Iower back pain dizziness lightheaded، Although the existence of cervicogenic dizziness or dizziness of cervical origin as an independent disease is still in doubt, this symptom is a frequent complaint in the general population that causes numerous medical consultations.
lower back pain dizziness lightheaded
dizziness of cervical origin
The patient suffering from dizziness of cervical origin may refer episodes of imbalance and / or dizziness accompanied by cervical pain, stiffness, tension, as well as muscle contracture that can extend to the posterior region of the neck and upper part of the trunk (zone of the trapeziums ).
The symptoms will be presented temporarily, with approximate duration of minutes or hours , as well as increased manifestations when performing cervical movements.
Cervical pain may manifest from the beginning, reaching both sides of the head (temporoparietal region) or only appear when the neck region is deeply felt.
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WHAT CAUSES CERVICAL DIZZINESS?
Some scientists deny the cervical origin of the symptoms described above. They are mainly based on the fact that there is no exact physiological mechanism to justify them, while in the majority of cases there are other possible causes of dizziness.
Proponents of the cervical origin of seasickness have plated several hypotheses, for example:
He suggested that the abnormal entrance at the cervical level of the sympathetic nerves, responsible for regulating the blood flow of the posterior circulation and the vessels of the inner ear, would generate a decrease in blood circulation (vasoconstriction) in the vertebrovasilar system and in the inner ear (ischemia).
Patients may experience dizziness, ringing in the ears (tinnitus), cephalea, blurred vision, dilated pupils, nausea, and vomiting. Currently, its lack of objective evidence has been raised.
THE VASCULAR HYPOTHESIS
Poses compression or transient occlusion of one or both vertebral arteries when performing neck rotation movements, generally in patients with osteophytes located at the level of the first cervical vertebra (C 1), which can compromise the blood supply to the brain and cause dizziness.
However, at present no hypothesis has been corroborated and the debate continues.
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THE DIAGNOSIS OF THIS CONDITION WILL BE MADE MAINLY BY EXCLUSION
progressive multifocal leukoencephalopathy
Given that there is no specific test to diagnose this entity, the doctor should rule out the existence of other neurological, vestibular and psychosomatic diseases that may be associated with the symptoms presented by the patient.
A correct physical examination will be performed , including neurological tests of vestibular examination, for example, nystagmography and posturography.
Imaging tests at the cervical level, looking for structural or functional alterations, will help to make an adequate diagnosis. Among them we can count on X-rays, computerized axial tomography, digital subtraction angiography, nuclear magnetic resonance, etc.
Once other causes of dizziness have been ruled out, this picture should be suspected in:
Older adults with cervical alterations
Patients who have suffered traffic accidents, where there has been a subsequent blow while driving and the thorax is fixed by the use of safety belt and the neck receives all the energy, appearing injuries at this level (whiplash mechanism).
TREATMENT WILL DEPEND ON THE CAUSE
Many of the patients will respond to the physiotherapy associated with vestibular rehabilitation, where the passive mobilization of the joints, the cervico-ocular stability exercises, etc. they will be able to help
In cases where the existence of an occlusion of the vertebral artery is diagnosed, the use of anticoagulants may be assessed , including surgical treatment (surgical decompression), since in this case physiotherapy is not indicated and its effect may be negative.
In patients with a history of having suffered a traffic accident ( whiplash syndrome ), once the existence of possible complications has been ruled out, as well as other causes of dizziness, treatment with analgesic, benzodiazepines (for a limited time) and antidepressants
This along with other specific measures according to the specialized medical assessment will allow to improve the cervical and emotional symptomatology.
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Frequent dizziness is usually associated with ear problems such as labyrinthitis or Ménière’s disease, but it can also be a sign of diabetes, anemia or even heart problems. Usually other symptoms such as lack of balance, vertigo and a feeling that the head is always spinning, are usually present when the dizziness arises.
In addition to these causes, dizziness may arise as a symptom in anxiety crises, vision problems, migraines, or emerge on very hot days, during bathing with very hot water, when you suddenly get out of bed or when Alcoholic beverages are consumed excessively.
In case dizziness arises frequently or cause a lot of discomfort, it is advisable to go to the general practitioner to identify if there is a problem, to start the most appropriate treatment. Below is a list of 7 diseases in which dizziness may be one of the symptoms present:
7 Diseases that can cause dizziness and discomfort
Dizziness, dizziness and lack of balance can be caused by a disease called labyrinthitis, which is an inflammation of a part of the ear, known as a labyrinth, which is responsible for hearing and balance. See other signs that indicate labyrinthitis .
This problem is more common in the elderly and the treatment includes the use of medications indicated by the doctor as antivertiginous for dizziness and vertigo, and antiemetics for vomiting, dizziness and malaise.