{"id":19680,"date":"2026-11-03T10:27:46","date_gmt":"2026-11-03T09:27:46","guid":{"rendered":"https:\/\/ivrt.de\/?p=19680"},"modified":"2026-11-03T10:27:49","modified_gmt":"2026-11-03T09:27:49","slug":"pppd-dizziness-and-also-pain","status":"publish","type":"post","link":"https:\/\/ivrt.de\/en\/patientenblog\/pppd-schwindel-und-auch-schmerzen\/","title":{"rendered":"PPPD: Dizziness and also pain?"},"content":{"rendered":"<p class=\"wp-block-paragraph\">What if the dizziness remains noticeable even when lying down and additional pain occurs in the back of the head or neck? Many sufferers are uncertain whether such symptoms still constitute the disease. <a href=\"https:\/\/ivrt.de\/en\/dizziness-disorders\/persistent-postural-perceptual-dizziness-pppd\/\" data-type=\"post\" data-id=\"5343\" target=\"_blank\" rel=\"noopener\">Persistent postural-perceptual dizziness<\/a> (PPPD) whether it is due to a different cause or not.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is what lies behind additional symptoms in PPPD:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diagnostic criteria must be met: The typical underlying pattern is always the basis. This includes chronic dizziness lasting at least three months, usually as a feeling of lightheadedness or dizziness, which is intensified when standing, during movement, or through visual stimuli.<\/li>\n\n\n\n<li>Body under constant stress: In PPPD, the nervous system is in a permanent state of alert. This condition activates the stress physiology and releases increased amounts of stress hormones.<\/li>\n\n\n\n<li>The vegetative nervous system becomes extremely sensitive. This often leads to additional physical reactions such as neck tension, pressure sensations, back pain, or pain in the back of the head.<\/li>\n\n\n\n<li>No contradiction to the diagnosis: Additional complaints do not in any way rule out PPPD. After 15 years of practical experience in vertigo therapy, we see such accompanying symptoms in patients very frequently.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udc49 Would you like to understand the mechanisms of the vegetative nervous system and typical accompanying symptoms of PPPD in detail? Take a look now to our detailed <a href=\"https:\/\/ivrt.de\/en\/dizziness-disorders\/persistent-postural-perceptual-dizziness-pppd\/\" data-type=\"post\" data-id=\"7396\" target=\"_blank\" rel=\"noopener\">Patient information<\/a> or that <a href=\"https:\/\/www.youtube.com\/watch?v=lb77Johf5Xw\" data-type=\"link\" data-id=\"https:\/\/www.youtube.com\/watch?v=m_bkHsZ7H1I\" target=\"_blank\" rel=\"noopener\">Main video on YouTube<\/a> may apply.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udccd Are you looking for qualified therapists near you who specialize in dizziness? Use our <a href=\"https:\/\/ivrt.de\/en\/for-patients\/dizziness-vestibular-therapist-search\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noopener\">Therapist search<\/a>!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Was ist, wenn der Schwindel selbst im Liegen sp\u00fcrbar bleibt und zus\u00e4tzlich Schmerzen am Hinterkopf oder Nacken auftreten? Viele Betroffene sind verunsichert, ob solche Beschwerden noch zum Krankheitsbild persistierender postural-perzeptiver Schwindel (PPPD) passen oder ob eine ganz andere Ursache dahintersteckt. Das steckt hinter zus\u00e4tzlichen Symptomen bei PPPD: \ud83d\udc49 Du m\u00f6chtest die Mechanismen des vegetativen Nervensystems [&hellip;]<\/p>\n","protected":false},"author":3839,"featured_media":19681,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":1,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[316],"tags":[],"class_list":["post-19680","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patientenblog"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/19680","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/users\/3839"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/comments?post=19680"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/19680\/revisions"}],"predecessor-version":[{"id":19682,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/19680\/revisions\/19682"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media\/19681"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media?parent=19680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/categories?post=19680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/tags?post=19680"}],"curies":[{"name":"WP","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}