Vertigo & Dizziness Treatment in Tyler
Drug-free vertigo and dizziness care in Tyler, TX. Our chiropractors check for BPPV and cervicogenic dizziness and explain your non-surgical options.
Chiropractic care for vertigo & dizziness
Get to the root of your vertigo & dizziness
Also known as: Dizziness, Cervicogenic Dizziness, BPPV
If the room starts spinning when you roll over in bed, or dizziness hits every time you look up or turn your head, the cause may be closer than you think — your inner ear or upper neck. At Hopson Chiropractic's Tyler and Chandler offices, our doctors evaluate both, work out which type of dizziness you're experiencing, and talk you through drug-free options for the two most chiropractic-relevant forms: BPPV and cervicogenic dizziness.
Symptoms of vertigo & dizziness
- ✓A spinning sensation (room feels like it is moving)
- ✓Dizziness triggered by head or neck movement
- ✓Imbalance or unsteadiness when standing or walking
- ✓Nausea or vomiting alongside dizzy episodes
- ✓Lightheadedness when changing positions
- ✓Neck stiffness or upper-neck soreness accompanying dizziness
- ✓A feeling of fullness or pressure in the ears
Common causes
- BPPV — displaced calcium crystals (canaliths) in the inner ear
- Upper cervical joint dysfunction affecting balance signals
- Whiplash or neck injury disrupting normal cervical proprioception
- Forward-head posture and prolonged screen use straining the upper neck
- Muscle tension in the suboccipital region compressing nerve endings
- Post-concussion changes in the vestibular system
- Dehydration or inner-ear inflammation triggering episodes
Our approach
How we treat vertigo & dizziness in Tyler and Chandler
- Step 1
Thorough assessment
We take a detailed history, screen for red-flag dizziness (stroke, cardiac, or neurological causes), and examine your neck and balance to help identify whether your dizziness is cervicogenic, BPPV, or something that needs a referral.
- Step 2
A targeted, honest plan
If you're a good candidate for chiropractic care, you receive a plain-English explanation of what we found and a clear plan for your care. If your dizziness points to a cause outside our scope, we refer you to the right provider promptly.
- Step 3
Gentle, drug-free care
For cervicogenic dizziness, care may include gentle upper-cervical adjustments and soft-tissue work. BPPV is commonly treated with canalith-repositioning maneuvers such as the Epley; your doctor will tell you whether that is appropriate for you.
The basics
Understanding vertigo & dizziness
Vertigo and dizziness are not a single condition — they are symptoms that can come from several different systems in the body. The most important first step is determining which system is involved, because the treatment differs completely.
The two forms most relevant to chiropractic care are BPPV (benign paroxysmal positional vertigo) and cervicogenic dizziness. BPPV occurs when calcium carbonate crystals called canaliths break loose inside the semicircular canals of the inner ear and send garbled signals to the brain whenever the head moves into certain positions. Cervicogenic dizziness arises from the upper cervical spine — the joints at the top of the neck are densely packed with proprioceptors, sensory nerve endings that help your brain track where your head is in space. When those joints are restricted, injured, or irritated, the signals they send become unreliable, and the brain interprets that as dizziness or unsteadiness. Both forms are commonly managed with conservative, drug-free care. What chiropractic care does not address — and what your doctor will screen for and refer out — is dizziness rooted in serious cardiovascular, neurological, or inner-ear disease.
New Patient Special
Start care for just $49
Everything your first visit needs, at one price — so you can find out what's actually wrong before committing to anything.
- Consultation
- Exam
- X-Rays
- First Adjustment
Types of vertigo & dizziness we help
“Dizziness” covers a wide range of sensations, and the right treatment depends on the cause. At our Tyler and Chandler offices, we help patients with:
- BPPV (benign paroxysmal positional vertigo) — intense brief spinning triggered by rolling over in bed, looking up, or tilting the head. Caused by displaced ear crystals and commonly treated with canalith-repositioning maneuvers such as the Epley; your doctor will tell you whether that is appropriate for you.
- Cervicogenic dizziness — a persistent unsteadiness or foggy-head feeling that comes from restricted or irritated joints in the upper neck. Frequently accompanies neck stiffness, headaches, or a history of whiplash.
- Dizziness after whiplash or neck injury — trauma disrupts normal cervical proprioception, and the brain loses its reliable balance signal from the neck. Restoring upper-cervical joint motion is central to recovery.
- Postural and screen-related dizziness — forward-head posture places chronic load on the upper cervical joints and suboccipital muscles, gradually degrading the balance signals they send. Care focuses on improving upper-neck mobility and posture.
Conditions outside our scope — Meniere’s disease, vestibular neuritis, cardiac causes, and neurological disorders — receive prompt referral. We screen for them at your exam.
What to expect at your first visit
Your first appointment is focused on finding out why you’re dizzy before treating anything. We’ll:
- Listen to your history — when episodes started, what positions or movements trigger them, whether neck pain or headaches accompany them, and any prior workup you’ve had.
- Screen for red flags — we check for signs of cardiovascular, neurological, or inner-ear causes that require immediate referral. If something doesn’t fit a musculoskeletal pattern, we’ll tell you honestly and point you to the right provider.
- Examine your neck and balance — orthopedic, neurological, and positional testing helps distinguish BPPV from cervicogenic dizziness and guides your care plan.
- Explain what we found — in plain English, with a clear plan and goals.
- Begin care when appropriate — if your exam shows chiropractic care is right for you, a gentle upper-cervical adjustment can often start the same day. If BPPV is suspected, your doctor will explain whether a repositioning maneuver or a referral is the right next step.
Drug-free help for vertigo & dizziness
Antivert and other vestibular suppressants can blunt dizziness symptoms temporarily, but they do nothing to reposition displaced crystals or restore normal neck-joint motion. Chiropractic care aims at the mechanical cause in the upper neck — so the goal isn’t just fewer dizzy spells today, but better balance and stability long-term, helping you get back to driving, exercising, and working with more confidence. And when a cause is outside our scope, we refer without delay — we’d rather send you somewhere else quickly than treat the wrong thing slowly.
When to see a chiropractor in Tyler or Chandler
Some dizziness is fleeting and harmless. Other dizziness is a signal worth acting on. Consider calling our Tyler or Chandler office if you notice:
- Spinning or unsteadiness triggered by rolling over, looking up, or turning your head
- Dizziness that accompanies neck pain, stiffness, or a recent whiplash injury
- Lightheadedness that gets worse with prolonged sitting, screen use, or forward-head posture
- Recurring episodes with no clear medical diagnosis after a prior workup
- Dizziness that is limiting your confidence while driving, working, or exercising
Seek emergency care immediately if dizziness occurs alongside sudden severe headache, one-sided weakness or numbness, slurred speech, double vision, or loss of consciousness — these can be signs of stroke and require 911, not a chiropractic appointment. We take this seriously and will never minimize a red-flag presentation.
If your symptoms fit a cervicogenic or BPPV pattern, an exam at Hopson Chiropractic can clarify the picture and get you started on a clear, drug-free path forward. Learn more about how neck pain and upper-cervical dysfunction contribute to dizziness, or review what to expect as a new patient.
Vertigo care at our Tyler and Chandler offices
Hopson Chiropractic cares for patients from Tyler, Chandler, Whitehouse, Lindale, Bullard, Flint, Brownsboro, Athens and Canton, and vertigo care always starts with working out why you’re dizzy before we treat anything. Your doctor — Dr. William Hopson in Tyler or Dr. Lana Hopson in Chandler — looks at your balance, your upper neck and your posture together, so the whole picture is considered before care begins.
For BPPV, your doctor will explain whether a canalith-repositioning maneuver such as the Epley is appropriate for you, or refer you to a provider who can help. For cervicogenic dizziness, we use gentle chiropractic adjustments to restore normal joint mobility in the upper neck, along with attention to posture, to help reduce the chance of the dizziness returning.
We know living with vertigo affects every part of your day — driving, working, sleeping, exercising. Our goal is to give you honest answers and a clear plan, and to refer without hesitation when something is outside our scope.
Ready to find out what’s behind your dizziness? Book an appointment online or learn more about what your first visit looks like at our new patient page.
Why choose chiropractic
Chiropractic care vs. medication for vertigo and dizziness
| Comparison factor | Chiropractic Care | Medication |
|---|---|---|
| Addresses the root cause | ✓Aims to restore normal neck-joint motion | ✕Suppresses symptoms only |
| Drug-free & non-invasive | ✓Always | ✕Rarely |
| Risk of side effects | ✓Usually mild and short-lived soreness | ✕Drowsiness, dependency risk |
| Cervicogenic dizziness | ✓Targets the upper-neck source | ✕Limited benefit |
| BPPV | ✓Identified at your exam, options explained | ✕Meds do not reposition crystals |
| Long-term recurrence prevention | ✓Posture and neck mechanics addressed | ✕Seldom addressed |
Treatment options
Services we use to relieve vertigo & dizziness
Patient reviews
What our patients say
“Healing hands is how I describe Hopson’s chiropractor, made me feel so much better. I been in pain for years”
“Dr. William Hopson is very personal and professional. The first session is educational and thorough and includes X-rays. I have seen several other chiropractors and have experienced several different approaches to trying to solve my lower back pain and occasional neck and shoulder pain. After the first session with Dr. Hopson, I could tell I would finally have relief from chronic nagging lower back pain. I was skeptical that the relief would last so I returned for maybe one or two more sessions and my lower back pain has not returned for several months now!! I still visit his office on the rare occasion just to assure that no pain ever returns. I wish I could leave this review on all the competitors in town to save others the expense and time in pain. I can't recommend Dr. Hopson's chiropractic services enough!!!”
“He is very professional and good at what he does.”
Can a chiropractor help vertigo?
Often, yes — for two chiropractic-relevant types. Cervicogenic dizziness, from upper-neck joint problems, may respond to gentle adjustments and soft-tissue work. BPPV is commonly treated with canalith-repositioning maneuvers such as the Epley. Your doctor will confirm which type you have and refer out when dizziness has a medical cause.
What causes vertigo?
Two common causes are BPPV, where tiny calcium crystals shift inside the inner ear and send faulty balance signals, and cervicogenic dizziness, where irritated upper-neck joints confuse the brain's balance center. Other causes include Meniere's disease, vestibular neuritis, migraines and, rarely, stroke — so a proper exam comes first.
What is the Epley maneuver?
The Epley maneuver is a series of precise head and body positions that guide displaced calcium crystals back to where they belong inside the inner ear. It is a standard treatment for posterior-canal BPPV. Your doctor will tell you whether it, or another approach, is appropriate for you.
How long does vertigo last?
BPPV episodes typically last seconds to a minute but can recur for days or weeks if untreated. Cervicogenic dizziness often persists as low-level unsteadiness until the underlying neck mechanics are addressed. Recovery time varies from person to person, and your doctor will recommend a schedule after your exam.
How is cervicogenic dizziness different from BPPV?
BPPV produces intense, brief spinning triggered by specific head positions (rolling over, looking up) and is caused by loose ear crystals. Cervicogenic dizziness tends to be more of a constant unsteadiness or fogginess, often accompanied by neck pain or stiffness, and is caused by faulty signals from the cervical joints. Both can coexist, and careful examination distinguishes them.
When is vertigo a medical emergency?
Seek emergency care immediately if dizziness occurs with sudden severe headache, double vision, slurred speech, weakness or numbness on one side, difficulty walking, or loss of consciousness — these are possible stroke warning signs. We screen for red flags at every exam and will refer you without delay if anything points to a serious underlying cause.
Do I need imaging before my first visit?
Most patients don't. We perform clinical testing in the office to identify the likely cause and screen for red flags. If we find anything that warrants imaging or a specialist referral, we'll tell you and help coordinate next steps. No referral is needed to see us in Texas.
Can poor posture cause dizziness?
Yes. Forward-head posture — common with desk work and phone use — places chronic stress on the upper cervical joints and suboccipital muscles. Over time this can disrupt the proprioceptive signals those joints send to your balance center, producing persistent dizziness or lightheadedness. Correcting posture is a core part of how we treat cervicogenic dizziness.
How soon will I feel better?
It depends on the cause, how long you've had symptoms and your overall health. BPPV often settles once the crystals are repositioned, while cervicogenic dizziness tends to ease gradually as neck mobility and posture improve. Your doctor will recommend a schedule after your exam.
Do you treat patients from Whitehouse, Lindale, or Athens for vertigo?
Yes. We welcome patients from Whitehouse, Lindale, Flint and Bullard at our Tyler office, and from Brownsboro, Athens and Canton at our Chandler office, for vertigo, dizziness and related neck concerns. You can book online or call either office.