Chronic dizziness and neck discomfort?
Hello, doctor: I have been experiencing a tightness (a feeling of pressure) in my left neck for about 2-3 years.
In recent months, it has been accompanied by dizziness, a sensation of swaying while at rest, and a feeling of spinning when I close my eyes.
I also feel easily fatigued, and my vision seems unable to focus on the same point for a long time.
Which specialty should I consult?
Hua Ma, 30~39 year old female. Ask Date: 2018/12/11
Dr. Cai Dongqi reply Family Medicine
Hello, I recommend that you see a neurologist.
Reply Date: 2018/12/11
More Info
Chronic dizziness and neck discomfort can be quite distressing and may stem from various underlying conditions. Given your symptoms of persistent neck tightness, dizziness, and visual disturbances, it is essential to approach this issue methodically to determine the appropriate specialist to consult.
Firstly, your symptoms suggest a potential involvement of the cervical spine or neck muscles, which could be contributing to your dizziness. This type of dizziness, often referred to as cervicogenic dizziness, can occur due to issues such as cervical spine disorders, muscle tension, or even nerve compression. Therefore, a visit to a neurologist or an orthopedic specialist focusing on the spine could be beneficial. They can conduct a thorough evaluation, including a physical examination and possibly imaging studies like X-rays or MRIs, to assess the condition of your cervical spine and surrounding structures.
Additionally, since you are experiencing dizziness that feels like motion (such as being on a boat) and sensations of spinning when your eyes are closed, it may also be worthwhile to consult an otolaryngologist (ENT specialist). ENT specialists are trained to evaluate and treat vestibular disorders, which can cause dizziness and balance issues. They can perform specific tests to assess your inner ear function, which is crucial in diagnosing conditions like benign paroxysmal positional vertigo (BPPV) or vestibular neuritis.
Moreover, if your dizziness is accompanied by significant anxiety or if you find that your symptoms are exacerbated by stress, it might be helpful to see a psychiatrist or psychologist. Anxiety can manifest physically, leading to symptoms such as dizziness and tension in the neck. Addressing any underlying anxiety through therapy or medication may help alleviate some of your physical symptoms.
In summary, the best course of action would be to start with a neurologist or an orthopedic specialist for a comprehensive evaluation of your neck and spine. Following that, if necessary, you can also see an ENT specialist to rule out any vestibular issues. If anxiety is a significant factor in your symptoms, consider consulting a mental health professional as well.
It is crucial to communicate all your symptoms clearly to the specialists, including the duration, intensity, and any triggers you have noticed. This information will aid in making an accurate diagnosis and developing an effective treatment plan. Remember, managing chronic symptoms often requires a multidisciplinary approach, and collaborating with various specialists can lead to better outcomes.
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