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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 ago55 min
Still Dizzy and No Answers? How to Find the Right Specialist Faster
Finding the right provider for dizziness can be a long and frustrating process. In this episode of Talk Dizzy To Me, we welcome back Patrick Esmonde to introduce Dizzy Care Network, a platform designed to help connect people experiencing dizziness with clinicians who are best suited to evaluate their symptoms.We explore how the platform works for both patients and providers, the technology and clinical reasoning behind its matching process, and how it could help reduce the time spent searching for answers. We also discuss what Patrick and his team have learned so far and their vision for the future of more accessible, efficient, and individualized vestibular care.Learn More Here: https://dz.care/TDRHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comPartnered with:→ 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.Timestamps00:13 – Meet Patrick Esmonde00:54 – From Vestibular First to Dizzy Care Network05:32 – The problem with finding vestibular care08:07 – Who is Dizzy Care Network for?12:32 – The patient questionnaire14:26 – Making the platform dizziness-friendly18:04 – Symptoms, timing & triggers18:25 – How patient-provider matching works22:47 – Customizing your provider match25:12 – Building an evidence-based questionnaire28:06 – DHI, PHQ-8 & GAD-7 integration30:13 – Improving the vestibular evaluation33:05 – Beta testing & unexpected lessons36:45 – Expanding access across the U.S.38:05 – Virtual vestibular care40:57 – The future of Dizzy Care Network42:38 – Using it as a clinician intake tool45:13 – Expanding dizziness diagnoses & symptom clusters48:29 – Is Dizzy Care Network free?50:10 – Data, growth & future possibilities
- 3 weeks ago56 min
The Invisible Load: Parenting with a Vestibular Disorder
In this special episode of Talk Dizzy to Me, we’re joined by members of the Dizzy Moms Club for an honest conversation about the challenges of parenting with vestibular disorders, including vestibular migraine, PPPD (Persistent Postural-Perceptual Dizziness), vestibular neuritis, unilateral vestibular hypofunction, BPPV, and Ménière’s disease.Our guests share their lived experiences navigating the unpredictable nature of dizziness while raising children—and the strategies they’ve learned for adapting without losing meaningful connection with their families.Hosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PTFor episode recommendations or requests, email us at: info@balancingactrehab.comPartnered with:→ 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.Episode Timestamps00:13 – Introduction: Parenting While Dizzy 01:14 – Meet the Dizzy Moms Club 06:41 – Adapting Parenting on Dizzy Days 11:02 – Prioritizing & Pacing 14:51 – Making Treatment Plans Fit Real Life 19:28 – Fitting Vestibular Rehab Into Motherhood 26:22 – Sleep & Vestibular Symptoms 28:56 – Mom Guilt & Giving Yourself Grace 39:55 – The Power of Support & Community 43:49 – Learning to Ask for Help 49:54 – A Message of Hope for Dizzy Parents 51:36 – What Clinicians Need to Understand 53:28 – Dizzy Moms Club & Dizzy Parents Day
- Jul 31, 202659 min
Progressive Neurologic Diseases and Dizziness: What You Need to Know
In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with Dr. David Sandlin, a vestibular and oculomotor neurologist at Emory Brain Health Center, to discuss how eye movements can provide critical clues to progressive neurologic diseases.From Parkinson's disease and Progressive Supranuclear Palsy (PSP) to Multiple System Atrophy (MSA), cerebellar disorders, and Multiple Sclerosis (MS), Dr. Sandlin explains how a detailed bedside eye movement examination can detect neurologic disease long before imaging does. He shares the clinical reasoning behind evaluating nystagmus, saccades, smooth pursuit, VOR testing, and other vestibular examination findings that help differentiate central from peripheral causes of dizziness.This episode also discusses the importance of making timely referrals and understanding where vestibular rehabilitation fits into the care of progressive neurologic disorders.Hosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, 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 Stamps:00:00 – Introduction to Dr. David Sandlin02:15 – Why Dr. Sandlin specialized in vestibular & ocular motor neurology06:05 – What are progressive neurologic diseases?08:15 – Can dizziness be the first symptom?10:55 – How Dr. Sandlin evaluates dizzy patients12:45 – Eye movement examination: fixation, nystagmus & ocular alignment15:35 – Saccades and what they reveal about the brain18:25 – Smooth pursuit, convergence & VOR suppression21:50 – Why eye movements reveal so much about neurologic disease24:20 – Vestibular testing beyond the bedside exam26:10 – Red flag patterns of nystagmus clinicians should recognize28:55 – Hypermetric saccades, stroke & cerebellar findings30:20 – Pendular nystagmus and multiple sclerosis32:10 – MRI: when imaging helps—and when your clinical exam is better36:45 – Central vs. peripheral findings: what provides reassurance?41:45 – Progressive Supranuclear Palsy (PSP): recognizing early signs45:10 – Multiple System Atrophy (MSA), Parkinsonism & autonomic dysfunction49:2
- Jul 22, 202641 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
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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