Get E-Book on COVID-19

Q. Can imbalance occur due to cervical spondylosis?

Answered by
Dr. Mohan Krishna
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 24, 2017

Hi doctor,

I am a 45 year old male. My height is 184 cm and weight is 97 kg. I had a cervical spine x-ray and was diagnosed with cervical spondylosis. I also have mild CAD and severe sleep apnea.

Due to intermittent chest pain and breathlessness on exertion, CAD was suspected. After positive TMT, I had an angiogram. The angiogram found many minor blocks and no major blocks. The diagnosis was minor coronary atherosclerotic disease and systemic hypertension. The treatment is by medical management.

I have been feeling a constriction in my neck (tightness) exactly in the throat region while walking. This happens only while walking and goes away as soon as I stop. I have been advised to consult an orthopaedician to see if the neck constriction while walking can be due to spondylosis. I occasionally have lower back pain and numbness in hand (palm) and also weak hand grip.

Some months back I felt significantly light-headed and had difficulty in balancing. After some tests, I was diagnosed with uncompensated vestibular lesion. After some medication, it improved a bit. Now again I find the lightheadedness and balancing issues i.e, I feel as though I may faint but actually not.

My queries are:

  • Can the tightness in neck while walking be due to cervical spondylosis?
  • Can the lightheadedness and balancing issues be due to the same?
  • I would like to know the severity of the spondylosis from the attached reports and scanned copy of my x-ray.
  • I was suggested to have an MRI of cervical spine. Based on the reports and symptoms do you feel the MRI is necessary?
  • I would like to know the advantage of MRI compared to x-ray findings.
  • What would be the likely course of treatment for my condition?

Thank you.



Welcome to

Tightness and neck pain can be due to cervical spondylosis.

The lightheadedness and balancing issues can also occur due to spondylosis.

Spondylosis is not so severe on x-ray (attachment removed to protect patient identity), it is of mild grade.

If your hand grip is weak, it is better to get an MRI to see for any nerve compression.

For treatment initially take some analgesics and anti-inflammatory with nerve stimulating drugs.

Investigations to be done:

MRI cervical spine

Regarding follow up:

Revert back with the MRI report to an orthopaedician and traumatologist online.--->

Hi doctor,

Thank you for your prompt response. I have few more doubts to get clarified.

  • Can mild spondylosis cause balancing issue and lightheadedness?
  • Is vestibular lesion/dysfunction related to cervical spondylosis?
  • Will there be any likely future repercussions of ignoring the spondylosis for now?

Thank you.



Welcome back to

  • Mild spondylosis does not cause balancing issues, but it can cause slight neck pain and headache. If you are with vestibular dysfunction and symptoms of vertigo (lightheadedness and dizziness) it is better you get physically examined by an ENT surgeon.
  • Spondylosis is age related wear and tear of joints of spine. It can worsen with age.
  • Try to cope up with regular neck exercises and proper neck care. If not responding to basic line of treatment we need to get an MRI to further grade the spondylosis.

For further information consult an orthopaedician and traumatologist online -->

Was this answer helpful?


Related Questions:
I have lightheadedness. Is it due to GAD medicines?

.. through your post. Lightheadedness and feeling of fainting are either due to low blood pressure or an abnormal rhythm of the heart. You will need a BP check and ECG so that any abnormality could be picked up. Regards. For more information consu...   Read full

I have lightheadedness and nausea. Will MRA test help?

.. carefully your question and would explain that considering your performed cardiac tests, many disorders have been excluded (an inner ear disorder, epilepsy seizures, a cardiac disorder, thyroid dysfunction, etc.). Coming to this point, I would rec...   Read full

What causes dizziness and blackout with swollen throat?

.. descriptive history, I come to the conclusion that it started off as a viral infection (a sore throat) and has progressed to a secondary bacterial infection which has manifested as a cough with phlegm and due to phlegm accumulation in your sinuses...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

I get dizziness when I look up or get up. What is causing this?

Query: Hello doctor,I have been getting bouts of confusion, dizziness (when looking up and sometimes when getting up), headaches, pulses, and pressure in my head and what I can only explain as brain fog (during these episodes, I find that my problem solving and my cognitive function is diminished). The epi...  Read Full »

How to check if the blood circulation to the head and neck is fine?

Query: Hi doctor, A physiotherapist did some manipulation with my neck and since then when I fall asleep at night, my arms, hands, upper back (area just below the neck) and brain feels weird as if blood supply is cut. This happens several times during the night while I am sleeping and these symptoms go aw...  Read Full »

Why is there neck pain on turning to side?

Query: Hello doctor, I have pain in my neck whenever I turn it to the left, occurring in the back left-hand side of my neck, and this has been happening for the last six months. I am currently on no medication. I am a female, age 15, 5'5".  Read Full »

Also Read

Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask an Orthopaedician & Traumatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.