Hi All,

I somtimes feel randomly dizzy - not full on, just feels like a minor head spin and it only lasts a couple of seconds. No pattern to its onset (any time of day, at rest or during exercise, no link to work stress that I can identify).

I Initially thought it was a low grade ear infection and saw my GP who told me to see the chiropractors I work with and they diagnosed cervicogenic dizziness. Once I realised what it was I wasn't concerned and began to just live with it. This has been going on for about 2 years now.

I am also intermittently seeing the chiro's for tense shoulder muslces (I am a desk worker) when every so often (about once every 3 months) they need a deep massage and some triger point therapy. Added to that I sometimes experience a '2pm headache' which is definitely posture and work stress related. Again I see the chiro's when this happens and make more effort to take time away from my desk.

Maintenance wise I regularly do exercises to loosen my traps, I ride my horse 3 times a week (which stops me slouching), I am hugely aware of my posture and make sure I stretch my pectorals daily.

Despite this, recently I've had a few attacks of intense headache, much stronger than normal, which come on later in the evening (about 6pm, same distribution as the cervicogenic headache - crushing pain around my temples relieved a bit when I squash my temples between my hands). This is followed by debilitating vertigo through the night (when I turn over in bed I wake up with horrid spinning). This lasts into the next morning, abating by lunchtime-ish. I've also started to experience intermittent tingling in my index finger and thumb on my right hand (just twice in the last two months).

I'm guessing this is all linked to the 'cervicogenic' diagnosis, but my question is what exactly is likely to be going on? I'm also wondering how I can self manage this other than what I'm already doing (horse riding, posture maintenance, breaks from desk etc). Is it likely to get worse or can I do anything to prevent it? I can see my chiro AFTER I've suffered these attacks, but what about preventing them in the first place?

The morning vertgio is particularly distressing, I literally cannot get out of bed and sometimes I am spinning whilst laying still and not moving my head! I know it passes, I know its not serious, but during the 'attack' it is horrid.

Thanks in advance for your thoughts and opinions

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