Vertigo Causes: What Triggers Spinning Sensations and When to Worry
- Ben Proctor
- Feb 13
- 1 min read
What is Vertigo?
Vertigo is a symptom, not a diagnosis. It describes the sensation that you or your surroundings are spinning.
Common Causes
Inner Ear Causes (Most Common)
BPPV
Vestibular neuritis
Ménière’s disease
Brain Causes (Less Common but Serious)
Migraine-related vertigo
Stroke
Neurological disorders
Symptoms Suggesting Inner Ear Cause
Spinning sensation
Nausea
Worse with movement
Balance problems
Red Flag Symptoms (Urgent Assessment Needed)
Difficulty speaking
Weakness
Double vision
Severe headache
Trouble walking
Diagnosis
Assessment may include:
eye movement testing
balance tests
neurological exam
hearing assessment
Treatment Depends on Cause
Cause | Treatment |
BPPV | Repositioning manoeuvres |
Vestibular neuritis | Vestibular rehab |
Migraine vertigo | Migraine management |
Stroke | Emergency care |
Evidence reviews from Cochrane Collaboration show vestibular rehabilitation significantly improves
balance and reduces dizziness in vestibular disorders.
Why Vertigo Increases Falls Risk
Balance relies on:
Inner ear
Vision
Body awareness
Vertigo disrupts inner ear signals, so the brain receives conflicting information — leading to instability.
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