Cervical Dizziness Diagnosis & Management with Physical Therapy

Cervical Dizziness Diagnosis & Management with Physical Therapy Diagnosis and Management of Cervicogenic Dizziness

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What muscles are commonly involved with cervical instability?Muscle imbalance in the superficial posterior cervical musc...
05/01/2026

What muscles are commonly involved with cervical instability?

Muscle imbalance in the superficial posterior cervical muscles is closely linked to instability at these levels.
At C4–5:
100% showed trapezius imbalance
70% had splenius capitis involvement
50% showed levator scapulae issues
At C5–6:
100% had splenius capitis & levator scapulae imbalance
80% had trapezius involvement

Innovation, necessity, and the human body -
05/01/2026

Innovation, necessity, and the human body -

The wheel came into widespread use around 3500 BC. Since then, humans haven’t stopped innovating to make life more efficient, safer, and more sustainable.

Cervical Vertigo (CV) is not just a concern for older adults—its rising incidence among younger populations is bringing ...
04/28/2026

Cervical Vertigo (CV) is not just a concern for older adults—its rising incidence among younger populations is bringing renewed attention to Traditional Chinese Medicine (TCM) approaches to treatment.

👉 In TCM, CV is often linked to qi and blood deficiency, which can cause unsteady sensations, dizziness, and neck-related discomfort.

🧪 New Clinical Trial at a Glance
A randomized controlled trial investigated a promising therapy known as:
Three-Needle of Regulating the Mind with Umbilical Needle (TNRM-UN)

🔬 Study Design:
99 participants with CV due to qi & blood deficiency
3 treatment groups:

✅ TNRM-UN (new approach)
✅ TNRM + Traditional Acupuncture
✅ Umbilical Needle alone
6 weeks of treatment, 24 weeks of follow-up
Evaluated symptoms, vertebral artery blood flow, and adverse events

📈 What They Measured:
✅ Cervical vertigo symptom severity
✅ Qi and blood deficiency scores
✅ Blood flow dynamics in vertebral arteries
✅ Long-term follow-up for safety & effectiveness

🌿 Why It Matters:
The goal? To provide clinical evidence on whether TNRM-UN therapy offers better, longer-lasting relief than conventional acupuncture strategies—and potentially introduce a new standard in TCM-based CV care.

Citation:
Hou Z, Tian J, Jin Y, Yu H, Wu W, Wei M, Xu S. Three-needle of regulating the mind combined with umbilical needle intervention for cervical vertigo with deficiency of qi and blood-A study protocol for a randomized controlled trial. Front Neurol. 2025 Jun 18;16:1476596. doi: 10.3389/fneur.2025.1476596. PMID: 40606140; PMCID: PMC12213359.

A unicorn of a muscle has been found!⁠⁠No, I didn't make this one up :)⁠⁠Ever heard of the cleido-vertebral muscle??⁠⁠  ...
04/24/2026

A unicorn of a muscle has been found!⁠

No, I didn't make this one up :)⁠

Ever heard of the cleido-vertebral muscle??⁠

Understanding how treatment relieves cervical dizziness: western vs eastern medicine.This post goes into details on the ...
04/21/2026

Understanding how treatment relieves cervical dizziness: western vs eastern medicine.

This post goes into details on the differences in the "why" treatment helps.

We discuss more of this in our books and course.

Enjoy!

Where do you fall under 1 of these 4 categories for your treatments so far with cervical vertigo?There are many ways a c...
04/20/2026

Where do you fall under 1 of these 4 categories for your treatments so far with cervical vertigo?

There are many ways a clinician determines your success (or lack of success) with treatments. You will find these 4 choices usually in research as primary outcomes in the literature mostly outside of America.

04/16/2026

I’m really excited to hear about how new technology is now available from NeckCare to allow providers like myself to prescribe Sensorimotor Training for my patients at home. This will not only help those with cervical dizziness, but headaches, and other post-concussion and post-whiplash symptoms. I am looking forward to the adherence rate of my prescription to increase with it being available at home (even on the phone!) , which will mean better outcomes for patients.

How the suboccipitals can be related to Cervicogenic Dizziness:Basically, an unhappy muscle here can lead to sensory inp...
04/14/2026

How the suboccipitals can be related to Cervicogenic Dizziness:

Basically, an unhappy muscle here can lead to sensory input to the brain that is just not right. It is different, unusual, not happy --- and this leads to a signal change that, in a certain area of the brain, leads to dizziness.

We discuss more mechanisms behind this condition in our books and course!

Enjoy!

A case of PCS with initial conservative treatment of their structural leg length discrepancy and subsequent vestibulo-oc...
04/12/2026

A case of PCS with initial conservative treatment of their structural leg length discrepancy and subsequent vestibulo-ocular/cervical-ocular rehabilitation is presented.⁠

Citation:⁠
Muir B, Boot B, Hamilton M. Can a structural leg length discrepancy contribute to persistent concussion symptoms? A case report. J Can Chiropr Assoc. 2022 Dec;66(3):300-309. PMID: 36818361; PMCID: PMC9914830.⁠

What do you think of this?⁠⁠⁠
04/10/2026

What do you think of this?⁠


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