Dizziness: Exploring Causes and Seeking Solutions - Neurology

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Understanding dizziness can be quite complex, as it can stem from a variety of causes, including inner ear issues, neurological conditions, and even psychological factors. Based on your description, it seems you have already taken several important steps by consulting with specialists in both otolaryngology (ear, nose, and throat) and neurology. However, the persistence of your symptoms warrants further exploration.

Dizziness can manifest in different forms, such as vertigo (a spinning sensation), lightheadedness, or a feeling of imbalance. In your case, the symptoms began after undergoing imaging studies for your bone pain, which may suggest a connection between your physical health and your dizziness. The fact that you experience dizziness when changing positions (like standing up or looking up and down) could indicate a vestibular issue, which is often related to the inner ear.

You mentioned that an ear, nose, and throat specialist suggested the possibility of "ear stones" or benign paroxysmal positional vertigo (BPPV). This condition occurs when tiny calcium carbonate crystals in the inner ear become dislodged, leading to episodes of vertigo when you change the position of your head. Treatment often involves specific head maneuvers to reposition these crystals, which can be very effective. If you haven't already, it may be beneficial to undergo these maneuvers under the guidance of a trained healthcare provider.

Additionally, you noted experiencing neck stiffness and pain, which could also contribute to your dizziness. Cervical spine issues can affect blood flow and nerve function, potentially leading to dizziness. A thorough evaluation by a chiropractor or physical therapist specializing in neck and spine issues may provide insights and relief.

Your psychological state is also an important factor to consider. Anxiety and stress can exacerbate physical symptoms, including dizziness. The anticipation of surgery and the associated anxiety could be contributing to your symptoms. Engaging in relaxation techniques, such as mindfulness, yoga, or cognitive behavioral therapy, may help alleviate some of the stress and improve your overall well-being.

Regarding your blood pressure, it’s wise to monitor it at home, as fluctuations can occur due to stress or anxiety. High blood pressure can sometimes lead to dizziness, especially if it is significantly elevated. If you notice consistent high readings, it would be prudent to discuss this with your primary care physician.

In summary, while you have already consulted with specialists, it may be beneficial to seek further evaluation from a physical therapist for your neck pain, and consider psychological support for anxiety management. Additionally, if your dizziness persists or worsens, returning to your primary care physician for a comprehensive review of your symptoms and possibly further testing may be warranted. Keeping a detailed diary of your symptoms, including when they occur and any associated activities, can also provide valuable information for your healthcare providers.