HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Nausea And Dizziness After Spinal Manipulation Procedure?

default
Posted on Fri, 3 Mar 2017
Question: I had spinal manipulation yesterday to my neck and im feeling naceous and queezy/dizzy . Is this normal?
Thanks
doctor
Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Rare but possible

Detailed Answer:
Hello and welcome back. I am sorry you are having health issues again.

Spinal manipulation, especially of the neck may have some adverse effects in some patients. Dizziness and nausea are among these possible side effects with a frequency of 16 cases per 1000 treatments, so rare but possible. Usually they are harmless and improve spontaneously, but it may take a couple of days up to a week.

One particular note which should be made though is that in some very rare cases these neck manipulations may cause a tear in neck vessels (a dissection) which in turn may lead to a stroke. It is very rare, no need to panic. However if there are other neurological symptoms such as a headache, double vision or visual loss, weakness or numbness of the limbs on one side, speech changes, balance and coordination issues etc then you should have a medical evaluation, even in the emergency room, for that eventuality.

Let me know if you have further questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Olsi Taka (4 hours later)
Ok thank you, i have actually had numbness in my arm for a week now but all this has been to do with my neck. I dont have any of the orher symptoms though. I have had a head ache for 3 weeks now. Maybe i need to look out for my face drooping and always check that my arm can be put in the air ?
doctor
Answered by Dr. Olsi Taka (2 hours later)
Brief Answer:
Read below

Detailed Answer:
As you correctly assume the numbness in your arm is not due to stroke given that it was present before, neither is the headache you have consulted here in the past due to that, not the location it would be. In case of a vertebral artery dissection would be pain of a sudden onset in the neck and the base of the head where it joins the neck.
Also yes for the face drooping, weakness in the arms can be checked by raising them (though should be noticeable when performing different daily actions).
I do not want you to be alarmed, as I said it is a very rare complication and if there is no sudden onset headache as I mentioned it is very unlikely.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Nausea And Dizziness After Spinal Manipulation Procedure?

Brief Answer: Rare but possible Detailed Answer: Hello and welcome back. I am sorry you are having health issues again. Spinal manipulation, especially of the neck may have some adverse effects in some patients. Dizziness and nausea are among these possible side effects with a frequency of 16 cases per 1000 treatments, so rare but possible. Usually they are harmless and improve spontaneously, but it may take a couple of days up to a week. One particular note which should be made though is that in some very rare cases these neck manipulations may cause a tear in neck vessels (a dissection) which in turn may lead to a stroke. It is very rare, no need to panic. However if there are other neurological symptoms such as a headache, double vision or visual loss, weakness or numbness of the limbs on one side, speech changes, balance and coordination issues etc then you should have a medical evaluation, even in the emergency room, for that eventuality. Let me know if you have further questions.