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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Still Dizzy and No Answers? How to Find the Right Specialist Faster
Season 7 · Episode 16
Wednesday, September 9, 2026 • Duration 55:19
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.
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
The Invisible Load: Parenting with a Vestibular Disorder
Season 7 · Episode 15
Monday, August 31, 2026 • Duration 56:29
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
Progressive Neurologic Diseases and Dizziness: What You Need to Know
Season 7 · Episode 14
Friday, July 31, 2026 • Duration 59:20
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
Differential Diagnosis Demystified: Dizziness, Tinnitus, and Hearing Loss Explained
Season 7 · Episode 13
Wednesday, July 22, 2026 • Duration 41:24
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
The Otolith Organs: Why You Feel Pulled, Tilted, Rocking, or Swaying
Season 7 · Episode 12
Friday, June 26, 2026 • Duration 55:35
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.”
Their Positive Spin on Dizziness advanced vestibular courses cover many lesser discussed topics:otolith dysfunction, the difference between vestibular dysfunction and hypersensitivity, visual motion hypersensitivity, Vestibular Migraine, Mal de Debarquement Syndrome, Meniere’s disease
PPPD Explained: When the Dizziness Doesn’t Go Away
Season 7 · Episode 11
Thursday, June 11, 2026 • Duration 53:13
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. Kristen 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, PT
For episode recommendations or requests, email us at: info@balancingactrehab.com
When Healing Isn’t Linear: Finding Hope After a Life-Changing Head Injury
Season 7 · Episode 10
Wednesday, May 27, 2026 • Duration 51:45
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.
For episode recommendations or requests, email us at: info@balancingactrehab.com
Partnered with:
→ Our online program and community, The Dizzy Reset™,
How to Treat Vestibular Migraine, PPPD, and MdDS (Especially When You Feel Stuck)
Season 7 · Episode 9
Wednesday, May 6, 2026 • Duration 54:55
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.com
Dr. Beh's Books: www.vestibularmd.com/about-dr-beh/books
Hosted by:
🎤 Dr. Abbie Ross, PT, NCS
🎤 Dr. Danielle Tolman, PT
For episode recommendations or requests, email us at: info@balancingactrehab.com
Why Dizziness Lingers and What You Can Do About It
Season 7 · Episode 8
Wednesday, April 15, 2026 • Duration 58:53
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.
Dizziness and Pain: The Intersection of the Vestibular and Musculoskeletal Systems
Season 7 · Episode 7
Wednesday, April 1, 2026 • Duration 48:08
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.
Discover shows related to Talk Dizzy To Me, based on actual content similarities. Explore podcasts with similar topics, themes, and formats, backed by real data.
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.
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
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
Hosted by:
🎤 Dr. Abbie Ross, PT, NCS
🎤 Dr. Danielle Tolman, PT
For episode recommendations or requests, email us at: info@balancingactrehab.com
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: 01:36 – Jaimy's introduction 03:28 – Katherine’s introduction 06:38 – Why otolith organs are often overlooked 09:21 – Why dizziness is not always spinning 12:38 – Conditions linked to otolith dysfunction 16:42 – Otoliths, dysautonomia, POTS, and concussion 21:28 – Understanding linear vertigo and non-spinning dizziness 22:23 – How clinicians assess otolith function 25:14 – Why patient descriptions matter 27:28 – Using weights to help patients feel grounded 30:16 – Individualizing vestibular rehab treatment 31:37 – Head tilts, balance, and otolith-based exercises 35:22 – How much weight may help without overdoing it 39:52 – Vibration plates, BPPV, and vestibular concerns 42:15 – Avoiding overreliance on tools and strategies 44:33 – Astronauts, gravity, and otolith function 46:28 – Key takeaways for vestibular clinicians 52:05 – Key takeaways for patients with dizziness 53:21 – Final thoughts and closing
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:00:00 – Welcome to Talk Dizzy To Me 00:15 – Introducing Dr. Kristin Steenerson 01:10 – What is 3PD/PPPD? 01:37 – Diagnostic criteria: persistent, postural, perceptual dizziness 02:47 – Common triggers and risk factors 04:52 – Why some providers question the diagnosis 06:34 – Hypervigilance and lack of biomarkers 08:20 – Why symptoms can continue after the original issue resolves 09:35 – Education, reassurance, and moving from “detective mode” to rehab 11:24 – Brain health habits: sleep, food, exercise, hydration, stress 12:16 – Why symptom tracking can sometimes backfire 15:38 – Why grocery stores, airports, screens, and busy spaces trigger symptoms 17:47 – Fear, memory, and the brain’s threat response 19:39 – Avoidance vs gradual exposure 21:03 – Neurology evaluation and ruling out other causes 23:24 – What vestibular testing can and cannot show 25:14 – The gap in measuring perception 26:34 – fMRI research and brain network changes in 3PD 29:51 – Vestibular therapy for 3PD 31:00 – Medication options and why SSRIs/SNRIs may help 35:38 – 3PD vs vestibular migraine 41:05 – What progress looks like in recovery 43:49 – Permission to do hard things without fear of damage 44:47 – Community support and celebrating wins 45:42 – Future research: medications, CGRP, TMS, neuromodulation 48:54 – Mic drop takeaway for clinicians and patients
00:58 — Sarah’s TBI, vestibular symptoms & surgical history 02:53 — Understanding symptoms and protecting self-worth 04:40 — How the visual, vestibular, neck & autonomic systems connect 07:02 — Support systems & asking for help 12:31 — Identity shifts after brain injury 13:54 — Resilience vs. “recovery” 16:46 — Embracing hard moments without getting stuck 17:46 — Building systems and routines for success 20:06 — Navigating plateaus, setbacks & goals 22:21 — Rehab habits, consistency & reducing barriers 24:41 — Redefining progress and celebrating small wins 28:30 — Getting through low moments 31:50 — Managing grocery stores and sensory overload 35:43 — Self-advocacy in healthcare appointments 41:26 — What Sarah would tell her 2014 self 46:01 — Being brave enough to try 48:23 — A message for clinicians 49:23 — Resources, where to find Sarah & closing
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 host(s).
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 host(s).
Timestamps: 01:37 How vestibular migraine, PPPD, and MdDS are diagnosed 04:20 How these conditions overlap 06:29 Why patients can feel stuck in recovery 08:17 Vestibular migraine treatment approach 08:45 Lifestyle foundations for migraine management 10:07 Supplements for vestibular migraine 11:04 Medication and neuromodulation options 12:01 Addressing sleep apnea, neck pain, TMJ, iron, and hormones 14:44 How to layer treatment without the overwhelm 16:03 When supplements, rescue meds, or preventives may be appropriate 18:25 Medication sensitivity and starting low/slow 21:11 PPPD treatment approach 22:08 Vestibular therapy, movement, and visual desensitization 23:59 Medications and neuromodulation for PPPD 25:53 CBT and the dizzy-anxious cycle 26:45 Lab values, vitamin D, B vitamins, magnesium, and ferritin 32:31 Timolol eye drops for migraine rescue 33:53 MdDS treatment approach 34:22 Travel and MdDS 35:44 Therapy for MdDS 36:39 Defining progress beyond symptom reduction 39:05 Knowing when to use rescue medication 43:24 Why vestibular disorders affect more women 45:08 COVID, vestibular dysfunction, and fibromyalgia 48:30 Migraine-related ear symptoms and hearing changes 49:37 Vestibular migraine and vestibular test findings 51:02 Final advice for patients and clinicians
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 host(s).
Timestamps 02:32 – Why traditional approaches to dizziness fall short
03:56 – Personal story: Dr. Yo's mom’s dizziness
06:47 – Why chronic dizziness is deeply misunderstood
09:38 – The harm of “it’s just anxiety” or endless testing
11:04 – Software vs hardware issues1
2:29 – Why symptoms are real
13:56 – Conditions like PPPD, vestibular migraine, and MdDS
16:41 – What makes someone more prone to chronic dizziness
18:01 – Nervous system sensitization explained
19:28 – The cycle that keeps you stuck
21:14 – Does modern society contribute to dizziness?
24:09 – Personality traits: people-pleasers & Type A
26:05 – Lifestyle factors: stress, screens, and overstimulation
27:21 – What does recovery actually look like?
27:49 – You are NOT broken
29:13 – Reframing symptoms: not the enemy
30:09 – Breaking the fear–symptom cycle
32:29 – Practical calming exercise (live demo)
40:01 – Why sitting with symptoms works
40:31 – Pillar #1: Acceptance (reprogramming the brain)
41:29 – Pillar #2: The “Stress Bucket”
46:17 – Pillar #3: Exposure & reducing avoidance
48:14 – The importance of individualized recovery
52:53 – Somatic tracking explained
54:50 – Final message: Hope & healing are possible
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 host(s).
Episode Timestamps
01:26 From neuro rehab to orthopedic & vestibular care 05:18 Why dizziness & pain are not owned by one specialty 06:18 Definition of cervicogenic dizziness (updated understanding) 06:48 Prevalence: How common is it really? 08:14 Cervical spine involvement in dizziness cases 10:12 Why movement loss matters more than pain 11:36 Real-world complexity: vestibular + cervical overlap 14:20 Neck’s role in balance reflexes 17:12 Why function matters more than symptoms 19:07 Testing beyond standard vestibular exams 21:04 Why symptoms alone can mislead treatment 22:02 Helping patients understand the neck-dizziness connection 24:02 Real-life clinical example explained 26:28 Pain science vs dizziness: overlapping principles 27:55 Drivers of symptoms: stress, lifestyle, comorbidities 29:17 Functional neurological disorders & validation 30:41 Nervous system regulation strategies 32:09 Practical tools: breathing, guided imagery, small wins 33:35 Therapist challenges with patient buy-in 35:00 Posture tips that actually work 36:54 Simple, effective home exercise strategies 38:17 Clinical pearls: what clinicians must remember 39:15 Words matter: how language affects recovery 40:13 Using reassurance to reduce fear 41:35 Why joy and meaningful activity matter in recovery 44:06 Empowerment: patients can change and improve
