If you’re a physical therapist treating dizziness (or a patient trying to understand what’s going on), this episode is packed with practical, clinic-ready guidance. Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT welcome Dr. Sara MacDowell, PT & Dr. Sydney Duhe, PT from Dizzy Diagnostics to break down real-world vestibular cases—including BPPV with lingering symptoms, acute vertigo after the ER (vestibular neuritis / hypofunction), and the common overlap of vestibular migraine (VM) + Persistent Postural-Perceptual Dizziness (PPPD) with visual motion sensitivity.

You’ll learn how to think beyond textbook presentations, how to avoid missing multi-canal or bilateral BPPV, how to build patient buy-in with education, and how to dose and progress VOR/gaze stabilization and visual desensitization exercises for busy environments like grocery stores.

Episode Resources:

-Follow Dizzy Diagnostics on Instagram: @DizzyDiagnostics

-Advanced Neurotherapy Education (ANTE): advancedneurotherapyed.comFor more FREE resources, click ⁠⁠⁠here⁠.⁠⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join The Dizzy Reset⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

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⁠

Timestamps
00:15 - Meet the guests: Sydney & Sarah (Dizzy Diagnostics) + their vestibular journeys
05:18 - Case 1: BPPV treated… but lingering dizziness/imbalance remains
06:39 - “First check: is BPPV truly resolved?” (all canals + short arm considerations)
07:36 - Fear avoidance + habituation: getting patients moving again safely
09:56 - Look beyond BPPV: hypofunction, migraine, cervicogenic contributors
12:45 - Multi-canal BPPV: why it’s tricky + how to prioritize treatment
14:36 - Treating multiple canals in one session
19:49 - Do you always schedule a follow-up after “straightforward” BPPV?
21:46 - Teaching self-treatment + “seeing is believing” re-check visits
24:08 - Case 2: ER “vertigo,” meclizine, lingering unsteadiness weeks later
25:35 - Full vestibular exam even with “negative imaging”
27:26 - What you expect in unilateral hypofunction: oculomotor, HIT/VHIT, balance, gait
29:14 - Treatment: education first, then VOR + balance + functional head movement
32:03 - Anxiety/fear avoidance: reframing dizziness as a “learning opportunity”
33:59 - Time-crunched HEP: “stacking” exercises into daily life
36:47 - VOR progression: dosing, symptom monitoring, advancing complexity
39:10 - The future of gaze stability: more specific dosing, unilateral work, wearables
42:37 - Case 3: Mid-30s postpartum, floaty dizziness + visual motion sensitivity (VM + PPPD/3PD)
44:03 - VM education: migraine features without head pain; hormonal shifts as triggers
45:28 - PPPD/3PD overlap + early prevention
51:49 - Treating visual motion sensitivity: patterns, videos, salience, real-world exposure
58:00 - Where to find Dizzy Diagnostics + resources

In this special episode of Talk Dizzy to Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with two giants in the vestibular field: Jeff Walter, PT, DPT, NCS and Helena Esmonde, PT, DPT, NCS (Vestibular First).

Jeff tries to stump the group with vestibular questions covering:

-The history of John Epley and his contributions to the field

-Alexander’s law, Brun’s nystagmus, and the origin of the word nystagmus

-A precise definition of vertigo

-Advanced use of the bow and lean test for horizontal canal BPPV

-What happens when BPPV maneuvers go “wrong” (short arm, conversion, retesting)

-Practical use of the Rinne test, recruitment, and tuning forks in vestibular practice

-How to interpret CT scans that “show” superior canal dehiscence (SCD)

-A rare case of cough-induced nystagmus

-The reality that some dizzy patients don’t fit neatly into any diagnosis—and why that’s okay

Whether you’re a vestibular therapist, audiologist, ENT provider, or someone with dizziness hungry for answers, this episode is packed with clinical pearls, red flags, and pattern recognition tips for vertigo, BPPV, nystagmus, and beyond.

Episode Resources:

Jeff Walter, PT, DPT, NCS

-https://www.vestibular.today

-MedBridge Courses: https://www.medbridge.com/educate/instructors/jeff-walter-dpt-ncs

Helena Esmonde, PT, DPT, NCS

-https://vestibularfirst.com

-Journal Club: https://vestibularfirst.com/education/journal-club/

-Educational Resources/Handouts: https://vestibularfirst.com/education/resources/

-Vestibular First 's Journal Club- Clinical Pearls from an Unusual Case of Vertigo: https://youtu.be/ASjx5Yet1So?si=3qu5LkiD_pEDagHq

For more FREE resources, click ⁠⁠⁠here⁠.⁠⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join The Dizzy Reset⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

→ ⁠⁠⁠Follow us on Instagram⁠⁠⁠

→ ⁠⁠⁠Follow us on TikTok⁠⁠⁠

→ ⁠⁠⁠Follow us on Facebook⁠⁠⁠

→ ⁠⁠⁠Disclaimer⁠⁠⁠

→ ⁠⁠⁠Enjoying the podcast? Leave us a review!

Timestamps

00:00 – Intro

00:15 – Meet the Hosts & Guests

02:09 – Education Resources & Journal Club

03:08 – History Lesson: Dr. John Epley

06:21 – Alexander’s Law Explained

09:39 – Gustav Alexander’s Shocking Death

11:10 – Origin of the Term “Nystagmus”

13:31 – Brun’s Nystagmus & CPA Tumors

15:10 – Defining Vertigo (ICVD-Based)

18:22 – Bow & Lean Test: Angles, Mechanics & Clinical Pearls

23:24 – Short Arm / Anterior Arm BPPV & Tricks to Get Crystals Moving

27:34 – Retesting Posterior Canal BPPV: When You Re-Create the Problem

32:23 – Short Arm Debris & “Wimpy” Persistent Torsion

35:08 – Maneuver Names, Variations & Confusion in the Literature

38:53 – Tuning Forks in Vestibular & ENT Practice

45:19 – CT & Superior Canal Dehiscence: Might vs Definitely

49:22 – Cough-Induced Nystagmus

51:39 – Pattern Recognition, Edge Cases & Not Knowing Everything

56:15 – Reassuring Patients & “Doing the Next Right Thing”

Vestibular physical therapists Abbie Ross, PT, DPT, NCS, and Danielle Tolman, PT, DPT, sit down with Rob Landel, PT, DPT, FAPTA, to unpack cervicogenic dizziness (CGD) — what it is and isn’t, how to tell neck-driven dizziness apart from inner ear causes, and the clinical tools that actually make a difference.

They dive into the head–neck differentiation test, cervical joint position error (JPE) testing with a laser, and why CGD rarely causes vertigo or spinning. You’ll also hear how concussion, whiplash, BPPV, and migraine can overlap with neck-related dizziness — plus practical insights on manual traction, cervical strength and endurance training, “pain-first” strategies, and when a short-term collar might help (despite its bad reputation).

Episode Resources:

Website: skillworks.biz

Email: [email protected]

For more FREE resources, click ⁠⁠⁠here⁠.⁠⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join The Dizzy Reset⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

→ ⁠⁠⁠Follow us on Instagram⁠⁠⁠

→ ⁠⁠⁠Follow us on TikTok⁠⁠⁠

→ ⁠⁠⁠Follow us on Facebook⁠⁠⁠

→ ⁠⁠⁠Disclaimer⁠⁠⁠

→ ⁠⁠⁠Enjoying the podcast? Leave us a review!

Timestamps:

00:00 – Welcome & show open

00:45 – Dr. Lindell’s background & early vestibular days

03:01 – How far vestibular rehab has come

03:58 – Defining CGD clinically

05:26 – Symptoms CGD

06:26 – CGD with vestibular or central issues; trauma link

07:25 – Secondary CGD from guarding & “moving in blocks”

08:31 – Is CGD over- or under-diagnosed?

12:11 – BPPV + trauma: when to probe the neck

14:10 – Migraine, vestibular migraine, cervicogenic headache—untangling overlap

16:26 – How neck input feeds spatial orientation

19:43 – Mismatch analogy: why CGD feels like seasickness

21:10 – History taking: get precise about “dizzy”

22:38 – Traumatic vs. atraumatic onset; red flags & neuro screen

26:28 – Exam flow once central/peripheral causes are ruled down

27:22 – Head–Neck Differentiation Test (separating head vs. neck motion)

30:17 – Cervical Relocation / Joint Position Error (JPE) Test with laser

33:27 – Testing extension: stabilizing neck vs. moving head in block

35:03 – Treatment blueprint: mobility, pain, motor control, strength/endurance

37:26 – Laser tracing progressions

38:20 – Timelines: why strength/endurance take the longest

46:18 – Why one therapist managing vestibular + MSK is ideal

49:18 – Evidence & experience with traction/manipulation for CGD

50:43 – “Heavy-headedness”

53:22 – Fatigue → increased sway; training normalizes it

54:48 – Wrap-up & future part 2 ideas

In this Talk Dizzy to Me episode, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with Dr. Mike Studer, DPT, MHS, NCS, CEEAA, CWT, CSST, CSRP, CBFP, FAPTA to unpack neuroplasticity—what it is, how it works, and how to apply it in vestibular rehabilitation. We cover dual tasking, prediction error, fear-avoidant vs. fear-adapted movement, motivational interviewing, and patient-directed dosage using the OPTIMAL theory of motor learning. Mike shares practical clinic and real-life examples (driving, grocery stores, cooking), mic-drop lines you’ll quote to patients, and how to talk to insurers using objective measures.

If busy visuals or movement bother you, consider listening on Apple Podcasts/Spotify.

-Neuroplasticity = learning. It’s not just more pathways; it’s stronger, faster, better-fed pathways that consolidate during sleep.

-Dose the meaningful. Intensity, repetitions, salience, and task specificity drive consolidation (“put a post-it on that memory”).

-Exposure works. Habituation/adaptation creates prediction error (“that wasn’t as bad as I expected”), reinforcing change via dopamine.

-Fear shows up in movement. Beyond fear-avoidant behavior, watch for fear-adapted movement (reduced head turns, co-contraction, slow/over-intentional strategies).

-Dual tasking is two goals, not ‘think-and-move’ toward one goal. Use cognitive+motor or visual+motor loads that are personally salient.

-Autonomy accelerates progress. Let patients choose dosage (keep, dial down, or push), using motivational interviewing and OPTIMAL theory.

-No expiration date. Neuroplastic change remains possible well beyond 1 year—set expectations and use objective measures to justify care.

Episode Resources:

Email: [email protected]

Website: mikestuder.com

Instagram: @MikeStuderDPT

Book: The Brain That Chooses Itself

For more FREE resources, click ⁠⁠⁠here⁠.⁠⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join The Dizzy Reset⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

→ ⁠⁠⁠Follow us on Instagram⁠⁠⁠

→ ⁠⁠⁠Follow us on TikTok⁠⁠⁠

→ ⁠⁠⁠Follow us on Facebook⁠⁠⁠

→ ⁠⁠⁠Disclaimer⁠⁠⁠

→ ⁠⁠⁠Enjoying the podcast? Leave us a review!

Time Stamps:

03:29 Neuroplasticity defined

05:21 Core principles: intensity, repetitions, salience, task specificity, sleep consolidatio

09:35 Zooming into vestibular reha

10:06 VR as proof of neuroplasticity; predictive processing

11:32 Habituation/adaptation as exposure-based therapy; links to pain & psycholog

13:32 Fear, expectations, and patient education

14:28 Therapeutic alliance: precision starts with the person

17:42 Treating fear: exposure-response prevention & prediction error (dopamine wins)

20:05 Dosage variables + motivational interviewing + OPTIMAL theory

21:27 Threat perception, amygdala, and “roadblocking” fear pathways

24:13 Fear-avoidant vs. fear-adapted movement (new concept in progress)

26:11 Cognitive load, exhaustion, and dual-task intolerance

29:32 Building alliance between sessions (check-ins)

30:00 What dual tasking is (and isn’t): two separate goals

31:32 Clinic examples: cognitive+motor; visual+motor with busy backgrounds

34:51 Real life: driving with kids, grocery stores, cooking; task switching vs. dual tasking

38:40 Overtraining in clinic to empower life outside

39:10 Progression: patient-controlled dosage (autonomy)

43:27 Neuroplasticity at any age; caveats for degenerative conditions

45:26 “Road crew at night” metaphor; why sleep matters

47:13 The “1-year” myth; talking to insurers with objective measures

49:27 Mic-drop lines

⁠⁠

Dizziness in the emergency department is common... and complicated. Today, we talk with Dr. Peter Johns (MD) and Dr. Rebekah Griffith, PT about what actually works in the ED: using the HINTS exam correctly, avoiding unnecessary imaging and meclizine-only discharges, knowing when to call the stroke team, and why physical therapists in the ED can transform safety, outcomes, and costs.

You’ll hear about how to triage dizzy patients, spot posterior circulation stroke red flags, treat BPPV efficiently, and keep patients safe when answers aren’t immediate. We also cover topics such as orthostatic hypotension, POTS, rapid-access dizzy clinics, and practical discharge planning.

Episode Resources:

• Peter Johns, MD — Emergency physician and vertigo educator (creator of “Spin Class” vertigo course and a popular YouTube channel).

  • Dr. John's "Spin Class" Course
  • Dr. John's YouTube Channel

  
  

  Rebekah Griffith, PT, DPT — Emergency Department physical therapist and educator advocating for PT/OT presence in EDs nationwide.

  • Dr. Griffith's website
  • Instagram

  
  

  Key Takeaways:

  • Use HINTS to rule in peripheral vestibular dysfunction
  • BPPV is common and under-treated—confirm with positional nystagmus and treat with the correct maneuvers.
  • Assess gait and orthostatics upright, not just vitals in bed; orthostatic hypotension is frequently missed.
  • Embedding PTs in EDs improves safety, reduces unnecessary imaging and admissions, and boosts patient/provider satisfaction.
  • Upstream PT access (outpatient/telehealth) prevents many ED visits and fear-avoidant patterns (e.g., PPPD risk).

• If this episode helped you, subscribe, like, and share. Comment with your biggest ED dizziness challenge—and we may just cover it in a future episode!

  
  

For more FREE resources, click ⁠⁠⁠here⁠.⁠⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join The Dizzy Reset⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

→ ⁠⁠⁠Follow us on Instagram⁠⁠⁠

→ ⁠⁠⁠Follow us on TikTok⁠⁠⁠

→ ⁠⁠⁠Follow us on Facebook⁠⁠⁠

→ ⁠⁠⁠Disclaimer⁠⁠⁠

→ ⁠⁠⁠Enjoying the podcast? Leave us a review!⁠

Time Stamps:

01:11 Dr. Johns: path to ED & vertigo education

02:41 Dr. Griffith: why PT belongs in the ED

04:01 What PTs actually do in the ED

06:52 Living with diagnostic ambiguity in the ED

07:21 How common is dizziness; risk of dangerous causes

08:17 PT share of dizzy patients in the ED

10:43 Why every ED should have PT (throughput, safety, cost)

13:27 ED goals for dizzy patients & discharge planning

14:52 Gait assessment as a safety linchpin15:22 Rapid Access Dizzy (RAD) clinic model

16:21 When PT flags central signs & stroke alerts

18:09 HINTS exam: when to use it in the ED

20:56 Why no HINTS without nystagmus23:23 Central “red flags” to screen before HINTS

25:18 Imaging realities: CT/CTA vs MRI, US vs Canada

27:36 How ED PTs cut holds, imaging, burnout

28:57 Discharging symptomatic but safe patients

30:21 When not to discharge: gait + no nystagmus

33:12 “Vertigo” isn’t a diagnosis—referrals that help

35:59 Most mismanaged: BPPV and posterior strokes

37:26 The sleeper culprit: orthostatic hypotension

39:24 POTS awareness & functional vitals in motion

42:12 Upstream care: keeping dizzy patients out of the ED

43:45 Training ED clinicians to manage dizziness46:11 PT/OT courses to build ED programs

47:37 Hands-on feedback for HINTS proficiency

#Dizziness #Vertigo #BPPV #HINTSExam #Stroke #EmergencyMedicine #VestibularRehab #PhysicalTherapy #POTS #OrthostaticHypotension #NeuroPT #TalkDizzyToMe

Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT chat with the Concussion Queen herself, Dr. Becky Bliss, PT, DHSc to discuss all things concussion.

About the Guest:

Dr. Becky Bliss is a Clinical Associate Professor at the University of Kansas Medical Center and Program Coordinator for the University of Missouri’s Neurological Physical Therapy Residency. Board-certified in neurological PT with advanced certification in vestibular rehab, she has over 20 years of clinical experience specializing in concussion management since 2006. Becky is active within APTA’s Concussion Committees, provides national telementorship through the Missouri Telehealth Concussion ECHO program, and pursues research in best practices for concussion care, neuromotor control, and education.

• Website

• Email: [email protected]

Like our shirts? Get your Vestibular First "Semicircular Interpreter" shirt here!

For more FREE resources, click ⁠⁠⁠here⁠.⁠⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join The Dizzy Reset⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

→ ⁠⁠⁠Follow us on Instagram⁠⁠⁠

→ ⁠⁠⁠Follow us on TikTok⁠⁠⁠

→ ⁠⁠⁠Follow us on Facebook⁠⁠⁠

→ ⁠⁠⁠Disclaimer⁠⁠⁠

→ ⁠⁠⁠Enjoying the podcast? Leave us a review!

Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT chat with Shruti Shivaramakrishnan. Shruti lives in Ontario, Canada and her career background is in patient engagement through strategic content and fostering validating communities. Her Instagram community, Chronically Meh, aims to support people who live with chronic illness, and my work with GetCopayHelp assists patients with affordable prescriptions. 

Shruti has had migraines since she was a child, with occasional vestibular symptoms. After contracting COVID, the vestibular aspect became more pronounced and has caused ongoing health issues. The unpredictability of her symptoms is frustrating and makes them challenging to manage. While she is frustrated by the lack of effective treatments and general lack of understanding, she tries to focus on the hope advocacy brings, everyday glimmers, and live life fully -  one breath at a time.

Where to find Shruti:

https://www.instagram.com/chronicallymeh/

For more FREE resources, click ⁠⁠⁠here⁠.⁠⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join The Dizzy Reset⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

→ ⁠⁠⁠Follow us on Instagram⁠⁠⁠

→ ⁠⁠⁠Follow us on TikTok⁠⁠⁠

→ ⁠⁠⁠Follow us on Facebook⁠⁠⁠

→ ⁠⁠⁠Disclaimer⁠⁠⁠

→ ⁠⁠⁠Enjoying the podcast? Leave us a review!

⁠

Dr. Anand Bery and Dr. David Hale join Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT to discuss the process of differential diagnosis for vestibular dysfunction.

Dr. Anand Bery is a neurologist and otoneurologist, with unique subspecialty fellowship training in neuro-vestibular and balance disorders. He specializes in treating patients with dizziness, vertigo, double vision and imbalance. His clinical interests include vestibular neuritis, BPPV, vestibular migraine and nystagmus.

Dr. David Hale is a fellowship-trained neurologist specializing in neuro-visual and vestibular disorders. He diagnoses and treats patients with symptoms including dizziness, vertigo, oscillopsia, double vision and imbalance. Dr. Hale’s patient evaluations include vestibular testing. 

Dr. Hale earned his medical degree at Pennsylvania State University and completed a neurology residency at the Johns Hopkins University School of Medicine. He remained at Johns Hopkins for fellowship training in vestibular and ocular-motor oto-neurology. He serves as the co-director of the Vestibular and Ocular-Motor Oto-Neurology Clinical Fellowship at Johns Hopkins. 

Neurology Exam Prep Podcast Episodes:

Episodic Vertigo (episode 73) https://podcasts.apple.com/us/podcast/episode-73-episodic-vertigo/id1493745353?i=1000678790997 

Acute Vestibulopathy (episode 68)

https://podcasts.apple.com/us/podcast/episode-68-acute-vestibulopathy/id1493745353?i=1000658289413

For more FREE resources, click ⁠⁠here⁠.⁠

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠Book a free call with us⁠⁠

→ ⁠⁠Get free resources straight to your inbox⁠

→ ⁠Join The Dizzy Reset

→ ⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠

→ ⁠⁠Follow us on Instagram⁠⁠

→ ⁠⁠Follow us on TikTok⁠⁠

→ ⁠⁠Follow us on Facebook⁠⁠

→ ⁠⁠Disclaimer⁠⁠

→ ⁠⁠Enjoying the podcast? Leave us a review!⁠⁠

Enjoy this fun bonus episode with Karen Tartt, who shares her expertise with a phenomenal and tasty migraine friendly cocktail she created. Dr. Abbie Ross, PT, NCS, Dr. Danielle Tolman, PT and Karen are also joined by Christine Moyer from the podcast Unsteady and Unfiltered.

First, prepare the "shrub"

Woody Pear Shrub 

-1 ⅓ cup Pear Juice* 

-⅔ cup Cane Sugar 

-1 cup White Distilled Vinegar 

-2 large sprigs of Rosemary 

-4 bunches of Thyme 

-3 Bay Leaves 

1. Measure and add all ingredients into a pot on your stove. 

2. Cover and turn heat to high. 

3. Bring liquid to a boil. 

4. Turn down the heat, take off the lid and stir until the sugar is completely dissolved. 

5. Turn off the heat and let cool to room temperature. 

6. Pour the contents of the pot into a sealable container and store in the fridge for several hours or overnight. 

7. In the morning, strain steeped herbs out of the liquid using a wire mesh strainer or a nut milk bag. 

8. Store finished shrub in a sealable container in the fridge until use for up to a month. 

*Be mindful of the ingredient label when selecting a pear juice. You’ll want to find one that uses ascorbic acid (powdered Vitamin C) as the color protectant instead of lemon juice. Knudsen Juice is a widely available brand that is safe, although I’m sure there are many that are also okay.

Pear Cocktail

-1 ¼ oz 40% Clear Spirit (vodka, gin, blanco tequila, etc.) 

-2 oz Woody Pear Shrub 

-Soda Water 

-Ice 

*Measure ingredients into a Collins glass over ice. Using a spoon, gently stir to incorporate all ingredients. Garnish with additional herbs (rosemary, thyme & bay). 

About Karen

In March of 2019, after 18 months of searching for answersto the seemingly mysterious symptoms Karen had been experiencing, she was diagnosed with Chronic Vestibular Migraine. Post diagnosis, she learned about the ⁠Johns Hopkins Migraine Diet⁠ through Dr. David Buchholz’s book, ⁠“Heal Your Headache”⁠, and started to undergo the tedious elimination process to figure out her personal migraine triggers.

In May of 2020, during the Covid pandemic quarantine, Karen launched a blog focused on migraine-friendly cocktails for the at-home bartender, Tartt Drinks. This creative outlet, along with an online audience of fellow migraineurs, provided a space for her to explore the cocktails, flavorsand spirits that were missing from the lives of those affected by migraine.

Her migraine-friendly cocktails have since been featured in the Bombay Sapphire Artist Showcase, ⁠Speed Rack⁠ Trading Cards, ⁠Dizzy Cook⁠’s first book release party, ⁠Miles for Migraine⁠ ⁠Social Events⁠ and an upcoming cocktail book.

She currently resides in San Francisco, CA and works at ⁠Wildhawk⁠ in the Mission District. She’s currently researching gas chromatography analysis in spirits to more clearly define what makes a spirit migraine-friendly. She’s also studying different ways to create more complete citrus alternatives.

Karen can be reached for consultations and inquiries at ⁠[email protected]⁠.

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

For more FREE resources, click ⁠⁠here⁠⁠.

For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠

Connect with Us:

→ ⁠⁠⁠Book a free call with us-hope and healing start now⁠⁠⁠

→ ⁠⁠⁠Get free resources straight to your inbox⁠⁠

→ ⁠⁠Join the waitlist for The Dizzy Reset wellness program⁠⁠

→ ⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠

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→ ⁠⁠⁠Enjoying the podcast? Leave us a review!⁠⁠⁠⁠

In this episode, Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman talk with Karen Tartt about managing life with vestibular migraine symptoms in various settings. Her expertise in developing migraine-friendly cocktails will blow your mind!

About Karen

In March of 2019, after 18 months of searching for answersto the seemingly mysterious symptoms Karen had been experiencing, she was diagnosed with Chronic Vestibular Migraine. Post diagnosis, she learned about the Johns Hopkins Migraine Diet through Dr. David Buchholz’s book, “Heal Your Headache”, and started to undergo the tedious elimination process to figure out her personal migraine triggers.

In May of 2020, during the Covid pandemic quarantine, Karen launched a blog focused on migraine-friendly cocktails for the at-home bartender, Tartt Drinks. This creative outlet, along with an online audience of fellow migraineurs, provided a space for her to explore the cocktails, flavorsand spirits that were missing from the lives of those affected by migraine.

Her migraine-friendly cocktails have since been featured in the Bombay Sapphire Artist Showcase, Speed Rack Trading Cards, Dizzy Cook’s first book release party, Miles for Migraine Social Events and an upcoming cocktail book.

She currently resides in San Francisco, CA and works at Wildhawk in the Mission District. She’s currently researching gas chromatography analysis in spirits to more clearly define what makes a spirit migraine-friendly. She’s also studying different ways to create more complete citrus alternatives.

Karen can be reached for consultations and inquiries at [email protected].

Hosted by:

🎤 Dr. Abbie Ross, PT, NCS

🎤 Dr. Danielle Tolman, PT

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