Talk Dizzy To Me
Balancing Act Rehab
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Two physical therapists, Dr. Abbie Ross and Dr. Danielle Tolman, host a podcast dedicated to the complex topic of dizziness. They aim to provide comprehensive resources, tips, and interviews with experts for both clinicians and patients. The show covers various aspects of vestibular rehabilitation and related conditions.
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The Otolith Organs: Why You Feel Pulled, Tilted, Rocking, or Swaying 26.06.2026 55minIn 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_duoEmail address: info@neurodizzyduo.comCourses, publications, or resources:Their Positive Spin on Dizziness advanced vestibular courses cover many lesser discussed topics: otolith dysfunctionthe difference between vestibular dysfunction and hypersensitivity visual motion hypersensitivityVestibular MigraineMal de Debarquement SyndromeMeniere’s diseaseRecommended products or links: https://www.reactiveeducation.com/storeHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comPartnered 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% offConnect 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!Episode Timestamps:00:00 – Welcome and episode introduction01:36 – Jaimy's introduction03:28 – Katherine’s introduction06:38 – Why otolith organs are often overlooked07:04 – What the otolith organs are and how they work09:21 – Why dizziness is not always spinning12:38 – Conditions linked to otolith dysfunction16:42 – Otoliths, dysautonomia, POTS, and concussion21:28 – Understanding linear vertigo and non-spinning dizziness22:23 – How clinicians assess otolith function25:14 – Why patient descriptions matter27:28 – Using weights to help patients feel grounded30:16 – Individualizing vestibular rehab treatment31:37 – Head tilts, balance, and otolith-based exercises35:22 – How much weight may help without overdoing it39:52 – Vibration plates, BPPV, and vestibular concerns42:15 – Avoiding overreliance on tools and strategies44:33 – Astronauts, gravity, and otolith function46:28 – Key takeaways for vestibular clinicians52:05 – Key takeaways for patients with dizziness53:21 – Final thoughts and closing
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PPPD Explained: When the Dizziness Doesn’t Go Away 11.06.2026 53minIn 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. Kristin 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, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comPartnered 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% offConnect 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:00:00 – Welcome to Talk Dizzy To Me00:15 – Introducing Dr. Kristin Steenerson01:10 – What is 3PD/PPPD?01:37 – Diagnostic criteria: persistent, postural, perceptual dizziness02:47 – Common triggers and risk factors04:52 – Why some providers question the diagnosis06:34 – Hypervigilance and lack of biomarkers08:20 – Why symptoms can continue after the original issue resolves09:35 – Education, reassurance, and moving from “detective mode” to rehab11:24 – Brain health habits: sleep, food, exercise, hydration, stress12:16 – Why symptom tracking can sometimes backfire15:38 – Why grocery stores, airports, screens, and busy spaces trigger symptoms17:47 – Fear, memory, and the brain’s threat response19:39 – Avoidance vs gradual exposure21:03 – Neurology evaluation and ruling out other causes23:24 – What vestibular testing can and cannot show25:14 – The gap in measuring perception26:34 – fMRI research and brain network changes in 3PD29:51 – Vestibular therapy for 3PD31:00 – Medication options and why SSRIs/SNRIs may help35:38 – 3PD vs vestibular migraine41:05 – What progress looks like in recovery43:49 – Permission to do hard things without fear of damage44:47 – Community support and celebrating wins45:42 – Future research: medications, CGRP, TMS, neuromodulation48:54 – Mic drop takeaway for clinicians and patients
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When Healing Isn’t Linear: Finding Hope After a Life-Changing Head Injury 27.05.2026 51minIn 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. KeiserHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comPartnered 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% offConnect 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 history02:53 — Understanding symptoms and protecting self-worth04:40 — How the visual, vestibular, neck & autonomic systems connect07:02 — Support systems & asking for help12:31 — Identity shifts after brain injury13:54 — Resilience vs. “recovery”16:46 — Embracing hard moments without getting stuck17:46 — Building systems and routines for success20:06 — Navigating plateaus, setbacks & goals22:21 — Rehab habits, consistency & reducing barriers24:41 — Redefining progress and celebrating small wins28:30 — Getting through low moments31:50 — Managing grocery stores and sensory overload35:43 — Self-advocacy in healthcare appointments41:26 — What Sarah would tell her 2014 self46:01 — Being brave enough to try48:23 — A message for clinicians49:23 — Resources, where to find Sarah & closingThis 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).
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How to Treat Vestibular Migraine, PPPD, and MdDS (Especially When You Feel Stuck) 06.05.2026 54minIn 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.comDr. Beh's Books: www.vestibularmd.com/about-dr-beh/booksHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comJoin 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 offThis 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 diagnosed04:20 How these conditions overlap06:29 Why patients can feel stuck in recovery08:17 Vestibular migraine treatment approach08:45 Lifestyle foundations for migraine management10:07 Supplements for vestibular migraine11:04 Medication and neuromodulation options12:01 Addressing sleep apnea, neck pain, TMJ, iron, and hormones14:44 How to layer treatment without the overwhelm16:03 When supplements, rescue meds, or preventives may be appropriate18:25 Medication sensitivity and starting low/slow21:11 PPPD treatment approach22:08 Vestibular therapy, movement, and visual desensitization23:59 Medications and neuromodulation for PPPD25:53 CBT and the dizzy-anxious cycle26:45 Lab values, vitamin D, B vitamins, magnesium, and ferritin32:31 Timolol eye drops for migraine rescue33:53 MdDS treatment approach34:22 Travel and MdDS 35:44 Therapy for MdDS36:39 Defining progress beyond symptom reduction39:05 Knowing when to use rescue medication43:24 Why vestibular disorders affect more women45:08 COVID, vestibular dysfunction, and fibromyalgia48:30 Migraine-related ear symptoms and hearing changes49:37 Vestibular migraine and vestibular test findings51:02 Final advice for patients and clinicians
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Why Dizziness Lingers and What You Can Do About It 15.04.2026 58minIn 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 ChannelHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comJoin 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 offThis 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).Timestamps02:32 – Why traditional approaches to dizziness fall short03:56 – Personal story: Dr. Yo's mom’s dizziness06:47 – Why chronic dizziness is deeply misunderstood09:38 – The harm of “it’s just anxiety” or endless testing11:04 – Software vs hardware issues12:29 – Why symptoms are real13:56 – Conditions like PPPD, vestibular migraine, and MdDS16:41 – What makes someone more prone to chronic dizziness18:01 – Nervous system sensitization explained19:28 – The cycle that keeps you stuck21:14 – Does modern society contribute to dizziness?24:09 – Personality traits: people-pleasers & Type A26:05 – Lifestyle factors: stress, screens, and overstimulation27:21 – What does recovery actually look like?27:49 – You are NOT broken 29:13 – Reframing symptoms: not the enemy30:09 – Breaking the fear–symptom cycle32:29 – Practical calming exercise (live demo)40:01 – Why sitting with symptoms works40:31 – Pillar #1: Acceptance (reprogramming the brain)41:29 – Pillar #2: The “Stress Bucket”46:17 – Pillar #3: Exposure & reducing avoidance48:14 – The importance of individualized recovery52:53 – Somatic tracking explained54:50 – Final message: Hope & healing are possible
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Dizziness and Pain: The Intersection of the Vestibular and Musculoskeletal Systems 01.04.2026 48minIn 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.comwww.Goodliferehab.comMidwest Vestibular Rehab SymposiumHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comJoin 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 offThis 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 Timestamps01:26 From neuro rehab to orthopedic & vestibular care05:18 Why dizziness & pain are not owned by one specialty06:18 Definition of cervicogenic dizziness (updated understanding)06:48 Prevalence: How common is it really?08:14 Cervical spine involvement in dizziness cases10:12 Why movement loss matters more than pain11:36 Real-world complexity: vestibular + cervical overlap14:20 Neck’s role in balance reflexes17:12 Why function matters more than symptoms19:07 Testing beyond standard vestibular exams21:04 Why symptoms alone can mislead treatment22:02 Helping patients understand the neck-dizziness connection24:02 Real-life clinical example explained26:28 Pain science vs dizziness: overlapping principles27:55 Drivers of symptoms: stress, lifestyle, comorbidities29:17 Functional neurological disorders & validation30:41 Nervous system regulation strategies32:09 Practical tools: breathing, guided imagery, small wins33:35 Therapist challenges with patient buy-in35:00 Posture tips that actually work36:54 Simple, effective home exercise strategies38:17 Clinical pearls: what clinicians must remember39:15 Words matter: how language affects recovery40:13 Using reassurance to reduce fear41:35 Why joy and meaningful activity matter in recovery44:06 Empowerment: patients can change and improve
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Facial Paralysis Explained: Causes, Associated Symptoms, and What Recovery Looks Like 25.03.2026 1godz 1minIn 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 mythsEpisode Resources:https://facialtherapyspecialists.com/https://www.facialpalsy.org.uk/http://bellspalsy.ws/https://facialparalysisfoundation.org/bells-palsy/Webinar: Sara's WebinarWhere to Find Sara: @dizzydiagnosticsWhere to Find Carly: @balancingactrehabHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comJoin 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 offThis 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).
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Myth vs. Fact: Dizziness, Vertigo, and What Actually Helps 11.03.2026 38minIn 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 recoveryWhere to find Amy: @thedizzypt_amyHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comConnect 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 wrong06:24 Myth or Fact: Meclizine is not a long-term solution for vertigo08:14 Myth or Fact: Vestibular rehab is only eye and head exercises10:21 Myth or Fact: If exercises make you dizzy, they’re harmful11:49 Myth or Fact: There is no one-size-fits-all treatment for dizziness13:38 Myth or Fact: Anxiety causes dizziness15:29 Myth or Fact: BPPV isn’t always easy to diagnose or treat21:27 Myth or Fact: Rest and avoidance are the best treatment23:50 Myth or Fact: There is a quick fix for chronic dizziness26:58 Myth or Fact: Everyone with dizziness should get a VNG 32:27 Myth or Fact: Waiting until dizziness fully resolves can slow recovery33:36 Myth or Fact: If you’re not better by now, you never will be
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Patient Perspective: Living a Fulfilled Life With Vestibular Migraine and PPPD 18.02.2026 49minIn 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 yourselfWhere to find Kayla: @true_kaylaismsHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comConnect 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).Timestamps02:10 Kayla’s background + work 03:03 The beginning: Halloween onset + “felt like a stroke” + terrifying dizziness05:23 ER visit, fever, CT scan, ruled out cancer, sent home with meclizine05:53 Misdiagnoses: anxiety dismissal + MS misdiagnosis (twice) + diagnosis finally at ~7 months06:49 Early clues: menstrual migraine patterns + computer screen symptoms08:43 Life impact: fear, avoiding leaving home, stopping running, weight gain, depression/anxiety09:10 Panic + MRI + “Alice in Wonderland syndrome” episode during a trip11:00 What is Alice in Wonderland syndrome? 11:58 How Kayla describes vestibular migraine13:54 Triggers: hormones, stress, overstimulation, lights/sounds, grocery stores, concerts15:22 Postpartum: aura/floaters, attacks while caring for an infant, fear of falling while holding baby17:13 Trust + parenting: setting limits, positioning for safety, saying “no” when needed19:33 Persistent vs episodic phases + supplements/therapy + later meds after kids20:29 Feeling “seen”: why diagnosis and education changed everything25:08 What helped most: counseling, vestibular therapy, exercise, pacing, rescue meds, acceptance29:51 Practical tips: shopping at low-traffic times, migraine glasses, planned breaks, quiet resets31:24 Resilience through chronic illness32:51 Message for people with vestibular migraine + suspected 3PD: same principles can work again36:13 VM vs 3PD: how symptoms felt different 39:03 3PD treatment journey: sensitive to meds, trying options, continued exercise, gradual dosing approach42:26 Improvements43:54 Advocacy + right provider: feeling heard is half the battle45:19 Don’t give up: treatment options + therapy + counseling + meds (if needed)46:16 Hope in action: Kayla races again47:14 Where to follow Kayla: Instagram @true_true_kaylaisims47:41 Closing thoughts: hope, mindset, and a path forward
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Functional Neurological Disorder (FND) Explained: What It Is and How It Overlaps With Dizziness 04.02.2026 57minFunctional 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: @reactiveptResources: FND resources hub, reactivept.com/FNDresourcesHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Carly Lochala, PT, NCS For episode recommendations or requests, email us at: info@balancingactrehab.comConnect 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 patients02:08 FND as a brain network dysfunction (function vs structure)03:32 Why education improves outcomes in vestibular care + FND04:02 Why FND has been misunderstood/minimized in healthcare04:12 From “hysteria” and “conversion disorder” to modern neuroscience06:05 Harmful stigma: being told symptoms are “fake” + medical trauma08:19 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 screen11:04 Common comorbidities missed: migraine, EDS/hypermobility, POTS/dysautonomia, vestibular disorders12:53 What you’ll hear in the subjective history that suggests FND15:13 Why “one test” (like Hoover) isn’t enough + signs vary by symptom type16:54 Diagnostic criteria: what exists, what’s lacking, what needs improvement19:12 Risk factors & triggers: sex differences, pain, sleep, physical injury/illness21:01 Dizziness in FND: how common is it + vestibular system connection21:59 Autonomic + sensory overlap (vestibular sympathetic reflex, otolith sensitivity)24:44 Treatment approach: why there’s no one-size-fits-all protocol25:38 Whole-person assessment + “pie chart” contributors + education foundation29:00 Building trust, validation, and safety (especially after medical trauma)31:18 Why play, fun, and salience matter for nervous system regulation + motor learning32:45 Default mode network vs salience network explained simply37:48 Social media + FND: what we think vs what research shows41:26 Adapting vestibular rehab when FND is part of the picture44:26 Safety + motor symptoms: when you prioritize regulation over exercise48:18 Sensory inventory & building a regulation toolkit (OT-informed strategies)51:00 Not everyone needs “calm”—some people need safe movement to regulate52:18 “Mic drop” messages for people who feel stuck55:21 Where to find Dr. Julie Hirschberg’s FND resources
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Vestibular Migraine, POTS, and the Road to Recovery with Laura Ehlers 21.01.2026 52minIn 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 worksGuest: Laura Ehlers Instagram: @laurasnaturallifeHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: info@balancingactrehab.comConnect 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 tools02:37 Early warning signs: highway driving issues, tunnel vision, “is it anxiety?”03:05 Vision therapy → severe spinning vertigo onset04:33 Current symptoms: nonstop rocking/boat sensation + visual flow triggers04:59 Life impact: driving intolerance, travel limits, parenting challenges06:27 The advocacy problem: being believed, speaking the “right language”07:52 Misconceptions in healthcare09:47 Resources that helped: clinicians online + vestibular education on social media10:42 Why primary care matters11:09 Diagnoses explained12:07 Layering issues: infections, mold gene, mast cell activity13:06 Clinician perspective: frustration when patients get conflicting medical input14:31 Hope vs acceptance: living in the chronic illness “seesaw”15:59 Biggest mindset tool17:35 “Early whispers” of symptoms20:58 What helped most: rehab principles + sensory integration focus21:20 Proprioception strategies: weighted inputs, holds, stomps, boots, blanket23:15 Scaling exposure: “one sidewalk square at a time”24:14 Breakthrough: walking on grass increased capacity25:14 Histamine/mast cell stabilization: Zyrtec and sleep/sensory benefits26:35 EDS/hypermobility: why screening matters in the “triad” conversation28:40 Daily habits: caffeine consistency, electrolytes, potassium vs sodium insight29:10 Nervous system work: somatic therapy + staying committed to movement31:10 Mindset during flares: you’re not at square one; you’re stepping off the path36:19 Encouragement for beginners: slow progress still adds up37:45 Identity shift: grief + reinventing life (reading, painting, new interests)39:06 Community: why 1:1 connections can beat unmoderated groups41:30 Medication journey: fear, hesitancy, and why meds became a useful tool44:55 Rescue meds (Ativan): pre-treating to participate in life moments45:54 Micro-dosing approach: ultra-low starts + pharmacist check-ins46:52 LDN + Zyrtec wins; sensitivity to other meds48:40 Mic drop moments: what clinicians must understand + patient hope message
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How to Treat BPPV, Neuritis, and VM/PPPD: A Practical Guide for the Vestibular Therapist 07.01.2026 1godz 1minIf 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.comHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at: info@balancingactrehab.comConnect 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).Timestamps00:15 - Meet the guests: Sydney & Sarah (Dizzy Diagnostics) + their vestibular journeys05:18 - Case 1: BPPV treated… but lingering dizziness/imbalance remains06:39 - “First check: is BPPV truly resolved?” (all canals + short arm considerations)07:36 - Fear avoidance + habituation: getting patients moving again safely09:56 - Look beyond BPPV: hypofunction, migraine, cervicogenic contributors12:45 - Multi-canal BPPV: why it’s tricky + how to prioritize treatment14:36 - Treating multiple canals in one session19:49 - Do you always schedule a follow-up after “straightforward” BPPV?21:46 - Teaching self-treatment + “seeing is believing” re-check visits24:08 - Case 2: ER “vertigo,” meclizine, lingering unsteadiness weeks later25:35 - Full vestibular exam even with “negative imaging” 27:26 - What you expect in unilateral hypofunction: oculomotor, HIT/VHIT, balance, gait29:14 - Treatment: education first, then VOR + balance + functional head movement32:03 - 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 complexity39:10 - The future of gaze stability: more specific dosing, unilateral work, wearables42:37 - 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 triggers45:28 - PPPD/3PD overlap + early prevention 51:49 - Treating visual motion sensitivity: patterns, videos, salience, real-world exposure58:00 - Where to find Dizzy Diagnostics + resources
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Stump the Clinicians: Vestibular Trivia with Dr. Jeff Walter PT, NCS 03.12.2025 59minIn 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 okayWhether 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-ncsHelena 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_pEDagHqFor 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.comConnect 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!Timestamps00:00 – Intro00:15 – Meet the Hosts & Guests02:09 – Education Resources & Journal Club03:08 – History Lesson: Dr. John Epley06:21 – Alexander’s Law Explained09:39 – Gustav Alexander’s Shocking Death11:10 – Origin of the Term “Nystagmus”13:31 – Brun’s Nystagmus & CPA Tumors15:10 – Defining Vertigo (ICVD-Based)18:22 – Bow & Lean Test: Angles, Mechanics & Clinical Pearls23:24 – Short Arm / Anterior Arm BPPV & Tricks to Get Crystals Moving27:34 – Retesting Posterior Canal BPPV: When You Re-Create the Problem32:23 – Short Arm Debris & “Wimpy” Persistent Torsion35:08 – Maneuver Names, Variations & Confusion in the Literature38:53 – Tuning Forks in Vestibular & ENT Practice45:19 – CT & Superior Canal Dehiscence: Might vs Definitely49:22 – Cough-Induced Nystagmus51:39 – Pattern Recognition, Edge Cases & Not Knowing Everything56:15 – Reassuring Patients & “Doing the Next Right Thing”
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Understanding Cervicogenic Dizziness: Diagnosis and Treatment Explained 05.11.2025 58minVestibular 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.bizEmail: 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.comConnect 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 open00:45 – Dr. Lindell’s background & early vestibular days03:01 – How far vestibular rehab has come03:58 – Defining CGD clinically05:26 – 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 neck14:10 – Migraine, vestibular migraine, cervicogenic headache—untangling overlap16:26 – How neck input feeds spatial orientation19:43 – Mismatch analogy: why CGD feels like seasickness21:10 – History taking: get precise about “dizzy”22:38 – Traumatic vs. atraumatic onset; red flags & neuro screen26:28 – Exam flow once central/peripheral causes are ruled down27:22 – Head–Neck Differentiation Test (separating head vs. neck motion)30:17 – Cervical Relocation / Joint Position Error (JPE) Test with laser33:27 – Testing extension: stabilizing neck vs. moving head in block35:03 – Treatment blueprint: mobility, pain, motor control, strength/endurance37:26 – Laser tracing progressions 38:20 – Timelines: why strength/endurance take the longest46:18 – Why one therapist managing vestibular + MSK is ideal49:18 – Evidence & experience with traction/manipulation for CGD50:43 – “Heavy-headedness”53:22 – Fatigue → increased sway; training normalizes it54:48 – Wrap-up & future part 2 ideas
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Rewiring the Dizzy Brain: Insights on Neuroplasticity, Dual Tasking, and Fear 01.10.2025 55minIn 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.comWebsite: mikestuder.comInstagram: @MikeStuderDPTBook: The Brain That Chooses ItselfFor 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.comConnect 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 defined05:21 Core principles: intensity, repetitions, salience, task specificity, sleep consolidatio09:35 Zooming into vestibular reha10:06 VR as proof of neuroplasticity; predictive processing11:32 Habituation/adaptation as exposure-based therapy; links to pain & psycholog13:32 Fear, expectations, and patient education14:28 Therapeutic alliance: precision starts with the person17:42 Treating fear: exposure-response prevention & prediction error (dopamine wins)20:05 Dosage variables + motivational interviewing + OPTIMAL theory21:27 Threat perception, amygdala, and “roadblocking” fear pathways24:13 Fear-avoidant vs. fear-adapted movement (new concept in progress)26:11 Cognitive load, exhaustion, and dual-task intolerance29:32 Building alliance between sessions (check-ins)30:00 What dual tasking is (and isn’t): two separate goals31:32 Clinic examples: cognitive+motor; visual+motor with busy backgrounds34:51 Real life: driving with kids, grocery stores, cooking; task switching vs. dual tasking38:40 Overtraining in clinic to empower life outside39:10 Progression: patient-controlled dosage (autonomy)43:27 Neuroplasticity at any age; caveats for degenerative conditions45:26 “Road crew at night” metaphor; why sleep matters47:13 The “1-year” myth; talking to insurers with objective measures49:27 Mic-drop lines
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Dizziness in the ED: An Inside Look from PT and Physician Perspectives 03.09.2025 49minDizziness 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" CourseDr. John's YouTube ChannelRebekah Griffith, PT, DPT — Emergency Department physical therapist and educator advocating for PT/OT presence in EDs nationwide.Dr. Griffith's website InstagramKey Takeaways:Use HINTS to rule in peripheral vestibular dysfunctionBPPV 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.comConnect 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 education02:41 Dr. Griffith: why PT belongs in the ED04:01 What PTs actually do in the ED06:52 Living with diagnostic ambiguity in the ED07:21 How common is dizziness; risk of dangerous causes08:17 PT share of dizzy patients in the ED10:43 Why every ED should have PT (throughput, safety, cost)13:27 ED goals for dizzy patients & discharge planning14:52 Gait assessment as a safety linchpin15:22 Rapid Access Dizzy (RAD) clinic model16:21 When PT flags central signs & stroke alerts18:09 HINTS exam: when to use it in the ED20:56 Why no HINTS without nystagmus23:23 Central “red flags” to screen before HINTS25:18 Imaging realities: CT/CTA vs MRI, US vs Canada27:36 How ED PTs cut holds, imaging, burnout28:57 Discharging symptomatic but safe patients30:21 When not to discharge: gait + no nystagmus33:12 “Vertigo” isn’t a diagnosis—referrals that help35:59 Most mismanaged: BPPV and posterior strokes37:26 The sleeper culprit: orthostatic hypotension39:24 POTS awareness & functional vitals in motion42:12 Upstream care: keeping dizzy patients out of the ED43:45 Training ED clinicians to manage dizziness46:11 PT/OT courses to build ED programs47:37 Hands-on feedback for HINTS proficiency#Dizziness #Vertigo #BPPV #HINTSExam #Stroke #EmergencyMedicine #VestibularRehab #PhysicalTherapy #POTS #OrthostaticHypotension #NeuroPT #TalkDizzyToMe
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Concussion Care 101: Assessment, Treatment & Return to Life 06.08.2025 1godzDr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT chat with the Concussion Queen herself, Dr. Becky Bliss, PT, DHSc to discuss all things concussion. About the Guest:Dr. Becky Bliss is a Clinical Associate Professor at the University of Kansas Medical Center and Program Coordinator for the University of Missouri’s Neurological Physical Therapy Residency. Board-certified in neurological PT with advanced certification in vestibular rehab, she has over 20 years of clinical experience specializing in concussion management since 2006. Becky is active within APTA’s Concussion Committees, provides national telementorship through the Missouri Telehealth Concussion ECHO program, and pursues research in best practices for concussion care, neuromotor control, and education.WebsiteEmail: rbliss@kumc.eduLike our shirts? Get your Vestibular First "Semicircular Interpreter" shirt here!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.comConnect 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!
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Advocating for the Invisible: A Candid Talk on Chronic Illness 02.07.2025 48minDr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT chat with Shruti Shivaramakrishnan. Shruti lives in Ontario, Canada and her career background is in patient engagement through strategic content and fostering validating communities. Her Instagram community, Chronically Meh, aims to support people who live with chronic illness, and my work with GetCopayHelp assists patients with affordable prescriptions. Shruti has had migraines since she was a child, with occasional vestibular symptoms. After contracting COVID, the vestibular aspect became more pronounced and has caused ongoing health issues. The unpredictability of her symptoms is frustrating and makes them challenging to manage. While she is frustrated by the lack of effective treatments and general lack of understanding, she tries to focus on the hope advocacy brings, everyday glimmers, and live life fully - one breath at a time.Where to find Shruti:https://www.instagram.com/chronicallymeh/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.comConnect 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!
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Sorting Out Dizziness: A Deep Dive into Differential Diagnosis 04.06.2025 49minDr. Anand Bery and Dr. David Hale join Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT to discuss the process of differential diagnosis for vestibular dysfunction. Dr. Anand Bery is a neurologist and otoneurologist, with unique subspecialty fellowship training in neuro-vestibular and balance disorders. He specializes in treating patients with dizziness, vertigo, double vision and imbalance. His clinical interests include vestibular neuritis, BPPV, vestibular migraine and nystagmus.Dr. David Hale is a fellowship-trained neurologist specializing in neuro-visual and vestibular disorders. He diagnoses and treats patients with symptoms including dizziness, vertigo, oscillopsia, double vision and imbalance. Dr. Hale’s patient evaluations include vestibular testing. Dr. Hale earned his medical degree at Pennsylvania State University and completed a neurology residency at the Johns Hopkins University School of Medicine. He remained at Johns Hopkins for fellowship training in vestibular and ocular-motor oto-neurology. He serves as the co-director of the Vestibular and Ocular-Motor Oto-Neurology Clinical Fellowship at Johns Hopkins. Neurology Exam Prep Podcast Episodes:Episodic Vertigo (episode 73) https://podcasts.apple.com/us/podcast/episode-73-episodic-vertigo/id1493745353?i=1000678790997 Acute Vestibulopathy (episode 68)https://podcasts.apple.com/us/podcast/episode-68-acute-vestibulopathy/id1493745353?i=1000658289413 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.comConnect 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!
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BONUS Episode! Making and Enjoying a Migraine-Friendly Cocktail with Karen Tartt 14.05.2025 29minEnjoy this fun bonus episode with Karen Tartt, who shares her expertise with a phenomenal and tasty migraine friendly cocktail she created. Dr. Abbie Ross, PT, NCS, Dr. Danielle Tolman, PT and Karen are also joined by Christine Moyer from the podcast Unsteady and Unfiltered. First, prepare the "shrub"Woody Pear Shrub -1 ⅓ cup Pear Juice* -⅔ cup Cane Sugar -1 cup White Distilled Vinegar -2 large sprigs of Rosemary -4 bunches of Thyme -3 Bay Leaves Measure and add all ingredients into a pot on your stove. Cover and turn heat to high. Bring liquid to a boil. Turn down the heat, take off the lid and stir until the sugar is completely dissolved. Turn off the heat and let cool to room temperature. Pour the contents of the pot into a sealable container and store in the fridge for several hours or overnight. In the morning, strain steeped herbs out of the liquid using a wire mesh strainer or a nut milk bag. Store finished shrub in a sealable container in the fridge until use for up to a month. *Be mindful of the ingredient label when selecting a pear juice. You’ll want to find one that uses ascorbic acid (powdered Vitamin C) as the color protectant instead of lemon juice. Knudsen Juice is a widely available brand that is safe, although I’m sure there are many that are also okay.Pear Cocktail-1 ¼ oz 40% Clear Spirit (vodka, gin, blanco tequila, etc.) -2 oz Woody Pear Shrub -Soda Water -Ice *Measure ingredients into a Collins glass over ice. Using a spoon, gently stir to incorporate all ingredients. Garnish with additional herbs (rosemary, thyme & bay). About KarenIn March of 2019, after 18 months of searching for answersto the seemingly mysterious symptoms Karen had been experiencing, she was diagnosed with Chronic Vestibular Migraine. Post diagnosis, she learned about the Johns Hopkins Migraine Diet through Dr. David Buchholz’s book, “Heal Your Headache”, and started to undergo the tedious elimination process to figure out her personal migraine triggers. In May of 2020, during the Covid pandemic quarantine, Karen launched a blog focused on migraine-friendly cocktails for the at-home bartender, Tartt Drinks. This creative outlet, along with an online audience of fellow migraineurs, provided a space for her to explore the cocktails, flavorsand spirits that were missing from the lives of those affected by migraine. Her migraine-friendly cocktails have since been featured in the Bombay Sapphire Artist Showcase, Speed Rack Trading Cards, Dizzy Cook’s first book release party, Miles for Migraine Social Events and an upcoming cocktail book. She currently resides in San Francisco, CA and works at Wildhawk in the Mission District. She’s currently researching gas chromatography analysis in spirits to more clearly define what makes a spirit migraine-friendly. She’s also studying different ways to create more complete citrus alternatives.Karen can be reached for consultations and inquiries at clearspiritandmind@gmail.com.Hosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PT For more FREE resources, click here.For episode recommendations or requests, email us at: info@balancingactrehab.comConnect with Us:→ Book a free call with us-hope and healing start now→ Get free resources straight to your inbox→ Join the waitlist for The Dizzy Reset wellness program→ 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!
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