Physio Network [Case Studies] Neck pain and dizziness: unpacking a real patient case with Dr Julia Treleaven
Aug 6, 2025
Join Dr. Julia Treleaven, a lecturer and researcher at the University of Queensland, as she unpacks a fascinating case study of a patient grappling with neck pain and dizziness. They dive into the intricate diagnostic process, emphasizing the role of physical examinations and cervicogenic components. Julia shares effective treatment strategies, including sensory motor exercises and thoracic mobility improvement. Discover how tracking patient progress with diaries and tailored approaches can significantly enhance recovery! Get ready for an engaging discussion packed with insights.
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Patient Sue's Complex Symptoms
- Sue, a 58-year-old woman, experienced chronic left-sided neck pain with dizziness and visual disturbances triggered by activities like scrolling on her phone and driving.
- Despite prior treatments including vestibular physiotherapy and Pilates, her dizziness persisted with no history of trauma and normal brain scans.
Neck Sensory Motor Role in Dizziness
- Neck sensory motor impairments can contribute to dizziness and visual symptoms when typical neck treatments fail.
- Specific tests revealing dizziness with large head movements and neck torsion suggest a cervicogenic cause of dizziness.
Start with Neck Treatment Trial
- Start treatment by addressing neck musculoskeletal and sensory motor impairments cautiously while monitoring symptom changes.
- If no symptom improvement after 2-3 sessions, consider vestibular referrals and keep neurologist appointments in mind for complex cases.