Vertigo: What is Causing the Spinning, Whirling, and Nausea I’m Experiencing?


vertigo-what-is-causing-the-spinning-whirling-and-nausea-im-experiencingVertigo is a specific type of dizziness that is experienced as a false sensation of movement.  People suffering from vertigo may feel as if they, the environment around them, or both are spinning or whirling.  An important thing to understand about vertigo is that it is not a diagnosis. Rather, vertigo is a description of a particular sensation and a symptom of many diseases and health conditions.  When you experience an attack, getting a proper diagnosis can help you manage and care for your symptoms.

The Top 5 Vertigo-Causing Conditions

While there are many reasons why vertigo can develop, these five are among the most common:

BPPV (benign paroxysmal positional vertigo)

This is the most common vertigo-causing disorder and despite a complicated name, is fairly straightforward.  BPPV causes short bursts of vertigo that occur in conjunction with changes in head position. Calcium particles that reside in this part of the inner ear can travel into another area where they don’t belong.  The presence of these particles in the semicircular canal can disrupt the normal fluid movement. This can disrupt the communication between your inner ear and your brain about your head's position. This is how the false sensation of spinning occurs in BPPV.

Vestibular migraines

Approximately 40% of migraine sufferers will experience vertigo, dizziness, or other balance disruption.  Migraines alone can be extremely debilitating. Even more so when you add in vertigo and its associated symptoms. These may include nausea, tinnitus, spatial disorientation, vision changes, and balance compromise. These can make attacks much worse.

Meniere’s disease

Disabling vertigo attacks are just one of the symptoms that characterize Meniere’s disease.  Other associated symptoms include the sensation of fullness in the ear, fluctuating hearing loss, and tinnitus (ringing in the ear).  The cause of Meniere’s disease is possibly the accumulation of excess fluid that is normally present in the inner ear.


The labyrinth is the bony outer wall of the inner ear.  An ear infection can cause inflammation of the inner ear that can result in severe vertigo. It can also cause abnormal eye movements (called nystagmus), tinnitus, nausea and/or vomiting, and possibly even hearing loss.

Vestibular neuronitis

The vestibular nerve is a branch of cranial nerve 8 (the vestibulocochlear nerve) that is responsible for communicating balance signals between the inner ear and brainstem.  This nerve can become inflamed, usually due to a viral infection, and cause sudden and severe vertigo attacks. Vestibular neuronitis can occur as a single, isolated vertigo episode that can last for up to 10 days.  Many people will experience additional, more mild attacks that can last for several weeks after the initial one.

The Neck Injury-Vertigo Connection

There is an established link between vertigo conditions and a history of head or neck trauma.  This can be due to injuries such as whiplash, concussion, sports-related injury (I.e. fall during skiing, biking, or equestrian), a simple slip and fall, or a work-related injury.  Any of these traumas can easily cause a misalignment of the vertebrae of the upper cervical spine, the atlas (C1) and/or axis (C2). While this may not seem important at first, if left out of place for long enough, it can begin to compromise normal neurological function as it relates to your body’s ability to adequately maintain a sense of balance.  

The C1 and C2 vertebrae protect an area that is critical to your body’s balance system, the brainstem.  The brainstem acts as a switchboard for signals that relay information from the parts of your body that gather information about balance: the eyes, the inner ear (vestibular system), and from sensors in your limbs called proprioceptors.  Balance signals are processed and integrated by the brainstem in order to mount the appropriate response in order to maintain your posture. An upper cervical misalignment can wreak havoc on this signaling system and leave you vulnerable to developing vertigo in the months or years after your initial injury.

How to Find Natural, Effective Vertigo Relief

Knowing that an underlying factor for so many vertigo sufferers is an upper neck misalignment, a huge step towards finding relief lies in getting that misalignment corrected and giving your body ample time to heal.   Upper cervical chiropractic care is a subspecialty of chiropractic that focuses on the upper neck. This is a critical and delicate area of the spine, and upper cervical chiropractors receive extensive training in their chosen technique to provide safe, gentle, and effective adjustments in order to restore normal alignment.  

One of the most positive steps any vertigo sufferer can take is having their neck examined by an upper cervical chiropractor to determine if a misalignment is an underlying factor in their condition.  Many people with vertigo may feel like they’ve exhausted all of their options and have resigned themselves to living with the uneasy feeling of when their next attack might occur. Vertigo patients under upper cervical chiropractic care often experience positive results that include a reduction in the frequency of attacks, less severe attacks when they do recur, and a return to many activities of normal, daily life.  To learn more about upper cervical chiropractic care and how it can help you get the relief you’ve been looking for, use the search feature on our website to find a practitioner near you.


Find An Upper Cervical Doctor in Your Areato schedule a consultation today.

Find an Upper Cervical Specialist In Your Area

to schedule a consultation today.

Featured Articles


Montel Williams
Montel Williams

TV show host Montel Williams describes how specific chiropractic care has helped his body.

NBC's The Doctors

The TV show "The Doctors" showcased Upper Cervical Care.

CBS News/Migraine Relief

CBS News highlighted the alleviation of Migraines and Headaches.

The content and materials provided in this web site are for informational and educational purposes only and are not intended to supplement or comprise a medical diagnosis or other professional opinion, or to be used in lieu of a consultation with a physician or competent health care professional for medical diagnosis and/or treatment. All content and materials including research papers, case studies and testimonials summarizing patients' responses to care are intended for educational purposes only and do not imply a guarantee of benefit. Individual results may vary, depending upon several factors including age of the patient, severity of the condition, severity of the spinal injury, and duration of time the condition has been present.