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What Causes Dizziness When Diagnosed With Cervical Spondylosis?
Question: Sir
My wife aged 31 yrs weight 65 kg some time in a day feel dizziness .Previously she was suffering from high BP but it was temporary, after taking BP medicines the BP came down but she was feeling dizziness & doctor told that it may be due to lowering of BP in a day .Then doctor advised to check for eye & was taken care but even reported dizziness.
Then we consulted another general physician who advised cervical xray,report is attached & he advised pt is suffering from cervical spondylosis.
He advised to consult orthopaedic.
May please advise me
My wife aged 31 yrs weight 65 kg some time in a day feel dizziness .Previously she was suffering from high BP but it was temporary, after taking BP medicines the BP came down but she was feeling dizziness & doctor told that it may be due to lowering of BP in a day .Then doctor advised to check for eye & was taken care but even reported dizziness.
Then we consulted another general physician who advised cervical xray,report is attached & he advised pt is suffering from cervical spondylosis.
He advised to consult orthopaedic.
May please advise me
Brief Answer:
Physiotherapy should be started.
Detailed Answer:
Hi Mr XXXXXXX
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist and would try my best to help you.
I have noted the details of your wife, Mrs Renukumari and also seen the cervical spine X-ray reports.
I agree that there is cervical spondylosis, however, it is not severe. At this stage, she needs good physiotherapy- neck extension exercises.
For dizziness, she can take Vertin tablets as and when necessary.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Physiotherapy should be started.
Detailed Answer:
Hi Mr XXXXXXX
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist and would try my best to help you.
I have noted the details of your wife, Mrs Renukumari and also seen the cervical spine X-ray reports.
I agree that there is cervical spondylosis, however, it is not severe. At this stage, she needs good physiotherapy- neck extension exercises.
For dizziness, she can take Vertin tablets as and when necessary.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir,
Thnx for replying me.
The new queries are :-
1)can I conclude that cervical spondylosis is main reason for dizziness as pt is complaining for last 6 months.
2) I should consult orthopaedic depth or neurological department
3) Will physiotherapy is sufficient or medicine / surgery is required
4) She feels that she is moving in a train & will not survive long when
Dizziness comes.
5) G physician has prescribed stemetil md for 2 days .Vertin can be taken for long duration or has effects.
Thnx
Thnx for replying me.
The new queries are :-
1)can I conclude that cervical spondylosis is main reason for dizziness as pt is complaining for last 6 months.
2) I should consult orthopaedic depth or neurological department
3) Will physiotherapy is sufficient or medicine / surgery is required
4) She feels that she is moving in a train & will not survive long when
Dizziness comes.
5) G physician has prescribed stemetil md for 2 days .Vertin can be taken for long duration or has effects.
Thnx
Brief Answer:
Physiotherapy is the mainstay of treatment.
Detailed Answer:
Thank you for getting back. My replies to your new queries are:
1. Yes, as of now, cervical spondylosis seems to be the cause. In some cases, it could be small problem in the ear, called as BPPV (benign paroxysmal positional vertigo.
2. You should consult Neurologist.
3. Physiotherapy is sufficient. No surgery is needed.
4. She would get better with treatment.
5. Vertin is safe, if taken for long time.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Physiotherapy is the mainstay of treatment.
Detailed Answer:
Thank you for getting back. My replies to your new queries are:
1. Yes, as of now, cervical spondylosis seems to be the cause. In some cases, it could be small problem in the ear, called as BPPV (benign paroxysmal positional vertigo.
2. You should consult Neurologist.
3. Physiotherapy is sufficient. No surgery is needed.
4. She would get better with treatment.
5. Vertin is safe, if taken for long time.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear sir,
Thank for replying me.
Now to some extent my line of action is clear.
However some symptoms of BPPV is matching with patient.Is there any test for identifying BPPV in patients. .
Can physiotherapy can cure both cervical spondylosis & BPPV.
Is there requirement of medicine for cervical spondylosis or physiotherapy is sufficient for pt conditions
I also think to discuss regarding BPPV to doctor to whom appointment is fixed on 26.09.16.
You may suggest further for early recovery as pt is suffering from vertigo from last 6 months.
With regards
Thank for replying me.
Now to some extent my line of action is clear.
However some symptoms of BPPV is matching with patient.Is there any test for identifying BPPV in patients. .
Can physiotherapy can cure both cervical spondylosis & BPPV.
Is there requirement of medicine for cervical spondylosis or physiotherapy is sufficient for pt conditions
I also think to discuss regarding BPPV to doctor to whom appointment is fixed on 26.09.16.
You may suggest further for early recovery as pt is suffering from vertigo from last 6 months.
With regards
Brief Answer:
BPPV can be diagnosed by clinical examination
Detailed Answer:
Thank you for getting back.
In BPPV, patient has dizziness, which is made worse on head and neck movements, such as while getting up from lying down position, or while turing on ned from side to side, etc. It can be diagnosed by clinical examination by an ENT doctor. It can be treated in ENT clinic by repositioning manoeuvre such as Epley's manoeuvre.
Physiotherapy is helpful in both cervical spondylosis and BPPV. No medicine is generally needed for both these conditions. Some medicines such as vertin may be given as and when needed. Some doctors may prescribe vitamin tablets.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
BPPV can be diagnosed by clinical examination
Detailed Answer:
Thank you for getting back.
In BPPV, patient has dizziness, which is made worse on head and neck movements, such as while getting up from lying down position, or while turing on ned from side to side, etc. It can be diagnosed by clinical examination by an ENT doctor. It can be treated in ENT clinic by repositioning manoeuvre such as Epley's manoeuvre.
Physiotherapy is helpful in both cervical spondylosis and BPPV. No medicine is generally needed for both these conditions. Some medicines such as vertin may be given as and when needed. Some doctors may prescribe vitamin tablets.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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