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Talk Dizzy To Me: Daily Summaries Delivered
by Balancing Act Rehab
We’re just two vestibuloholics excitedly bringing you a comprehensive view into the complex field of dizziness. Made for both clinicians and patients, we’re aiming to provide you with endless resources, tips & tricks, interviews with experts, and so. much. more.Hosted by Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT
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- 1 weeks ago41 min
Differential Diagnosis Demystified: Dizziness, Tinnitus, and Hearing Loss Explained
In this episode of Talk Dizzy to Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT are joined by Dr. Ben Shaw, a London-based consultant audiovestibular physician specializing in dizziness, vertigo, balance disorders, tinnitus, and hearing loss.Dr. Shaw explains how he evaluates patients with vague, recurrent, or chronic dizziness and why understanding the timing, triggers, and associated symptoms is essential for reaching the correct diagnosis.The conversation discusses various vestibular conditions, including Benign Paroxysmal Positional Vertigo (BPPV), vestibular migraine, Ménière’s disease, vestibular neuritis, labyrinthitis, Persistent Postural-Perceptual Dizziness (3PD/PPPD), and Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome (CANVAS).The episode also includes an in-depth discussion of tinnitus. Dr. Shaw explains why tinnitus is a symptom rather than a diagnosis and presents a holistic approach to tinnitus management.Hosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, 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!This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts.Time Stamps00:15 Meet Dr. Ben Shaw 01:34 Audiovestibular medicine explained02:53 Evaluating dizziness06:12 The vestibular examination07:59 When additional testing is needed08:55 Central red flags10:23 Vestibular migraine and PPPD11:49 Vestibular neuritis12:19 Ménière’s disease13:44 Neuritis vs. labyrinthitis16:04 Understanding tinnitus18:27 Managing tinnitus20:46 CBT, mindfulness, and habituation22:39 Tinnitus red flags23:07 Sudden h
- Jun 26, 202655 min
The Otolith Organs: Why You Feel Pulled, Tilted, Rocking, or Swaying
In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT are joined by Dr. Katherine Deines, PT, NCS and Dr. Jaimy Wahab, PT, NCS, also known as the Neuro Dizzy Duo, for a deep dive into one of the most overlooked parts of the vestibular system: the otolith organs.While many people associate vertigo and dizziness with the semicircular canals and spinning sensations, this episode explores how the utricle and saccule help us sense gravity, acceleration, head position, vertical orientation, and linear movement. The conversation highlights why otolith dysfunction may contribute to symptoms such as rocking, swaying, bobbing, feeling pulled or pushed, floating, walking on marshmallows, disorientation, and feeling “off.”The guests also explain how otolith dysfunction may show up in conditions such as BPPV, vestibular migraine, PPPD/3PD, Mal de Débarquement Syndrome, concussion, dysautonomia, POTS, Parkinson’s disease, and other complex vestibular presentations.This episode is especially helpful for vestibular clinicians, physical therapists, audiologists, patients with chronic dizziness, and anyone trying to better understand why dizziness is not always “spinning.”Episode Resources:Where to find The Dizzy Duo on Instagram: @neuro_dizzy_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
- Jun 11, 202653 min
PPPD Explained: When the Dizziness Doesn’t Go Away
In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with neurologist Dr. 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</strong
- May 27, 202651 min
When Healing Isn’t Linear: Finding Hope After a Life-Changing Head Injury
In this episode of Talk Dizzy To Me, Dr. Dani Tolman, PT and Dr. Abbie Ross, PT, NCS welcome back Sarah Renberg for her third appearance on the podcast. Sarah shares an inspiring update on her journey after a traumatic brain injury (TBI), vestibular dysfunction, autonomic dysfunction, ocular motor challenges, and more — and how she is now navigating medical school while continuing to manage her health. Sarah offers a powerful patient perspective on recovery, self-advocacy, support systems, and redefining progress after brain injury.Episode Resources: -Instagram: @Sren20-Sarah’s 1st TDTM Episode 2021-Sarah’s 2nd TDTM Episode 2023 Sarah’s Team on TDTM:-Dr. Appelbaum-Dr. 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 —
- May 6, 202654 min
How to Treat Vestibular Migraine, PPPD, and MdDS (Especially When You Feel Stuck)
In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT welcome back Dr. Shin Beh for a deeper conversation on the diagnosis and treatment of vestibular migraine, Persistent Postural-Perceptual Dizziness (PPPD), and Mal de Débarquement Syndrome (MdDS).These conditions can overlap, feel confusing, and leave patients feeling stuck in their recovery. Dr. Beh breaks down how he differentiates these diagnoses clinically, why vestibular migraine can precipitate PPPD symptoms, and how treatment plans need a whole-person approach. Treatment plans may combine lifestyle optimization strategies, vestibular rehabilitation, medication or supplements, neuromodulation, stress management, and more... and should absolutely be individualized. Whether you're living with chronic dizziness or treating patients with vestibular disorders, this episode offers a practical, compassionate look at why there is no one-size-fits-all approach to recovery.Episode Resources: www.vestibularmd.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, a
- Apr 15, 202658 min
Why Dizziness Lingers and What You Can Do About It
In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with Dr. Yonit Arthur, AuD (aka The Steady Coach) to break down her approach to chronic dizziness recovery.If you’ve been told “it’s just anxiety,” feel stuck with PPPD (Persistent Postural-Perceptual Dizziness), vestibular migraine, or lingering dizziness... this episode may change how you think about healing.We explore the role of the brain in chronic symptoms and how recovery is possible through neuroplasticity, not just medication or diagnosis labels.Whether you’re a patient or clinician, this episode offers hope, clarity, and actionable tools.Episode Resources:-thesteadycoach.com-Free Healing Chronic Dizziness Course-The Steady Coach's Youtube 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 overstimul
- Apr 1, 202648 min
Dizziness and Pain: The Intersection of the Vestibular and Musculoskeletal Systems
In this episode of Talk Dizzy To Me, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman PT are joined by Dr. Mickey Shah, PT, D.Sc. NCS, OCS, FAAOMPT, Dip. MDT; Certified Vestibular Rehabilitation Specialist - Emory, AVPT (Pittsburgh) to unpack the connection between pain and dizziness.Together, they explore how the neck plays a critical role in balance, why dizziness isn’t always vestibular, and how clinicians can better assess and treat patients with overlapping symptoms.From real clinical insights to practical strategies, this episode bridges the gap between vestibular therapy, pain science, and musculoskeletal care—making it a must-watch for clinicians and patients alike.Episode Resources: www.EvidenceCEU.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 exams2
- Mar 25, 20261h 1m
Facial Paralysis Explained: Causes, Associated Symptoms, and What Recovery Looks Like
In this episode of Talk Dizzy To Me, Dr. Abbie Ross, PT, NCS is joined by vestibular and neuro experts Dr. Carly Lochala, PT, NCS and Dr. Sara MacDowell, PT to break down facial paralysis, including Bell’s palsy, Ramsay Hunt syndrome, and facial nerve recovery.They dive into how facial paralysis affects not just movement, but also confidence, communication, and daily life... and what both clinicians and patients need to know about assessment, treatment, and recovery.Key Takeaways:- Facial paralysis is commonly caused by Bell’s palsy, but can also result from Ramsay Hunt syndrome, tumors, trauma, or infections- The facial nerve (cranial nerve VII) controls facial expression, taste, tear production, and more- Recovery depends on degree of nerve damage, not just diagnosis- You cannot “exercise” your way out of paralysis early on... the nerve must heal first- Improper exercises or overstimulation can worsen recovery- Facial paralysis has a major psychosocial impact- There are treatment options—even long-term—despite common 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).
About Talk Dizzy To Me
We’re just two vestibuloholics excitedly bringing you a comprehensive view into the complex field of dizziness. Made for both clinicians and patients, we’re aiming to provide you with endless resources, tips & tricks, interviews with experts, and so. much. more.Hosted by Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT
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