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Vertigo — the sensation that the room is spinning — can be profoundly disabling. Upper cervical chiropractic care at Pura Vida is highly effective for the most common types of vertigo, often producing rapid and lasting relief.
Vertigo is the illusion of movement — either the patient feels as if they are spinning, or the environment appears to spin around them. The most common cause is benign paroxysmal positional vertigo (BPPV), where calcium carbonate crystals (otoconia) become displaced in the semicircular canals of the inner ear. Cervicogenic vertigo arises from dysfunction in the upper cervical spine — C1 and C2 proprioceptors send signals to the vestibular system, and their misalignment creates conflicting sensory input perceived as spinning. Chiropractic care addresses both mechanisms effectively through upper cervical adjustments and craniosacral therapy.
Dr. Foss assesses the upper cervical spine and temporal bones for dysfunction contributing to vertigo. SOT craniosacral corrections at the occiput, atlas, and temporal bones normalize proprioceptive signals from the cervical spine to the vestibular system. Canalith repositioning maneuvers (Epley or Semont) are performed for BPPV to guide displaced crystals back to their proper location. Most BPPV patients experience resolution within one to three sessions. Cervicogenic vertigo responds well to sustained upper cervical care over several weeks.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
For many patients, combining spinal correction with regenerative therapies produces faster and more lasting results. Depending on your condition, Dr. Foss may incorporate one or more of the following:
Photobiomodulation with a 10–15W Class IV laser delivers therapeutic light energy deep into tissue, reducing inflammation, blocking pain signals, and speeding healing at the cellular level.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly. Bring your insurance card and ID to the office to verify how your insurance can contribute to your care. New patient appointments are available promptly.
Comparing options? See how to choose a chiropractor near me in San Antonio or read our guide on how to choose the best chiropractor in San Antonio.
Vertigo most often originates from one of three sources: BPPV (displaced inner ear crystals), upper cervical dysfunction at C1–C2, or cranial-bone restriction affecting the temporal bones and inner ear structures. Identifying which mechanism is driving the spinning sensation determines which treatment approach will resolve it.
Dr. Foss assesses the upper cervical spine, cranial bone position, and inner ear function to identify the source of vertigo. For cervicogenic vertigo, SOT realigns the upper cervical spine; for cranial-pattern vertigo, cranial chiropractic addresses temporal bone restriction; for BPPV, the Epley maneuver is incorporated alongside chiropractic correction.
Cervicogenic and cranial-pattern vertigo often improves within 2–4 visits. BPPV typically resolves within 1–3 Epley maneuvers combined with cervical correction. Chronic recurrent vertigo from long-standing structural patterns may require 8–12 visits for stable resolution.
Yes, when delivered with appropriate technique. SOT uses no rotational cervical adjustments — the technique most commonly raised as a vertigo concern. Dr. Foss screens for vascular and central causes before any cervical work and refers for ENT evaluation when the pattern suggests Meniere's disease, vestibular neuritis, or central etiology.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
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