Talk Dizzy To Me

Finding the right provider for dizziness can be a long and frustrating process. In this episode of Talk Dizzy To Me, we welcome back Patrick Esmonde to introduce Dizzy Care Network, a platform designed to help connect people experiencing dizziness with clinicians who are best suited to evaluate their symptoms. We explore how the platform works for both patients and providers, the technology and clinical reasoning behind its matching process, and how it could help reduce the time spent searching for answers. We also discuss what Patrick and his team have learned so far and their vision for the future of more accessible, efficient, and individualized vestibular care. Learn More Here: https://dz.care/TDR Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partnered with: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠⁠⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts. Timestamps 00:13 – Meet Patrick Esmonde 00:54 – From Vestibular First to Dizzy Care Network 05:32 – The problem with finding vestibular care 08:07 – Who is Dizzy Care Network for? 12:32 – The patient questionnaire 14:26 – Making the platform dizziness-friendly 18:04 – Symptoms, timing & triggers 18:25 – How patient-provider matching works 22:47 – Customizing your provider match 25:12 – Building an evidence-based questionnaire 28:06 – DHI, PHQ-8 & GAD-7 integration 30:13 – Improving the vestibular evaluation 33:05 – Beta testing & unexpected lessons 36:45 – Expanding access across the U.S. 38:05 – Virtual vestibular care 40:57 – The future of Dizzy Care Network 42:38 – Using it as a clinician intake tool 45:13 – Expanding dizziness diagnoses & symptom clusters 48:29 – Is Dizzy Care Network free? 50:10 – Data, growth & future possibilities

In this special episode of Talk Dizzy to Me, we’re joined by members of the Dizzy Moms Club for an honest conversation about the challenges of parenting with vestibular disorders, including vestibular migraine, PPPD (Persistent Postural-Perceptual Dizziness), vestibular neuritis, unilateral vestibular hypofunction, BPPV, and Ménière’s disease. Our guests share their lived experiences navigating the unpredictable nature of dizziness while raising children—and the strategies they’ve learned for adapting without losing meaningful connection with their families. Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partnered with: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts. Episode Timestamps 00:13 – Introduction: Parenting While Dizzy 01:14 – Meet the Dizzy Moms Club 06:41 – Adapting Parenting on Dizzy Days 11:02 – Prioritizing & Pacing 14:51 – Making Treatment Plans Fit Real Life 19:28 – Fitting Vestibular Rehab Into Motherhood 26:22 – Sleep & Vestibular Symptoms 28:56 – Mom Guilt & Giving Yourself Grace 39:55 – The Power of Support & Community 43:49 – Learning to Ask for Help 49:54 – A Message of Hope for Dizzy Parents 51:36 – What Clinicians Need to Understand 53:28 – Dizzy Moms Club & Dizzy Parents Day

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with Dr. David Sandlin, a vestibular and oculomotor neurologist at Emory Brain Health Center, to discuss how eye movements can provide critical clues to progressive neurologic diseases. From Parkinson's disease and Progressive Supranuclear Palsy (PSP) to Multiple System Atrophy (MSA), cerebellar disorders, and Multiple Sclerosis (MS), Dr. Sandlin explains how a detailed bedside eye movement examination can detect neurologic disease long before imaging does. He shares the clinical reasoning behind evaluating nystagmus, saccades, smooth pursuit, VOR testing, and other vestibular examination findings that help differentiate central from peripheral causes of dizziness. This episode also discusses the importance of making timely referrals and understanding where vestibular rehabilitation fits into the care of progressive neurologic disorders. Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partnered with: → Our online program and community, The Dizzy Reset™ , ⁠⁠⁠⁠use code TALKDIZZYTOME for 40% off your first payment ⁠⁠⁠⁠ ⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts. Time Stamps: 00:00 – Introduction to Dr. David Sandlin 02:15 – Why Dr. Sandlin specialized in vestibular & ocular motor neurology 06:05 – What are progressive neurologic diseases? 08:15 – Can dizziness be the first symptom? 10:55 – How Dr. Sandlin evaluates dizzy patients 12:45 – Eye movement examination: fixation, nystagmus & ocular alignment 15:35 – Saccades and what they reveal about the brain 18:25 – Smooth pursuit, convergence & VOR suppression 21:50 – Why eye movements reveal so much about neurologic disease 24:20 – Vestibular testing beyond the bedside exam 26:10 – Red flag patterns of nystagmus clinicians should recognize 28:55 – Hypermetric saccades, stroke & cerebellar findings 30:20 – Pendular nystagmus and multiple sclerosis 32:10 – MRI: when imaging helps—and when your clinical exam is better 36:45 – Central vs. peripheral findings: what provides reassurance? 41:45 – Progressive Supranuclear Palsy (PSP): recognizing early signs 45:10 – Multiple System Atrophy (MSA), Parkinsonism & autonomic dysfunction 49:20 – AI, ChatGPT & patients researching their symptoms 51:00 – The future of AI-assisted eye movement analysis 53:00 – Virtual reality and the future of vestibular diagnostics 56:25 – Key takeaways for patients and clinicians

In this episode of Talk Dizzy to Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT are joined by Dr. Ben Shaw, a London-based consultant audiovestibular physician specializing in dizziness, vertigo, balance disorders, tinnitus, and hearing loss. Dr. Shaw explains how he evaluates patients with vague, recurrent, or chronic dizziness and why understanding the timing, triggers, and associated symptoms is essential for reaching the correct diagnosis. The conversation discusses various vestibular conditions, including Benign Paroxysmal Positional Vertigo (BPPV), vestibular migraine, Ménière’s disease, vestibular neuritis, labyrinthitis, Persistent Postural-Perceptual Dizziness (3PD/PPPD), and Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome (CANVAS). The episode also includes an in-depth discussion of tinnitus. Dr. Shaw explains why tinnitus is a symptom rather than a diagnosis and presents a holistic approach to tinnitus management. Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partnered with: → Our online program and community, The Dizzy Reset™ , ⁠⁠⁠use code TALKDIZZYTOME for 40% off your first payment ⁠⁠⁠⁠ ⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts. Time Stamps 00:15 Meet Dr. Ben Shaw 01:34 Audiovestibular medicine explained 02:53 Evaluating dizziness 06:12 The vestibular examination 07:59 When additional testing is needed 08:55 Central red flags 10:23 Vestibular migraine and PPPD 11:49 Vestibular neuritis 12:19 Ménière’s disease 13:44 Neuritis vs. labyrinthitis 16:04 Understanding tinnitus 18:27 Managing tinnitus 20:46 CBT, mindfulness, and habituation 22:39 Tinnitus red flags 23:07 Sudden hearing loss 24:28 Pulsatile and unilateral tinnitus 25:28 Complex dizziness cases 25:58 CANVAS syndrome 27:53 Vestibular migraine and anxiety case 29:21 Treating migraine before vestibular rehab 31:19 Advice for clinicians 34:41 What patients should know about vertigo 36:04 Vestibular suppressant medications 37:03 Preventing vestibular migraine 37:56 Connect with Dr. Ben Shaw 39:21 Closing thoughts

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT are joined by Dr. Katherine Deines, PT, NCS and Dr. Jaimy Wahab, PT, NCS, also known as the Neuro Dizzy Duo, for a deep dive into one of the most overlooked parts of the vestibular system: the otolith organs. While many people associate vertigo and dizziness with the semicircular canals and spinning sensations, this episode explores how the utricle and saccule help us sense gravity, acceleration, head position, vertical orientation, and linear movement. The conversation highlights why otolith dysfunction may contribute to symptoms such as rocking, swaying, bobbing, feeling pulled or pushed, floating, walking on marshmallows, disorientation, and feeling “off.” The guests also explain how otolith dysfunction may show up in conditions such as BPPV, vestibular migraine, PPPD/3PD, Mal de Débarquement Syndrome, concussion, dysautonomia, POTS, Parkinson’s disease, and other complex vestibular presentations. This episode is especially helpful for vestibular clinicians, physical therapists, audiologists, patients with chronic dizziness, and anyone trying to better understand why dizziness is not always “spinning.” Episode Resources: Where to find The Dizzy Duo on Instagram: @neuro_dizzy_duo Email address: info@neurodizzyduo.com Courses, publications, or resources: Their Positive Spin on Dizziness advanced vestibular courses cover many lesser discussed topics:otolith dysfunction, the difference between vestibular dysfunction and hypersensitivity, visual motion hypersensitivity, Vestibular Migraine, Mal de Debarquement Syndrome, Meniere’s disease Recommended products or links: https://www.reactiveeducation.com/store Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partnered with: → Our online program and community, The Dizzy Reset™ , ⁠⁠use code TALKDIZZYTOME for 40% off your first payment ⁠⁠⁠⁠ ⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ ⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts. Episode Timestamps: 01:36 – Jaimy's introduction 03:28 – Katherine’s introduction 06:38 – Why otolith organs are often overlooked 09:21 – Why dizziness is not always spinning 12:38 – Conditions linked to otolith dysfunction 16:42 – Otoliths, dysautonomia, POTS, and concussion 21:28 – Understanding linear vertigo and non-spinning dizziness 22:23 – How clinicians assess otolith function 25:14 – Why patient descriptions matter 27:28 – Using weights to help patients feel grounded 30:16 – Individualizing vestibular rehab treatment 31:37 – Head tilts, balance, and otolith-based exercises 35:22 – How much weight may help without overdoing it 39:52 – Vibration plates, BPPV, and vestibular concerns 42:15 – Avoiding overreliance on tools and strategies 44:33 – Astronauts, gravity, and otolith function 46:28 – Key takeaways for vestibular clinicians 52:05 – Key takeaways for patients with dizziness 53:21 – Final thoughts and closing

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with neurologist Dr. Kristen Steenerson to unpack Persistent Postural Perceptual Dizziness, also known as 3PD or PPPD. If you feel dizzy, floaty, rocking, disoriented, or visually overwhelmed most days — especially in places like grocery stores, airports, busy restaurants, or while scrolling screens — this episode explains what may be happening in the brain and nervous system. Dr. Steenerson breaks down the diagnostic criteria for 3PD, why symptoms can continue even after the original vestibular problem improves, how 3PD overlaps with vestibular migraine, and why treatment often requires a combination of education, vestibular therapy, medication, cognitive strategies, lifestyle support, and gradual exposure. This conversation also addresses why 3PD is sometimes misunderstood, how hypervigilance plays a role, and why there is real hope for recovery and improved quality of life. Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partnered with: → Our online program and community, The Dizzy Reset™ , ⁠use code TALKDIZZYTOME for 40% off your first payment ⁠⁠⁠⁠ ⁠ → ⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ ⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠⁠⁠⁠⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts. Timestamps: 00:00 – Welcome to Talk Dizzy To Me 00:15 – Introducing Dr. Kristin Steenerson 01:10 – What is 3PD/PPPD? 01:37 – Diagnostic criteria: persistent, postural, perceptual dizziness 02:47 – Common triggers and risk factors 04:52 – Why some providers question the diagnosis 06:34 – Hypervigilance and lack of biomarkers 08:20 – Why symptoms can continue after the original issue resolves 09:35 – Education, reassurance, and moving from “detective mode” to rehab 11:24 – Brain health habits: sleep, food, exercise, hydration, stress 12:16 – Why symptom tracking can sometimes backfire 15:38 – Why grocery stores, airports, screens, and busy spaces trigger symptoms 17:47 – Fear, memory, and the brain’s threat response 19:39 – Avoidance vs gradual exposure 21:03 – Neurology evaluation and ruling out other causes 23:24 – What vestibular testing can and cannot show 25:14 – The gap in measuring perception 26:34 – fMRI research and brain network changes in 3PD 29:51 – Vestibular therapy for 3PD 31:00 – Medication options and why SSRIs/SNRIs may help 35:38 – 3PD vs vestibular migraine 41:05 – What progress looks like in recovery 43:49 – Permission to do hard things without fear of damage 44:47 – Community support and celebrating wins 45:42 – Future research: medications, CGRP, TMS, neuromodulation 48:54 – Mic drop takeaway for clinicians and patients

In this episode of Talk Dizzy To Me, Dr. Dani Tolman, PT and Dr. Abbie Ross, PT, NCS welcome back Sarah Renberg for her third appearance on the podcast. Sarah shares an inspiring update on her journey after a traumatic brain injury (TBI), vestibular dysfunction, autonomic dysfunction, ocular motor challenges, and more — and how she is now navigating medical school while continuing to manage her health. Sarah offers a powerful patient perspective on recovery, self-advocacy, support systems, and redefining progress after brain injury. Episode Resources: -Instagram: @Sren20 -Sarah’s 1st TDTM Episode 2021 -Sarah’s 2nd TDTM Episode 2023 Sarah’s Team on TDTM: -Dr. Appelbaum -Dr. Keiser Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Partnered with: → Our online program and community, The Dizzy Reset™ , use code TALKDIZZYTOME for 40% off your first payment ⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ ⁠Just Ingredients, use code TALKDIZZYTOME for 5% off Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠⁠⁠⁠ Timestamps: 00:58 — Sarah’s TBI, vestibular symptoms & surgical history 02:53 — Understanding symptoms and protecting self-worth 04:40 — How the visual, vestibular, neck & autonomic systems connect 07:02 — Support systems & asking for help 12:31 — Identity shifts after brain injury 13:54 — Resilience vs. “recovery” 16:46 — Embracing hard moments without getting stuck 17:46 — Building systems and routines for success 20:06 — Navigating plateaus, setbacks & goals 22:21 — Rehab habits, consistency & reducing barriers 24:41 — Redefining progress and celebrating small wins 28:30 — Getting through low moments 31:50 — Managing grocery stores and sensory overload 35:43 — Self-advocacy in healthcare appointments 41:26 — What Sarah would tell her 2014 self 46:01 — Being brave enough to try 48:23 — A message for clinicians 49:23 — Resources, where to find Sarah & closing This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s).

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT welcome back Dr. Shin Beh for a deeper conversation on the diagnosis and treatment of vestibular migraine, Persistent Postural-Perceptual Dizziness (PPPD), and Mal de Débarquement Syndrome (MdDS).These conditions can overlap, feel confusing, and leave patients feeling stuck in their recovery. Dr. Beh breaks down how he differentiates these diagnoses clinically, why vestibular migraine can precipitate PPPD symptoms, and how treatment plans need a whole-person approach. Treatment plans may combine lifestyle optimization strategies, vestibular rehabilitation, medication or supplements, neuromodulation, stress management, and more... and should absolutely be individualized. Whether you're living with chronic dizziness or treating patients with vestibular disorders, this episode offers a practical, compassionate look at why there is no one-size-fits-all approach to recovery. Episode Resources: www.vestibularmd.com Dr. Beh's Books: www.vestibularmd.com/about-dr-beh/books Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ . ⁠⁠⁠Use code TALKDIZZYTOME for 40% off your first month!⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™ ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠⁠⁠ → ⁠⁠⁠ Avulux glasses, use code DIZZYRESET for $25 off ⁠⁠⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). Timestamps: 01:37 How vestibular migraine, PPPD, and MdDS are diagnosed 04:20 How these conditions overlap 06:29 Why patients can feel stuck in recovery 08:17 Vestibular migraine treatment approach 08:45 Lifestyle foundations for migraine management 10:07 Supplements for vestibular migraine 11:04 Medication and neuromodulation options 12:01 Addressing sleep apnea, neck pain, TMJ, iron, and hormones 14:44 How to layer treatment without the overwhelm 16:03 When supplements, rescue meds, or preventives may be appropriate 18:25 Medication sensitivity and starting low/slow 21:11 PPPD treatment approach 22:08 Vestibular therapy, movement, and visual desensitization 23:59 Medications and neuromodulation for PPPD 25:53 CBT and the dizzy-anxious cycle 26:45 Lab values, vitamin D, B vitamins, magnesium, and ferritin 32:31 Timolol eye drops for migraine rescue 33:53 MdDS treatment approach 34:22 Travel and MdDS 35:44 Therapy for MdDS 36:39 Defining progress beyond symptom reduction 39:05 Knowing when to use rescue medication 43:24 Why vestibular disorders affect more women 45:08 COVID, vestibular dysfunction, and fibromyalgia 48:30 Migraine-related ear symptoms and hearing changes 49:37 Vestibular migraine and vestibular test findings 51:02 Final advice for patients and clinicians

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with Dr. Yonit Arthur, AuD (aka The Steady Coach) to break down her approach to chronic dizziness recovery. If you’ve been told “it’s just anxiety,” feel stuck with PPPD (Persistent Postural-Perceptual Dizziness), vestibular migraine, or lingering dizziness... this episode may change how you think about healing. We explore the role of the brain in chronic symptoms and how recovery is possible through neuroplasticity, not just medication or diagnosis labels.Whether you’re a patient or clinician, this episode offers hope, clarity, and actionable tools. Episode Resources: - thesteadycoach.com - Free Healing Chronic Dizziness Course -The Steady Coach's Youtube Channel Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™. ⁠⁠Use code TALKDIZZYTOME for 40% off your first month!⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠ Join our online program and community, The Dizzy Reset™, for FREE ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠⁠ → ⁠⁠ Avulux glasses, use code DIZZYRESET for $25 off ⁠⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). Timestamps 02:32 – Why traditional approaches to dizziness fall short 03:56 – Personal story: Dr. Yo's mom’s dizziness 06:47 – Why chronic dizziness is deeply misunderstood 09:38 – The harm of “it’s just anxiety” or endless testing 11:04 – Software vs hardware issues1 2:29 – Why symptoms are real 13:56 – Conditions like PPPD, vestibular migraine, and MdDS 16:41 – What makes someone more prone to chronic dizziness 18:01 – Nervous system sensitization explained 19:28 – The cycle that keeps you stuck 21:14 – Does modern society contribute to dizziness? 24:09 – Personality traits: people-pleasers & Type A 26:05 – Lifestyle factors: stress, screens, and overstimulation 27:21 – What does recovery actually look like? 27:49 – You are NOT broken 29:13 – Reframing symptoms: not the enemy 30:09 – Breaking the fear–symptom cycle 32:29 – Practical calming exercise (live demo) 40:01 – Why sitting with symptoms works 40:31 – Pillar #1: Acceptance (reprogramming the brain) 41:29 – Pillar #2: The “Stress Bucket” 46:17 – Pillar #3: Exposure & reducing avoidance 48:14 – The importance of individualized recovery 52:53 – Somatic tracking explained 54:50 – Final message: Hope & healing are possible

In this episode of Talk Dizzy To Me, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman PT are joined by Dr. Mickey Shah, PT, D.Sc. NCS, OCS, FAAOMPT, Dip. MDT; Certified Vestibular Rehabilitation Specialist - Emory, AVPT (Pittsburgh) to unpack the connection between pain and dizziness. Together, they explore how the neck plays a critical role in balance, why dizziness isn’t always vestibular, and how clinicians can better assess and treat patients with overlapping symptoms. From real clinical insights to practical strategies, this episode bridges the gap between vestibular therapy, pain science, and musculoskeletal care—making it a must-watch for clinicians and patients alike. Episode Resources: www.EvidenceCEU.com www.Goodliferehab.com Midwest Vestibular Rehab Symposium Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™. ⁠Use code TALKDIZZYTOME for 40% off your first month!⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠⁠ Join our online program and community, The Dizzy Reset™, for FREE ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠ → ⁠ Avulux glasses, use code DIZZYRESET for $25 off ⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). Episode Timestamps 01:26 From neuro rehab to orthopedic & vestibular care 05:18 Why dizziness & pain are not owned by one specialty 06:18 Definition of cervicogenic dizziness (updated understanding) 06:48 Prevalence: How common is it really? 08:14 Cervical spine involvement in dizziness cases 10:12 Why movement loss matters more than pain 11:36 Real-world complexity: vestibular + cervical overlap 14:20 Neck’s role in balance reflexes 17:12 Why function matters more than symptoms 19:07 Testing beyond standard vestibular exams 21:04 Why symptoms alone can mislead treatment 22:02 Helping patients understand the neck-dizziness connection 24:02 Real-life clinical example explained 26:28 Pain science vs dizziness: overlapping principles 27:55 Drivers of symptoms: stress, lifestyle, comorbidities 29:17 Functional neurological disorders & validation 30:41 Nervous system regulation strategies 32:09 Practical tools: breathing, guided imagery, small wins 33:35 Therapist challenges with patient buy-in 35:00 Posture tips that actually work 36:54 Simple, effective home exercise strategies 38:17 Clinical pearls: what clinicians must remember 39:15 Words matter: how language affects recovery 40:13 Using reassurance to reduce fear 41:35 Why joy and meaningful activity matter in recovery 44:06 Empowerment: patients can change and improve

In this episode of Talk Dizzy To Me, Dr. Abbie Ross, PT, NCS is joined by vestibular and neuro experts Dr. Carly Lochala, PT, NCS and Dr. Sara MacDowell, PT to break down facial paralysis, including Bell’s palsy, Ramsay Hunt syndrome, and facial nerve recovery. They dive into how facial paralysis affects not just movement, but also confidence, communication, and daily life... and what both clinicians and patients need to know about assessment, treatment, and recovery. Key Takeaways: - Facial paralysis is commonly caused by Bell’s palsy, but can also result from Ramsay Hunt syndrome, tumors, trauma, or infections - The facial nerve (cranial nerve VII) controls facial expression, taste, tear production, and more - Recovery depends on degree of nerve damage, not just diagnosis - You cannot “exercise” your way out of paralysis early on... the nerve must heal first - Improper exercises or overstimulation can worsen recovery - Facial paralysis has a major psychosocial impact - There are treatment options—even long-term—despite common myths Episode Resources: ⁠https://facialtherapyspecialists.com/⁠ ⁠https://www.facialpalsy.org.uk/⁠ ⁠http://bellspalsy.ws/⁠ ​​⁠https://facialparalysisfoundation.org/bells-palsy/⁠Webinar: ⁠Sara's Webinar Where to Find Sara: @dizzydiagnostics Where to Find Carly: @balancingactrehab Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™. Use code TALKDIZZYTOME for 40% off your first month! Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ ⁠ Join our online program and community, The Dizzy Reset™, for FREE ⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! → Avulux glasses, use code DIZZYRESET for $25 off This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s).

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT are joined by vestibular PT and social media educator Dr. Amy Moore , PT to break down some of the biggest myths and misconceptions about dizziness, vertigo, and vestibular rehab. If you've ever been told “your tests are normal so nothing is wrong,” “just take meclizine,” or “do the Epley maneuver and it will fix everything,” this episode is for you. Together they discuss what’s myth vs fact in the world of dizziness, why vestibular conditions are often misunderstood, and what patients should actually know about vestibular rehab. Whether you're a patient living with dizziness, a healthcare professional, or simply curious about how the vestibular system works, this episode is for you. Key Takeaways: -Normal tests don’t mean your dizziness is made up -Meclizine should not be used long-term -Good vestibular rehab is much more than physical exercises -A little dizziness during therapy is necessary -Not all dizziness or vertigo is due to BPPV -There's no silver bullet when it comes to chronic dizziness -Movement helps recovery Where to find Amy: @thedizzypt_amy Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Join our online program and community, The Dizzy Reset™, for FREE ⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). Episode Timestamps: 04:32 Myth or Fact: If imaging is normal, nothing is wrong 06:24 Myth or Fact: Meclizine is not a long-term solution for vertigo 08:14 Myth or Fact: Vestibular rehab is only eye and head exercises 10:21 Myth or Fact: If exercises make you dizzy, they’re harmful 11:49 Myth or Fact: There is no one-size-fits-all treatment for dizziness 13:38 Myth or Fact: Anxiety causes dizziness 15:29 Myth or Fact: BPPV isn’t always easy to diagnose or treat 21:27 Myth or Fact: Rest and avoidance are the best treatment 23:50 Myth or Fact: There is a quick fix for chronic dizziness 26:58 Myth or Fact: Everyone with dizziness should get a VNG 32:27 Myth or Fact: Waiting until dizziness fully resolves can slow recovery 33:36 Myth or Fact: If you’re not better by now, you never will be

In this episode of Talk Dizzy To Me , vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with Kayla McCain, who shares her lived experience with Vestibular Migraine and PPPD (Persistent Postural-Perceptual Dizziness). Kayla opens up about what symptoms she experienced, the long road to getting correctly diagnosed, and the strategies that helped her get back to living life again and rebuilding her confidence. Key Takeaways: -Validation and education reduce fear -Vestibular migraine vs. PPPD presentations -Recovery is often multi-factorial -The “dizzy–anxious-dizzy cycle” is real -Small strategies matter in real life -Advocate for yourself Where to find Kayla: @true_kaylaisms Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠ ⁠⁠ Join The Dizzy Reset™ for FREE ⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). Timestamps 02:10 Kayla’s background + work 03:03 The beginning: Halloween onset + “felt like a stroke” + terrifying dizziness 05:23 ER visit, fever, CT scan, ruled out cancer, sent home with meclizine 05:53 Misdiagnoses: anxiety dismissal + MS misdiagnosis (twice) + diagnosis finally at ~7 months 06:49 Early clues: menstrual migraine patterns + computer screen symptoms 08:43 Life impact: fear, avoiding leaving home, stopping running, weight gain, depression/anxiety 09:10 Panic + MRI + “Alice in Wonderland syndrome” episode during a trip 11:00 What is Alice in Wonderland syndrome? 11:58 How Kayla describes vestibular migraine 13:54 Triggers: hormones, stress, overstimulation, lights/sounds, grocery stores, concerts 15:22 Postpartum: aura/floaters, attacks while caring for an infant, fear of falling while holding baby 17:13 Trust + parenting: setting limits, positioning for safety, saying “no” when needed 19:33 Persistent vs episodic phases + supplements/therapy + later meds after kids 20:29 Feeling “seen”: why diagnosis and education changed everything 25:08 What helped most: counseling, vestibular therapy, exercise, pacing, rescue meds, acceptance 29:51 Practical tips: shopping at low-traffic times, migraine glasses, planned breaks, quiet resets 31:24 Resilience through chronic illness 32:51 Message for people with vestibular migraine + suspected 3PD: same principles can work again 36:13 VM vs 3PD: how symptoms felt different 39:03 3PD treatment journey: sensitive to meds, trying options, continued exercise, gradual dosing approach 42:26 Improvements 43:54 Advocacy + right provider: feeling heard is half the battle 45:19 Don’t give up: treatment options + therapy + counseling + meds (if needed) 46:16 Hope in action: Kayla races again 47:14 Where to follow Kayla: Instagram @true_true_kaylaisims 47:41 Closing thoughts: hope, mindset, and a path forward

Functional Neurological Disorder (FND) is often misunderstood... but it’s real, common, AND treatable. In this episode of Talk Dizzy To Me , vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Carly Lochala, PT, NCS sit down with Dr. Julie Hershberg, PT, NCS to explain what FND is, why it’s been minimized in healthcare, and how it overlaps with dizziness, migraine, dysautonomia/POTS, hypermobility/EDS, and vestibular disorders. They break down brain networks like the default mode network and salience network, discuss common clinical clues (variability, attention-related shifts), and explain how treatment often starts with nervous system regulation, trust-building, and whole-person care—not just exercises. If you’ve been told your symptoms are “all in your head,” this episode is for you. Guest : Dr. Julie Hershberg / Reactive PT Instagram: @reactivept Resources : FND resources hub, reactivept.com/FNDresources Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Carly Lochala, PT, NCS For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠ ⁠ Join The Dizzy Reset™ for FREE ⁠ → ⁠⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). Timestamps 00:00 Welcome to Talk Dizzy To Me (intro) 01:42 What is Functional Neurological Disorder (FND)? How to explain it to patients 02:08 FND as a brain network dysfunction (function vs structure) 03:32 Why education improves outcomes in vestibular care + FND 04:02 Why FND has been misunderstood/minimized in healthcare 04:12 From “hysteria” and “conversion disorder” to modern neuroscience 06:05 Harmful stigma: being told symptoms are “fake” + medical trauma 08:19 What to look for when you suspect FND (clinical clues) 09:13 Variability, attention-related shifts, symptoms “moving” 10:35 Screening for other diagnoses + doing a thorough neuro screen 11:04 Common comorbidities missed: migraine, EDS/hypermobility, POTS/dysautonomia, vestibular disorders 12:53 What you’ll hear in the subjective history that suggests FND 15:13 Why “one test” (like Hoover) isn’t enough + signs vary by symptom type 16:54 Diagnostic criteria: what exists, what’s lacking, what needs improvement 19:12 Risk factors & triggers: sex differences, pain, sleep, physical injury/illness 21:01 Dizziness in FND: how common is it + vestibular system connection 21:59 Autonomic + sensory overlap (vestibular sympathetic reflex, otolith sensitivity) 24:44 Treatment approach: why there’s no one-size-fits-all protocol 25:38 Whole-person assessment + “pie chart” contributors + education foundation 29:00 Building trust, validation, and safety (especially after medical trauma) 31:18 Why play, fun, and salience matter for nervous system regulation + motor learning 32:45 Default mode network vs salience network explained simply 37:48 Social media + FND: what we think vs what research shows 41:26 Adapting vestibular rehab when FND is part of the picture 44:26 Safety + motor symptoms: when you prioritize regulation over exercise 48:18 Sensory inventory & building a regulation toolkit (OT-informed strategies) 51:00 Not everyone needs “calm”—some people need safe movement to regulate 52:18 “Mic drop” messages for people who feel stuck 55:21 Where to find Dr. Julie Hirschberg’s FND resources

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman sit down with Laura Ehlers to share a powerful, real-life story of chronic dizziness, plus the long road to obtaining answers in a healthcare system that often defaults to “it’s BPPV” or “it’s anxiety.” Laura walks us through how her symptoms evolved after being hit in the head and what her life looks like living with dizziness. She also shares the layered diagnoses that often show up together in complex dizziness cases—vestibular migraine, PPPD (Persistent Postural-Perceptual Dizziness), dysautonomia/POTS (Postural Tachycardia Syndrome), and hypermobility/EDS (Ehlers-Danlos Syndrome), as well as the strategies that have helped her rebuild capacity. You’ll hear practical advice on: - How to advocate for yourself when you’re not being believed - Why the right healthcare provider can be a game-changer - Medication realities: from sensitivities to finding what works Guest: Laura Ehlers Instagram: @laurasnaturallife Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠⁠⁠ Book a free call with us ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ Get free resources straight to your inbox ⁠⁠⁠⁠ → ⁠⁠⁠⁠ Join The Dizzy Reset™ for FREE → ⁠⁠⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ Follow us on Instagram ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ Follow us on TikTok ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ Follow us on Facebook ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ Disclaimer ⁠⁠⁠⁠⁠ → ⁠⁠⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). 01:11 Laura’s background: chronic migraine, holistic health, and early dizziness tools 02:37 Early warning signs: highway driving issues, tunnel vision, “is it anxiety?” 03:05 Vision therapy → severe spinning vertigo onset 04:33 Current symptoms: nonstop rocking/boat sensation + visual flow triggers 04:59 Life impact: driving intolerance, travel limits, parenting challenges 06:27 The advocacy problem: being believed, speaking the “right language” 07:52 Misconceptions in healthcare 09:47 Resources that helped: clinicians online + vestibular education on social media 10:42 Why primary care matters 11:09 Diagnoses explained 12:07 Layering issues: infections, mold gene, mast cell activity 13:06 Clinician perspective: frustration when patients get conflicting medical input 14:31 Hope vs acceptance: living in the chronic illness “seesaw” 15:59 Biggest mindset tool 17:35 “Early whispers” of symptoms 20:58 What helped most: rehab principles + sensory integration focus 21:20 Proprioception strategies: weighted inputs, holds, stomps, boots, blanket 23:15 Scaling exposure: “one sidewalk square at a time” 24:14 Breakthrough: walking on grass increased capacity 25:14 Histamine/mast cell stabilization: Zyrtec and sleep/sensory benefits 26:35 EDS/hypermobility: why screening matters in the “triad” conversation 28:40 Daily habits: caffeine consistency, electrolytes, potassium vs sodium insight 29:10 Nervous system work: somatic therapy + staying committed to movement 31:10 Mindset during flares: you’re not at square one; you’re stepping off the path 36:19 Encouragement for beginners: slow progress still adds up 37:45 Identity shift: grief + reinventing life (reading, painting, new interests) 39:06 Community: why 1:1 connections can beat unmoderated groups 41:30 Medication journey: fear, hesitancy, and why meds became a useful tool 44:55 Rescue meds (Ativan): pre-treating to participate in life moments 45:54 Micro-dosing approach: ultra-low starts + pharmacist check-ins 46:52 LDN + Zyrtec wins; sensitivity to other meds 48:40 Mic drop moments: what clinicians must understand + patient hope message

If you’re a physical therapist treating dizziness (or a patient trying to understand what’s going on), this episode is packed with practical, clinic-ready guidance. Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT welcome Dr. Sara MacDowell, PT & Dr. Sydney Duhe, PT from Dizzy Diagnostics to break down real-world vestibular cases—including BPPV with lingering symptoms, acute vertigo after the ER (vestibular neuritis / hypofunction), and the common overlap of vestibular migraine (VM) + Persistent Postural-Perceptual Dizziness (PPPD) with visual motion sensitivity. You’ll learn how to think beyond textbook presentations, how to avoid missing multi-canal or bilateral BPPV, how to build patient buy-in with education, and how to dose and progress VOR/gaze stabilization and visual desensitization exercises for busy environments like grocery stores. Episode Resources: -Follow Dizzy Diagnostics on Instagram: @DizzyDiagnostics -Advanced Neurotherapy Education (ANTE): advancedneurotherapyed.com ⁠⁠ Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠ Book a free call with us ⁠⁠⁠ → ⁠⁠⁠ Get free resources straight to your inbox ⁠⁠ → ⁠⁠ Join The Dizzy Reset ⁠ → ⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠ → ⁠⁠⁠ Follow us on Instagram ⁠⁠⁠ → ⁠⁠⁠ Follow us on TikTok ⁠⁠⁠ → ⁠⁠⁠ Follow us on Facebook ⁠⁠⁠ → ⁠⁠⁠ Disclaimer ⁠⁠⁠ → ⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠ This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the host(s). Timestamps 00:15 - Meet the guests: Sydney & Sarah (Dizzy Diagnostics) + their vestibular journeys 05:18 - Case 1: BPPV treated… but lingering dizziness/imbalance remains 06:39 - “First check: is BPPV truly resolved?” (all canals + short arm considerations) 07:36 - Fear avoidance + habituation: getting patients moving again safely 09:56 - Look beyond BPPV: hypofunction, migraine, cervicogenic contributors 12:45 - Multi-canal BPPV: why it’s tricky + how to prioritize treatment 14:36 - Treating multiple canals in one session 19:49 - Do you always schedule a follow-up after “straightforward” BPPV? 21:46 - Teaching self-treatment + “seeing is believing” re-check visits 24:08 - Case 2: ER “vertigo,” meclizine, lingering unsteadiness weeks later 25:35 - Full vestibular exam even with “negative imaging” 27:26 - What you expect in unilateral hypofunction: oculomotor, HIT/VHIT, balance, gait 29:14 - Treatment: education first, then VOR + balance + functional head movement 32:03 - Anxiety/fear avoidance: reframing dizziness as a “learning opportunity” 33:59 - Time-crunched HEP: “stacking” exercises into daily life 36:47 - VOR progression: dosing, symptom monitoring, advancing complexity 39:10 - The future of gaze stability: more specific dosing, unilateral work, wearables 42:37 - Case 3: Mid-30s postpartum, floaty dizziness + visual motion sensitivity (VM + PPPD/3PD) 44:03 - VM education: migraine features without head pain; hormonal shifts as triggers 45:28 - PPPD/3PD overlap + early prevention 51:49 - Treating visual motion sensitivity: patterns, videos, salience, real-world exposure 58:00 - Where to find Dizzy Diagnostics + resources

In this special episode of Talk Dizzy to Me , vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with two giants in the vestibular field: Jeff Walter, PT, DPT, NCS and Helena Esmonde, PT, DPT, NCS (Vestibular First) . Jeff tries to stump the group with vestibular questions covering: -The history of John Epley and his contributions to the field -Alexander’s law , Brun’s nystagmus , and the origin of the word nystagmus -A precise definition of vertigo -Advanced use of the bow and lean test for horizontal canal BPPV -What happens when BPPV maneuvers go “wrong” (short arm, conversion, retesting) -Practical use of the Rinne test , recruitment , and tuning forks in vestibular practice -How to interpret CT scans that “show” superior canal dehiscence (SCD) -A rare case of cough-induced nystagmus -The reality that some dizzy patients don’t fit neatly into any diagnosis—and why that’s okay Whether you’re a vestibular therapist, audiologist, ENT provider, or someone with dizziness hungry for answers, this episode is packed with clinical pearls, red flags, and pattern recognition tips for vertigo, BPPV, nystagmus, and beyond. Episode Resources: Jeff Walter, PT, DPT, NCS - https://www.vestibular.today -MedBridge Courses: https://www.medbridge.com/educate/instructors/jeff-walter-dpt-ncs Helena Esmonde, PT, DPT, NCS - https://vestibularfirst.com -Journal Club: https://vestibularfirst.com/education/journal-club/ -Educational Resources/Handouts: https://vestibularfirst.com/education/resources/ -Vestibular First 's Journal Club- Clinical Pearls from an Unusual Case of Vertigo : https://youtu.be/ASjx5Yet1So?si=3qu5LkiD_pEDagHq For more FREE resources, click ⁠⁠⁠ here ⁠ . ⁠⁠ Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠ Book a free call with us ⁠⁠⁠ → ⁠⁠⁠ Get free resources straight to your inbox ⁠⁠ → ⁠⁠ Join The Dizzy Reset ⁠ → ⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠ → ⁠⁠⁠ Follow us on Instagram ⁠⁠⁠ → ⁠⁠⁠ Follow us on TikTok ⁠⁠⁠ → ⁠⁠⁠ Follow us on Facebook ⁠⁠⁠ → ⁠⁠⁠ Disclaimer ⁠⁠⁠ → ⁠⁠⁠ Enjoying the podcast? Leave us a review! Timestamps 00:00 – Intro 00:15 – Meet the Hosts & Guests 02:09 – Education Resources & Journal Club 03:08 – History Lesson: Dr. John Epley 06:21 – Alexander’s Law Explained 09:39 – Gustav Alexander’s Shocking Death 11:10 – Origin of the Term “Nystagmus” 13:31 – Brun’s Nystagmus & CPA Tumors 15:10 – Defining Vertigo (ICVD-Based) 18:22 – Bow & Lean Test: Angles, Mechanics & Clinical Pearls 23:24 – Short Arm / Anterior Arm BPPV & Tricks to Get Crystals Moving 27:34 – Retesting Posterior Canal BPPV: When You Re-Create the Problem 32:23 – Short Arm Debris & “Wimpy” Persistent Torsion 35:08 – Maneuver Names, Variations & Confusion in the Literature 38:53 – Tuning Forks in Vestibular & ENT Practice 45:19 – CT & Superior Canal Dehiscence: Might vs Definitely 49:22 – Cough-Induced Nystagmus 51:39 – Pattern Recognition, Edge Cases & Not Knowing Everything 56:15 – Reassuring Patients & “Doing the Next Right Thing”

Vestibular physical therapists Abbie Ross, PT, DPT, NCS, and Danielle Tolman, PT, DPT, sit down with Rob Landel, PT, DPT, FAPTA, to unpack cervicogenic dizziness (CGD) — what it is and isn’t , how to tell neck-driven dizziness apart from inner ear causes, and the clinical tools that actually make a difference. They dive into the head–neck differentiation test, cervical joint position error (JPE) testing with a laser, and why CGD rarely causes vertigo or spinning. You’ll also hear how concussion, whiplash, BPPV, and migraine can overlap with neck-related dizziness — plus practical insights on manual traction, cervical strength and endurance training, “pain-first” strategies, and when a short-term collar might help (despite its bad reputation). Episode Resources: Website : skillworks.biz Email : rlandel@me.com For more FREE resources, click ⁠⁠⁠ here ⁠ . ⁠⁠ Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠ Book a free call with us ⁠⁠⁠ → ⁠⁠⁠ Get free resources straight to your inbox ⁠⁠ → ⁠⁠ Join The Dizzy Reset ⁠ → ⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠ → ⁠⁠⁠ Follow us on Instagram ⁠⁠⁠ → ⁠⁠⁠ Follow us on TikTok ⁠⁠⁠ → ⁠⁠⁠ Follow us on Facebook ⁠⁠⁠ → ⁠⁠⁠ Disclaimer ⁠⁠⁠ → ⁠⁠⁠ Enjoying the podcast? Leave us a review! Timestamps: 00:00 – Welcome & show open 00:45 – Dr. Lindell’s background & early vestibular days 03:01 – How far vestibular rehab has come 03:58 – Defining CGD clinically 05:26 – Symptoms CGD 06:26 – CGD with vestibular or central issues; trauma link 07:25 – Secondary CGD from guarding & “moving in blocks” 08:31 – Is CGD over- or under-diagnosed? 12:11 – BPPV + trauma: when to probe the neck 14:10 – Migraine, vestibular migraine, cervicogenic headache—untangling overlap 16:26 – How neck input feeds spatial orientation 19:43 – Mismatch analogy: why CGD feels like seasickness 21:10 – History taking: get precise about “dizzy” 22:38 – Traumatic vs. atraumatic onset; red flags & neuro screen 26:28 – Exam flow once central/peripheral causes are ruled down 27:22 – Head–Neck Differentiation Test (separating head vs. neck motion) 30:17 – Cervical Relocation / Joint Position Error (JPE) Test with laser 33:27 – Testing extension: stabilizing neck vs. moving head in block 35:03 – Treatment blueprint: mobility, pain, motor control, strength/endurance 37:26 – Laser tracing progressions 38:20 – Timelines: why strength/endurance take the longest 46:18 – Why one therapist managing vestibular + MSK is ideal 49:18 – Evidence & experience with traction/manipulation for CGD 50:43 – “Heavy-headedness” 53:22 – Fatigue → increased sway; training normalizes it 54:48 – Wrap-up & future part 2 ideas

In this Talk Dizzy to Me episode, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with Dr. Mike Studer, DPT, MHS, NCS, CEEAA, CWT, CSST, CSRP, CBFP, FAPTA to unpack neuroplasticity —what it is, how it works, and how to apply it in vestibular rehabilitation . We cover dual tasking , prediction error , fear-avoidant vs. fear-adapted movement , motivational interviewing , and patient-directed dosage using the OPTIMAL theory of motor learning. Mike shares practical clinic and real-life examples (driving, grocery stores, cooking), mic-drop lines you’ll quote to patients, and how to talk to insurers using objective measures . If busy visuals or movement bother you, consider listening on Apple Podcasts/Spotify. -Neuroplasticity = learning. It’s not just more pathways; it’s stronger, faster, better-fed pathways that consolidate during sleep . -Dose the meaningful. Intensity, repetitions, salience, and task specificity drive consolidation (“put a post-it on that memory”). -Exposure works. Habituation/adaptation creates prediction error (“that wasn’t as bad as I expected”), reinforcing change via dopamine . -Fear shows up in movement. Beyond fear-avoidant behavior, watch for fear-adapted movement (reduced head turns, co-contraction, slow/over-intentional strategies). -Dual tasking is two goals, not ‘think-and-move’ toward one goal. Use cognitive+motor or visual+motor loads that are personally salient. -Autonomy accelerates progress. Let patients choose dosage (keep, dial down, or push), using motivational interviewing and OPTIMAL theory. -No expiration date. Neuroplastic change remains possible well beyond 1 year—set expectations and use objective measures to justify care. Episode Resources: Email: mike@mikestuder.com Website: mikestuder.com Instagram: @MikeStuderDPT Book: The Brain That Chooses Itself For more FREE resources, click ⁠⁠⁠ here ⁠ . ⁠⁠ Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠ Book a free call with us ⁠⁠⁠ → ⁠⁠⁠ Get free resources straight to your inbox ⁠⁠ → ⁠⁠ Join The Dizzy Reset ⁠ → ⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠ → ⁠⁠⁠ Follow us on Instagram ⁠⁠⁠ → ⁠⁠⁠ Follow us on TikTok ⁠⁠⁠ → ⁠⁠⁠ Follow us on Facebook ⁠⁠⁠ → ⁠⁠⁠ Disclaimer ⁠⁠⁠ → ⁠⁠⁠ Enjoying the podcast? Leave us a review! Time Stamps: 03:29 Neuroplasticity defined 05:21 Core principles: intensity, repetitions, salience, task specificity, sleep consolidatio 09:35 Zooming into vestibular reha 10:06 VR as proof of neuroplasticity; predictive processing 11:32 Habituation/adaptation as exposure-based therapy; links to pain & psycholog 13:32 Fear, expectations, and patient education 14:28 Therapeutic alliance: precision starts with the person 17:42 Treating fear: exposure-response prevention & prediction error (dopamine wins) 20:05 Dosage variables + motivational interviewing + OPTIMAL theory 21:27 Threat perception, amygdala, and “roadblocking” fear pathways 24:13 Fear-avoidant vs. fear-adapted movement (new concept in progress) 26:11 Cognitive load, exhaustion, and dual-task intolerance 29:32 Building alliance between sessions (check-ins) 30:00 What dual tasking is (and isn’t) : two separate goals 31:32 Clinic examples: cognitive+motor; visual+motor with busy backgrounds 34:51 Real life: driving with kids, grocery stores, cooking; task switching vs. dual tasking 38:40 Overtraining in clinic to empower life outside 39:10 Progression: patient-controlled dosage (autonomy) 43:27 Neuroplasticity at any age; caveats for degenerative conditions 45:26 “Road crew at night” metaphor; why sleep matters 47:13 The “1-year” myth; talking to insurers with objective measures 49:27 Mic-drop lines ⁠⁠

Dizziness in the emergency department is common... and complicated. Today, we talk with Dr. Peter Johns (MD) and Dr. Rebekah Griffith, PT about what actually works in the ED: using the HINTS exam correctly, avoiding unnecessary imaging and meclizine-only discharges, knowing when to call the stroke team, and why physical therapists in the ED can transform safety, outcomes, and costs. You’ll hear about how to triage dizzy patients, spot posterior circulation stroke red flags, treat BPPV efficiently, and keep patients safe when answers aren’t immediate. We also cover topics such as orthostatic hypotension , POTS , rapid-access dizzy clinics, and practical discharge planning. Episode Resources: Peter Johns, MD — Emergency physician and vertigo educator (creator of “Spin Class” vertigo course and a popular YouTube channel). Dr. John's " Spin Class " Course Dr. John's YouTube Channel Rebekah Griffith, PT, DPT — Emergency Department physical therapist and educator advocating for PT/OT presence in EDs nationwide. Dr. Griffith's website Instagram Key Takeaways: Use HINTS to rule in peripheral vestibular dysfunction BPPV is common and under-treated—confirm with positional nystagmus and treat with the correct maneuvers. Assess gait and orthostatics upright, not just vitals in bed; orthostatic hypotension is frequently missed. Embedding PTs in EDs improves safety, reduces unnecessary imaging and admissions, and boosts patient/provider satisfaction. Upstream PT access (outpatient/telehealth) prevents many ED visits and fear-avoidant patterns (e.g., PPPD risk). If this episode helped you, subscribe , like , and share . Comment with your biggest ED dizziness challenge—and we may just cover it in a future episode! For more FREE resources, click ⁠⁠⁠ here ⁠ . ⁠⁠ Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Us: → ⁠⁠⁠ Book a free call with us ⁠⁠⁠ → ⁠⁠⁠ Get free resources straight to your inbox ⁠⁠ → ⁠⁠ Join The Dizzy Reset ⁠ → ⁠⁠⁠ Watch podcast episodes (and more) on YouTube ⁠⁠⁠ → ⁠⁠⁠ Follow us on Instagram ⁠⁠⁠ → ⁠⁠⁠ Follow us on TikTok ⁠⁠⁠ → ⁠⁠⁠ Follow us on Facebook ⁠⁠⁠ → ⁠⁠⁠ Disclaimer ⁠⁠⁠ → ⁠⁠⁠ Enjoying the podcast? Leave us a review! ⁠ Time Stamps: 01:11 Dr. Johns: path to ED & vertigo education 02:41 Dr. Griffith: why PT belongs in the ED 04:01 What PTs actually do in the ED 06:52 Living with diagnostic ambiguity in the ED 07:21 How common is dizziness; risk of dangerous causes 08:17 PT share of dizzy patients in the ED 10:43 Why every ED should have PT (throughput, safety, cost) 13:27 ED goals for dizzy patients & discharge planning 14:52 Gait assessment as a safety linchpin15:22 Rapid Access Dizzy (RAD) clinic model 16:21 When PT flags central signs & stroke alerts 18:09 HINTS exam: when to use it in the ED 20:56 Why no HINTS without nystagmus23:23 Central “red flags” to screen before HINTS 25:18 Imaging realities: CT/CTA vs MRI, US vs Canada 27:36 How ED PTs cut holds, imaging, burnout 28:57 Discharging symptomatic but safe patients 30:21 When not to discharge: gait + no nystagmus 33:12 “Vertigo” isn’t a diagnosis—referrals that help 35:59 Most mismanaged: BPPV and posterior strokes 37:26 The sleeper culprit: orthostatic hypotension 39:24 POTS awareness & functional vitals in motion 42:12 Upstream care: keeping dizzy patients out of the ED 43:45 Training ED clinicians to manage dizziness46:11 PT/OT courses to build ED programs 47:37 Hands-on feedback for HINTS proficiency #Dizziness #Vertigo #BPPV #HINTSExam #Stroke #EmergencyMedicine #VestibularRehab #PhysicalTherapy #POTS #OrthostaticHypotension #NeuroPT #TalkDizzyToMe