Grounded | The Vestibular Podcast

Grounded | The Vestibular Podcast

Vestibular Physical Therapist, and the founder of The Vertigo Doctor

Episodes

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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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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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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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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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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“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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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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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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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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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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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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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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One of the most stressful things to go through—is a move. Or building a brand new home and then moving into it. But that’s just one example of stress. And stress? That can wreak havoc on a vestibular disorder. This deep dive into stress, vestibular disorders, and migraine was inspired by this 2016 study I reference all the time. It reveals so much, which is great because this topic doesn’t yield a simple “yes” or “no” answer....
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Most people think regulating their nervous system means being calm all the time or doing breathing exercises. It does not. Having a regulated nervous system is not about feeling calm all the time. It’s about how you are able to respond to difficult and new stimuli. Because that is a fact of life that’s not going anywhere! Nervous system regulation looks like a lot of different things depending on the person. We’re going to ex...
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Today on Grounded: The Vestibular Podcast, we are talking all about CGRP medications. These are a class of drugs used to manage migraine attacks. Interestingly, people with migraine have a higher level of CGRP during migraine attacks, but also have a harder time breaking them down for whatever reason. In this episode, we’ll dig into: What CGRP medications are How CGRP medications work Generic names of CGRP medicatio...
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If you’ve ever felt like you’re moving through life with your head wrapped in cotton—unable to think clearly, focus, or find the right words—you’re not alone. In this episode of Grounded: The Vestibular Podcast, we dive into one of the most frustrating and misunderstood symptoms of vestibular disorders: brain fog. We explore what brain fog really is, how it’s connected to conditions like vestibular migraine, PPPD, and inner ear ...
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Vestibular Migraine is more than just dizziness—it's a complex, often misunderstood condition that can impact every part of your life. In this episode of Grounded: The Vestibular Podcast, we’re breaking down the 10 essential things you need to know about Vestibular Migraine—from common triggers and diagnostic challenges to treatment options and how it differs from other vestibular disorders. Whether you’re newly diagnosed, still...
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June 16, 2025 • 13 mins
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 hi...
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Could mold be making you dizzy? In this eye-opening episode, we sit down with Corey from We Inspect, a nationally recognized mold inspection company that specializes in identifying hidden environmental triggers. Corey breaks down:🏠 How mold exposure can contribute to dizziness, brain fog, and vestibular symptoms🔍 Why traditional mold tests often miss the root cause🛠️ What makes a proper inspection different—and how to get rea...
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In this episode, we break down the essential tools and strategies for managing acute Vestibular Migraine attacks. Whether you're newly diagnosed or a seasoned vestibular warrior, understanding your options can make all the difference in navigating sudden flares. We’ll cover:💊 Acute medications: what they are, how they work, and when to use them🚨 Rescue meds: fast-acting options for when symptoms spiral🧰 Your vestibular toolki...
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