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Head & Balance

Vertigo & Dizziness

Dizziness requires
careful screening before treatment.

The timing, triggers, and accompanying symptoms help distinguish neck-related dizziness from inner-ear, cardiovascular, neurologic, and medication-related causes.

Serving Whitefish and the Flathead Valley.

Man steadying himself at a counter during a brief dizzy spell

The clinical picture

Persistent symptoms have a cause — and it can be identified.

Vertigo and dizziness are symptoms, not a single diagnosis. The priority is recognizing the pattern and referring promptly when findings suggest an inner-ear, cardiovascular, neurologic, or medication-related cause.

Recognizing the pattern

What vertigo & dizziness typically feels like day to day.

  • A spinning or moving sensation
  • Unsteadiness or veering
  • Symptoms with head or neck movement
  • Dizziness accompanied by neck pain
  • Nausea, visual disturbance, or lightheadedness

What this means over time

Dizziness can reduce confidence with driving, stairs, work, and uneven ground. A conservative screening process is more important than assuming every episode has the same cause.

Some causes are benign, while others require urgent treatment. Sudden dizziness with facial droop, slurred speech, double vision, severe headache, chest pain, or one-sided weakness is an emergency.

A precise evaluation is the starting point.

Dr. Smith's examination identifies the specific structures involved, measures how they're functioning, and determines — honestly — whether our care is the right fit for what you're dealing with.

Causes & clinical context

Understanding what may contribute to vertigo & dizziness.

Clinical illustration of balance pathways involving the inner ear and brain

Common underlying causes

  • Inner-ear conditions
  • Blood-pressure or medication effects
  • Neurologic or cardiovascular causes
  • Migraine-associated dizziness
  • Cervicogenic dizziness in selected cases

What's usually offered — and where it falls short

  • Treating every case as inner-ear vertigo

    Limit: Dizziness can arise from several systems and requires differential screening.

  • Assuming the neck is always the cause

    Limit: Neck-related dizziness is only one possible pattern and should be considered after appropriate screening.

Evaluation and care

A plan based on the findings.

  • History and safety screening
  • Neurologic, balance, and neck examination
  • Medical, ENT, or vestibular referral when indicated
  • A short trial of conservative neck care only when findings support it

What to expect

First visit

Screening may lead to referral rather than treatment.

If neck-related

A short, defined trial of care is reassessed objectively.

How Dr. Smith treats this differently

Our Chiropractic approach for Vertigo & Dizziness.

Specific, exam-driven chiropractic care for the spine and extremities — chosen based on what your body actually needs, not a routine.

Explore the Chiropractic Program

Common Questions

Frequently Asked Questions

Related conditions

Clinical note: Sudden dizziness with facial droop, slurred speech, double vision, severe headache, chest pain, fainting, or one-sided weakness is a medical emergency. Call 911.

Stop living around vertigo & dizziness.

Start with a $47 new patient evaluation and we'll tell you honestly whether we can help.