Cervical Spine Adjustment and the Risk of Worsening Dizziness

Many individuals report an increase in dizziness following cervical spine adjustment. This phenomenon can be concerning, but it is not uncommon. Understanding the potential causes behind this reaction can help patients make informed decisions about their treatment and recovery process.

Transient Physiological Response

In some cases, worsening dizziness after cervical adjustment is a temporary physiological reaction. Patients with a weaker constitution or long-standing cervical spine issues may experience this effect. If the practitioner does not perform adequate muscle relaxation before the adjustment or if the patient does not fully cooperate during the procedure, it may trigger a short-term increase in dizziness.

This type of reaction typically resolves on its own within one to two days of rest. There's generally no cause for alarm, but monitoring symptoms is important. Giving the body time to adjust and recover is often the best course of action in these situations.

Potential Adverse Reactions

Not all cervical conditions are suitable for spinal manipulation. Cervical spondylosis can be categorized into several types, including myelopathic, radicular, and vertebral artery types. Some patients may have underlying conditions such as osteoporosis, severe bone spurs, or secondary cervical spinal stenosis, which make spinal adjustments inappropriate or even risky.

In such cases, cervical manipulation may disrupt the internal and external balance of the spine, potentially worsening the condition. This can lead to reduced vertebral-basilar artery blood supply, causing symptoms like sudden inability to turn the head, restricted movement, and increased dizziness.

Recommendations for Safe Treatment

Before undergoing any cervical adjustment, it is crucial to have a comprehensive risk assessment. This should include a detailed medical history, physical examination, and possibly imaging studies to determine whether spinal manipulation is appropriate for your specific condition.

If dizziness persists or worsens after cervical adjustment, it is strongly advised to seek care at a reputable medical facility. Professional evaluation and follow-up treatment are essential to prevent further complications and ensure proper management of your symptoms.