Headaches and Migraines

Understanding Vertigo: Why the Room Feels Like It's Spinning

Have you ever rolled over in bed, looked up to reach for something, or stood up quickly and suddenly felt as though the room was spinning around you?

If so, you may have experienced vertigo.

Vertigo is a common condition that affects people of all ages, although it becomes more frequent as we get older. It can be unsettling, frustrating, and sometimes even debilitating. Understanding what vertigo is, what causes it, and what treatment options are available can help you take the right steps toward recovery.

What Is Vertigo?

Vertigo is not a disease itself - it is a symptom.

People experiencing vertigo often describe it as:

• A spinning sensation
• Feeling like the room is moving
• A sense of being pulled to one side
• Unsteadiness when walking
• Feeling off-balance or disoriented

Vertigo may last for seconds, minutes, hours, or in some cases longer, depending on the underlying cause.

Common Symptoms Associated With Vertigo

In addition to dizziness or spinning sensations, people with vertigo may experience:

• Loss of balance
• Nausea or vomiting
• Difficulty walking
• Motion sensitivity
• Blurred vision
• Difficulty focusing
• Headaches
• Ear fullness or ringing in the ears (tinnitus)

Symptoms can vary significantly from person to person.

What Causes Vertigo?

Vertigo is often related to the body's balance system, which involves the inner ear, eyes, nervous system, and brain working together.

1. Benign Paroxysmal Positional Vertigo (BPPV)

BPPV is one of the most common causes of vertigo.

It occurs when tiny calcium crystals inside the inner ear become displaced and move into areas where they shouldn't be. This can send incorrect signals to the brain about head position and movement.

Typical symptoms include:

• Brief spinning episodes
• Symptoms triggered by rolling in bed
• Looking up or bending down
• Quick changes in head position

2. Vestibular Neuritis

This condition involves inflammation of the vestibular nerve, which helps transmit balance information from the inner ear to the brain.

Symptoms often include:

• Sudden severe vertigo
• Nausea
• Difficulty walking
• Symptoms lasting days rather than seconds

3. Ménière's Disease

Ménière's disease affects the inner ear and may cause:

• Episodes of vertigo
• Ringing in the ears
• Hearing loss
• A feeling of fullness in the ear

4. Migraine-Associated Vertigo

Some people experience vertigo as part of a migraine condition, even without a significant headache.

Symptoms may include:

• Dizziness
• Light sensitivity
• Motion sensitivity
• Balance disturbances

 5. Neck-Related Dizziness

In some cases, dizziness may be associated with neck dysfunction, stiffness, injury, or altered sensory input from the cervical spine.

This is sometimes referred to as cervicogenic dizziness. Because several conditions can produce similar symptoms, proper assessment is important to determine the underlying cause.

When Should You Seek Medical Attention?

While many causes of vertigo are benign, some symptoms require urgent medical evaluation.

Seek immediate medical attention if vertigo occurs alongside:

• Sudden weakness or numbness
• Difficulty speaking
• Facial drooping
• Double vision
• Severe headache
• Loss of consciousness
• Chest pain

These symptoms could indicate a more serious medical condition and should not be ignored.

How Is Vertigo Diagnosed?

Diagnosis begins with a thorough history and examination.

A healthcare professional may assess:

• Symptom patterns
• Balance and coordination
• Eye movements
• Head and neck movements
• Neurological function

In some cases, additional testing or referral for imaging may be required.

Treatment Options for Vertigo

Treatment depends on the underlying cause.

Options may include:

Repositioning Maneuvers

For BPPV, specific movements such as the Epley manoeuvre can help guide displaced crystals back to their correct location within the inner ear.

Vestibular Rehabilitation

Specialised exercises may help retrain the brain and balance system to adapt and recover.

Medical Management

Certain conditions may require medication or management through a GP, ENT specialist, neurologist, or vestibular therapist.

Addressing Neck Dysfunction

Where appropriate, management of neck mobility, posture, muscle tension, and movement patterns may form part of a broader treatment approach.

Can Chiropractic Care Help?

Some people experiencing dizziness or vertigo may also present with neck stiffness, reduced mobility, postural strain, or cervicogenic dizziness.

A chiropractor can assess spinal movement, posture, muscle function, and neck-related contributors to symptoms. Depending on the findings, care may include:

• Joint mobility techniques
• Soft tissue therapy
• Postural advice
• Rehabilitation exercises
• Balance and movement strategies

It is important to note that not all vertigo originates from the neck, and chiropractic care is not a treatment for every type of vertigo. Appropriate assessment and referral are essential when symptoms suggest another underlying cause.

The Bottom Line

Vertigo can be a frightening experience, but understanding its cause is the first step toward effective management.

Whether symptoms stem from the inner ear, nervous system, migraines, or neck dysfunction, obtaining an accurate diagnosis is crucial. If you are experiencing recurring dizziness, balance issues, or vertigo, consider seeking professional assessment to determine the most appropriate course of care.

Early intervention can often help people return to their normal activities with greater confidence and stability.