
Vertigo and dizziness can be disabling, making it hard to work, drive, or even walk safely. If an ENT or neurologist told you nothing was wrong, or medication has not helped, you have not run out of options. Many cases have a cervical component that responds well to chiropractic care.
Balance relies on three systems working together: what your eyes see, your inner ear's vestibular organs, and proprioceptors, position sensors concentrated more heavily in the upper neck than almost anywhere else in the body. A misalignment there sends the brain conflicting signals about where your body actually is, and dizziness is often the result.
How Vertigo and Dizziness Show Up
Not all dizziness feels the same, and telling the patterns apart helps us know where to start. True vertigo is a spinning sensation, as if the room itself is rotating. Lightheadedness feels more like faintness or wooziness, while disequilibrium shows up as general unsteadiness on your feet. Some patients describe disorientation instead, a spatial confusion about where their body actually is in the room. Cervicogenic vertigo comes specifically from neck misalignments disrupting those position signals, and others experience vestibular migraine, dizziness tied to migraine episodes. Each pattern points us toward a different starting point for care.
Our Approach
We assess your cervical spine, balance, and proprioceptive function through a detailed exam, including INSiGHT scanning to objectively measure how your nervous system is functioning, along with screening for BPPV and other vestibular conditions, so we understand which of the three balance systems is actually misfiring.
Using Koren Specific Technique (KST) and Talsky Tonal Chiropractic (TTC), our doctors correct upper cervical misalignments with light, nervous system focused contacts, no cracking, popping, or sudden movement, which matters for patients who are already sensitive to any change in position. We coordinate with your ENT or neurologist as needed for complete care.
BPPV Gets Extra Attention
When benign paroxysmal positional vertigo (BPPV) is part of the picture, we perform the Epley maneuver and other repositioning techniques to move displaced crystals in the inner ear back where they belong, usually paired with cervical correction for more complete relief.
What Patients Notice
Patients often notice steadier footing and fewer dizzy spells within the first several weeks, along with more confidence driving and moving through the world without bracing for the next episode. Neck pain and stiffness tend to ease right alongside the vertigo, and many are able to lean less on anti-vertigo medication as care progresses.
Take the First Step
If your workup found nothing but the dizziness is still there, let us look at your neck. Our doctors see patients on Saturdays in Royal Oak.
Common Questions
How can chiropractic help with vertigo?
How do I know if my vertigo is cervicogenic, meaning neck related?
Will the adjustment make me more dizzy?
Can you help with BPPV?
How many visits will I need?
Should I see an ENT first?
Related: Headaches & Migraines · Back & Neck Pain · TMJ & Jaw Pain · Posture & Tech Neck

