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Non stop dizziness and off balance feel.
I have a non stope feeling of dizziness and off balance feel, it's been going on for 4-5 days I did consult an ENT but the tablets didn't do anything. I also observe a slight tilt in my face posture when i naturally rest it (for me it is natural but it is tilted) also feel stiffness and mild cramping pain in my neck, and also i have pain on my upper spinal area right between my shoulder blades. Please help, I feel really frustrated and am scared that i will be stuck with this forever.
Answers (17)
Hi, dizziness can be due to a lot of reasons- one of the most common ones is vestibular issues ( inner ear problems)
Next Steps
Get an online/offline consultation from a vestibular rehabilitation expert
Health Tips
Avoid overcrowded places, dim lit areas for walking (if alone)
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From what you describe â
Persistent dizziness (4â5 days)
Neck stiffness + cramping
Upper spine pain (between shoulder blades)
Facial tilt when resting naturally
It seems there may be a cervicogenic component (neck-related dizziness) rather than purely inner ear/vestibular (since ENT medications didnât help).
Possible contributors:
Cervical muscle tension or joint dysfunction (neck stiffness affecting balance signals)
Postural imbalance (facial/head tilt + scapular/upper back tightness)
Nerve/vestibular mismatch (neck sends wrong signals to balance system)
This doesnât mean itâs permanent â but it does mean your dizziness likely needs rehab and mechanical correction, not just tablets.
Next Steps
Visit the nearest Physiotherapist who can provide you after proper examination.
Health Tips
If you develop sudden severe headache, double vision, slurred speech, weakness in arms/legs, or loss of balance with falls â seek urgent medical care (rule out neurological causes). Since dizziness is persistent, itâs wise to follow up with a neurologist alongside physiotherapy, just to exclude anything serious. Do not push into heavy gym workouts or jerky neck movements until your dizziness is under control. Avoid driving or working at heights until balance improves.
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The dizziness, off-balance feeling, facial tilt, neck stiffness, and upper spinal pain could be related to issues such as cervical spine dysfunction or muscle tension.
Next Steps
I strongly recommend consulting a physiotherapist in person for a thorough assessment. They can evaluate your cervical spine, posture, and balance issues more comprehensively. This will help address your fear of it being permanent and provide a tailored treatment plan.
Health Tips
Rest and Posture: Avoid prolonged awkward positions. Try gentle neck stretches and maintain a neutral head position when possible.
Heat or Ice: Apply a warm compress to your neck and upper back to ease stiffness, or ice if there’s significant inflammation.
Gentle Movement: Perform slow range-of-motion exercises for your neck, but stop if dizziness worsens.
Hydration and Stress: Ensure you're hydrated and managing stress, as these can contribute to your symptoms.
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If the pain and dizziness has started after sudden jerk to neck or after any fall please get a xray done if you suddenly started feeling it without any such incident please get a mri done
Next Steps
get a physio or physiotherapist consultation
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I hear your concern â and I understand why this is making you anxious. Letâs break this down step by step.
From your symptoms:
Persistent dizziness & imbalance (4â5 days)
Neck stiffness, mild cramping, and pain in the upper spine/shoulder blade area
Slight tilt in face posture (noticed at rest)
This combination suggests that the problem may not be purely an inner ear/ENT issue. It could also involve your cervical spine (neck), postural imbalance, or even neurological causes.
Possible Causes
1. Cervicogenic dizziness â dizziness caused by problems in the neck (stiffness, muscle imbalance, cervical spondylosis, poor posture).
2. Vestibular issues (inner ear) â like BPPV, labyrinthitis, or vestibular neuritis, though usually ENT medicines give some relief.
3. Musculoskeletal issues â tight muscles in the neck/shoulders and poor posture can pull the head slightly, causing both tilt and imbalance.
4. Neurological causes â facial tilt and persistent dizziness can sometimes signal a nerve issue (rare, but important to rule out).
Next Steps
What you should do immediately â ï¸ Because your symptoms are persistent, involve facial tilt, dizziness, and spinal pain, you must consult a neurologist (not just ENT). Itâs important to rule out any neurological condition first. Please donât ignore or self-treat further.
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