Grounded | The Vestibular Podcast

Grounded | The Vestibular Podcast

By Dr. Madison Oak, PT, DPT

Vestibular Physical Therapist, and the founder of The Vertigo Doctor... more

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Best of Grounded | The Vestibular Podcast

The most played episodes among Podcast App listeners.

  1. Number 1: 156. Sinus Infections, Headaches, & Better Treatment Options w/ Dr. Jessica Lee

    If you have recurring sinus infections, got the allergy shots, maybe even had sinus surgery, and still don’t feel better, this episode might shock you. For starters: 75-90% of people with self-diagnosed sinus headaches actually meet migraine criteria. I’m so excited to welcome back Dr. Jessica Lee, double board-certified ENT and lifestyle medicine physician to hopefully provide some answers you’ve been looking for. We’re going deep on sinus headache vs migraine, Eustachian tube dysfunction, as well as migraine and sinus management. So many people are cycling through antibiotics, steroids, and booking surgeries without anyone ever connecting the dots to what’s going on in the body as a whole. Dr. Lee is here to change that and to give you the questions to ask, the scans to request, and the framework to finally get some answers. In this episode, we’ll dig into: How to start differentiating sinus issues from a migraine attack What’s actually happening with the pressure, fluid, and full feeling in your ear Why researchers believe TMJ may not be as common as we think How to best use CT scans as a diagnostic tool for sinus migraine What a deviated septum or mucosal cyst may not be the full diagnosis Why antibiotics are so overprescribed for sinus headaches Why you may feel like you never fully recover from sinus infections How GLP-1s and mouth breathing affects Eustachian tube function Why Dr. Lee’s surgical volume has gone down over the years The PACT framework for doctor’s appointments Whether it’s sinus headaches, ear pressure, or chronic infections that never fully resolve, the answer might not be another antibiotic. And with what you heard in the episode, you’ll be able to ask the right questions to get the help you need. Related Episodes: Sinus Headache, Nasal Breathing, and Dizziness with Dr. Jessica Lee: https://thevertigodoctor.com/podcast/69-sinus-headache-nasal-breathing-and-dizziness-with-dr-jessica-lee-ent/ Meet Dr. Jessica Lee: Dr. Jessica Lee, MD, DipABLM is a double board-certified Otolaryngologist (ENT) and Lifestyle Medicine physician with over 100 hours of additional training in integrative and functional medicine. After more than a decade in traditional medicine, Dr. Lee noticed a major gap in how chronic inflammatory conditions (like sinusitis, allergies & sinus headaches) were being treated, and set out to change that. She’s the founder of Integrative ENT Health, a Castle Connolly Top Doctor (2023–2026), and co-founder of the Keto Hope Foundation. She brings a whole-person approach to ENT care, blending conventional expertise with nutrition, lifestyle & root-cause thinking to help patients get real, lasting answers. Connect w/ Dr. Jessica Lee: The Sinus Reset Program: https://www.integrativeenthealth.com/sinus-reset-program Integrative ENT Health (virtual practice): https://www.integrativeenthealth.com/ Instagram: https://www.instagram.com/entchat Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Sinus Reset Program (Open September 13th; stay tuned for free bonuses and discounts!): https://www.integrativeenthealth.com/sinus-reset-program Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! 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. sinus headache, integrative ent, eustachian tube dysfunction, chronic dizziness, vestibular migraine, vestibular disorder symptoms, vestibular group fit, symptom tracking, phases of vestibular migraine, holistic approach, lifestyle changes, nervous system regulation, allergies

    0min
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  2. Number 2: 154. How to Get a Dizziness Diagnosis with Bonus Resource Guide

    If you’ve been to a million and one doctors and still don’t have a clear diagnosis—you are not alone, and you are not crazy. Dizziness is notoriously undertreated, and a lot of providers just don’t like dealing with it. So in this episode, I’m giving you a comprehensive resource guide: which providers to see, what to ask when you call, and what tests are available so you’re better prepared for what you’re walking into. This is the episode I wish existed when people first started experiencing dizziness. Share it and save it so you can refer back to it. And remember, finding the right provider can make all the difference! A willing-to-learn provider beats a dismissive expert every single time. In this episode, we’ll dig into: Why dizziness is so often undertreated The difference between an ENT, neurotologist, and otologist Medical providers you may want to reach out to for support Why you’ll want to make sure to call the office first What a board-certified headache specialist is Questions to ask any provider before booking A full overview of vestibular testing What to expect after most tests are run The Bárány Society as a resource Additional resources available inside Vestibular Group Fit Getting the right diagnosis starts with knowing who to see, what to ask, and what to expect. And now, you have a roadmap to help you get started. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Trusted Providers Worksheet (available inside Vestibular Group Fit under the community tab) The Bárány Society: https://www.thebaranysociety.org/ How to find a provider Searching local health systems for types of providers/departments based on the area you’re looking to schedule American Neurotology Society (ENT with special focus on neurological disorders of inner ear and other related structures) American Migraine Foundation Find a Doctor National Headache Foundation Find a Provider UK National Migraine Centre Migraine Canada Find a Headache Specialist Neurahealth national headache medicine clinic Binocular vision dysfunction provider directory Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! 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. dizziness diagnosis, vestibular migraine, living with vestibular disorder, ENT, neurotologist, otologist, chronic dizziness, medical provider, vestibular disorder diagnosis, vestibular disorder treatment, vestibular rehabilitation therapy, vestibular group fit, occupational therapist, neuro-optometrist, vertigo

    20min
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  3. Number 3: 153. Hormones, Histamine, and Your Vestibular Disorder w/ Dr. Saru Bala

    “Progesterone will hold up the mirror for you and show you about your habits. Estrogen is forgiving—progesterone is not.” For so many women with vestibular disorders, symptoms get dramatically worse right before their period or around ovulation, and the answer they’re usually given is “take birth control” or “drink more water.” That, of course, is not enough. I brought in Dr. Saru Bala, Naturopathic Doctor and Women’s Hormonal Health Specialist, to break it all down. Get ready to nerd out on all things hormones! In this episode, we’re talking about what hormones actually are, how your cycle phases impact your vestibular symptom, why your liver is way more important than you think, the estrogen-histamine-MCAS loop, and what bloodwork you should be asking for. In this episode, we’ll dig into: What are hormones What to pay attention to with women’s hormones The phases of your cycle What progesterone is reflecting back about your habits The basics that impact your hormones the most Bloodwork Dr. Saru recommends for her clients Why you want to get a full thyroid panel The liver’s role in hormone metabolism How to support your liver The estrogen-histamine loop How MCAS plays a role here Why gut & liver support are essential for histamine, MCAS, and hormone issues Why women are taking much longer to feel better than even 5 years ago If you take nothing else away from this, remember your hormones, liver, gut, and nervous system are all talking to each other. When you start supporting them, things are able to start changing. Meet: Dr. Saru Bala Dr. Saru Bala is a licensed Naturopathic Doctor with a degree from Bastyr University in Seattle, WA. Prior to attending medical school, she graduated from University of Texas at Austin where she received her bachelor’s degree in Neurobiology. She’s done extra training in women’s health and naturopathic endocrinology and wants to talk to you about all things women’s health. Connect w/ Dr Saru Bala Website: https://www.drsarubala.com/ Instagram: https://www.instagram.com/drsarubala Facebook: https://www.facebook.com/periodpractice Period Solutions Academy: https://www.drsarubala.com/periodsolutionsacademy Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Rise Centered Alarm Clock: https://risecentered.com?sca_ref=7113075.4mnDvPsCZ8H Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! 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. hormonal health, women’s health, naturopathic doctor, vestibular migraine, chronic dizziness, birth control, vestibular disorders, PMDD, what is optimal bloodwork, optimal lab values, thyroid panel, lifestyle changes, period problems, understand your period, gut liver and hormone connection

    35min
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  4. Number 4: 151. How to Navigate POTS and a Vestibular Disorder

    Vestibular disorders (particularly vestibular migraine) and POTS are often talked about in our practice and in Vestibular Group Fit as they overlap quite a bit. In this episode, I’m digging into one of the most common co-occurring conditions I see in my practice alongside vestibular migraine: POTS (Postural Orthostatic Tachycardia Syndrome). I’m also introducing something called the pentad super syndrome (almost every single person I see in my clinic has all five). You’ll learn what it is and what I believe is missing from the list. Discover everything from how POTS is diagnosed, to helpful resources, and why your basics matter more than ever when you’re managing both POTS and vestibular disorders at the same time. In this episode, we’ll dig into: What POTS is The diagnostic criteria for POTS Why there is overlap between POTS and vestibular What the pentad super syndrome is Why histamine and MCAS are a huge piece of the puzzle The tilt table test vs. active stand test What conditions can sometimes mimic POTS What the CHOP POTS protocol is Why heat is a major POTS and MCAS trigger What tools to keep in your toolkit for heat Lifestyle changes that are beneficial for POTS and vestibular conditions How VGF members apply the threshold and bucket theory to manage both conditions The good news is that the toolkit for your vestibular disorder and your POTS have a LOT of overlap, which means you’re already building the right foundation. Related Episodes: Build Your Migraine Threshold: https://thevertigodoctor.com/podcast/74-build-your-migraine-threshold-to-reduce-vestibular-migraine-attacks/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Standing Up to POTS podcast: https://www.standinguptopots.org/podcast dysautonomiaproject.org Santosha Spirit on YouTube (Rachel): https://www.youtube.com/channel/UC0ROkm_8Bjk0qOQ13XYOebg Compression socks: https://sockwellusa.com/ NEWZILL Calf Compression Sleeve: https://www.amazon.com/NEWZILL-Calf-Compression-Sleeve-Footless/dp/B0DRYS7KBD/ Doc Miller Calf Compression Sleeves: https://www.amazon.com/Doc-Miller-Compression-20-30mmHg-Fashionable/dp/B012E1B5P6/ LMNT electrolytes: https://www.amazon.com/LMNT-Zero-Sugar-Electrolytes/dp/B084HQ4DYQ/ Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! 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. Citations “Research Summary: Postural Orthostatic Tachycardia Syndrome (POTS)….” American Headache Society, 2022, americanheadachesociety.org/research/library/research-summary-postural-orthostatic-tachycardia-syndrome-pots-and-migraine-a-narrative-review. Cleveland Clinic. “Postural Orthostatic Tachycardia Syndrome (POTS).” Cleveland Clinic, 9 Sept. 2022, my.clevelandclinic.org/health/diseases/16560-postural-orthostatic-tachycardia-syndrome-pots. POTS and vestibular disorders, vestibular migraine, histamine and MCAS, chronic dizziness, PPPD, nervous system regulation for vestibular migraine, migraine management, stress relief, vestibular disorders, vestibular group fit, nervous system regulation, vestibular disorder treatment

    16min
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  5. Number 5: 150. A Guide to Biofeedback, Neurofeedback, & Your Vestibular Disorder

    You’ve probably heard the words ‘biofeedback’ and ‘neurofeedback’ floating around the internet. And you’re also probably wondering what they mean and if they’re worth your time and money when you have a vestibular disorder. I’m answering all of that in this episode! Biofeedback is a type of mind-body technique to control some of the body’s function. And neurofeedback is a type of biofeedback that measures and records brainwaves. As always, I’ve got research and scenarios for us to talk through to help this really land. They’re probably not the first thing you want to invest in and there are even less expensive options that are equally or more effective which I share more about in the episode. Buckle up and let’s get a little nerdy with this one! In this episode, we’ll dig into: What biofeedback is and how it works What the main types of biofeedback are What neurofeedback is and how it relates to biofeedback The difference between active and passive neurofeedback The two main models of biofeedback that exist What to expect in a biofeedback session What biofeedback is considered effective for Types of neurofeedback and biofeedback sessions, devices, and apps available How to find a qualified biofeedback provider What questions to ask before committing to either option If you want to go even deeper with what you heard in this episode, we have coaching calls specifically about biofeedback and neurofeedback available in Vestibular Group Fit. Biofeedback is a tool, not a cure. But if you’re curious, informed, and financially comfortable exploring it, it absolutely can have a place in your vestibular toolkit. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Certification from the Association for Applied Psychophysiology and Biofeedback (AAPB) site has an option to find a practitioner: https://aapb.org/Find_a_Practitioner Hearthmath: https://www.heartmath.com/ Resperate (FDA approved for blood pressure and stress): https://resperate.com Leva (FDA approved for pelvic floor): https://levacares.com/ Prism (FDA approved for PTSD): https://www.graymatters-health.com/prism-for-ptsd Finding a provider International society for neuroregulation and research: https://isnr.org/ Biofeedback certification international alliance: https://www.bcia.org/ Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! 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. Citations Frank, D. L., Khorshid, L., Kiffer, J. F., Moravec, C. S., & McKee, M. G. (2010). Biofeedback in medicine: who, when, why and how?. Mental health in family medicine, 7(2), 85–91. Mayo Clinic. “Biofeedback – Mayo Clinic.” Mayoclinic.org, 18 Mar. 2023, www.mayoclinic.org/tests-procedures/biofeedback/about/pac-20384664. Marzbani, H., Marateb, H. R., & Mansourian, M. (2016). Neurofeedback: A Comprehensive Review on System Design, Methodology and Clinical Applications. Basic and clinical neuroscience, 7(2), 143–158. https://doi.org/10.15412/J.BCN.03070208 Bazzana, F., Finzi, S., Di Fini, G., & Veglia, F. (2022). Infra-Low Frequency Neurofeedback: A Systematic Mixed Studies Review. Frontiers in human neuroscience, 16, 920659. https://doi.org/10.3389/fnhum.2022.920659 Duke, G., Yotter, C. N., Sharifian, B., Duke, G., & Petersen, S. (2024). The effectiveness of microcurrent neurofeedback on depression, anxiety, post-traumatic stress disorder, and quality of life. Journal of the American Association of Nurse Practitioners, 36(2), 100–109. https://doi.org/10.1097/JXX.0000000000000945 Cleveland Clinic. “Biofeedback: What Is It & Procedure Details.” Cleveland Clinic, 21 Dec. 2020, my.clevelandclinic.org/health/treatments/13354-biofeedback. biofeedback and neurofeedback, biofeedback vs neurofeedback, vestibular group fit, VGF, vestibular disorders, chronic dizziness, PPPD, nervous system regulation, migraine management, stress relief, alternative therapies, holistic approach, living with vestibular migraine, living with vertigo, migraine toolkit, vestibular disorder treatment

    16min
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