Tell me, which of these symptoms is most problematic? Tell me more about that symptom. It is not very likely that all these symptoms are related, so lets focus on the one that bothers him most.
I'm a board certified neurologist, and would be happy to help.
Thanks again for the reply.
There are a variety of possible causes for dizziness. If the symptom is pretty consistent and not going away completely, then one of the more concerning possibilities could be a stroke (especially if the symptom started suddenly). A stroke normally might also produce numbness or weakness on one side of the body or slurred speech, but not always. The fact that the dizziness is pretty constant makes me concerned enough that he should see a doctor about this if the symptoms are persisting (an MRI of the brain could help diagnose this).
Another possible cause which is usually less dangerous is a condition called labyrinthitis, which sometimes is caused by a virus, and also could possibly produce muscle aching. This is much more difficult to diagnose.
If the dizziness feels like he is about to pass out (doesn't sound like it), then one would need to make sure that his blood pressure isn't getting too low. I think this is less likely than either of the first 2 possibilities.
Therefore, I would recommend that he see his doctor again in the near future if the symptoms are persisting, to make sure this isn't a stroke he's dealing with.
Good luck. Please let me know if there are any other questions. If you have found this helpful, please click on ACCEPT so that I may be reimbursed for the time taken to answer this question.
That is a very good question!
Some doctors believe in a condition termed "cervical vertigo". Some do not.
I am on the side that feels this is not very likely. There usually is another cause that can be identified. However, one possible cause for dizziness coming from the neck is if there is a narrowing of the arteries in the back of the neck, called the vertebral arteries. These sometimes can be affected such that if a person puts his head backward or in a certain position, they may constrict the artery more and cause dizziness because of lack of blood flow to the brainstem. This can be evaluated for with a test called MR Angiogram or CT angiogram, which I obtain occasionally in patients with dizziness.
But to answer your question again, I would say generally I think this is unlikely.
I hope this has been helpful to you. Bonuses (and feedback) are appreciated.