Vertigo & dizziness. Screen carefully. Treat what's ours. Refer what isn't.
Dizziness has many causes, some of which are serious and none of which should be guessed at. Two kinds commonly respond to care here: positional vertigo from loose crystals in the inner ear, and dizziness driven by the upper neck. We screen for everything else first and refer when the picture doesn't fit.
- History and hands-on exam first
- X-ray on site, only when the exam calls for it
- A plain-language explanation and a plan, or a referral
Sound familiar?
What vertigo & dizziness usually feels like.
- Brief spinning when you roll over in bed, look up or bend down
- Unsteadiness or a 'floating' feeling that goes with neck stiffness or pain
- Dizziness that started after a neck injury or whiplash
- Lightheadedness with turning the head
- Nausea with the spinning episodes
What's usually going on
The mechanics behind it.
Your sense of balance comes from three inputs: the inner ear, the eyes, and position sensors in the joints and muscles, especially the upper neck. When those inputs disagree, you feel dizzy. BPPV is a mechanical inner-ear problem: tiny crystals drift into a canal and send a false spinning signal with certain head positions. It is diagnosed with a positional test and treated with a repositioning maneuver that guides the crystals back out, which we perform in the office.
Cervicogenic dizziness comes from the neck. The upper cervical joints are dense with position sensors, and when they're stiff or injured, as after whiplash, their signal is wrong and conflicts with the ears and eyes. Restoring upper-neck motion often resolves it. Both are treatable here. Everything else on the list above isn't, and recognizing that is the most important part of the first visit.
How we treat it at Borealis
Find the cause. Treat it. Keep it from coming back.
Find the cause
A detailed history of the episodes, neurological and cardiovascular screening, positional testing for BPPV, and examination of the upper neck. If anything points to a cause outside our scope, you're referred the same day.
Treat it
For BPPV: a canalith repositioning maneuver, often effective in one to three sessions. For neck-driven dizziness: gentle upper cervical adjusting and soft-tissue work, plus balance and gaze retraining exercises.
Keep it resolved
Home positioning advice after BPPV treatment, neck mobility for cervicogenic cases, and clear instructions on what would warrant going straight to medical care if it recurs differently.
Questions
What people ask about vertigo & dizziness.
Don't see yours? Call and ask. The front desk will get you an answer or put you through to a doctor.
Can a chiropractor treat vertigo?
How do you know it's BPPV?
Is upper-neck adjusting safe for someone who's dizzy?
My doctor said it's an inner-ear problem. Can you still help?
Describe it. We'll figure out the rest.
Call and talk to Dawn at the front desk, or walk in Monday through Thursday. You'll leave your first visit knowing what's going on.