Neck pain and dizziness can flare up and worsen unexpectedly, causing difficulty with concentration, standing, and/or walking.

Managing Neck Pain and Dizziness at Home

To help manage or reduce neck pain and dizziness flare-ups, some tips to try at home include:

  • Sitting or lying down, which typically helps alleviate the discomfort or unsteadiness of dizziness, while also reducing the risk for a serious fall or accident.
  • Closing the eyes if sitting or lying down is insufficient. Even when sitting still, some people see the room as spinning (called vertigo), which may stop after lying down and resting with the eyes closed.
  • Eating healthy and staying hydrated, which can boost mental and physical wellbeing. Some people may also experience fewer bouts of dizziness after quitting smoking or limiting caffeine and/or alcohol. 1 Dietary considerations. Vestibular Disorders Association (VeDA) website. https://vestibular.org/understanding-vestibular-disorders/treatment/vestibular-diet. Accessed February 8, 2019.

    See Food for Thought: Diet and Nutrition for a Healthy Back

  • Keeping movements smooth and steady to reduce the risk of triggering dizziness. If certain movements or activities keep causing dizzy spells, such as standing up quickly or holding the head to one side, it is best to modify or avoid them.

See Treatment for Neck Pain

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  • Gentle stretching and neck exercises help improve the neck’s strength and mobility, which may reduce the risk for neck pain and associated dizziness. 2 Liu X-M, Pan F-M, Yong Z-Y et al. Does the longus colli have an effect on cervical vertigo? Medicine (Baltimore). 2017; 96(12):e6365. doi: 10.1097/MD.0000000000006365

    See Neck Exercises for Neck Pain and Neck Stretches

  • Improving posture and/or biomechanics to reduce pressure on nerves, blood vessels, and muscles that are potentially contributing to neck pain and dizziness. 3 Fortner MO, Oakley PA, Harrison DE. Alleviation of posttraumatic dizziness by restoration of the cervical lordosis: a CBP® case study with a one year follow-up. J Phys Ther Sci. 2018; 30(5):730-3. doi: 10.1589/jpts.30.730. Improvements may include setting reminders to check for good posture (having the head in neutral position with the ears directly above the shoulders when sitting or standing), setting up an ergonomic workspace, and getting up regularly to walk around rather than sitting for hours at a time.

    See How Poor Posture Causes Neck Pain

  • Reducing stress, which may contribute to some cases of neck pain and dizziness. 4 Fanavoll R, Nilsen TI, Holtermann A, Mork PJ. Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study. Int J Occup Med Environ Health. 2016; 29(4):585-95. doi: 10.13075/ijomeh.1896.00606 , 5 Filippopulos FM, Albers L, Straube A, et al. Vertigo and dizziness in adolescents: risk factors and their population attributable risk. PLoS One. 2017;12(11):e0187819. doi: 10.1371/journal.pone.0187819 Some tips include getting plenty of sleep, exercising, and learning stress management techniques. If depression, anxiety, and/or chronic pain are an issue, a cognitive behavioral therapist may be helpful for learning stress management techniques.

See Understanding Neck Pain and Dizziness

If dizziness or unsteadiness becomes chronic or if dizzy spells regularly recur, it is a good idea to keep the home well-lit and free of trip hazards, such as rugs or cluttered walkways. Some people may also benefit from using a cane or other assistive device to maintain balance during an unexpected dizzy spell. 6 Dizziness: diagnosis and treatments. Mayo Clinic Website. https://www.mayoclinic.org/diseases-conditions/dizziness/diagnosis-treatment/drc-20371792. Updated September 6, 2018. Accessed February 8, 2019.

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When to See a Doctor

People with persistent dizziness that interferes with quality of life are advised to contact a doctor. A licensed medical professional can conduct an in-person evaluation and recommend treatments.

See What Causes Neck Pain and Dizziness?

A doctor can also provide counsel on whether specific activities need to be avoided for a period of time until dizziness symptoms are better managed. For example, people who regularly experience unexpected dizziness may need to refrain from driving, using ladders, and other activities that require high levels of concentration and/or balance to avoid serious injury.

See Preparing to See A Doctor for Back and Neck Pain

Seek medical attention immediately if neck pain and/or dizziness are accompanied by other concerning symptoms, such as severe headache, nausea, bowel/bladder dysfunction, weakness, numbness, or trouble with coordination or walking.

See 2 Neck Pain Symptoms That Require Immediate Medical Attention

  • 1 Dietary considerations. Vestibular Disorders Association (VeDA) website. https://vestibular.org/understanding-vestibular-disorders/treatment/vestibular-diet. Accessed February 8, 2019.
  • 2 Liu X-M, Pan F-M, Yong Z-Y et al. Does the longus colli have an effect on cervical vertigo? Medicine (Baltimore). 2017; 96(12):e6365. doi: 10.1097/MD.0000000000006365
  • 3 Fortner MO, Oakley PA, Harrison DE. Alleviation of posttraumatic dizziness by restoration of the cervical lordosis: a CBP® case study with a one year follow-up. J Phys Ther Sci. 2018; 30(5):730-3. doi: 10.1589/jpts.30.730.
  • 4 Fanavoll R, Nilsen TI, Holtermann A, Mork PJ. Psychosocial work stress, leisure time physical exercise and the risk of chronic pain in the neck/shoulders: Longitudinal data from the Norwegian HUNT Study. Int J Occup Med Environ Health. 2016; 29(4):585-95. doi: 10.13075/ijomeh.1896.00606
  • 5 Filippopulos FM, Albers L, Straube A, et al. Vertigo and dizziness in adolescents: risk factors and their population attributable risk. PLoS One. 2017;12(11):e0187819. doi: 10.1371/journal.pone.0187819
  • 6 Dizziness: diagnosis and treatments. Mayo Clinic Website. https://www.mayoclinic.org/diseases-conditions/dizziness/diagnosis-treatment/drc-20371792. Updated September 6, 2018. Accessed February 8, 2019.

Dr. Zinovy Meyler is a physiatrist with over a decade of experience specializing in the non-surgical care of spine, muscle, and chronic pain conditions. He is the Co-Director of the Interventional Spine Program at the Princeton Spine and Joint Center.

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