The I'm 'Just' Dizzy Podcast

Episode SummaryIn this powerful episode, host Bridgett Wallace presents an interview with Sarah, who shares her personal journey living with vestibular migraines and Persistent Postural Perceptual Dizziness (3PD). Following the theme of hope explored in Episode 1, Sarah's story illustrates the real-world impact of finding hope while managing chronic vestibular conditions. She describes her initial terrifying symptoms, challenges navigating the healthcare system, and how finding proper diagnosis and treatment transformed her life. Despite ongoing symptoms, Sarah shares how knowledge, proper treatment, and realistic hope have helped her reclaim a meaningful life and develop effective coping strategies.Key Topics00:00:33 - Connection to Episode 1's theme on hope00:00:50 - Introduction to Sarah's story with vestibular migraines and 3PD00:01:24 - Sarah describes her first vertigo episode and ongoing symptoms00:02:40 - Impact on daily life and social activities00:04:45 - Sarah's challenging experience navigating the healthcare system00:05:31 - Isolation and dismissal of invisible symptoms00:06:47 - Finding validation and proper diagnosis with Bridgett00:07:37 - Overview of Sarah's treatment journey00:08:20 - Importance of symptom tracking and identifying triggers00:09:01 - How knowledge empowered Sarah to manage her condition00:09:58 - Sarah's current life with vestibular conditions00:10:55 - How hope has been transformative in Sarah's journey00:12:31 - Sarah's closing advice for listeners with vestibular conditions00:13:59 - Bridgett's reflections connecting Sarah's story to previous episodesEpisode HighlightsSarah experienced her first severe vertigo attack while driving, leading to an ER visit where she was told it was "just an inner ear thing"After the initial spinning episodes, Sarah developed constant unsteadiness that severely impacted her daily lifeShe saw seven different doctors who offered conflicting diagnoses before finding proper careThe turning point came when Sarah received a proper diagnosis of vestibular migraines with 3PD after 18 months of searchingSarah's comprehensive treatment included the SEEDS approach (Sleep, Exercise, Eat/Drink, and Stress management)Vestibular rehabilitation exercises, lifestyle modifications, and medication helped manage her symptomsFinding patterns through symptom tracking helped Sarah identify that inadequate sleep and dehydration were major triggersThree years later, Sarah still has symptoms but has developed effective coping strategies and adaptationsTools that help Sarah include rose-colored glasses for visual challenges and noise-canceling headphones for auditory overloadSarah emphasizes that hope has been her "most valuable medicine" - not hope for a cure, but hope in her capacity to adaptResources MentionedSEEDS framework for vestibular management: Sleep, Exercise, Eat/Drink, and Stress managementVestibular rehabilitation exercisesRose-colored glasses for visually challenging environmentsNoise-canceling headphones for auditory overloadSymptom journaling to identify patterns and triggersReferences to Episode 1 (importance of hope) and Episode 2 (dizziness as a "silent syndrome")Connect with UsVisit 360livingbalanced.com to learn more about the VITALITY framework and connect with our supportive community. If you found this episode helpful, please subscribe wherever you get your podcasts and share with someone who might benefit, whether a healthcare practitioner or someone seeking answers about vestibular health.Remember, true progress happens when expertise and lived experience come together.

In this episode of "I'm Just Dizzy," we delve into a topic that has garnered significant attention over recent years: the prevalence of vestibular and cochlear symptoms associated with COVID-19 infections and vaccinations. Join us as we unravel the complexities behind symptoms such as dizziness, tinnitus, and hearing loss, which have become notably common among COVID-19 survivors and those who have been vaccinated.We start by exploring the statistics that shed light on the frequency of these symptoms. Post-COVID-19 infection, a significant number of people have exhibited spontaneous and positional nystagmus, difficulty with eye movements, and vertigo, indicating potential inner ear damage and vestibular dysfunction. We also discuss the incidence of these symptoms following vaccination, reassuring listeners that while the numbers are lower, the experiences of those affected are no less significant.Our journey continues as we examine the potential causes of these symptoms. From direct viral infections of the inner ear to vascular complications and the impact of Long COVID, we cover the various factors contributing to these distressing conditions. We delve into the intricacies of inner ear infections, such as vestibular neuritis and labyrinthitis, and their potential to lead to chronic conditions like Persistent Postural Perceptual Dizziness (3PD).Moreover, we address the challenges in diagnosing central vestibular disorders and the importance of an accurate diagnosis for effective treatment. Highlighting the benefits of vestibular rehabilitation and complementary therapies, we emphasize the need for individualized treatment plans to aid recovery.Finally, we stress the importance of ongoing research in understanding these symptoms and developing better treatment protocols. As we wrap up, we encourage our listeners to stay informed and proactive about their health, reminding them that they are not alone in this journey. Tune in for expert insights, valuable information, and a supportive community dedicated to your health and well-being.Let me know in the Comments section if you have specific topics you want me to cover.Don't forget about the download, which you can access from our podcast show on our website.Looking for more resources?CLICK HERE to visit our website to answer additional questions.CLICK HERE to access our blogs and sign-up for our newsletters.

Welcome to today's episode of "Raising Your Threshold in Vestibular Migraine." In this segment, we delve into the intricate world of vestibular migraine—a condition that continues to puzzle both patients and clinicians. Unlike traditional migraines, vestibular migraines may not always present with a headache. Instead, they often manifest through symptoms such as light and sound sensitivity, nausea, vomiting, and visual aura, making diagnosis a unique challenge.Patients with vestibular migraine frequently struggle with poor tolerance to position changes (like bending over, looking up, or rolling in bed), self-motion (such as turning the head), and visual motion (for example, cars passing at an intersection). Busy environments, like grocery stores, can also pose difficulties and sensations of unsteadiness. Additionally, it's common for individuals to report ear-related symptoms such as pressure, fullness, ringing, or even hearing loss.This episode provides a comprehensive historical perspective on vestibular migraine, shedding light on its diagnostic criteria and challenges within the healthcare system. We also explore non-pharmaceutical treatment options, emphasizing lifestyle behaviors that can help manage and potentially prevent vestibular migraines. By understanding these approaches, listeners can gain valuable insights into elevating their threshold for this complex condition.Join us as we navigate the nuances of vestibular migraine, offering expert advice and practical strategies to empower you on your journey to better health. Whether you're a patient seeking relief or a clinician aiming to enhance your understanding, this episode promises to be a valuable resource. Tune in and take the first step towards raising your threshold for vestibular migraines.If you need further adjustments or additional content, please let me know!Don't forget about the download, which you can access from our podcast show on our website.Looking for more resources?CLICK HERE to visit our website to answer additional questions.CLICK HERE to access our blogs and sign-up for our newsletters.

In this episode, we delve into the intricacies of Vestibular Ocular Reflex (VOR) training, a vital component in managing dizziness and balance disorders. Discover how specific gaze stabilization exercises can improve your VOR to reduce movement-related dizziness and unsteadiness, blurriness with head motion, and even nausea.We closely examine the anatomy of the ear--from outer ear to inner ear--and the physiology of the VOR pathways between the inner ear and brain. We also discuss personalized treatment plans tailored to individual needs, combining advanced vestibular testing with specialized physical therapy.We cover essential exercises like VOR Viewing X1 and VOR Viewing X2 viewing, designed to improve your ability to maintain visual focus during head movements and decrease, if not alleviate, your movement-related symptoms. Learn the step-by-step techniques to practice these exercises at home, ensuring you get the most out of your vestibular rehabilitation therapy.Join us as we explore the science behind VOR, offer practical tips, and support those struggling with dizziness. This episode will provide insights for patients and healthcare providers.Don't forget about the download, which you can access from our podcast show on our website.Looking for more resources?CLICK HERE to visit our website to answer additional questions.CLICK HERE to access our blogs and sign-up for our newsletters.

This episode emphasizes the critical importance of timely diagnosis and treatment. Early identification can significantly enhance recovery outcomes, but knowing that effective treatment is possible even months or years after the initial injury is reassuring.We examine the phenomenon of recurring symptoms, explaining how stressors like physical exertion or lack of sleep can cause them to resurface. This doesn't mean the concussion itself has returned but rather that the associated symptoms are re-emerging. Our discussion includes the evolving understanding of concussion management over the past decades, highlighting how outdated practices have given way to more effective, evidence-based approaches.Listeners will learn about the current best practices for treating persistent symptoms, including the benefits of gradual reactivation and symptom provocation strategies. We also touch on the interconnectedness of various injuries—such as those to the neck, inner ear, and eyes—and their role in concussion-like symptoms.As we wrap up, we acknowledge the complexity of managing concussions and invite our audience to request future episodes dedicated to this multifaceted topic. Join us for a professional and empathetic exploration aimed at providing clarity and support on your health journey.Would you like more episodes focused on specific aspects of concussion care? Let us know in the comments section.And, don't forget about the Concussion Profile download.

Welcome to Episode 8 of "I'm Just Dizzy," where we delve into some of our patients' most pressing questions about dizziness and vertigo. This episode addresses various topics to provide clarity, reassurance, and practical advice on managing these challenging symptoms.We begin by tackling whether dizziness is an age-related issue and explore the distinctions between hereditary and genetic factors influencing dizziness. We then discuss the concept of "no pain, no gain" in vestibular rehabilitation, emphasizing the importance of understanding and managing symptoms without overexertion.Next, we group several related questions to provide comprehensive insights into how stress, vision, neck issues, and medications can contribute to dizziness and unsteadiness. Each factor plays a crucial role in your overall sense of balance and well-being, and we offer actionable tips on addressing them.We also demystify vertigo by defining it clearly and discussing its common causes and symptoms. For those who have experienced severe vertigo episodes, we address concerns about recurrence and delve into conditions like BPPV and Meniere's Disease.Finally, we answer whether you'll need to continue specific exercises indefinitely, highlighting the benefits of lifelong balance exercises while stressing that individualized plans are key to effective management.Join us while I share common questions from patients with dizziness and unsteadiness. Tune in to gain valuable insights, feel supported, and become part of a community dedicated to enhancing well-being through knowledge and shared experiences.What other questions do you have about dizziness? Please send them in, and let's navigate this journey together.Looking for more resources?CLICK HERE to visit our website to answer additional questions.CLICK HERE to access our blogs and sign-up for our newsletters.

Welcome to another insightful episode, in which we delve into the nuanced world of Functional Neurological Disorders (FND). For those familiar with our past episodes, we favor engaging and catchy titles, and this one is no exception. Today, we spotlight Functional Neurological Disorders and their wide array of symptoms.Despite its relative obscurity—even within healthcare circles—FND is more prevalent than many realize. Our guest, renowned neurologist Dr. Jon Stone, defines FND as a condition stemming from functional issues in the nervous system rather than structural damage. Think of it as a disruption in the brain's network communication.In this episode, we unravel the intricate symptoms associated with FND, ranging from visual disturbances like double vision and visual loss to balance issues, dizziness, headaches, and fatigue. Other symptoms may include limb and joint pain, tremors, chest pain, racing heart rate, and cognitive difficulties such as memory and concentration problems. Research indicates that about one-third of patients visiting outpatient neurology clinics exhibit FND symptoms, often leading to extensive, inconclusive testing that leaves many seeking definitive answers.The onset of FND is frequently linked to significant physical, emotional, or psychological events, causing trauma without clear medical or psychiatric explanations. Clinically, FND is likened to a "software problem," disrupting communication within the brain and body and affecting sensory, motor, and autonomic nervous systems.Effectively managing FND involves focusing on regulating the autonomic nervous system. While there is no one-size-fits-all cure, various resources are available to help manage symptoms. Unlike traditional approaches that target specific impairments, FND treatment emphasizes how activities impact the nervous system.Understanding the concept of internal reserves—akin to fuel in a car—is crucial. Daily obligations can deplete these reserves, making it challenging to maintain usual functionality. Replenishing emotional, physical, and cognitive reserves is essential to manage FND symptoms effectively. The journey of managing FND is comparable to climbing a summit filled with twists and turns; it's a gradual process requiring persistent effort and a holistic approach.Remember, you're not alone on this path. Building a support network of healthcare providers, support groups, and loved ones can offer the emotional and practical support needed during challenging times.Additionally, we've prepared a downloadable workbook featuring 10 activities designed to help decrease FND symptoms. Don't forget to check the Show Notes for this and other valuable resources. Join us as we explore these aspects and more, shedding light on FND and fostering a community of understanding and support.ADDITIONAL RESOURCESCLICK HERE to download the 10 activities to help your symptoms..Take advantage of the Vestibular Disorders Association resources.Check out the video on Box Breathing.Looking for more resources? CLICK HERE to visit our website, explore our blogs, and sign up for our newsletters.

Welcome to Episode 6 of the "I'm Just Dizzy" Podcast. Today, we delve into the intricacies of the startle response, an indicator that our nervous system is on high alert—like an internal alarm that can trigger with minimal movement, no apparent threat, or simply due to an overload of sensory stimulation.In this episode, we will explore various types of startle responses, including recent research that extends our understanding beyond the traditional fight-or-flight response. We'll examine how these responses can impact our balance and tolerance to peripheral visual stimuli.Moreover, I will share effective rehabilitation strategies aimed at managing the startle response when it disrupts daily activities and increases the risk of falls. We will conclude with practical tips you can implement at home to mitigate the negative effects of a heightened startle response.To support your journey, a handout with practical strategies is available for you.If you're ready, let's embark on this journey to better understand the startle response and learn how to balance its beneficial aspects against its potential to become maladaptive.Looking for more resources? CLICK HERE to visit our website, explore our blogs, and sign up for our newsletters.

Welcome to Episode 5 of the "I'm Just Dizzy" Podcast. Today, we'll discuss one of the most common types of vertigo we treat in the clinic: Benign Paroxysmal Positional Vertigo, or BPPV.BPPV is something that many of you might have heard about—and even experienced yourself. It's that type of vertigo caused by loose "ear crystals." Yes, you do have rocks in your head—but don't worry, they're supposed to be there! The problem arises when these tiny particles get dislodged and cause the room to spin briefly when you move your head into certain positions.In this episode, we will take a deeper dive into BPPV. We'll explore what causes these ear crystals to move out of place, the symptoms you may experience, and the treatment options available to help you find relief. Trust me, it's going to be an eye-opening discussion.But before we get started, I highly encourage you to look at or print out the handout I've provided. It will give you a visual guide to some of the concepts we'll discuss and make it easier to follow.Alright, if you're ready, let's embark on this journey to better understand BPPV and how we can treat this dizzying condition.Looking for more resources? CLICK HERE to visit our website for blogs and to sign up for our newsletters.

Welcome to Episode 4 of the "I'm 'Just' Dizzy" podcast, where we discuss the delicate balance of life-saving drugs and their potential risks to our ears. Today, we're exploring the hidden challenge of ototoxicity—the risk some medications pose to our hearing and balance. Imagine taking medication to solve one health issue only to find it may be affecting your ability to hear or keep your balance. That's the reality for some, and we're here to talk about some tough choices between medications' positive and negative effects. Don't forget to download the additional included in this podcast! Have you heard about our 360 Balance Yourself Program? It is based on the Otago Exercise Program, which is performed under the direct supervision of a professional and has been demonstrated to reduce falls and fall-related deaths by 46%. We have adapted the program to be accessible to everyone in the comfort of their own home—it'sa game-changer! CLICK HERE to visit our website and learn more. If you haven't already, also sign up for our newsletter.

In this episode, I will talk about the importance of how we, as healthcare providers, ask questions about your dizziness or how you can prepare yourself when you're trying to explain your symptoms to your healthcare provider. Now, this may not work so well with friends and family because today's talk will be more on the diagnostic, clinical, and research side. Unfortunately, most of you live in a world where you must learn how to navigate a healthcare system that poorly understands dizziness. So, join me as I talk about "out with the old symptom log and in with the new."Don't forget to download the additional handout included in this podcast!Looking for more resources? CLICK HERE to visit our website for blogs and to sign up for our newsletters.

Today we're peeling back the curtain on a condition that's hidden yet profoundly impacts lives. Dizziness, especially chronic dizziness. It's like having an invisible illness. Despite its invisibility, the effects are very real and challenging. So, we're here to explore your dizziness, share personal stories, offer coping strategies, or maybe help others better understand dizziness. So, the title of this episode is certainly one that may remind you of St. Patrick's Day--for I'm playing on the Irish word “shite,” which commonly means nonsense, rubbish, or well…I leave the rest of that possible interpretation up to you. I can't tell you how many times I've heard patients say, everyone's telling me I look normal, or even my doctor said, you look great for your age. But the reality is I. Well, I feel like ‘shite' on the inside.Don't forget to download the workbook included in this podcast!Looking for more resources? CLICK HERE to visit our website for blogs and to sign up for our newsletters.

In designing the episode for our first podcast was like an artist staring at a blank canvas or a writer at a blank notebook. Where do I start? So, I reflected on what patients are looking for, which I think are two primary things when they come to see us. One is to find a diagnosis, and two, to find solutions to their symptoms. One of the biggest challenges for me and the other physical therapists in the clinic is that we cannot make a medical diagnosis beyond benign paroxysmal positional vertigo - BPPV. You may know that as a condition when the ear crystals become dislodged into an area of the inner ear they're not supposed to be in.In this episode, we discuss why hope matters to overcome the challenges associated with chronic illness - specifically dizziness and balance problems. It includes a look at the day-to-day challenges, including barriers in healthcare. We also review actionable steps that can be taken, and a workbook is included. It's important to know you're not alone. Together, we can face challenges with unwavering hope and fierce determination. Looking for more resources? CLICK HERE to visit our website for blogs and to sign up for our newsletters.