In addition to VS, I have early arthritis (I'm 29) and 2 bulging discs in my neck. My VS symptoms became much worse as the pain/tightness in my neck increased. In January of this year I was actually unable to function from the pain. The two neck issues would also cause my neck muscles to seize up and spasm. I could not sleep at night for several months. Couldn't move my head. I was also having numbness in my hands/arms/upper back constantly. I do not know if they are related (the VS and the neck problems) but it would certainly make sense to me. I've heard a lot of VS sufferers complain of neck issues. The neck pain sometimes causes headaches that start at the base of my neck and wrap upwards. As for treatment, I have been to many physical therapy sessions (Tens unit, traction, stretches, heat, massage) with wonderful BUT temporary relief. I finally saw a physical therapist specializing in the McKenzie Method where I learned to treat my own pain/tension through targeted stretches and now my numbness is gone and the pain is mostly gone. When the pain comes back I treat it effectively myself. It has helped to decrease the visual symptoms slightly. I am a firm believer in seeing this type of physical therapist (when applicable) as it has literally changed my life! Before this, my prognosis was seeing a traditional physical therapist 3 x a week and going for pain injections (which I never did get). The McKenzie physical therapist was more expensive, but it only took 2 sessions for her to teach me all I needed to know and I have been extremely happy ever since!