Understanding Vertigo: Why It Happens and What You Can Do About It

“When your world feels like it’s spinning, the problem may not be where you think it is.”

Anyone who has experienced vertigo knows how unsettling it can be. The sensation that you—or your surroundings—are spinning can disrupt your ability to work, drive, or even stand confidently. While vertigo is often labeled as “benign,” the reality is that its impact on daily life can be anything but.

What Is Vertigo, Really?

Vertigo is not a condition itself—it’s a symptom. It typically originates from dysfunction within the vestibular system, which is responsible for balance and spatial awareness. This system involves the inner ear, brainstem, and the communication pathways between them.

One of the most common causes is Benign Paroxysmal Positional Vertigo (BPPV). This occurs when tiny calcium crystals in the inner ear become dislodged and interfere with normal balance signals. The result? Sudden spinning sensations, especially with head movement.

While BPPV is considered non-life-threatening, that doesn’t mean it’s harmless. A sudden episode can lead to falls, missed work, or a significant decline in quality of life.

The Missing Piece in Many Vertigo Cases

Most conventional approaches focus on the inner ear itself—and in some cases, that’s appropriate. However, what is often overlooked is the role of the upper cervical spine.

The top two bones in your neck (the atlas and axis) play a critical role in how your brain communicates with your body. These structures sit directly beneath the brainstem, an area heavily involved in balance and coordination.

When there is even a slight misalignment in this region, it can:

  • Disrupt normal neurological signaling
  • Alter blood flow to the brain
  • Interfere with how the brain processes balance information

This can contribute to symptoms like vertigo, dizziness, and imbalance—even when inner ear treatments alone haven’t fully resolved the issue.

How NUCCA Addresses the Root Cause

NUCCA (National Upper Cervical Chiropractic Association) is a highly specialized approach that focuses on correcting misalignments in the upper cervical spine with precision and minimal force.

Unlike traditional chiropractic adjustments, NUCCA does not involve twisting, cracking, or popping. Instead, it uses detailed imaging and precise measurements to determine the exact nature of the misalignment. The correction itself is gentle—but extremely specific.

The goal is simple: restore proper alignment so the brain and body can communicate the way they’re supposed to.

When that happens, many patients experience:

  • Reduced frequency and intensity of vertigo episodes
  • Improved balance and stability
  • Better overall nervous system function

A Different Approach at Advanced Spinal Care

At Advanced Spinal Care, Dr. Lapenski takes a thorough and individualized approach to cases involving vertigo and dizziness.

Every patient begins with a detailed consultation and examination, followed by specialized imaging when necessary. This allows us to determine whether the upper cervical spine is contributing to your symptoms.

If a misalignment is found, care is focused on:

  • Delivering precise NUCCA corrections
  • Monitoring changes in your alignment over time
  • Supporting long-term stability—not just short-term relief

The objective isn’t to chase symptoms—it’s to address the underlying cause so your body can function at a higher level.

Why This Matters for Vertigo Sufferers

Many people struggling with vertigo feel like they’ve tried everything. Medications may temporarily suppress symptoms, and repositioning maneuvers can help in certain cases—but if the underlying neurological interference remains, the problem often returns.

By addressing the structural relationship between the spine and the nervous system, NUCCA care offers a different perspective—one that focuses on restoring normal function rather than simply managing symptoms.

Take the Next Step

If you’re dealing with vertigo, dizziness, or balance issues, it’s worth exploring whether the upper cervical spine is part of the problem.

At Advanced Spinal Care, we specialize in helping patients who haven’t found answers elsewhere. A proper evaluation can help determine if this approach is right for you—and more importantly, if there’s a clear path toward lasting improvement.

Schedule a NUCCA Evaluation

If you experience BPPV or other forms of vertigo, a NUCCA evaluation can help determine whether Atlas Subluxation may be present and whether correcting that alignment may support better balance and stability.

To schedule your NUCCA evaluation, click the button below.

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Dr. Craig Lapenski at Advanced Spinal Care, in Graham, Washington is one of 27 Board Certified NUCCA Doctors worldwide. His clinic serves the highest quality upper cervical care in the Pacific Northwest. Dr. Lapenski also serves a number of patients who are out of state including Alaska, Arizona, California, Hawaii, Kansas, Montana, Nevada, New York, and more! He is uniquely trained to correct problems in the upper cervical spine (upper neck). This vital area is intimately connected to the central nervous system and problems in this area have been shown to be an underlying cause of a variety of different health problems, including migraines, headachesfibromyalgiavertigo, neck pain, back pain, and more. More information can be found on our website at https://www.nuccawashington.com/