Grounded | The Vestibular Podcast

Dr. Madison Oak, PT, DPT

Vestibular Physical Therapist, and the founder of The Vertigo Doctor

  1. 3d ago

    149. Task Switching is Impacting Your Dizziness More Than You Realize

    One thing that a lot of people with vestibular disorders notice is how fatiguing or challenging different tasks become over time.  What’s happening is your brain is trying to process multiple inputs (or even tasks) at the same time.  For those with vestibular disorders, it becomes more difficult because your body is trying to process more information—and it’s also now having to work double time to keep you upright. Multitasking and task switching are a part of daily life, but it comes with costs. And those with vestibular disorders often notice this more but aren’t quite sure how to make it go away. But this episode is here to help! In this episode, we’ll dig into: Why tasks feel manageable alone but become overwhelming when combined How multitasking and task switching are similar and different What the “switch cost” is and how it adds up over time for those with vestibular disorders What percentage of people with vestibular conditions experience cognitive symptoms like brain fog How the central nervous system and cerebral cortices matter for cognitive symptoms Why spatial awareness demands extra resources when you have a vestibular disorder How balance exercises in VRT are designed to gradually scale up task demands Why errors are actually part of healing with a vestibular condition Why rest and recovery are essential when you’re adding in more cognitive or physical tasks Task switching and multitasking are hard for everyone! A vestibular disorder just adds an extra layer—it doesn’t mean things can’t improve, but it does take time, space, and grace. You’re doing more things than you think and certainly doing more than you take credit for. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit 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 madison@thevertigodoctor.com 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  McGrath, Kim. “The “Switch Cost” of Multitasking.” Wake Forest News, 16 Apr. 2024, news.wfu.edu/2024/04/16/the-switch-cost-of-multitasking/. Asuako, P. A. G., Stojan, R., Bock, O., Mack, M., & Voelcker-Rehage, C. (2025). Multitasking: does task-switching add to the effect of dual-tasking on everyday-like driving behavior?. Cognitive research: principles and implications, 10(1), 5. https://doi.org/10.1186/s41235-025-00611-y Smith, L. J., Wilkinson, D., Bodani, M., & Surenthiran, S. S. (2024). Cognition in vestibular disorders: state of the field, challenges, and priorities for the future. Frontiers in neurology, 15, 1159174. https://doi.org/10.3389/fneur.2024.1159174 ————————————— task switching and multitasking, things to help with brain fog, vestibular migraine brain fog, what causes brain fog and dizziness, vestibular disorders, vestibular group fit, living with vestibular migraine, living with chronic dizziness, sensory overload, spatial awareness, cognitive abilities

    149. Task Switching is Impacting Your Dizziness More Than You Realize

  2. Jul 14

    148. Navigating Altitude Changes with a Vestibular Disorder

    Heading somewhere with a big elevation change? Good news! Most people living with vestibular disorders actually do really well at altitude. But that doesn’t mean you just show up unprepared and hope for the best. In this episode, I’m breaking down everything you need to know about navigating altitude changes with a vestibular disorder.  From quick pressure shifts like takeoff and landing, to extended stays at higher elevations, I’m sharing what to keep on standby, what to avoid, and why slower adjustments make all the difference. In this episode, we’ll dig into: Why most people with vestibular disorders actually feel good at altitude Tools for quick pressure changes like takeoff, landing, and steep elevation drives The difference between earplanes & WeatherX earplugs Why slower ascents make a huge difference and how to pace your elevation Medications to ask your doctor about before travel Why you most definitely want to rethink alcohol at elevation What self-care tips still apply at altitude The research behind nature being great for your nervous system My thoughts on oxygen bars and vestibular disorders Altitude changes don’t have to derail your trip! With the right prep, the right toolkit, and a slower ascent, you absolutely can enjoy the mountain tops. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit WeatherX Earplugs: https://amzn.to/4h7Py7N Earplanes: https://amzn.to/4aQji5b 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 madison@thevertigodoctor.com 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 “Mountain Vacation? 5 Tips to Cope with Your Altitude Sickness.” Cleveland Clinic, health.clevelandclinic.org/understanding-altitude-sickness-5-best-tips-for-your-next-mountain-trip. ————————————— vertigo and altitude changes, altitude and vertigo, travel and vestibular disorders, vestibular group fit, VGF, living with vestibular disorder, weather & vestibular disorder, change in pressure, inner ear, manage migraine, weatherx earplanes, meniere’s disease, nervous system regulation, chronic dizziness, PPPD

    148. Navigating Altitude Changes with a Vestibular Disorder

  3. Jul 7

    147. Scaling & Pacing Physical Activity with a Vestibular Disorder

    If you’ve ever tried to do too much, crashed hard, and then felt like you were back at square one—this episode is for you. I’m talking about two of the most important concepts we teach in Vestibular Group Fit: scaling and pacing. It cannot be stressed enough how important this is and how much we talk about it in VGF. Scaling and pacing aren’t about doing less forever. They’re about building capacity strategically so you can eventually do MORE without paying for it for days afterward. I’m walking you through real-life examples of how to scale movement, exercise routines, walking, driving, and other daily activities — plus what to do on higher symptom days and post-attack so you can recover faster and get back to living your life. In this episode, we’ll dig into: What scaling and pacing actually mean and how they’re different Why you should never increase more than 10% at a time How to scale things like strength training, walking, and driving The difference between “immediate” responders and “hangover” responders Real-life pacing strategies you can add into your day-to-day life How to scale down on post-attack or high symptom days The 30-day to 30-minute return to walk program results from VGF Summer consistency challenge details for Vestibular Group Fit members Whether it’s exercise, grocery shopping, driving, or attending your nephew’s graduation—the same principles apply. Scaling and pacing are skills. As with any skill, it takes time, practice, and a whole lot of grace and patience with yourself. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Inside VGF, we have two helpful lessons: Visualization exercises for return to driving, and a 30-day to 30-minute return to walk 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 madison@thevertigodoctor.com 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. physical activity intensity, scaling and pacing, activity pacing, scaling physical activity, vestibular disorder management, chronic dizziness, living with vestibular disorder, migraine attacks, nervous system regulation, exercises to improve balance, return to walking, driving with vestibular disorder, vestibular exercises

    147. Scaling & Pacing Physical Activity with a Vestibular Disorder

  4. Jun 30

    146. The Importance of Nutrition in Vestibular Disorders

    I recently got a certificate in functional nutrition and I have thoughts. Starting with the fact that staying hydrated and fueling your body with nutrients will be—not can be, will be—a game-changer for your vestibular disorder. In this episode, I’m breaking down something that comes up over and over again in Vestibular Group Fit: how much what you eat (and drink!) actually matters when you have a vestibular disorder. This isn’t about going on a perfect diet or never eating processed foods again. It’s about understanding how blood sugar regulation, hydration, inflammation, gut health, and hormones are all connected to your dizziness. And what small, manageable steps you can take to start feeling better. In this episode, we’ll dig into: Why diet & hydration are foundational basics for managing a vestibular disorder How blood sugar crashes — including overnight ones — can trigger dizziness & attacks Why skipping meals is practically a guaranteed migraine trigger The role of key nutrients like iron, vitamin D & B vitamins in managing chronic dizziness How inflammation connects to vestibular disorders — and how food either fuels or fights it Perimenopause & menopause: how hormonal changes affect metabolism, muscle mass, insulin sensitivity & dizziness Endocrine-disrupting chemicals (plastics, pesticides, PFAs) & how low-tox swaps can make a real difference Why your gut microbiome might be the reason your medications aren’t working Practical, accessible ways to start improving your nutrition without overhauling everything at once You don’t have to eat perfectly! You just have to start somewhere because the better your nutrition and hydration are, the better you will feel. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Optimal Bloodwork Link: https://thevertigodoctor.myflodesk.com/yt2ko79vaq  Detoxify by Alli Cohen: https://www.amazon.com/dp/1668033534/ref=cm_sw_r_as_gl_api_gl_i_TYFM23HJFGM1JPQW5671?linkCode=ml1&tag=thevertigodoc-20&linkId=1700598d13c22416e1837eb71940139d  EWG Dirty Dozen list: https://www.ewg.org/foodnews/dirty-dozen.php 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 madison@thevertigodoctor.com 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 Patelarou, E., & Giakoumidakis, K. (2025). Nutrition and Quality of Life for Patients with Chronic Disease. Nutrients, 17(13), 2170. https://doi.org/10.3390/nu17132170 Paramasivam, A., Murugan, R., Jeraud, M., Dakkumadugula, A., Periyasamy, R., & Arjunan, S. (2024). Additives in Processed Foods as a Potential Source of Endocrine-Disrupting Chemicals: A Review. Journal of xenobiotics, 14(4), 1697–1710. https://doi.org/10.3390/jox14040090 Erdélyi, A., Pálfi, E., Tűű, L., Nas, K., Szűcs, Z., Török, M., Jakab, A., & Várbíró, S. (2023). The Importance of Nutrition in Menopause and Perimenopause-A Review. Nutrients, 16(1), 27. https://doi.org/10.3390/nu16010027 Yu, X., Pu, H., & Voss, M. (2024). Overview of anti-inflammatory diets and their promising effects on non-communicable diseases. The British journal of nutrition, 132(7), 898–918. https://doi.org/10.1017/S0007114524001405 Kang, H. S., Kim, S. Y., Kim, J. H., Kim, E. S., Choi, H. G., Lim, H., Kim, J. H., Park, H. Y., Kim, N. Y., Hong, S., Choi, K. C., & Kwon, M. J. (2022). Association between Migraines and Prior Proton Pump Inhibitor Use: A Nested Case-Control Study Using a National Health Screening Cohort. Pharmaceuticals (Basel, Switzerland), 15(11), 1385. https://doi.org/10.3390/ph15111385 Zhang P. (2022). Influence of Foods and Nutrition on the Gut Microbiome and Implications for Intestinal Health. International journal of molecular sciences, 23(17), 9588. https://doi.org/10.3390/ijms23179588 importance of nutrition, functional nutrition, nutrition and lifestyle, living with vestibular migraine, diet and nutrition, treatment for vestibular disorders, diet for vestibular migraine, food and diet for vestibular disorder, migraine management, chronic dizziness, PPPD, vestibular group fit

    146. The Importance of Nutrition in Vestibular Disorders

  5. Jun 23

    145. How to Prepare to Start a New Vestibular Medication

    If you’ve ever started a new medication and immediately felt worse—you’re not broken, and you’re definitely not alone.  In this episode, I’m diving into one of the most common and most frustrating experiences in the vestibular world: medication sensitivity. And more importantly, what to actually do about it. I’m breaking down why so many people with vestibular disorders struggle to tolerate new medications, how to wean on and off gradually to give yourself the best shot at success, and why going slow is actually the fastest way to feel better. We’re also talking about the nocebo effect—because what you expect from a medication can literally shape what you experience. Plus, I’m making a case for the most underutilized resource in your healthcare team: your pharmacist. Seriously, use them. They know things your doctor might miss. In this episode, we’ll dig into: Why medication sensitivity is SO common in the vestibular community The case for weaning onto medications gradually What compounding pharmacies are & how they can be a game changer for hypersensitive people Why you need to understand the nocebo effect before starting a new medication How to tell the difference between “dizziness as a side effect” vs your chronic dizziness How to set yourself up for success when starting a new medication A tool you can use to take the guesswork out of medications Starting a new medication doesn’t feel like as much of a gamble when you know how to prepare, advocate for yourself, and you go slow. Following these tips, you give yourself the very best shot at finally feeling better. Related Episodes: How to Wean Off Your Preventative Medications: https://thevertigodoctor.com/podcast/54-how-to-wean-off-your-preventative-medications/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Golden Genetics (mention Dr. Madison for a discount!): https://www.goldengeneticshealth.com/ 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 madison@thevertigodoctor.com 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. ————————————— vestibular medication, medication for vestibular disorder, placebo and nocebo effect, side effects, vestibular migraine, VM, vestibular disorders, chronic dizziness, mindset and the nocebo effect, increased anxiety and depression, nervous system and dizziness, vestibular group fit, migraine management, compounding pharmacies

    145. How to Prepare to Start a New Vestibular Medication

  6. Jun 16

    144. How to Pick the Right Shoes for Balance Problems

    Today, we’re talking shoes. Specifically, the best shoes for you if you have chronic dizziness or balance problems. (If you caught my viral Hoka video back in April, you already know I have thoughts.) But I need you to know this… it was never really about Hoka. It’s about understanding what’s actually going on with your shoes when you have a vestibular disorder and why that matters more than any brand name ever will. I’m breaking down the anatomy of a shoe (from toe box to heel drop) so you can stop Googling “best shoe for dizziness” and just know what to look for. Because the best shoe is the one that works for your feet, your symptoms, and your life. Full stop. In this episode, we’ll dig into: The big takeaway from my viral Hokas video Why there’s no single “best shoe” for vestibular disorders The key parts of shoe anatomy every vestibular warrior should know How conditions like peripheral neuropathy, plantar fasciitis, or a toe fusion change what YOU need in a shoe The best places to shop for shoes when you have a vestibular disorder Why heel-to-toe walking matters for fall prevention Your shoes are touching the ground so YOU don’t have to think about it, so let’s make sure they’re actually working how they need to for you. If you have questions about this or you want support as you explore the best possible shoe for you, join us in Vestibular Group Fit (use code GROUNDED)! Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit The viral Hoka video: https://www.instagram.com/p/DXWzgM9BKc-/ Recommended shoes link: https://liketk.it/67x4j 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 madison@thevertigodoctor.com 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 Citation Jellema, A. H., Huysmans, T., Hartholt, K., & van der Cammen, T. J. M. (2019). Shoe design for older adults: Evidence from a systematic review on the elements of optimal footwear. Maturitas, 127, 64–81. https://doi.org/10.1016/j.maturitas.2019.06.002 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. ————————————— shoes for balance problems, exercises for vestibular disorders, living with vestibular migraine, vertigo, bppv, pppd, guidelines of physical activity, anxiety and depression, chronic dizziness, balance issues, anatomy of a shoe, toe box, rocker angle, sole firmness, cushioning, tread, heel bevel, heel drop

    144. How to Pick the Right Shoes for Balance Problems

  7. Jun 9

    143. Strength & Resistance Training for Vestibular Disorders

    This is my personal favorite topic, but probably your least favorite: strength training.  Before you run away, hear me out! Because whether you’re bed-bound, housebound, or just convinced your body can’t handle it right now, this episode is for you. I’m breaking down exactly WHY resistance and strength training isn’t just helpful for vestibular disorders—it’s essential.  You Have to Move Your Body to Manage Your Dizziness From the dizzy-anxious-dizzy cycle to blood sugar regulation to better sleep to reduced inflammation, strength training touches virtually every struggle vestibular warriors face. I’m not letting anyone off the hook, but I am meeting you exactly where you are. Starting with 3 minutes? That counts.  Walking to the mailbox and back? That counts too.  Because the goal here is progress, not perfection. And you know I have the science to back every single word of it! In this episode, we’ll dig into: Why strength training is non-negotiable for vestibular disorder management How exercise helps break the dizzy-anxious-dizzy cycle “In the moment” vs. “hangover” dizziness and how to adjust your approach Why EDS, HSD, or MCAS makes building muscle even more critical The truth about the fear of getting “bulky” How to start exercising when you’re bedbound or couch-bound What physical activity guidelines actually say, and where most people fall short How functional movements like the deadlift directly support vestibular patients How Vestibular Group Fit makes strength and resistance training accessible Whether you start with 3 minutes or 30, the most important thing is that you start. Because your vestibular system, your mood, your balance, and your future self are all counting on it. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit 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 madison@thevertigodoctor.com 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 Citations: Adriano Oliveira, Andressa Fidalgo, Paulo Farinatti, Walace Monteiro,Effects of high-intensity interval and continuous moderate aerobic training on fitness and health markers of older adults: A systematic review and meta-analysis,Archives of Gerontology and Geriatrics,Volume 124,2024,105451,ISSN 0167-4943,https://doi.org/10.1016/j.archger.2024.105451.(https://www.sciencedirect.com/science/article/pii/S0167494324001274) Yu Y, Wang J, Xu J. Optimal dose and type of exercise to improve cognitive function in patients with mild cognitive impairment: a systematic review and network meta-analysis of RCTs. Front Psychiatry. 2024 Sep 12;15:1436499. doi: 10.3389/fpsyt.2024.1436499. PMID: 39328348; PMCID: PMC11424528. Zhang Y, Zhou M, Yin Z, Zhuang W, Wang Y. Relationship between physical activities and mental health in older people: a bibliometric analysis. Front Psychiatry. 2024 Oct 21;15:1424745. doi: 10.3389/fpsyt.2024.1424745. PMID: 39497901; PMCID: PMC11532734. Garcia Meneguci, C. A., Meneguci, J., Sasaki, J. E., Tribess, S., & Júnior, J. S. V. (2021). Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis. PloS one, 16(1), e0246275. https://doi.org/10.1371/journal.pone.0246275 Mennitti C, Farina G, Imperatore A, De Fonzo G, Gentile A, La Civita E, Carbone G, De Simone RR, Di Iorio MR, Tinto N, Frisso G, D’Argenio V, Lombardo B, Terracciano D, Crescioli C, Scudiero O. How Does Physical Activity Modulate Hormone Responses? Biomolecules. 2024 Nov 7;14(11):1418. doi: 10.3390/biom14111418. PMID: 39595594; PMCID: PMC11591795. Beavers KM, Brinkley TE, Nicklas BJ. Effect of exercise training on chronic inflammation. Clin Chim Acta. 2010 Jun 3;411(11-12):785-93. doi: 10.1016/j.cca.2010.02.069. Epub 2010 Feb 25. PMID: 20188719; PMCID: PMC3629815.  Chastin, S.F.M., Abaraogu, U., Bourgois, J.G. et al. Effects of Regular Physical Activity on the Immune System, Vaccination and Risk of Community-Acquired Infectious Disease in the General Population: Systematic Review and Meta-Analysis. Sports Med 51, 1673–1686 (2021). https://doi.org/10.1007/s40279-021-01466-1 Hoffman GJ, Malani PN, Solway E, Kirch M, Singer DC, Kullgren JT. Changes in activity levels, physical functioning, and fall risk during the COVID-19 pandemic. J Am Geriatr Soc. 2022 Jan;70(1):49-59. doi: 10.1111/jgs.17477. Epub 2021 Sep 24. PMID: 34536288. Rey-Lopez JP, Rimm EB, Tabung FK, Giovannucci EL. Long-Term Leisure-Time Physical Activity Intensity and All-Cause and Cause-Specific Mortality: A Prospective Cohort of US Adults. Circulation. 2022 Aug 16;146(7):523-534. doi: 10.1161/CIRCULATIONAHA.121.058162. Epub 2022 Jul 25. PMID: 35876019; PMCID: PMC9378548. Hupin D, Roche F, Gremeaux V, Chatard JC, Oriol M, Gaspoz JM, Barthélémy JC, Edouard P. Even a low-dose of moderate-to-vigorous physical activity reduces mortality by 22% in adults aged ≥60 years: a systematic review and meta-analysis. Br J Sports Med. 2015 Oct;49(19):1262-7. doi: 10.1136/bjsports-2014-094306. Epub 2015 Aug 3. PMID: 26238869. Chandrasekaran B, Ganesan TB. Sedentarism and chronic disease risk in COVID 19 lockdown – a scoping review. Scott Med J. 2021 Feb;66(1):3-10. doi: 10.1177/0036933020946336. Epub 2020 Jul 27. PMID: 32718266; PMCID: PMC8685753. Izquierdo M, Merchant RA, Morley JE, Anker SD, Aprahamian I, Arai H, Aubertin-Leheudre M, Bernabei R, Cadore EL, Cesari M, Chen LK, de Souto Barreto P, Duque G, Ferrucci L, Fielding RA, García-Hermoso A, Gutiérrez-Robledo LM, Harridge SDR, Kirk B, Kritchevsky S, Landi F, Lazarus N, Martin FC, Marzetti E, Pahor M, Ramírez-Vélez R, Rodriguez-Mañas L, Rolland Y, Ruiz JG, Theou O, Villareal DT, Waters DL, Won Won C, Woo J, Vellas B, Fiatarone Singh M. International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines. J Nutr Health Aging. 2021;25(7):824-853. doi: 10.1007/s12603-021-1665-8. PMID: 34409961; PMCID: PMC12369211. Bunnell E, Stratton MT. The Impact of Functional Training on Balance and Vestibular Function: A Narrative Review. J Funct Morphol Kinesiol. 2024 Dec 3;9(4):251. doi: 10.3390/jfmk9040251. PMID: 39728235; PMCID: PMC11679947. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985 Mar-Apr;100(2):126-31. PMID: 3920711; PMCID: PMC1424733. Warner A, Vanicek N, Benson A, Myers T, Abt G. Agreement and relationship between measures of absolute and relative intensity during walking: A systematic review with meta-regression. PLoS One. 2022 Nov 3;17(11):e0277031. doi: 10.1371/journal.pone.0277031. PMID: 36327341; PMCID: PMC9632890. “Metabolic Equivalent (MET): Pick the Best Exercise for Longevity.” Whyiexercise.com, www.whyiexercise.com/metabolic-equivalent.html. 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. ————————————— strength and resistance training, exercises for vestibular disorders, living with vestibular migraine, guidelines of physical activity, anxiety and depression, chronic dizziness, couch bound, bed bound, dizzy-anxious-dizzy cycle, physical therapist

    143. Strength & Resistance Training for Vestibular Disorders

  8. Jun 2

    142. Vision Therapy and Prisms for Chronic Dizziness?

    Vision therapy and prism lenses are so misunderstood. For starters, vision therapy isn’t about how clearly you can see.  It’s about how your eyes work together to send information to your brain and how your brain is actually using that information. And for a lot of people dealing with vestibular conditions or TBI, this is a game-changer that often gets overlooked. This is one of those topics that doesn’t get nearly enough attention in the vestibular space, and it’s time to change that! In this episode, we’ll dig into: What vision therapy actually is and how it can help How your eyes, brain, and vestibular system work together The symptoms that could point to a vision therapy need Why you might be struggling now even if you were fine before your vestibular condition What to look for when finding a provider for vision therapy or prisms The difference between vision therapy and prism lenses A free screening tool to see if binocular vision dysfunction might be at play for you It can be tough to find the right treatments, but remember—if a treatment doesn’t work, you are not failing anything. It just wasn’t the right option for you. If you have questions about this or you want support as you explore vision therapy and prism lenses, join us in Vestibular Group Fit (use code GROUNDED)! (We have hours of interviews with specialists inside the membership.) Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Citations: American Optometric Association. “Vision Therapy.” Aoa.org, 2023, www.aoa.org/practice/specialties/vision-therapy. russ. “What Is Vision Therapy?” Optometrists.org, www.optometrists.org/vision-therapy/guide-to-vision-therapy/what-is-vision-therapy/. “Binocular Vision Dysfunction Test | Vision Specialists.” NeuroVisual Medicine, 29 May 2025, vision-specialists.com/vision-health/testing-diagnostics/binocular-vision-dysfunction-test/. Accessed 25 Feb. 2026. 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 madison@thevertigodoctor.com 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. ————————————— vision therapy, vision therapy and chronic dizziness, vision therapy and vertigo, vestibular group fit, living with vestibular migraine, optometrist, occupational therapist, prism lenses, chronic dizziness, Binocular Vision Dysfunction, therapy for vestibular disorders

    142. Vision Therapy and Prisms for Chronic Dizziness?
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Vestibular Physical Therapist, and the founder of The Vertigo Doctor

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