Types of Vertigo

Vertigo, Meniere's Disease, Hydrops, Vertigo, Tinnitus, Ringing Ears, Dizzy, DizzinessImagine that you are feeling as though you are spinning or falling, but you are sitting still. Every time you move, you feel disoriented. This is the daily life of someone who is living with vertigo. There are two classification types of vertigo, central and peripheral.


  • Most common type of vertigo
  • Vertigo cause originates outside of the central nervous system (outside of brain and spinal cord)
  • Possible nausea or vomiting
  • Hearing loss and/or ringing in the ear may occur
  • Vertigo episode comes on suddenly


  • Vertigo cause originates inside of the central nervous system (in brain and/or spinal cord)
  • Gradual onset of vertigo episode
  • Attacks are of lesser intensity than peripheral vertigo

Treatment traditionally involves vestibular rehabilitation and/or prescription medication to lessen symptoms. While these may be effective in reducing the frequency or severity of attacks, it does not address a potential root cause of vertigo.
How is my neck related to my vertigo?
Your spine is responsible for protecting your spinal cord. Your spinal cord is essential for transmitting signals to and from your brain. When the top bone in your neck (atlas) is misaligned, this can create pressure within your spinal cord at the base of your neck. This can affect signals going to and from your brain stem, potentially leading to vertigo symptoms.

We at HP Spine Center are trained in Orthospinology, a gentle chiropractic procedure that detects and corrects atlas misalignments. Orthospinology is a very precise technique. Through specific realignment of the atlas, pressure within the spinal cord is reduced. The brain stem is able to send and receive messages without distortion. This may lead to a reduction in vertigo symptoms.

Mayheu et al. described a case of a 23-year-old female patient who presented with vertigo symptoms 5 months following a concussion. After receiving a specific atlas adjustment, she noticed her vertigo disappeared. After two months of care, she stated that she had complete resolution of her vertigo since her first atlas correction.

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