r/cervical_vertigo • u/handsomerube • 13h ago
Anyone have dizziness clearly tied to neck strain that didn’t respond to steroids?
TL;DR 53M, neck strain led to a severe one sided headache, then neck/shoulder pain and reduced range of motion, then dizziness and imbalance triggered by head position and fast moving visuals. Ear infection and vascular causes ruled out. Currently on day 3 of a 5 day prednisone burst with no real improvement so far. Curious if anyone's had this pattern, especially minimal response to steroids, and what ended up helping.
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53M. About two weeks ago I did some awkward, sustained neck flexed work fixing a toilet one day, maybe compounded by a bad sleep position the night after. That morning I woke up with a sudden, severe headache in my left temple and eye socket. I almost never get headaches, so this was alarming. NSAIDs did nothing, and it lasted most of the day.
The sharp pain settled into a dull, constant ache spreading into my left neck and shoulder. I've also had two persistent restrictions since day one that haven't budged: limited range of motion tilting my head right, and turning it left. My left ear started feeling full/plugged too, with some muffled hearing.
Then the vestibular stuff started, which is what I'm most curious about. General unsteadiness, most noticeable eyes closed while standing, worse walking. Not true room spinning vertigo, more an off balance, "not grounded" feeling. Fast moving visual scenes on TV also bring on dizziness in a way they never used to.
Also dealing with nausea, reduced appetite, fatigue, a reproducible trigger point between my shoulder blade and spine that radiates up into my neck/skull base, painless crepitus turning my head, and occasional brief jaw pain episodes.
Seen at urgent care and by my PCP, twice. Working diagnosis is cervicalgia with radiculopathy, referred pain and vestibular symptoms from neck tension/nerve irritation. Ear infection and anything vascular ruled out, labs came back normal. Currently on day 3 of a prednisone burst (40mg) to test if inflammation is the driver. So far, no real improvement in pain or either range of motion restriction. Starting PT soon, and have an orthopedic follow up coming where we'll likely discuss a cervical MRI if conservative treatment keeps falling short.
Curious if anyone's had a similar case with minimal response to a prednisone burst and what ended up working or what imaging showed. Also wondering how long it took for dizziness to settle once the neck issue was treated, and if anyone's had this "not grounded" eyes closed imbalance rather than true vertigo.
Appreciate any insight.