The diagnosis of cervicogenic dizziness is characterized by dizziness and d
ysequilibrium that is associated with neck pain in patients with cervical p
athology. The diagnosis and treatment of an individual presenting with cerv
ical spine dysfunction and associated dizziness complaints can be a challen
ging experience to orthopaedic and vestibular rehabilitation specialists. T
he purpose of this article is to review the incidence and prevalence, histo
rical background, and proposed pathophysiology underlying cervicogenic dizz
iness. In addition, we have outlined the diagnostic criteria, evaluation, a
nd treatment of dizziness attributed to disorders of the cervical spine. Th
e diagnosis of cervicogenic dizziness is dependent upon correlating symptom
s of imbalance and dizziness with neck pain and excluding other vestibular
disorders based on history, examination, and vestibular function tests. Whe
n diagnosed correctly cervicogenic dizziness can be successfully treated us
ing a combination of manual therapy and vestibular rehabilitation. We prese
nt 2 cases, of patients diagnosed with cervicogenic dizziness, as an illust
ration of the clinical decisionmaking process in regard to this diagnosis.