Successful Management of Chronic Cervical Spondylosis with Cervicogenic Vertigo Using Individualized Homoeopathic Treatment: A Case Report

Abstract

Background

Cervical spondylosis is a chronic degenerative disorder of the cervical spine characterized by progressive intervertebral disc degeneration, osteophyte formation, cervical stiffness, neck pain, radiculopathy, and cervicogenic vertigo. The condition frequently affects quality of life by limiting neck movements and daily activities. Although analgesics, physiotherapy, and rehabilitation remain the standard management, many patients continue to experience recurrent pain and functional disability. Individualized homoeopathic treatment considers the patient's constitutional characteristics along with the local pathology to provide holistic management.

Case Presentation

A retired elderly male presented with chronic cervical spondylosis of four years' duration associated with persistent neck pain, shooting pain radiating to the left scapular region and lower back, stiffness, and recurrent episodes of vertigo. Pain was aggravated by movement and relieved by rest. Associated hypertension was controlled with conventional medication. Constitutional assessment revealed an ambitious, hardworking, emotionally stable individual with suppressed anger, anxiety regarding his wife's health, and a strong sense of responsibility toward his family. Based on the constitutional totality, Sulphur was selected as the constitutional remedy, supported during acute episodes by Bryonia, Ruta graveolens, and other indicated remedies according to symptom evolution.

Outcome

Serial follow-up over eleven months demonstrated marked improvement in cervical pain, reduction in stiffness, approximately 80–90% improvement in vertigo, improved neck mobility, and significant enhancement in quality of life. The patient maintained clinical remission for nearly one year with only occasional mild stiffness.

Conclusion

This case demonstrates sustained improvement in chronic cervical spondylosis with cervicogenic vertigo following individualized homoeopathic treatment integrated with conventional management of hypertension.