Lazar Spinal Care Blog | Guides on Pain & Injury

Can a Chiropractor Cause Vertigo? What to Know

Written by Dr. Jonathan Lazar | Jan 7, 2026 3:15:16 PM

Let’s clear the air on a topic that causes a lot of anxiety for people considering chiropractic care. The question can a chiropractor cause vertigo is all over the internet, and it’s easy to find confusing or scary information. The truth is, feeling a little off-balance after an adjustment is a known, temporary side effect for some people. It’s your body’s way of adapting to a healthier spinal position. However, it’s crucial to understand the difference between a normal, brief sensation and the signs of a serious issue. This article will give you the straightforward facts, explain the importance of advanced, gentle techniques, and empower you to make an informed decision for your health.

Key Takeaways

  • A little dizziness can be a sign of positive change: Feeling slightly unsteady after an adjustment is usually a temporary sign that your body is adapting to its new, proper alignment as your nervous system recalibrates.
  • Partner with your chiropractor for a comfortable experience: Discuss your health history and any concerns about dizziness beforehand so your provider can tailor your treatment, often using gentle methods like QSM3, to fit your needs.
  • Trust your body and know the red flags: While mild dizziness that fades within a day is normal, severe or lasting vertigo and a sudden loss of coordination are not. If something feels seriously wrong, seek immediate medical care.

What Is Vertigo, Really?

That sudden, disorienting feeling that the world is spinning can be incredibly unsettling. Many of us use the words “dizzy” and “vertigo” to mean the same thing, but they describe very different sensations. Understanding exactly what you’re feeling is the first step toward figuring out why it’s happening and how to find relief. Vertigo isn’t just a vague sense of being off-kilter; it’s a specific signal from your body that something is disrupting your sense of balance.

Your body’s ability to stay balanced is a complex dance between your inner ear, your eyes, and the sensory nerves throughout your body. All of these systems send information to your brain, which then tells your body how to stay upright. A critical part of this communication highway runs through your upper neck, where the brainstem sits. When there’s a misalignment in this area, it can interfere with those crucial signals, leading to a range of confusing symptoms. It’s one of the many conditions we help people with every day by addressing the root structural cause. Getting to the bottom of that spinning sensation means looking at how your body’s structure supports its function. Let’s break down what vertigo is so you can better understand what your body is trying to tell you.

Defining That Spinning Sensation

At its core, vertigo is the distinct feeling that you or your surroundings are moving or spinning when there is no actual movement. Think about the feeling you get right after stepping off a fast-spinning merry-go-round—that’s a good approximation of a vertigo episode. It’s a false sense of rotational motion.

This isn't the same as feeling lightheaded or like you might faint. Vertigo is a specific type of dizziness linked to your vestibular system, which is your body's internal balance center located in the inner ear. When this system is disrupted, your brain receives faulty information about your body's position, creating that unmistakable spinning sensation.

Common Signs of Vertigo

While the spinning feeling is the hallmark of vertigo, it often comes with a few other unwelcome symptoms. Because your brain is getting conflicting messages about balance, you might also experience a loss of balance or difficulty walking a straight line. Many people feel nauseous or even vomit during an episode.

Other common signs include sweating and abnormal, jerking eye movements known as nystagmus. These symptoms occur because your brain is trying to make sense of the confusing signals it's receiving. Recognizing this group of symptoms is an important part of getting a clear diagnosis and finding a path toward stability and relief.

Vertigo vs. Dizziness: What's the Difference?

It’s helpful to think of “dizziness” as an umbrella term that covers several different feelings. Vertigo is just one of them. Being able to tell them apart can give your healthcare provider important clues about the underlying cause.

Here’s a simple breakdown:

  • Vertigo: A spinning or whirling sensation.
  • Lightheadedness: A feeling that you might faint or pass out.
  • Disequilibrium: A sense of unsteadiness or imbalance, often felt when you’re on your feet.
  • Presyncope: The specific feeling you get just before fainting.

When you can confidently say, “I’m experiencing vertigo,” you’re providing a precise description that helps narrow down the potential causes, pointing toward issues within your balance system rather than something like low blood pressure.

Can a Chiropractic Adjustment Cause Vertigo?

It’s a fair question, and one we hear often. The idea of having your neck adjusted can be intimidating, especially if you’re already dealing with dizziness or balance issues. The short answer is that yes, it’s possible to feel dizzy or experience a brief bout of vertigo after a chiropractic adjustment, but it’s usually a temporary and mild sensation. Think of it as your body recalibrating. When your spine is gently guided back into its proper position, your nervous system, inner ear, and brain have to process this new (and better!) information.

This feeling of dizziness is typically not a sign that something has gone wrong. In fact, it often indicates that a positive change has occurred. Your body is simply taking a moment to adapt to its new alignment. For many people, chiropractic care is actually a solution for chronic vertigo and dizziness, especially when the root cause is a misalignment in the upper neck. Understanding why you might feel a little unsteady can help ease any concerns and show you that it’s part of the body’s natural response to healing.

The Link Between Your Neck and Your Balance

Your neck, specifically the upper cervical spine, is the communication superhighway between your brain and the rest of your body. It’s also intricately connected to your body’s balance system. The nerves in this area send constant signals to your brain about where your head is in space, which works in tandem with your inner ear and eyes to keep you upright and stable.

When there’s a misalignment in your upper neck, these signals can get scrambled, leading to conditions like vertigo and dizziness. A chiropractic adjustment aims to correct that misalignment. As your neck is adjusted, the nervous system begins to send clearer signals. This sudden change in information can briefly confuse your brain, causing a temporary feeling of dizziness as it processes the new, correct input.

How Adjustments Affect Your Body's Balance System

Your sense of balance is managed by a complex system, with your inner ear (the vestibular system) playing a starring role. Quick movements of the head and neck can temporarily disrupt this system. During a chiropractic adjustment, even a gentle and precise one, your head is repositioned. This movement can briefly stir up the fluid and tiny crystals in your inner ear, causing a short-lived spinning sensation.

This is a normal physiological response and is usually nothing to worry about. It’s your body’s way of adapting to the adjustment. As your brain and inner ear sync up with your newly aligned spine, the feeling typically fades within a few hours. At Lazar Spinal Care, we use specific, gentle chiropractic techniques to minimize any discomfort and support your body’s adjustment period.

A Quick Look at Blood Flow and Neck Adjustments

The arteries that supply blood to your brain pass through the small bones in your neck. A spinal misalignment can sometimes interfere with this blood flow. When an adjustment corrects the position of these bones, it can cause a temporary change in blood flow to your head, which might make you feel a bit lightheaded. This sensation is almost always brief.

While extremely rare, there have been concerns about traditional neck adjustments causing injury to these arteries. This is why the practitioner's skill and technique are so important. We prioritize your safety by using advanced, non-invasive methods like Quantum Spinal Mechanics (QSM3), which involves no popping or twisting. This gentle approach helps restore alignment and function without forceful movements, making it a safe and effective option.

Why You Might Feel Dizzy After an Adjustment

It can be a little unsettling to feel a wave of dizziness after your chiropractic adjustment, but it’s helpful to know that this is a fairly common and usually temporary sensation. Think of it as your body’s way of recalibrating. An adjustment introduces positive changes to your spinal alignment and nervous system, and it can take a moment for the rest of your body to catch up. This brief period of dizziness is often a sign that your system is responding to the treatment and beginning the healing process. Several factors can contribute to this feeling, from your inner ear getting used to a new normal to your nervous system processing new information.

How Neck Movements Can Affect Your Inner Ear

Your sense of balance is managed by a complex structure in your inner ear called the vestibular system. This system works closely with your cervical spine (your neck) to tell your brain where your head is in space. When a chiropractor performs a neck adjustment, the movement can temporarily disrupt the signals between your neck and your inner ear. As Healthline notes, "You may experience dizziness as your vestibular system adjusts to the new alignment." Your body is simply getting used to its new, correct posture. This sensation is typically short-lived as your brain and inner ear quickly adapt to the positive changes.

Your Nervous System's Response to Treatment

A chiropractic adjustment does more than just move bones; it helps restore proper communication between your brain and your body. This communication happens along your nervous system, which is housed and protected by your spine. When an adjustment removes interference, it’s like rebooting a computer—your nervous system starts processing information more clearly. Sometimes, this sudden flood of new sensory input can make you feel a bit dizzy or lightheaded. It’s a sign that your body is adapting to a healthier state. Most of the time, this feeling is mild and fades within a few hours as your system settles, which is a key part of the experience for many new patients.

The Role of Stress and Anxiety

Let’s be honest—visiting any kind of doctor can bring up a little anxiety, especially if you’re new to chiropractic care. Feeling nervous can cause physical symptoms like muscle tension and lightheadedness all on its own. When you’re on the adjustment table, your body may finally start to release that built-up tension, which can also contribute to a dizzy feeling. It’s your body’s way of letting go. If you feel anxious, try taking a few deep breaths and remember to communicate openly with your chiropractor. We are here to make you feel as comfortable as possible throughout your entire visit.

Are Some People More Prone to Dizziness?

Certain individuals might be more likely to experience temporary dizziness after an adjustment. If you have a history of vertigo, Meniere's disease, or other inner ear conditions, your vestibular system may be more sensitive to change. Dehydration and low blood sugar can also make you feel lightheaded, so it’s always a good idea to be well-hydrated and have a snack before your appointment. It’s crucial to share your complete health history with your chiropractor. This allows us to tailor your treatment, perhaps using more gentle techniques like QSM3, to ensure your adjustment is both effective and comfortable.

Post-Adjustment Vertigo: When to Be Concerned

While feeling a bit off-balance right after an adjustment can be unsettling, it’s helpful to know what’s normal and what isn’t. Most of the time, any dizziness is a temporary and harmless response from your body as it adapts to a new alignment. However, your safety is always the top priority, so it’s crucial to recognize the signs that might point to something more serious. Let’s walk through what to expect and when you should seek further care.

What’s a Normal, Temporary Reaction?

It’s not uncommon to feel a little dizzy after a chiropractic adjustment, especially if your neck was treated. Think of it this way: your inner ear, which is the command center for your balance, can be momentarily stirred up by the movements. This sensation is typically mild and should fade within a few hours.

In most cases, any side effects from an adjustment, including lightheadedness, will clear up completely within 24 hours. Your body is simply processing the changes and recalibrating itself. If you have any concerns before your visit, it's always a good idea to discuss them during your initial consultation. We encourage all our new patients to ask questions so they feel comfortable and informed.

Red Flags That Need Attention

While mild, brief dizziness is normal, certain symptoms are red flags that you shouldn’t ignore. If your dizziness is severe or lasts for several hours, it’s time to seek medical attention. Another critical sign to watch for is ataxia, which is a sudden loss of muscle control that can affect your coordination, speech, and ability to walk.

These symptoms are not a typical response to a chiropractic adjustment. Persistent dizziness or a loss of coordination can, in very rare cases, be a warning sign of a more serious issue. Trust your instincts—if something feels wrong, it’s always best to get it checked out right away. Your health is the priority, and understanding these warning signs empowers you to act quickly.

Serious Symptoms That Require Immediate Care

In extremely rare instances, vertigo that continues long after a neck adjustment could indicate a serious condition called a Vertebral Artery Dissection (VAD). This is a tear in one of the arteries in your neck, which can disrupt blood flow to the brain and potentially lead to a stroke. The most common initial signs of VAD are persistent vertigo (a strong spinning sensation) and significant trouble with your balance.

While the risk is very low, it’s important to be aware of it. At Lazar Spinal Care, we minimize this risk by using precise and gentle techniques like Quantum Spinal Mechanics (QSM3), which don't involve any forceful twisting or popping of the neck. If you ever experience severe, lasting vertigo alongside other stroke symptoms like a sudden, intense headache, vision problems, or weakness on one side of your body, treat it as a medical emergency and call 911 immediately.

What to Do if You Experience Vertigo After Treatment

Feeling a bit dizzy or unsteady after a chiropractic adjustment can be unsettling, but it’s usually a temporary response as your body adapts to the changes. Your nervous system is recalibrating, and sometimes that can briefly throw off your sense of balance. While it’s typically not a cause for alarm, knowing what to do can help you feel more in control and ensure you’re taking the right steps for your well-being. Listening to your body is key, and having a clear plan for what to do next can make all the difference.

Simple Steps to Take Right Away

If you feel dizzy after your appointment, the first thing to do is pause. Find a comfortable place to sit or lie down for a few minutes until the sensation passes. Don’t try to push through it or rush off to your next activity. Taking it easy is the best immediate response. It’s also a great idea to drink a glass of water. Staying hydrated helps improve blood flow throughout your body, including to your brain and inner ear, which can help mild, short-term dizziness subside more quickly. Give your body a moment to adjust.

When to Call Your Chiropractor

Open communication with your chiropractor is essential. If your dizziness doesn't go away after a short rest, lasts for an extended period, or seems to be getting worse, it's time to make a call. You should also reach out if you experience any other unusual symptoms. Your chiropractor understands how the body responds to adjustments and can offer guidance. Describing what you’re feeling helps them determine if you need to come back in or if it's a normal part of the healing process. Don't hesitate to request an appointment if you feel concerned.

How to Recognize a Medical Emergency

While extremely rare, it’s important to know the signs of a serious issue. Seek emergency medical help immediately if your dizziness is severe and lasts for several hours. Another critical red flag is ataxia—a sudden loss of muscle control that can affect your ability to walk, speak, or move your eyes. These symptoms could indicate a stroke, which, while a very uncommon risk associated with neck manipulation, requires immediate attention. Trust your instincts. If something feels seriously wrong, it’s always better to be safe and get checked out at an emergency room.

What to Expect for Your Recovery

For most people, any side effects from a chiropractic adjustment, including dizziness, are mild and resolve within 24 hours. It’s also worth noting that symptoms don’t always appear immediately and can begin a few hours after your treatment. The 24-hour window is a good general guideline. If your vertigo or dizziness lasts longer than a day, or if it intensifies instead of improving, that’s your cue to get in touch with your chiropractor. They can provide personalized advice and ensure your recovery stays on the right track.

How to Prevent Dizziness During Chiropractic Care

Feeling worried about dizziness shouldn't stop you from getting the care you need. The good news is that you can take an active role in making your chiropractic experience comfortable and effective. It all starts with clear communication and understanding your options. By working with your chiropractor, you can create a plan that addresses your health goals while keeping you feeling secure and stable throughout your treatment.

Talk Openly With Your Chiropractor First

Your first and most powerful tool is your own voice. Before your first adjustment, have an open conversation with your chiropractor about any concerns you have. If you have a history of vertigo or have ever felt dizzy after a medical treatment, let them know. This information helps your chiropractor tailor the treatment specifically for you. Being proactive is key. This conversation is a standard part of the process for all new patients and ensures your care plan is built on a foundation of trust and understanding. If you ever do feel a little lightheaded, resting for a moment and drinking some water can help improve blood flow and ease the feeling quickly.

Ask About Gentle Adjustment Alternatives

Chiropractic care is not a one-size-fits-all solution. If you’re anxious about traditional adjustments, don't hesitate to ask about gentler alternatives. A skilled chiropractor has many tools and methods at their disposal, including soft tissue therapy, balance exercises, and specific, low-force adjustments that can provide relief without aggressive movements. At Lazar Spinal Care, we utilize a range of our techniques to match the right approach to your body’s unique needs. Your comfort and safety are the priority, so exploring different options is a normal and encouraged part of the process. You should always feel in control of your treatment plan.

The Safety of Advanced Methods Like QSM3

For many people, advanced chiropractic methods offer peace of mind. Techniques like Quantum Spinal Mechanics (QSM3) are designed to be incredibly precise and gentle. Instead of forceful manipulations, QSM3 focuses on restoring your body’s balance through careful, measured corrections to the upper cervical spine. Research has shown that specialized upper cervical chiropractic care is a safe and beneficial way to reduce dizziness. This modern approach gets to the root of the problem without causing unnecessary stress on your system, making it an excellent choice if you're concerned about potential side effects.

Let's Talk About Chiropractic Safety

It’s completely normal to have questions about the safety of any health treatment, and chiropractic care is no exception. Your well-being should always be the top priority. Understanding the potential risks, the importance of proper training, and what questions to ask can help you feel confident and secure in your decision to seek care. When you find the right practitioner, chiropractic adjustments are a safe and effective way to address the root cause of your health concerns.

What the Research Says About Risks

Let’s be direct: like any effective treatment, chiropractic care has potential side effects. The most common one is feeling a little dizzy or lightheaded right after a neck adjustment. This sensation is typically mild and fades within a few hours as your body adapts. However, it's also important to be aware of more serious, though very rare, risks. In some instances, a neck adjustment could injure a vertebral artery, which can lead to a stroke. While the odds of this are extremely low, it’s a possibility that underscores the need for precise and careful techniques. Acknowledging this helps you make a fully informed decision about your health.

Why Your Chiropractor's Training Matters

This is where a chiropractor’s expertise becomes so important. A highly trained practitioner knows how to work with your body safely, minimizing any risks. Their skill isn't just about performing an adjustment; it's about understanding the intricate connection between your spine, nervous system, and overall function. Advanced training in specific, gentle methods makes a world of difference. For example, techniques like Quantum Spinal Mechanics (QSM3) are designed to be incredibly precise and avoid the forceful movements that can cause concern. The right training ensures your chiropractor can provide relief while making your safety the primary focus.

Questions You Should Ask About Vertigo Prevention

You are your own best advocate. Before starting care, have an open conversation with your potential chiropractor. Ask them about their specific techniques and their experience with patients who have concerns about dizziness. It’s also wise to discuss your health history, especially if you’ve had a recent neck injury. A great chiropractor will welcome your questions and provide clear answers. You can ask things like, "What steps do you take to ensure patient safety during neck adjustments?" or "What gentle alternatives do you offer?" This dialogue helps build trust and ensures you’re comfortable with the care plan they recommend.

How to Choose the Right Chiropractor for You

Finding the right chiropractor is a personal decision that can have a big impact on your health journey. You want someone who not only has the right skills but also listens to your concerns and makes you feel comfortable. When you’re dealing with something as delicate as your spine and nervous system, trust is everything. Think about what you need from a provider—whether it’s a specific technique, a focus on long-term wellness, or simply a supportive environment. Here’s how to find a practitioner who is the right fit for you.

Find a Practitioner Who Prioritizes Your Safety

Your safety should always be the top priority. A great chiropractor will conduct a thorough initial consultation, including a detailed health history and diagnostic assessments, before ever performing an adjustment. They should explain what they’re doing and why, and be upfront about any potential side effects, like temporary dizziness. A responsible practitioner will also tell you what symptoms to watch for after treatment and encourage you to call with any concerns. This open communication is a clear sign that they are invested in your well-being and committed to providing safe, effective care.

Fit Chiropractic Care Into Your Wellness Plan

Chiropractic care doesn’t exist in a vacuum; it should be a key part of your overall wellness strategy. The right chiropractor will want to understand your complete health picture and how their care can complement other treatments you may be receiving. For instance, if you’re experiencing vertigo, chiropractic adjustments can work alongside vestibular rehabilitation exercises to improve your balance. Look for a provider who offers a range of specialized techniques and can tailor a plan that aligns with your specific health goals, ensuring your care is both comprehensive and personalized.

Make an Informed Choice for Your Spinal Health

Feeling empowered in your healthcare decisions starts with having the right information. It’s helpful to know that some people experience mild, temporary dizziness after their first adjustment as their body adapts. A good chiropractor will discuss this with you beforehand so you know what to expect. Don’t hesitate to ask questions about their approach, their experience with conditions like yours, and what a typical treatment plan looks like. Making an informed choice means finding a partner in your health who helps you understand the process, and the best way to start is to schedule a consultation to get your questions answered.

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Frequently Asked Questions

Why might I feel dizzy after a chiropractic adjustment that's supposed to help my vertigo? It can feel counterintuitive, but a brief dizzy spell is often a sign that a positive change has occurred. Think of it as your body's internal GPS recalibrating. An adjustment restores proper alignment, which changes the signals your neck sends to your brain about balance. Your brain and inner ear just need a moment to process this new, correct information. This temporary sensation is your nervous system adapting to a healthier position.

How long is it normal for dizziness to last after an adjustment? Any lightheadedness you feel should be mild and brief. For most people, the sensation fades within a few hours of their appointment. It's generally considered a normal response as long as it completely resolves within 24 hours. If your dizziness lasts longer than a day, gets worse instead of better, or feels severe, you should contact your chiropractor right away.

What should I do right after my appointment if I start to feel dizzy? The best thing you can do is simply pause. Find a comfortable place to sit for a few minutes and let the feeling pass on its own. Rushing to your next activity can make it feel worse. It’s also helpful to drink a glass of water, as proper hydration supports good blood flow and can help your body stabilize more quickly.

Can I do anything to prevent feeling dizzy during my chiropractic care? Absolutely. The most important step is to have an open conversation with your chiropractor before your treatment begins. Mention any history of vertigo or concerns you have about dizziness. This allows them to tailor the adjustment to your needs. Staying well-hydrated and having a light snack before your visit can also help keep you from feeling lightheaded.

Is it safe to get a neck adjustment if I already struggle with vertigo? Yes, it can be very safe, especially when the right methods are used. Modern, precise techniques don't require any forceful twisting or popping of the neck. Approaches like QSM3 are specifically designed to be gentle while effectively correcting the underlying structural issues that can contribute to vertigo. Choosing a practitioner skilled in these advanced methods ensures your treatment is both safe and targeted.