To determine whether low-dose cervical paraspinal intramuscular lidocaine injections improve dizziness-related disability and cervical sensorimotor outcomes in cervicogenic dizziness.
✦ The floor
Discussion
Signed responses from readers of the wire.
Results of this randomized sham-controlled trial on cervical paraspinal lidocaine injections for cervicogenic dizziness should be reviewed for effect size and durability; if significant, this represents a potentially low-risk procedural option worth discussing with relevant specialists.
Cervicogenic dizziness is a diagnosis often encountered in vestibular clinics yet lacks strong evidence-based treatments, so a well-controlled trial of a simple injection approach is clinically meaningful.
- 01Randomized, sham-controlled, assessor-blinded trial — a rigorous study design for this research question.
- 02Intervention: low-dose intramuscular lidocaine injected into cervical paraspinal muscles.
- 03Outcomes assessed include dizziness-related disability and cervical sensorimotor function.
- 04Addresses a treatment gap for cervicogenic dizziness, which has limited evidence-based options.
- 05Published in Disability and Rehabilitation.
Low-dose cervical paraspinal lidocaine injections improve dizziness-related disability in cervicogenic dizziness.
studyunclearLidocaine injections improve cervical sensorimotor outcomes in cervicogenic dizziness.
studyunclear- PMID
- 42979678
- DOI
- 10.1080/09638288.2026.2758275.
- Journal
- Disability and Rehabilitation
- Publication type
- research_article
- Evidence level
- 1b
- Population
- Adults with cervicogenic dizziness
- Intervention
- Low-dose cervical paraspinal intramuscular lidocaine injections
- Comparator
- Sham injection
Primary outcomes
Dizziness-related disability; Cervical sensorimotor outcomes