Talk Dizzy To Me

In this episode of Talk Dizzy To Me, Dr. Abbie Ross sits down with vestibular rehabilitation expert Laura Morris, PT, NCS to explore individualized treatment approaches for vestibular migraine. They discuss the importance of patient education, lifestyle modifications, sensory integration, and graded exposure to visual motion when managing dizziness and persistent vestibular symptoms.
From distinguishing vestibular migraine from BPPV and PPPD to navigating exercise intolerance, visual dependence, and fear avoidance, Laura shares practical strategies for clinicians and patients alike. Discover why vestibular rehabilitation isn't one-size-fits-all and how building confidence, restoring function, and empowering patients can transform recovery.

Hosted by:
🎤 Dr. Abbie Ross, PT, NCS

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Partnered with:
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠⁠⁠⁠⁠

Connect with Us:
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This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts.

Episode Timestamps
00:15 – Meet Laura Morris
03:18 – Evaluating vestibular migraine
05:43 – Diagnosis and medical management
07:32 – Comprehensive vestibular rehabilitation
10:49 – Lifestyle modifications and migraine management
14:35 – Exercise and individualized treatment
17:55 – Episodic vs. persistent vestibular migraine
20:24 – Medical and psychological support
23:49 – When vestibular rehab makes symptoms worse
26:27 – Visual dependence and sensory integration
28:23 – Grounding, habituation, and visual motion sensitivity
31:35 – Managing symptoms in grocery stores
34:24 – Making rehabilitation functional and enjoyable
36:01 – Overcoming fear avoidance
38:24 – Gaze stabilization exercises
40:51 – Differentiating BPPV from vestibular migraine
43:50 – Two vestibular migraine patient case studies
49:48 – Rethinking migraine triggers and hypervigilance
51:29 – Encouragement for patients feeling stuck
53:07 – Celebrating progress and small wins

Finding the right provider for dizziness can be a long and frustrating process. In this episode of Talk Dizzy To Me, we welcome back Patrick Esmonde to introduce Dizzy Care Network, a platform designed to help connect people experiencing dizziness with clinicians who are best suited to evaluate their symptoms.
We explore how the platform works for both patients and providers, the technology and clinical reasoning behind its matching process, and how it could help reduce the time spent searching for answers. We also discuss what Patrick and his team have learned so far and their vision for the future of more accessible, efficient, and individualized vestibular care.

Learn More Here: https://dz.care/TDR

Hosted by:
🎤 Dr. Abbie Ross, PT, NCS
🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Partnered with:
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠⁠⁠⁠

Connect with Us:
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Book a free call with us⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
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This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts.

Timestamps
00:13 – Meet Patrick Esmonde
00:54 – From Vestibular First to Dizzy Care Network
05:32 – The problem with finding vestibular care
08:07 – Who is Dizzy Care Network for?
12:32 – The patient questionnaire
14:26 – Making the platform dizziness-friendly
18:04 – Symptoms, timing & triggers
18:25 – How patient-provider matching works
22:47 – Customizing your provider match
25:12 – Building an evidence-based questionnaire
28:06 – DHI, PHQ-8 & GAD-7 integration
30:13 – Improving the vestibular evaluation
33:05 – Beta testing & unexpected lessons
36:45 – Expanding access across the U.S.
38:05 – Virtual vestibular care
40:57 – The future of Dizzy Care Network
42:38 – Using it as a clinician intake tool
45:13 – Expanding dizziness diagnoses & symptom clusters
48:29 – Is Dizzy Care Network free?
50:10 – Data, growth & future possibilities

In this special episode of Talk Dizzy to Me, we’re joined by members of the Dizzy Moms Club for an honest conversation about the challenges of parenting with vestibular disorders, including vestibular migraine, PPPD (Persistent Postural-Perceptual Dizziness), vestibular neuritis, unilateral vestibular hypofunction, BPPV, and Ménière’s disease.

Our guests share their lived experiences navigating the unpredictable nature of dizziness while raising children—and the strategies they’ve learned for adapting without losing meaningful connection with their families.
Hosted by:
🎤 Dr. Abbie Ross, PT, NCS
🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Partnered with:
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠⁠⁠

Connect with Us:
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Book a free call with us⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
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→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our online program and community, The Dizzy Reset™⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
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→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enjoying the podcast? Leave us a review!⁠⁠

This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts.
Episode Timestamps
00:13 – Introduction: Parenting While Dizzy
01:14 – Meet the Dizzy Moms Club
06:41 – Adapting Parenting on Dizzy Days
11:02 – Prioritizing & Pacing
14:51 – Making Treatment Plans Fit Real Life
19:28 – Fitting Vestibular Rehab Into Motherhood
26:22 – Sleep & Vestibular Symptoms
28:56 – Mom Guilt & Giving Yourself Grace
39:55 – The Power of Support & Community
43:49 – Learning to Ask for Help
49:54 – A Message of Hope for Dizzy Parents
51:36 – What Clinicians Need to Understand
53:28 – Dizzy Moms Club & Dizzy Parents Day

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with Dr. David Sandlin, a vestibular and oculomotor neurologist at Emory Brain Health Center, to discuss how eye movements can provide critical clues to progressive neurologic diseases.
From Parkinson's disease and Progressive Supranuclear Palsy (PSP) to Multiple System Atrophy (MSA), cerebellar disorders, and Multiple Sclerosis (MS), Dr. Sandlin explains how a detailed bedside eye movement examination can detect neurologic disease long before imaging does. He shares the clinical reasoning behind evaluating nystagmus, saccades, smooth pursuit, VOR testing, and other vestibular examination findings that help differentiate central from peripheral causes of dizziness.
This episode also discusses the importance of making timely referrals and understanding where vestibular rehabilitation fits into the care of progressive neurologic disorders.

Hosted by:
🎤 Dr. Abbie Ross, PT, NCS
🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Partnered with:
→ Our online program and community, The Dizzy Reset™, ⁠⁠⁠⁠use code TALKDIZZYTOME for 40% off your first payment⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠⁠

Connect with Us:
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Book a free call with us⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
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→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our online program and community, The Dizzy Reset™⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
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→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enjoying the podcast? Leave us a review!⁠

This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts.

Time Stamps:
00:00 – Introduction to Dr. David Sandlin
02:15 – Why Dr. Sandlin specialized in vestibular & ocular motor neurology
06:05 – What are progressive neurologic diseases?
08:15 – Can dizziness be the first symptom?
10:55 – How Dr. Sandlin evaluates dizzy patients
12:45 – Eye movement examination: fixation, nystagmus & ocular alignment
15:35 – Saccades and what they reveal about the brain
18:25 – Smooth pursuit, convergence & VOR suppression
21:50 – Why eye movements reveal so much about neurologic disease
24:20 – Vestibular testing beyond the bedside exam
26:10 – Red flag patterns of nystagmus clinicians should recognize
28:55 – Hypermetric saccades, stroke & cerebellar findings
30:20 – Pendular nystagmus and multiple sclerosis
32:10 – MRI: when imaging helps—and when your clinical exam is better
36:45 – Central vs. peripheral findings: what provides reassurance?
41:45 – Progressive Supranuclear Palsy (PSP): recognizing early signs
45:10 – Multiple System Atrophy (MSA), Parkinsonism & autonomic dysfunction
49:20 – AI, ChatGPT & patients researching their symptoms
51:00 – The future of AI-assisted eye movement analysis
53:00 – Virtual reality and the future of vestibular diagnostics
56:25 – Key takeaways for patients and clinicians

In this episode of Talk Dizzy to Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT are joined by Dr. Ben Shaw, a London-based consultant audiovestibular physician specializing in dizziness, vertigo, balance disorders, tinnitus, and hearing loss.

Dr. Shaw explains how he evaluates patients with vague, recurrent, or chronic dizziness and why understanding the timing, triggers, and associated symptoms is essential for reaching the correct diagnosis.

The conversation discusses various vestibular conditions, including Benign Paroxysmal Positional Vertigo (BPPV), vestibular migraine, Ménière’s disease, vestibular neuritis, labyrinthitis, Persistent Postural-Perceptual Dizziness (3PD/PPPD), and Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome (CANVAS).

The episode also includes an in-depth discussion of tinnitus. Dr. Shaw explains why tinnitus is a symptom rather than a diagnosis and presents a holistic approach to tinnitus management.

Hosted by:
🎤 Dr. Abbie Ross, PT, NCS
🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Partnered with:
→ Our online program and community, The Dizzy Reset™, ⁠⁠⁠use code TALKDIZZYTOME for 40% off your first payment⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠⁠⁠

Connect with Us:
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Book a free call with us⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Get free resources straight to your inbox⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join our online program and community, The Dizzy Reset™⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
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→ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Enjoying the podcast? Leave us a review!

This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts.

Time Stamps
00:15 Meet Dr. Ben Shaw
01:34 Audiovestibular medicine explained
02:53 Evaluating dizziness
06:12 The vestibular examination
07:59 When additional testing is needed
08:55 Central red flags
10:23 Vestibular migraine and PPPD
11:49 Vestibular neuritis
12:19 Ménière’s disease
13:44 Neuritis vs. labyrinthitis
16:04 Understanding tinnitus
18:27 Managing tinnitus
20:46 CBT, mindfulness, and habituation
22:39 Tinnitus red flags
23:07 Sudden hearing loss
24:28 Pulsatile and unilateral tinnitus
25:28 Complex dizziness cases
25:58 CANVAS syndrome
27:53 Vestibular migraine and anxiety case
29:21 Treating migraine before vestibular rehab
31:19 Advice for clinicians
34:41 What patients should know about vertigo
36:04 Vestibular suppressant medications
37:03 Preventing vestibular migraine
37:56 Connect with Dr. Ben Shaw
39:21 Closing thoughts