Can anyone describe an MWM for cervical origin dizziness?

[msk101]

Hi All,

I'm wondering if anyone can direct me to an accurate description of how to MWM (Mobilisation with Movement) Cx for cervicogenic dizziness/lightheadedness ...my client has had neuro r/v all clear, negative Hall-Pike's, nil VBI, negative Cx quadrants, can only get reproducible dizziness on lateral approach or AP approach right C5/6 in supine. Highly hyperalgaesic Cx musculature and anxiety (had the problem for >14months, onset post Cx Mobs with another physio), Carotid small reported blockage but clinically insignificant (on doppler), bp is stable. Gait affected with left hand drift, full brain and cerebellar CT showed no probs, cranial nerves all intact on testing. Client has been sent to me as "last resort", nil response to gapping rotation approach to L side mobs and I am now thinking I'd like to MWM the Cx as it's a gentle approach but would like a couple of alternative techniques if anyone out there can be descriptive enough. - or if there's a guru out there with another idea.

Thanks for the input.

msk101

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