e.g. office or computer work). Sometimes, however, it may be necessary to carry out additional, so-called vestibular rehabilitation.
This involves special balance training, whereby the brain should learn to interpret the dizziness as an incorrect signal. Various exercises to stabilize the vestibular system should lead to an improvement of the symptoms under professional guidance.
- Acupuncture
- Neural therapy
- Massage,
- Manual therapy or
- Remedial gymnastics (for example with the help of a vertigo program)
