Vertigo Tinnitus

Vertigo and tinnitus can originate from the upper cervical region (CI, C2 dysfunction) or from an obstruction of the vertebral arteries (secondary to a dens defect or cervical osteophytes). It develops from prolonged cervical back bending (i.e., painting a ceiling), a postural forward head carriage, repeated cervical rotation, or rising from a supine to a sitting position or vice versa. This sensation can also be referred from inner ear (vestibular apparatus in semicircular canals) or temporomandibular joint problems.

Since these symptoms can also be caused from vertebral artery or basilar insufficiency, vertebral artery tests should be done before functional testing if this symptom occurs.

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