Dizziness is very common in clinic. A lot of dizziness has a lot to do with cervical vertebrae. How to diagnose and differentiate is very important.

First of all, let's learn what dizziness is. Dizziness is a kind of self-feeling, which is subjective to some extent. It is a kind of spatial disorientation, and the illusion of motion usually does not accompany the external environment or its own rotation. The patient mainly feels groggy, top-heavy, with a vague feeling in his mind, listless and unsteady in walking.

It should be mentioned here that dizziness and dizziness are different. Vertigo is mainly about feeling the objects around you or yourself spinning. This situation is mostly caused by vestibular problems of the ear, such as benign paroxysmal vertigo, acute vestibulitis, Meniere's disease and so on. But dizziness generally does not have obvious visual rotation.

Dizziness is closely related to cervical vertebrae. Usually, dizziness is mainly caused by insufficient blood supply to the brain. The blood supply to the brain here mainly refers to the insufficient blood supply to the posterior cerebral circulation, because the blood supply to the posterior cerebral circulation is mainly the brain stem and cerebellum, which are closely related to balance. The origin of posterior circulation is vertebral artery, which runs in the transverse foramen of cervical vertebra and then enters the brain through suboccipital triangle.

Let's focus on what can cause cervical vertigo. There are three main clinical situations.

The first situation is dizziness caused by the strain of the occipital muscle of the upper cervical vertebra: working at the desk for a long time, bowing your head is easy to cause problems in the occipital muscle of the upper cervical vertebra. Occipital muscle is a deep and small muscle group connecting neck 1, neck 2 and occipital bone, with 4 muscles on the left and right, a total of 8 muscles. They are rectus minimus posterior to the head, rectus major posterior to the head, oblique muscle superior to the head and oblique muscle inferior to the head. There are abundant proprioceptors in occipital muscles, which play an important role in maintaining human balance. If you bow your head for a long time, the occipital muscles will become shorter and the corresponding fascia will become shorter, which will easily lead to adhesion between fascia and aseptic inflammation. Often when you turn your head, there will be a turning point. After blood vessels and nerves pass through these muscles, they are easily trapped, resulting in insufficient blood supply to the brain and dizziness.

The second situation is dizziness caused by sternocleidomastoid muscle injury, starting from occipital mastoid. As for the sternal stalk and clavicle 1/3, dizziness caused by this reason is also very common. Besides dizziness, the sternocleidomastoid muscle also has headaches and pains. It is mainly caused by improper working posture at ordinary times. For example, the staff of expressway toll stations often bend over and turn to one side with a smile.

The third situation is dizziness caused by upper bundle injury of trapezius muscle. The trapezius muscle is the shallowest muscle in the neck, which starts from the upper and lower lines of the back of the neck, the medial surface of the occipital bone and the nuchal ligament, and ends at the lateral clavicle 1/3, scapular crest and acromion. Besides dizziness, there will be neck and shoulder pain.

In any of the above three cases, Fengchi point will be used in acupuncture treatment, and Fengchi point will be dizzy. Anatomically speaking, it is located at the junction of neck and pillow, between trapezius muscle and sternocleidomastoid muscle, and the deep layer is vertebral occipital muscle and suboccipital triangle, so it has a good effect on regulating muscles, blood vessels and nerves.