Causes and Risk Factors

Meynard Enriquez DPT, Ross Fargnoli DPT OCS, Ray Lunasin DPT OCS,
Mark Lundblad DPT OCS, Shane O’Malley DPT OCS

CGD is caused distinctly by the cervical spine; to be considered, the dizziness has to be closely related to cervical spine position or cervical joint movement. Symptoms of imbalance, unsteadiness, and disorientation are not fully understood but it has been suggested that it may stem from a dysfunction of a person’s kinesthetic (movement) sense. The severity of dizziness is typically proportional to the severity of cervical symptoms such as pain, stiffness and numbness. If someone does not report both dizziness and cervical involvement, CGD is unlikely.

Causes:

  • Degenerative cervical spine disorders
  • Barre-Lieou syndrome
  • Whiplash-associated disorders
  • Bow hunter’s syndrome
  • Beauty parlor stroke syndrome
  • Cervical myofascial pain syndrome

Risk Factors:

  • Cervical pathology (cervical spondylosis)
  • Neck injury (trauma, whiplash)
  • Neck pain
  • Fatigue
  • Anxiety
  • Stress

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  2. Reid SA, Rivett DA, Katekar MG, Callister R. Comparison of mulligan sustained natural apophyseal glides and maitland mobilizations for treatment of cervicogenic dizziness: a randomized controlled trial. Phys Ther. 2014 Apr;94(4):466-76. 
  3. Reiley AS, Vickory FM, Funderburg SE, Cesario RA, Clendaniel RA. How to diagnose cervicogenic dizziness. Arch Physiother. 2017 Sep 12;7:12.