Hello, this is PAIN LAB :) Common causes of dizziness include benign paroxysmal positional vertigo (BPPV), Meniere's disease, benign paroxysmal positional vertigo (BPPV), vestibular neuritis, anemia, and stroke. However, these are not the only causes of dizziness. Increased muscle tension in the cervical region can also cause dizziness. This content was also mentioned in the cervical headache video, so please watch it. Cervical dizziness refers to symptoms in which the cervical spine is out of balance or inflammation fills the area around the cervical spine, causing problems with the proprioceptors in the cervical spine, resulting in dizziness. When the sympathetic nerves near the vertebral artery running between the cervical vertebrae are stimulated and the blood vessels constrict, dizziness worsens. Before talking about cervical dizziness, central dizziness refers to cases in which the central vestibular system, including the brainstem, cerebellum, and cerebrum, is problematic, and emergency treatment is required. It can be a sign of a serious disease, so those with underlying diseases should get tested first. However, even though all tests come out normal, some patients complain of dizziness. Naturally, since there are no abnormalities in the vestibular system in vestibular nerve tests or auditory nerve tests, some patients even get a brain CT scan. There is no clear way to confirm dizziness caused by cervical or psychological problems. There may be pain in the cervical spine and shoulders, dizziness accompanied by discomfort, and if dizziness occurs or worsens due to head or neck movement, it can be considered cervical dizziness. As mentioned earlier, this problem can also occur due to cervical spine. So how do you diagnose it? Since there is no clear method, it is usually done with a self-assessment questionnaire such as the Numeric Rating Scale (NRS), Tenderness Test, cervical range of motion test, and Dizziness Handicap Inventory (DHI). During the Tenderness Test, along with pain, there is a high probability that taut bands or adhesion lumps in the fascia can be felt and there are tender spots. If these areas are relieved well, a certain degree of meaningful recovery will occur. Habits such as working on a computer for a long time with your neck extended or using a smartphone for a long time with your head down cause the normal neck curve to change into a straight or inverted C shape (turtle neck). Also, if you sleep with your head turned to one side or sleep like a shrimp / if your neck is deformed to the point that you or others can feel it, the muscles in the cervical region become tense and you are likely to feel dizzy. Basically, it is a symptom caused by poor posture, lifestyle, and environment, so you should rest well and receive treatment. In order to relieve cervical dizziness, it is important to reduce muscle tension in the cervical region. Treatment methods for cervical dizziness can be largely divided into three categories. The first is light stretching and massage. This is a physical treatment method to relieve muscle tension. Pungjihyeol - This is to release the suboccipital muscles. If you feel dizzy or your neck pain gets worse, reduce the intensity and receive treatment. The sternocleidomastoid muscle is closely related to dizziness because it has many parasympathetic ganglia and cervical plexuses distributed and is attached to the ear. Also, the carotid artery passes under the sternocleidomastoid muscle, so if the tension is high, it can compress the carotid artery. Gently pinch and massage with your hand. First, think about the sternocleidomastoid muscle shortening. It is better not to hold it too tightly. When the posterior multifidus muscle is uncomfortable. I mentioned this in the worst stretching method. Stretch by shrugging your shoulders (trapezius) as much as possible and pushing them back. I said that shrugging limits the range of motion of the joints, preventing the head from being extended too much. The second is acupuncture and herbal medicine. People who usually have stiff necks when they wake up or work are likely to have hard indurations when they touch their necks. Acupuncture or moxibustion treatment in these areas is a way to relieve muscle tension in the head and neck area. And dizziness is called vertigo in oriental medicine, so there are many herbal medicine prescriptions for vertigo. You can recover from dizziness more quickly. The last is cervical chiropractic treatment. If the displacement of the cervical spine is adjusted, muscle stiffness is often relieved. However, even in this case, if there is too much inflammation and the pain is severe, it is better to start with acupuncture/moxibustion treatment. This was PAIN LAB :) 00:00 Intro 00:24 Various causes of dizziness 00:53 Cervical dizziness 01:22 Central dizziness 01:36 Dizziness with unknown causes 02:37 Diagnosis of dizziness 04:08 Cervical dizziness treatment method 1: Stretching or massage 04:13 F