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.
Connect with Mike
Email: mike@mikestuder.com
Website: mikestuder.com
Instagram: @MikeStuderDPT
Book: The Brain That Chooses Itself
Time Stamps03:29 Neuroplasticity defined 05:21 Core principles: intensity, repetitions, salience, task specificity, sleep consolidation09:35 Zooming into vestibular rehab10:06 VR as proof of neuroplasticity; predictive processing 11:32 Habituation/adaptation as exposure-based therapy; links to pain & psychology13:32 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
Hosted by:
🎤 Dr. Abbie Ross, PT, NCS
🎤 Dr. Danielle Tolman, PT
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Dizziness in the emergency department is common—and complicated. Today, hosts Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT talk with Dr. Peter Johns (MD) and Dr. Rebecca 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 stroke, 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.
About the Guests
Peter Johns, MD — Emergency physician and vertigo educator (creator of “Spin Class” vertigo course and a popular YouTube channel).
Rebecca Griffith, PT, DPT — Emergency Department physical therapist and educator advocating for PT/OT presence in EDs nationwide.
Key Takeaways
Use HINTS only in continuous dizziness with spontaneous nystagmus; otherwise it can mislead toward stroke workups.
BPPV is common and under-treated—confirm with positional nystagmus and treat with the right maneuvers.
Assess gait and orthostatics upright, not just vitals in bed; orthostatic hypotension is frequently missed.
If no nystagmus + new gait impairment, don’t discharge—consider imaging/neurology.
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., 3PD 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!
#Dizziness #Vertigo #BPPV #HINTSExam #Stroke #EmergencyMedicine #VestibularRehab #PhysicalTherapy #POTS #OrthostaticHypotension #NeuroPT #TalkDizzyToMe
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🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
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🐦 Twitter: @DizzyDoctors
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Time Stamps01:11 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
Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT chat with the Concussion Queen herself, Becky Bliss, PT, DPT, DHSc to discuss all things concussion.
About Becky Bliss:
Rebecca Bliss is a clinical associate professor in the University of Kansas Medical Center Physical Therapy, Rehabilitation Science, and Athletic Training Department. She is board-certified in neurological physical therapy and serves in the role of program coordinator for the University of Missouri’s Neurological Physical Therapy Residency. She holds her certificate in vestibular rehabilitation from the APTA, as well as an advanced vestibular certificate. Becky has been actively practicing in the field of physical therapy for 23 years, with specialization in concussion management since 2006. Becky is active within the Academy of Neurological Physical Therapy and American Physical Therapy Association’s Concussion Committees and also provides telementorship nationally through Missouri Tele network Concussion ECHO program. Her clinical research interests include translating best practice in concussion care into clinical practice and higher-level neuromotor control deficits that are not detected by routine clinical examinations. Becky is also active in educational research and is a member of the Leveraging Education And Research Now (LEARN) LabWhere to find Becky:
- website: https://www.blissfully-in-balance.com
- email: rbliss@kumc.edu
Like our shirts? Get your Vestibular First "Semicircular Interpreter" shirt here!: https://vestibularfirst-swag.printify.me/
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🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
Dr. 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/
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🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
Dr. 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
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🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
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🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
Enjoy 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 Karen
In 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 episode recommendations or requests, email us at: info@balancingactrehab.com
Connect with Us🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
In this episode, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman talk with Karen Tartt about managing life with vestibular migraine symptoms in various settings. Her expertise in developing migraine-friendly cocktails will blow your mind!
About Karen
In 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 episode recommendations or requests, email us at: info@balancingactrehab.com
Connect with Us🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT are joined by Edo Zylstra, PT, DPT, OCS to discuss the the potential of Dry Needling in the treatment approach of patients with Vestibular Dysfunction and Migraine.
About Edo Zylstra, PT, DPT, OCSDr. Zylstra has over 20 years of experience in orthopedics, pre-/post- surgical care, sports performance, wellness training, chronic pain treatment, and injury prevention. He works with patients of all ages and across all activity levels. He evaluates and treats from a whole-body approach. His treatment combines knowledge and understanding of anatomy and function within the context of full body structure, function, and movement patterns. He works to restore compromised mobility, strength, stability, and movement patterning. This is achieved through various manual techniques, active modalities, progressive exercise, and education. Outside of the clinic, Dr. Zylstra brings his knowledge and expertise to continuing education course, and educates clinicians on dry needling techniques.
Where to find Edo:
https://www.kcarephysio.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🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
Welcome!Christine Moyer is the new host of a supplemental podcast to Talk Dizzy To Me. These easily digestible episodes will share a lighthearted, but informative, approach to different topics as they relate to living life with vestibular dysfunction as a vestibular patient herself. This may include TDTM recaps, “hot takes” on trending issues, social media accounts or trend shout outs, tips/tricks, and even the occasional special guest. Living with vestibular dysfunction is not easy, but Christine’s uplifting and grounding personality will surely bring listeners a moment of levity to a challenging situation
Episode Resources:
Christine’s 2023 TDTM Episode: https://youtu.be/YisqP_Iop-0?si=Wg3zw_y3bkV-F5ZK
Hosted by:
🎤 Christine Moyer
Where to find Christine:
📩 Email: ThatDizzzyGirl@gmail.com
📘 Facebook: That Dizzzy Girl
📸 Instagram: @thatdizzzygirl
🎵 TikTok: @thatdizzzygirl
📩 Drop Christine an email with episode recommendations or requests
Connect with Balancing Act Rehab
🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
YouTube: @BalancingActResources
Can you believe it’s been 3 YEARS since we first had a conversation with Dr. Shin Beh about vestibular migraine? Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT catch up and discuss some new updates in vestibular migraine treatment approaches.
About Dr. Beh
Dr. Beh completed his neurology residency training at the University of Texas Southwestern Medical Center. His fellowship training consisted of: Neuroimmunology & Multiple Sclerosis, Neuro-otology, and Neuro-ophthalmology. His fellowship training was completed at three centers – the University of Texas Southwestern Medical Center, Johns Hopkins University Hospital, and New York University Medical Center. After completion of his fellowship training, he returned to the University of Texas Southwestern Medical Center to to set up its very first Vestibular & Neuro-Visual Disorders Clinic. This Clinic was built to help care for the many people suffering from neurological disorders that caused vertigo, dizziness, and imbalance. Initially, he divided his time between multiple sclerosis and vestibular disorders. After realizing there was a far greater need among people with vestibular disorders, he focused solely on this area, and joined the Headache & Facial Pain Program.
Where to find Dr. Beh: https://www.vestibularmd.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
🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
Dr. Dara Meldrum, founder and CEO of Vertigenius, joins Dr. Abbie Ross, PT, DPT, and Dr. Danielle Tolman, PT, to discuss the role of technology in improving the effectiveness of at-home vestibular rehabilitation for patients.
About Dr. Dara Meldrum
Dr. Dara Meldrum is a physiotherapist and an Associate Professor at the Academic Unit of Neurology, School of Medicine, Trinity College Dublin, Ireland. With over 25 years of experience in clinical practice, research, and teaching, she specializes in vestibular and neurological rehabilitation. Clinically, she works at the Balance Centre in Dublin.
Dr. Meldrum's research focuses on applying technology in physical measurement and neuro-rehabilitation. She is the inventor and founder of Vertigenius™, a medical device incorporating a wearable head sensor, clinician platform, and patient app to aid in the treatment of dizziness, vertigo, and imbalance.
🔗 Learn more about Vertigenius:https://vertigenius.com/
Featured Research Articles
📄 Wearable Sensor and Smartphone-Assisted Vestibular Physical Therapy for Multiple Sclerosis: Usability and Outcomes (Frontiers in Rehabilitation Sciences, 2024)
📄 Telerehabilitation in Physical Therapist Practice: A Clinical Practice Guideline (American Physical Therapy Association, 2024)
🔗 Read the full article https://academic.oup.com/ptj/article/104/5/pzae045/7633220
📄 Toward a Digital Health Intervention for Vestibular Rehabilitation: Usability and Subjective Outcomes of a Novel Platform (Frontiers in Neurology, 2022)
🔗 Read the full article https://www.frontiersin.org/articles/10.3389/fneur.2022.836796/full
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
🌍 Website: www.BalancingActRehab.com
🔗 All Links: https://link.me/balancingactrehab
📌 Social Media:
📘 Facebook: @BalancingActRehab
📸 Instagram: @BalancingActRehab
🐦 Twitter: @DizzyDoctors
🎵 TikTok: @BalancingActRehab
We are kicking off the new year and a new season with a great guest! Dr. Kristen Steenerson, MD brings her expertise to the conversation with a deeper dive into Vestibular Migraine and Persistent Postural Perceptual Dizziness. Whether you're a patient or a clinician, you surely don't want to skip this episode!
Kristen K. Steenerson, MD is a board-certified neurologist with fellowship training in vestibular neurology. She graduated cum laude from Claremont McKenna College, received her MD from the University of Utah, completed neurology residency at Mayo Clinic Arizona, and fellowship at Barrow Neurological Institute. She directs the Vestibular Balance Disorders Program of the Stanford Balance Center. She has joint appointments in the departments of Otolaryngology--Head and Neck Surgery and Neurology & Neurological Sciences at Stanford. Her clinical interests include vestibular migraine, persistent postural-perceptual dizziness, benign paroxysmal positional vertigo, Ménière's disease, and international neurology. Episode Resources
- Central and peripheral vestibular disorders overview (and how much they overlap!): https://www.nature.com/articles/nrneurol.2017.58
- CGRP position paper: https://pubmed.ncbi.nlm.nih.gov/38466028/
- VMPATHI survey:https://redcap.ucsf.edu/surveys/?s=CY893NJHCM
- VMPATHI paper: https://pubmed.ncbi.nlm.nih.gov/32176141/
- Comprehensive analysis of VM treatments: https://pubmed.ncbi.nlm.nih.gov/35859353/
- Migraine influences tinnitus and hearing loss: https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/pdf/10.1002/ohn.201?casa_token=pfzZz62NjqcAAAAA:u0enZoqzF6n8D1_o_7G4HyTY5qpjFd0cDutwNpFtigKXd7xo4Zo65Cuzy4qZWjHDeuMICp0RYuKrGQ
- Cognitive failures improve when migraine improves: https://pubmed.ncbi.nlm.nih.gov/37525385/
- Treat MdDS as migraine: https://pmc.ncbi.nlm.nih.gov/articles/PMC5823515/
- Magazine article: https://www.bustle.com/p/what-actually-happens-in-your-brain-when-you-have-a-migraine-according-to-experts-16823975
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com Where to find us: https://link.me/balancingactrehabwww.BalancingActRehab.com Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab
Dr. Habib Rizk, MD is a Neurotologist and Associate Professor at the Medical University of South Carolina (MUSC). He joins Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT to discuss his experience not only as an expert clinician in the field of treating vestibular dysfunction, but also as a person who has experienced vestibular dysfunction first hand following an episode of Vestibular Neuritis!
Where to find Dr. Rizk:
MUSC Health: https://providers.muschealth.org/sc/mount-pleasant/habib-rizk-md-msc
Email: rizkh@musc.edu
The Vestibular Disorders Association: https://vestibular.org/
VeDA's Provider Directory: https://vestibular.org/healthcare-directory/
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com Where to find us: https://link.me/balancingactrehabwww.BalancingActRehab.com Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness https://balancing-act-rehab-s-school.teachable.com/courses/
Gerard J. Gianoli, M.D joins Abbie and Dani to talk about the difference between Third Mobile Window Syndrome, Symptoms, Defects, and Disorder. They dive into patient presentation, causes, testing, and current treatment approaches.
Where to find Dr. Gianoli:
Website/Contact: https://earandbalance.net/
Youtube: https://www.youtube.com/@Ear-and-Balance-Institute
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com Where to find us: https://link.me/balancingactrehabwww.BalancingActRehab.com Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness https://balancing-act-rehab-s-school.teachable.com/courses/
In this Episode, Dr. Jennifer Stoskus PT, DPT, NCS, Advanced Vestibular Physical Therapist (UPMC course) provides us with a long over-due update on the management of Mal de Debarquement Syndrome (MdDS).
Episode Resources:
- Barany Society Diagnostic Criteria for MdDS (2020): https://content.iospress.com/articles/journal-of-vestibular-research/ves200714
- Advanced Vestibular Physical Therapist Certificate Program: https://www.shrs.pitt.edu/pt/continuing-education/advanced-vestibular-physical-therapist-certificate-program
- MdDS Foundation: https://mddsfoundation.org/
- Gait Disorientation Test: https://pubmed.ncbi.nlm.nih.gov/33338462/
- Our discussion of “The Mind-Body Connection in Managing Dizziness” with Dr. Lisa Farrell, PT, DPT: https://youtu.be/ZWlrVh8Fz_U?si=uo5aIiFzdDvyBXEv
Where to find Dr. Jennifer Stoskus PT, DPT, NCS, Advanced Vestibular Physical Therapist:
- Website is www.NJDizziness.com
- Research page: bit.ly/tech4hcp
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com Where to find us: https://link.me/balancingactrehabwww.BalancingActRehab.com Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness https://balancing-act-rehab-s-school.teachable.com/courses/
Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT chat with the one and only JJ Mowder-Tinney, PT, PhD, NCS about getting creative when it comes to empowering patients while also keeping rehab functional and fun.
Where to find JJ:
- NeuroCollaborative: mentorship, coaching, resources, support, workshops, continuing education, and a power community of professionals aimed to support and empower providers to create specialty programs or businesses that positively impact their communities and themselves. https://www.neurocollaborative.com/
- Instagram: @JJMowderPT
- Medbridge Courses: https://www.medbridge.com/courses#/physical-therapy?search=jj
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com Where to find us: https://link.me/balancingactrehabwww.BalancingActRehab.com Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness https://balancing-act-rehab-s-school.teachable.com/courses/
Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT are joined by Jeff Walter, PT, DPT, NCS for a great discussion with Prof. Dr Herman Kingma about the science behind vestibular perception, as well as the vibrotactile technology behind The Balance Belt. (https://balancebelt.net/en/)
About Prof. Dr Kingma
As a Professor in Clinical Vestibulology at the Maastricht University Medical Centre in The Netherlands, Prof. Dr Kingma has treated many patients with vestibular disorders. He developed the BalanceBelt as a substitute to the existing invasive and unsustainable treatments for severe balance disorders.
Prof. Dr Kingma has presented more than 1000 keynote lectures and contributed to more than 150 international peer-reviewed publications in biophysics and medical sciences.
For more information about Jeff Walter, PT, DPT, NCS and his online MedBridge courses, check out: https://www.vestibular.today/medbridge
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com Where to find us: https://link.me/balancingactrehab www.BalancingActRehab.com Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness https://balancing-act-rehab-s-school.teachable.com/courses/
This week, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT connect with Joanna Wolfson, PhD, ABPP about what people living with dizziness may experience on a day to day basis, and what can be done about it from a psychological point of treatment. Joanna Wolfson, PhD, ABPP is a board-certified senior psychologist on the Adult Outpatient service at Rusk Rehabilitation, NYU Langone Health and Clinical Assistant Professor of Rehabilitation Medicine at the NYU Grossman School of Medicine. She holds a doctorate in Clinical Psychology from Fairleigh Dickinson University, completed her internship at NYU Rusk, and her postdoctoral fellowship at the Manhattan VA in Health Psychology and Primary Care. She is board certified in clinical health psychology. Dr. Wolfson provides individual and group psychotherapy to patients with a wide range of medical presentations, including vestibular conditions. She co-leads a vestibular stress management group, which has been running for the past 8 years. She also supervises interns in the field of health psychology and presents on topics including integrated healthcare, motivational interviewing, and health anxiety. Dr. Wolfson can be reached at: Joannawolfsonphd@gmail.com Episode Resources: https://www.psychologytoday.com/intl/blog/psychological-trauma-coping-and-resilience/202302/communicating-and-feeling-understood-long
Gordon, R. M., Dahan, J. F., Wolfson, J. B., Fults, E., Lee, Y. S. C., Smith-Wexler, L., Liberta, T. A., & McGiffin, J. N. (2020). Existential–humanistic and relational psychotherapy during COVID-19 with patients with preexisting medical conditions. Journal of Humanistic Psychology, 002216782097389. https://journals.sagepub.com/doi/10.1177/0022167820973890 Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com Where to find us: https://link.me/balancingactrehab www.BalancingActRehab.com Facebook: @BalancingActRehab Instagram: @BalancingActRehab Twitter: @DizzyDoctors TikTok: @BalancingActRehab Check out our self guided self help courses! How to Live with Dizziness How to Treat Positional Dizziness https://balancing-act-rehab-s-school.teachable.com/courses/
This week, Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT sit down with Allison Hirshey to discuss her tips for living with chronic dizziness.
Allison's Resources:
The Steady Coach (Youtube channel includes link to her free chronic dizziness course)
o Dr. Yonit Arthur is a board-certified audiologist and certified strength coach who aims to help those suffering with chronic dizziness and other vestibular symptoms
o The Steady Coach also has a podcast
https://www.youtube.com/c/thesteadycoach
Conscious Healing - Retrain Your Brain: Overcoming Neural Circuit Dizziness Course
o Megan suffered with PPPD/MdDS type symptoms for years and has found her way to recovery. She now offers 1:1 coaching and a course she created around healing chronic dizziness
https://conscioushealing.uk/courses/retrain-your-brain-overcoming-neural-circuit-dizziness/
The Better Mind Center
o The therapy center I work with, they have a multitude of psychotherapists who are trained in working with patients who suffer from chronic pain and/or chronic dizziness.
Supplements that helped me: Magnesium Glycinate, Magnesium Threonate (specifically Pure Encapsulations CogniMag), Riboflavin Vitamin B2, Vitamin D3 + K2, Bach Flower Drops (natural stress/anxiety relief), essential oils (for stress/anxiety relief)
VRT:
Balancing Act Rehabilitation
https://www.balancingactrehab.com/about
Alternative Medicine that helped me:
o Acupuncture
o Massage - specifically Neuromuscular and Craniosacral Therapies
Books:
The Way Out by Alan Gordon
o Takes a mind-body approach to healing chronic pain. The book uses the word “pain” but the same approach can be used for dizziness, just insert “dizziness” anytime “pain” is used.
o There is an audio version as well which is great for those with symptoms that make reading difficult
Victory of Vestibular Migraine by Dr. Shin Beh
o Extremely informative for those suffering with vestibular migraine but offers take aways to anyone who is suffering with vestibular symptoms
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com
Where to find us:
https://link.me/balancingactrehab
Facebook: @BalancingActRehab
Instagram: @BalancingActRehab
Twitter: @DizzyDoctors
TikTok: @BalancingActRehab
In this episode, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT talk with Dr. Lisa Farrell, PT, PhD about mindfulness and utilizing the Mind-Body connection with the management of dizziness.
Where to find Dr. Lisa Farrell, PT, PhD
https://www.symmetryalliance.com/
Mindful Meetups
6-week Mindfulness Meditation Course
Physical Rehab Courses
Free Resources! (Handouts, Information, Products/Services)
Instagram account: @Its.about.balance.with.dr.lisa
UPCOMING COURSE OFFERINGS
NJAPTA webinar on March 27th, 2024 (7 - 9pm EST): Mindfulness Meditation for Self Care and Patient Empowerment https://aptanj.org/events/EventDetails.aspx?id=1826430&group=
Balance Frontiers: NSU Vestibular Symposium on June 7th, 2024: Rehabilitation for Chronic Vestibular Conditions Using a Mind and Body Approach
VEDA Social Hour – Guided mindfulness meditation on August 27th, 2024 at 7pm EST
Mindfulness Meet-ups
Hosted by Dr. Abbie Ross, PT, NCS, and Dr. Danielle Tolman, PT For Episode Recommendations or Requests, email us info@balancingactrehab.com
Where to find us:
https://link.me/balancingactrehab
Facebook: @BalancingActRehab
Instagram: @BalancingActRehab
Twitter: @DizzyDoctors
TikTok: @BalancingActRehab
