Dizziness is a symptom that describes the patient that can mean many things. The dizziness can occur for various reasons and sometimes we do not even know the cause. Let’s see them:
A type of dizziness, which we call presyncope, is that feeling that we are going to faint, as when in the summer we rise abruptly from the sofa. This sensation is caused by a lack of blood in the brain. The cause can be from a dizziness by heat or an arrhythmia, to more serious heart problems. Most of the time they are minor dizziness. This type of dizziness should be evaluated in an emergency department or in the general practitioner, depending on how it is presented, for proper study. Our doctor can also rule out other causes of our dizziness such as hypoglycemia or the drug caused by drugs.
Vertigo is the symptom we have when the peripheral vestibular system that is in our ear is disfigured. It is a system that helps us maintain balance but if it malfunctions we can feel as if the objects and the room are moving or as if everything were spinning. The symptoms are not always so striking and can be limited to a slight sensation of instability. This type of vertigo usually worsens with the movements of the head and sometimes even causes nausea and vomiting. The initial diagnosis can sometimes be made with a simple examination in the consultation of our Primary Care Physician and other times we must evaluate the Otorhinolaryngologist to reach the diagnosis.
Sometimes the vestibular system injury is inside the brain. There are also injuries to the brain and structures of the nervous system that produce imbalance. This is the field of the Neurologist who will explore us minutely to detect possible signs that the problem is in our nervous system.
Quite often a patient who starts with dizziness is valued by his Primary Care Physician, Otorhinolaryngologist and Neurologist and everyone has been told that “he has nothing of his own.” So what happens to the patient who has been discarded all these causes? Is it related to the neck? Before talking about cervicals, it should be noted that dizziness may also be related to psychiatric problems. By this I am not referring to psychiatric film illnesses but frequent problems like anxiety and depression. Many times after having discarded everything, what we have is a patient with dizziness in which we see much wear and tear on the vertebrae of the neck. And, it is true, this can be the cause. It is necessary to take into account, among other things, Dizziness and neckThat there is a very important artery (the vertebral artery) that goes up to the brain through vertebral areas and that its normal functioning can be affected by cervical lesions. If you look at the photo of the model we can see the artery in red and how it travels in some holes that form the vertebrae themselves.
If this cause is so frequent, why did not we start here and have my neck treated before? The answer to this question has two questions. In medicine you always have to go from the most serious to the lightest and from the most solvable to the least solvable. In this sense I have ordered the whole post. The most important thing is always a medical assessment that discards the most serious causes or those that have to act before, such as a cardiac arrhythmia, hypoglycemia or a heart attack, for example. These are situations that need to be quickly detected. After this, we would go by frequency to the problems of vertigos whose specialist is the Otorrinolaringólogo and the Neurologist when this is normal or the symptoms suggest another origin.
Can I improve dizziness with cervical treatment? Learning to take care of our neck and with a gentle manual treatment at the hands of a physiotherapist we will definitely improve these symptoms.
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