Cervicogenic Dizziness after Humeral Fracture: A Case Report

Abstract

Background: Cervicogenic dizziness is non-specific sensation of disequilibrium in space. Abnormal proprioceptive input from cervical spine and neck muscles may induce Cervicogenic dizziness. Trigger point activation of suboccipital muscles may be related to Cervicogenic dizziness.

Case report: Present case report describe a 38-year-old patient was refereed to physiotherapy to restore motion of right shoulder after surgery of humerus fracture. Patient reported dizziness after shoulder surgery. Patient had no medical problems induced dizziness. Physical examination revealed trigger point activation of suboccipital muscles. Myofascial release and chin tuck exercise were done and patient reported improvement for dizziness.  Trigger point activation of suboccipital muscles in this patient may be related to abnormal head posture during shoulder surgery and/or impaired scapulohumeral rhythm and overactivity of cervical muscles to participate in shoulder elevation. Conclusion: It is suggested to consider possibility of existence of Cervicogenic dizziness in patients seeking physiotherapy after shoulder surgery.