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Understanding Cervicogenic Dizziness: Diagnosis and Treatment Explained

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Manage episode 517796712 series 2938256
Content provided by Balancing Act Rehab. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Balancing Act Rehab or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Vestibular physical therapists Abbie Ross, PT, DPT, NCS, and Danielle Tolman, PT, DPT, sit down with Rob Landel, PT, DPT, FAPTA, to unpack cervicogenic dizziness (CGD) — what it is and isn’t, how to tell neck-driven dizziness apart from inner ear causes, and the clinical tools that actually make a difference.

They dive into the head–neck differentiation test, cervical joint position error (JPE) testing with a laser, and why CGD rarely causes vertigo or spinning. You’ll also hear how concussion, whiplash, BPPV, and migraine can overlap with neck-related dizziness — plus practical insights on manual traction, cervical strength and endurance training, “pain-first” strategies, and when a short-term collar might help (despite its bad reputation).

Guest: Dr. Rob Landel

Website: skillworks.biz

Email: [email protected]

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For more FREE resources, click ⁠⁠here⁠⁠.

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

⁠⁠⁠Book a free call with us-hope and healing start now⁠⁠⁠

⁠⁠⁠Get free resources straight to your inbox⁠⁠

⁠⁠Join the waitlist for The Dizzy Reset wellness program⁠⁠

⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

⁠⁠⁠Follow us on Instagram⁠⁠⁠

⁠⁠⁠Follow us on TikTok⁠⁠⁠

⁠⁠⁠Follow us on Facebook⁠⁠⁠

⁠⁠⁠Disclaimer⁠⁠⁠

⁠⁠⁠Enjoying the podcast? Leave us a review!

Chapters (Timestamps)

00:00 – Welcome & show open

00:45 – Dr. Lindell’s background & early vestibular days

03:01 – How far vestibular rehab has come

03:58 – Defining CGD clinically

05:26 – Symptoms CGD

06:26 – CGD with vestibular or central issues; trauma link

07:25 – Secondary CGD from guarding & “moving in blocks”

08:31 – Is CGD over- or under-diagnosed?

12:11 – BPPV + trauma: when to probe the neck

14:10 – Migraine, vestibular migraine, cervicogenic headache—untangling overlap

16:26 – How neck input feeds spatial orientation

19:43 – Mismatch analogy: why CGD feels like seasickness

21:10 – History taking: get precise about “dizzy”

22:38 – Traumatic vs. atraumatic onset; red flags & neuro screen

26:28 – Exam flow once central/peripheral causes are ruled down

27:22 – Head–Neck Differentiation Test (separating head vs. neck motion)

30:17 – Cervical Relocation / Joint Position Error (JPE) Test with laser

33:27 – Testing extension: stabilizing neck vs. moving head in block

35:03 – Treatment blueprint: mobility, pain, motor control, strength/endurance

37:26 – Laser tracing progressions

38:20 – Timelines: why strength/endurance take the longest

46:18 – Why one therapist managing vestibular + MSK is ideal

49:18 – Evidence & experience with traction/manipulation for CGD

50:43 – “Heavy-headedness”

53:22 – Fatigue → increased sway; training normalizes it

54:48 – Wrap-up & future part 2 ideas

  continue reading

86 episodes

Artwork
iconShare
 
Manage episode 517796712 series 2938256
Content provided by Balancing Act Rehab. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Balancing Act Rehab or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Vestibular physical therapists Abbie Ross, PT, DPT, NCS, and Danielle Tolman, PT, DPT, sit down with Rob Landel, PT, DPT, FAPTA, to unpack cervicogenic dizziness (CGD) — what it is and isn’t, how to tell neck-driven dizziness apart from inner ear causes, and the clinical tools that actually make a difference.

They dive into the head–neck differentiation test, cervical joint position error (JPE) testing with a laser, and why CGD rarely causes vertigo or spinning. You’ll also hear how concussion, whiplash, BPPV, and migraine can overlap with neck-related dizziness — plus practical insights on manual traction, cervical strength and endurance training, “pain-first” strategies, and when a short-term collar might help (despite its bad reputation).

Guest: Dr. Rob Landel

Website: skillworks.biz

Email: [email protected]

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For more FREE resources, click ⁠⁠here⁠⁠.

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

⁠⁠⁠Book a free call with us-hope and healing start now⁠⁠⁠

⁠⁠⁠Get free resources straight to your inbox⁠⁠

⁠⁠Join the waitlist for The Dizzy Reset wellness program⁠⁠

⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

⁠⁠⁠Follow us on Instagram⁠⁠⁠

⁠⁠⁠Follow us on TikTok⁠⁠⁠

⁠⁠⁠Follow us on Facebook⁠⁠⁠

⁠⁠⁠Disclaimer⁠⁠⁠

⁠⁠⁠Enjoying the podcast? Leave us a review!

Chapters (Timestamps)

00:00 – Welcome & show open

00:45 – Dr. Lindell’s background & early vestibular days

03:01 – How far vestibular rehab has come

03:58 – Defining CGD clinically

05:26 – Symptoms CGD

06:26 – CGD with vestibular or central issues; trauma link

07:25 – Secondary CGD from guarding & “moving in blocks”

08:31 – Is CGD over- or under-diagnosed?

12:11 – BPPV + trauma: when to probe the neck

14:10 – Migraine, vestibular migraine, cervicogenic headache—untangling overlap

16:26 – How neck input feeds spatial orientation

19:43 – Mismatch analogy: why CGD feels like seasickness

21:10 – History taking: get precise about “dizzy”

22:38 – Traumatic vs. atraumatic onset; red flags & neuro screen

26:28 – Exam flow once central/peripheral causes are ruled down

27:22 – Head–Neck Differentiation Test (separating head vs. neck motion)

30:17 – Cervical Relocation / Joint Position Error (JPE) Test with laser

33:27 – Testing extension: stabilizing neck vs. moving head in block

35:03 – Treatment blueprint: mobility, pain, motor control, strength/endurance

37:26 – Laser tracing progressions

38:20 – Timelines: why strength/endurance take the longest

46:18 – Why one therapist managing vestibular + MSK is ideal

49:18 – Evidence & experience with traction/manipulation for CGD

50:43 – “Heavy-headedness”

53:22 – Fatigue → increased sway; training normalizes it

54:48 – Wrap-up & future part 2 ideas

  continue reading

86 episodes

All episodes

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