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Imbalance and spasm
So from and year on and off i have been in this traps spasm which comes and goes andthere are stubborn knots in traps and it pains under the occipital area and neck so it started with heachach and now i feel imbalance and when i look down i get this strechy pain and imbalance feeling , my physio released two knots yest and i got big twich twice and after that i felt heaviness and next day morning i was feeling imbalance again with strechy pain in upper back and neck ... i took verting 8 mg and a muscle relaxant ... i am not understanding what to do beside i am doing what physio is saying ... now she corrwcted the posture as well but this stiffness and pain is not going !
Plz help
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Your symptoms are suggestive of chronic cervical myofascial pain (trapezius muscle spasm with trigger points). The occipital headache, neck stiffness, and imbalance may be related to the neck, and this condition is sometimes referred to as cervicogenic dizziness. However, dizziness or imbalance should not automatically be attributed to cervical spondylosis or muscle spasm alone, as inner ear (vestibular) disorders and neurological conditions can produce similar symptoms.
Continuing physiotherapy is appropriate, but it should focus on gentle stretching, deep neck flexor strengthening, scapular stabilization, posture correction, and ergonomic modifications rather than aggressive trigger-point release if it worsens your symptoms.
Next Steps
Please consult an Orthopaedic Spine specialist for a detailed examination. An MRI of the cervical spine may be required if not already done. If the imbalance persists, evaluation by an ENT specialist or Neurologist may be needed to rule out vestibular disorders and other neurological causes. You can also book an online consultation with me and share your symptoms, previous reports, and any MRI/X-rays for a detailed review and personalized treatment plan.
Health Tips
Avoid prolonged mobile or laptop use with your neck bent forward, maintain good posture, and take frequent breaks during work. Seek immediate medical attention if you develop severe spinning vertigo, persistent vomiting, arm or leg weakness, numbness, difficulty walking, or loss of bladder/bowel control, as these require urgent evaluation.
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