Dizziness: 

- Sensation of dizziness, new onset, occurs while laying head back with neck in extension on
cervical stretching pillow
- Has occurred 3 times, each time while using pillow
- Lasts minutes then resolves on its own without intervention
- Using pillow to stretch cervical neck muscles
- Occurs occasionally with changes in head position
- No known trauma
- Denies falls
- Denies syncopal episodes
- Denies chest pain, palpitations
- Denies vomiting
- Denies vision changes 

Dizziness: 
- Physical exam without red flag symptoms; discussed treatment options including lab work,
physical therapy, evaluation by ENT Balance Center, consider imaging; patient agreeable to
beginning with lab work evaluation, gentle home neck stretching and strengthening exercises,
warm compresses to relieve muscle tension.
- Continue to monitor symptoms, update if symptom frequency increases or persists.
- Red flag symptoms warranting immediate evaluation by physician discussed, patient
understands and agreeable to plan of care