Overcoming Vertigo: What You Need to Know About Treatment and Care

Vertigo is a specific type of dizziness that creates the sensation that you or your surroundings are spinning or moving even though no actual movement is occurring. Episodes may last seconds, minutes, or longer depending on the underlying cause and can sometimes be accompanied by nausea, imbalance, or difficulty walking. Some people describe their symptoms as floating or unsteadiness rather than spinning, which is why distinguishing vertigo from other forms of dizziness is an important first step.

Your ability to maintain balance depends on information from the inner ear, eyes, and nervous system working together. A problem affecting any part of this system can disrupt your sense of position and movement. Inner-ear disorders are among the most common sources, but certain neurological conditions, migraines, medications, cardiovascular or metabolic problems, neck dysfunction, and physical trauma may also produce similar symptoms.

Because vertigo is a symptom rather than a single diagnosis, effective treatment begins by determining what is producing it. The timing of an episode, movements that trigger it, associated symptoms, medical history, and previous injuries can all provide useful clues. A physical examination may include balance and neurological assessments or positional testing, with additional diagnostic studies or referral when necessary.

Treatment is then matched to the condition identified. Some types of positional vertigo respond to specific repositioning maneuvers, while others may benefit from vestibular rehabilitation, exercise, lifestyle modifications, or management of an underlying medical condition. This individualized approach helps avoid treating every episode of dizziness the same way.

Woman holding her forehead and supporting herself against a wall while experiencing dizziness and vertigo.

What causes vertigo?

Vertigo can have several causes, with inner-ear disorders among the most common. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, labyrinthitis, and Ménière’s disease may affect the body’s balance system. Migraines, neurological disorders, certain medications, cardiovascular or metabolic conditions, neck-related problems, and injuries can also be associated with dizziness or vertigo.

How is vertigo diagnosed?

Diagnosing vertigo starts by identifying the pattern of your symptoms. Your healthcare provider may ask when episodes occur, how long they last, whether certain head positions trigger them, and whether you experience hearing changes, nausea, headaches, or other symptoms. Positional and balance tests may provide additional clues, while imaging, blood tests, or referral to another specialist may be appropriate when the findings suggest another condition.

How is vertigo treated?

Vertigo treatment depends on the diagnosis rather than the spinning sensation alone. For BPPV, a canalith repositioning procedure such as the Epley maneuver may help move displaced particles within the inner ear. Other conditions may require vestibular rehabilitation, targeted exercises, medication or dietary management directed by an appropriate healthcare provider, or treatment of another contributing condition.

At Cole Pain Therapy Group, our doctors consider whether neck dysfunction, movement limitations, or a previous injury may be contributing to dizziness after more serious or non-musculoskeletal causes have been appropriately considered. When examination findings indicate a cervicogenic or mechanical component, care can focus on improving cervical function, movement, and balance through individualized rehabilitation and therapeutic exercise, with referral to the appropriate medical provider when symptoms suggest another source.

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Richard L. Cole, DC, DACNB, DAIPM, FIACN, FICC
Jeffrey D. Luebbe, DC, CCRD, CCSP
W. Steven Vollmer, DC, DAAPM
Bradford J. Cole, DC, MS, CSCS
J. Colby Poston, DC
Daniel H. Smith, DC
2845 Summer Oaks Dr., Memphis, TN 38134
(901) 377-2340

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