Grounded | The Vestibular Podcast

92. When Both Sides Go Dark: Understanding Bilateral Vestibular Hypofunction


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In this episode of Grounded: The Vestibular Podcast, we dive deep into bilateral vestibular hypofunction (BVH)—a rare but life-altering condition where both inner ear balance systems are impaired.

We’ll break down:

  • What BVH is and how it affects balance, vision, and movement
  • Common causes, symptoms, and the unique ways it differs from unilateral vestibular loss
  • How BVH is diagnosed through clinical tests and patient history
  • Evidence-based treatments, including vestibular rehabilitation therapy and sensory substitution
  • The concept of vestibular dependence and how patients can learn to rely more on vision and proprioception for stability
  • Whether you’re newly diagnosed, supporting someone with BVH, or a clinician looking to understand more—this episode is packed with insights, tools, and hope.

    Tune in and get grounded with us.

    Links/Resources Mentioned:

    • Vestibular Group Fit (code GROUNDED at checkout!) 
    • More Links/Resources:

      • ⁠The 4 Steps to Managing Vestibular Migraine
      • ⁠The PPPD Management Masterclass⁠
      • ⁠What your Partner Should Know About Living with Dizziness⁠
      • ⁠The FREE Mini VGFit Workout⁠
      • ⁠The FREE POTS – safe Workouts⁠
      • ⁠Vestibular Group Fit (code GROUNDED at checkout for 15% off your first subscription cycle!) ⁠
      • Connect with Dr. Madison:

        • ⁠@⁠⁠TheVertigoDoctor ⁠
        • ⁠@TheOakMethod⁠
        • ⁠@VestibularGroupFit⁠
        • Connect with Dr. Jenna

          • @dizzy.rehab.therapist 
          • Work with Dr. Madison

            • 1:1, Vestibular Rehabilitation Therapy
            • Vestibular Group Fit
            • Small Group Coaching (offered throughout the year, sign up for our email list to learn when!)
            • Why The Oak Method? Learn about it here!

              Love what you heard? Reviews really help us out! Please consider leaving one for us. 

              This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here.

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              Grounded | The Vestibular PodcastBy Dr. Madison Oak, PT, DPT

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