The effectiveness of physiotherapy on patients with dizziness and pain caused by a neck problem

Some people experience dizziness that seems to come from their neck — for example, feeling off-balance when they move their head, or having neck pain and stiffness along with the dizziness. This is called cervicogenic dizziness. This study is comparing two different physiotherapy (hands-on physical therapy) techniques against each other and against a placebo treatment to find out which approach works better and for longer. Researchers will measure symptoms using questionnaires, a diary, and tests of neck movement and balance. You may be eligible if: - You are between 18 and 90 years old - You have dizziness that feels like imbalance and is linked to neck movements or positions - You have a stiff and/or painful neck along with your dizziness - Your symptoms have been present for more than 3 months - You can read and speak English You may NOT be eligible if: - You have inflammatory joint disease (such as rheumatoid arthritis) - You have spinal cord problems, neck infection, bone disease, severe osteoporosis, or cancer in the neck - You have had a fracture or dislocation of the neck in the past 3 months - You have had previous surgery on the upper neck - You have severe nerve root symptoms in the arm or hand (severe pain, weakness, numbness) that started less than 6 weeks ago - You have had physiotherapy or similar treatment to the neck in the past month - You are pregnant - Your case is subject to compensation claims Talk to your doctor about whether this trial might be right for you.