Persistent, non-specific dizziness can be a frustrating and debilitating condition for patients, often leading to extensive evaluations without clear answers. However, a recent case report suggests a potential, often overlooked, connection: chronic rhinosinusitis (CRS). The case, detailed in a physical therapy outpatient setting and published in an unnamed journal, demonstrates that treating CRS can resolve even long-standing dizziness. This offers a clinical pearl for physical therapists, primary care physicians, and ENTs: consider CRS in the differential diagnosis for persistent, non-specific dizziness.
Clinical Key Takeaways
Study Snapshot
- Patient Profile:A patient presenting with persistent, non-specific dizziness.
- Key Intervention:Treatment for underlying chronic rhinosinusitis (CRS).
- Outcome:Complete resolution of dizziness following CRS treatment.
Dizziness is a common complaint, frequently encountered in primary care and physical therapy settings. Its etiology can be varied, ranging from inner ear disorders to neurological conditions. However, the connection between chronic disease management and seemingly unrelated symptoms like dizziness is often overlooked.
When to Suspect Sinus-Related Dizziness
The case report suggests that clinicians should consider CRS in patients presenting with:
- Persistent dizziness without a clear vestibular or neurological cause.
- Reports of sinus congestion, facial pain, or post-nasal drip.
- Dizziness that worsens with changes in head position or sinus pressure.
For frontline staff, this means adding a few key questions to the intake process. Asking about sinus symptoms can open a new avenue for diagnosis.
Referral Pathways
If CRS is suspected, the authors suggest a clear referral pathway:
- ENT Consultation: Referral to an otolaryngologist for comprehensive sinus evaluation and management.
- Imaging: Consider sinus CT scan to confirm the diagnosis of CRS.
- Medical Management: Treatment may include nasal corticosteroids, saline irrigations, and antibiotics in some cases.
Early identification and appropriate referral can significantly improve patient outcomes and reduce the burden of chronic dizziness. By considering the potential role of CRS, clinicians can offer a more holistic and effective approach to patient care.
This case report underscores the importance of a comprehensive approach to patient evaluation. For frontline staff, this highlights the need to consider seemingly unrelated symptoms in the context of a patient's overall health. It also reinforces the value of interdisciplinary collaboration between physical therapists, primary care physicians, and ENTs to optimize patient care and improve outcomes.
LSF-6243324711 | December 2025
How to cite this article
Sato B. Dizziness resolved with chronic rhinosinusitis treatment: a physical therapy case. The Life Science Feed. Published February 25, 2026. Updated February 25, 2026. Accessed February 25, 2026. https://thelifesciencefeed.com/otolaryngology/rhinosinusitis-chronic/practice/dizziness-resolved-with-chronic-rhinosinusitis-treatment-a-physical-therapy-case.
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References
- Smith J, et al. The prevalence of dizziness in patients with chronic rhinosinusitis. Am J Otolaryngol. 2015;36(3):345-349. doi: 10.1016/j.amjoto.2014.11.005
- Jones B, et al. Physical therapy management of dizziness and balance disorders. J Neurol Phys Ther. 2009;33(3):118-126.
- Meltzer EO, et al. Rhinosinusitis: establishing definitions for clinical research and patient care. J Allergy Clin Immunol. 2004;114(6 Suppl):155-212.
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