Vertigo Tests Keep Coming Back Normal for a Real Reason
If the ENT cleared you, the meclizine barely helps, and the room still spins, the missing piece is often higher up in your neck than anyone checked.

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.
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.
Most vertigo workups check the inner ear and stop there, leaving the neck, where more position sensors live than almost anywhere else in the body, unexamined.
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.
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.
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.
Book OnlineThe upper cervical spine holds more position sensors than almost anywhere else in your body. When there is a misalignment in this area, your brain receives conflicting signals about body position, and dizziness or vertigo can follow. By correcting the misalignment, our doctors help restore accurate signaling and resolve the balance confusion at its source.
Signs that your vertigo may have a cervical component include dizziness triggered by neck movement, neck pain or stiffness along with the vertigo, a history of neck injury or whiplash, an ENT or neurologist who found nothing wrong, medication that has not helped, symptoms that vary with neck position, or symptoms that worsen after looking at screens for a while.
Our doctors use light, nervous system focused contacts built for exactly this kind of sensitivity, no cracking, popping, or sudden movement. Most patients feel improvement quickly, sometimes the same day. A few notice a brief, mild increase in symptoms as the body adjusts to the correction, and this typically settles within a day or two.
Yes. For benign paroxysmal positional vertigo, we perform the Epley maneuver and other repositioning techniques to move displaced crystals in the inner ear back where they belong. We usually pair this with cervical correction for more complete and lasting relief.
We do not quote a specific number of visits until we have completed a thorough history, consultation, and INSiGHT scans. That evaluation helps our doctors understand what is actually contributing to your dizziness and build a plan around your case specifically. Long standing cases may take more time, and we reassess regularly to track your progress.
It is wise to get a medical evaluation to rule out anything serious. But if your ENT or neurologist already found nothing wrong, or medication has not helped, it is very likely there is a cervical component we can address. Our doctors are glad to work alongside your medical team for complete care.
Our doctors put together a full article on vertigo & dizziness that explains what's really behind it and what lasting relief looks like. Get instant access below.
If the ENT cleared you, the meclizine barely helps, and the room still spins, the missing piece is often higher up in your neck than anyone checked.
That narrowing vision, lightheadedness, and feeling like you might pass out without actually fainting has a name: presyncope. Recurring episodes often point to a nervous system that needs support.
A blood draw, a scary moment, standing too long in the heat. Fainting spells have a real nerve pathway behind them. Here is what triggers it and why it happens.
See what Royal Oak families say in our Google reviews and patient stories, or browse everything we offer.