Grounded | The Vestibular Podcast
Vestibular Physical Therapist, and the founder of The Vertigo Doctor
Episodes
December 9, 2025
What should you do if you’re dealing with neck pain and vestibular migraine—or another vestibular disorder.
Remember: vestibular migraine can be the cause of neck pain itself without anything being wrong with the neck.
The first thing is to identify where the pain is coming from so you can take the proper actions to manage the pain, but there are 3 key areas you want to consider.
In this episode, we’ll dig into:
Neck p...
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December 2, 2025
PPPD (AKA: persistent postural perceptual dizziness) is a chronic form of dizziness which is very manageable. But everyone wants to know “is there a cure for PPPD?”
To get to that answer, we’ve got to go all the way back to the beginning to uncover why PPPD is happening in the first place. Because PPPD is always caused by another underlying diagnosis.
It’s both under and overly diagnosed—and this episode is built to be a res...
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November 25, 2025 • 20 mins
If you’re in the holiday challenge and listening today, please send me a DM for extra credit.We’ve gone into detail about central disorders vs peripheral disorders and how the vestibular system works. Today, you’re in for more of a deep dive on how the vestibular system functions with its other two systems.
Surprise! It isn’t working all by itself. So who is it partnering with and how do they work with each other to help you nav...
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November 18, 2025
We’re talking about supplements for migraine—there are a lot of different ones!
And just because something works for someone else doesn’t necessarily mean it will also work for you.
Sometimes these supplements don’t work for people at all. And other times they work really well—even better than some medications.
As with all things migraine management, it’s very person dependent.
In this episode, we’ll dig into:
Bene...
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November 11, 2025
Dr. Jenna Green joins me, Dr. Madison Oak, for this episode all about vestibular rehab therapy (VRT)! If you don’t know, Dr. Jenna is my work wife inside Vestibular Group Fit.
One thing you’ll hear us stress is that you can be not ready for VRT. We’ve both (kindly) kicked people out of therapy before because it wasn’t the best option for them at that time.
There’s a lot we unearth not just about what VRT actually looks like, ...
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November 4, 2025
People constantly ask me what the difference is between PPPD and vestibular migraine. It can be very difficult to distinguish between the two—and that can be really frustrating.
And it is possible, with a little information and guidance, to figure out which you may be dealing with.
In this episode, we’ll dig into:
How PPPD is different from vestibular migraine
The diagnostic criteria for PPPD and vestibular migraine
...
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October 28, 2025
Every single vestibular disorder has the exact same set of symptoms, so that makes it challenging to know what you’re dealing with and what to do about it. Today we’re talking specifically about the differences between vestibular migraine and Meniere’s disease.
Quick example: while Meniere’s disease and vestibular migraine can both cause room spinning vertigo, how they look in practice is wildly different.
Tune in to learn h...
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October 21, 2025
Feeling safe in movements and exercises (like pilates or yoga) can seem like a tall order when you have vestibular migraine or dizziness. But it’s not hopeless!
Many people think that group is just about strength training or doing super intense workouts that they could “never do,” but that’s not the case. Inside Vestibular Group Fit, we offer lots of different classes! Pilates and yoga are two of them.
In this episode, Dr. Ma...
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October 14, 2025
So many people in Vestibular Group Fit have done a phenomenal job of using the content in there and applying it to help them get back to driving. Sometimes this is a return to driving after being bed-bound, while other times it’s for a roadtrip goal they’ve had on their list for quite some time.
We have an entire module on just driving inside VGF! This pairs really well with all the information on being a passenger, traveling w...
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October 7, 2025
In today’s episode we are talking about weather and vestibular disorders. One of the things people ask about the most is what to do about the weather?!
And—no surprise to anyone—it’s one of the biggest topics of conversation inside Vestibular Group Fit.
We’re in the middle of fall and heading toward those winter weather changes. If this is a time of the year you struggle with, this is the episode for you! (Don’t worry! If you...
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September 30, 2025
I see people using the Epley Maneuver wrong all the time—and it drives me up the wall. We clearly need to talk about this.
A lot of people are trying to treat their positional vertigo from vestibular migraine—or any dizziness—at home with the Epley Maneuver because that’s what the internet says to do. But let me tell you—it is not the thing to do.
Even though the Epley Maneuver feels like magic, it’s physics and gravity—and ...
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September 23, 2025
People ask me all the time, “Does Botox work for vestibular migraine?”
Another common question people ask is, “Is it going to get rid of my dizziness?” That question is missing the point. When you’re treating vestibular migraine, you’re not treating the dizziness. Does Botox work for VM? Yes, but not because you’re treating the dizziness.
In this episode, you’ll hear me synthesize a study that dove into the impact of Botox o...
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September 16, 2025
It may sound too good to be true, but mindset shifts can dramatically improve your experience of managing chronic migraine.
How? Dr. Emily Kostelnik is back on the podcast to share that with us! We’re talking about mindset and migraine and a brand new, well-balanced (pun intended) course she’s rolling out soon.
Dr. Kostelnik shares the piece that’s been missing from the mindset conversation, clears up a huge misunderstanding ...
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September 9, 2025
“I was making myself nauseous, not knowing it was something else. And that was insanely frustrating.”
As a mom of two, dancer, choreographer, and overall fit and healthy person, Elizabeth was taken aback when she was told she had BPPV.
After years of treating the wrong diagnosis, she finally got the help she really needed. This included joining Vestibular Group Fit. And now? She’s thriving!
Elizabeth volunteered to share h...
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September 2, 2025
Most people get something very wrong about the doctor—they’re not meant for a lot of the things we try to use them for. With that in mind, let’s talk about how to get the most out of your doctor visit.
We’re going to take a look at what you can reasonably expect from a physician during a quick, infrequent visit with them. And then I’m wrapping up with some thoughts on health insurance—what you need to know and what you can expe...
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August 26, 2025
Tracking your symptoms can be incredibly helpful in revealing patterns. When we talk about vestibular migraine, we ultimately want to figure out the patterning behind it for you.
Even if it feels like it’s completely random and there’s absolutely no pattern, there’s almost always some sort of pattern.
I help a lot of my patients figure out what their pattern is by them tracking their symptoms and sharing their log with me. In...
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August 19, 2025
Being in vestibular disorder support groups can be really helpful—at first. But many of them share posts that are anxiety-provoking and over time, these spaces can leave you feeling drained vs empowered.
This isn’t the case for every single support group out there. But if this is your experience, I want you to know you’re not alone in that.
This episode is all about vestibular disorder support groups and chronic illness suppo...
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August 12, 2025
I’m constantly responding to questions in my Ask Me Anything (AMA) box on Instagram about this one topic—from 2 very different perspectives.
Helping someone with a vestibular disorder.
There’s the person experiencing the symptoms of the vestibular disorder. And then there’s the person who cares about the person with the vestibular disorder.
This podcast is dedicated to both of you.
This isn’t about getting someone to un...
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August 5, 2025
Doing more things with a vestibular disorder is possible—but you absolutely need to rest. This means giving your body time to rest and different types of rest in order to achieve that.
Rest is an essential part of being a human being. Yet we live in a society where people don’t rest until they feel like they’ve “done enough.”
When we should be resting before we feel the fatigue set in, we’re busy pushing through, ignoring how...
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July 29, 2025
Reminder: I’m not a medical doctor. I do not interpret bloodwork.
But I do get a lot of questions about bloodwork.
“What’s the difference between normal & optimal bloodwork?” “What do I do if my labs are abnormal?” “What can I do with the information from my bloodwork?”
Whether you’ve been getting bloodwork for years or you’re just about to get your first full bloodwork panel of your life—this episode is sure to help you...
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