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Man experiencing symptoms of vestibular migraine vs cervicogenic dizziness at home


Dizziness can be an unsettling and confusing experience, especially when its source isn’t clear.


Two of the most frequently mistaken causes are vestibular migraine vs cervicogenic dizziness, which often share overlapping symptoms but require different approaches.


Vestibular migraine

Vestibular migraine is a migraine variant where dizziness is a dominant symptom.

Common features:

  • Episodes of dizziness or vertigo
  • Motion sensitivity
  • Headache may or may not be present
  • Light and sound sensitivity
  • History of migraine

Dizziness may last minutes, hours, or days and often fluctuates.


Cervicogenic dizziness

Cervicogenic dizziness originates from the neck.

Common features:

  • Dizziness linked to neck movement or posture
  • Neck pain or stiffness
  • Often follows neck injury or sustained load
  • Usually no spinning sensation

Why they’re often confused

Both can coexist. Neck pain is common in migraine, and migraine is common in people with neck dysfunction.


How physiotherapy helpsPhysiotherapist treating patient for vestibular migraine vs cervicogenic dizziness

Physiotherapists assess:

  • Neck movement and joint function
  • Balance and eye-head coordination
  • Movement tolerance
  • Headache history

Treatment is tailored to the dominant driver — not just the symptom.


The takeaway

Correct diagnosis matters. Treating the neck alone won’t resolve vestibular migraine, and migraine strategies alone won’t fix cervicogenic dizziness.

If you’re struggling with dizziness and unsure whether it’s vestibular migraine vs cervicogenic dizziness, our expert clinicians can help you find clarity and the right treatment path.

Call us on 1800 432 322 or book an appointment online to get started.


Written by:

Marinus du Preez

Principal Headache Clinician


Disclaimer: This blog is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional advice or delay seeking it based on information you have read here.