Grounded | The Vestibular Podcast Podcast Por Dr. Madison Oak PT DPT arte de portada

Grounded | The Vestibular Podcast

Grounded | The Vestibular Podcast

De: Dr. Madison Oak PT DPT
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Vestibular Physical Therapist, and the founder of The Vertigo DoctorDr. Madison Oak, PT, DPT Higiene y Vida Saludable
Episodios
  • 132. Tips to Feel Safe Walking or Hiking with Chronic Dizziness

    132. Tips to Feel Safe Walking or Hiking with Chronic Dizziness
    Mar 24 2026

    If you had to choose 1 exercise to do forever, hiking is a great choice!

    But if you’re living with a vestibular disorder or chronic dizziness, you may not always feel safe doing this activity.

    Today, we’re exploring how you can feel safe walking and hiking. The weather is getting nicer and it’s a time many of us want to get outside!

    And these are both activities talked about a lot inside Vestibular Group Fit. So let’s talk about it…

    In this episode, we’ll dig into:

    • Benefits of walking or hiking for fitness
    • Steps to start small and work your way up
    • Tips for walking or hiking with others
    • Best practices for after a walk or hike
    • Supportive wearable tech and clothing options
    • What to know if you’re walking with your dog

    Remember, we’ve got a Return to Walk Program inside VGF that is filled with even more tips and best practices to help you feel safer walking and hiking!

    Small, sustainable movement can lead to big change over time, you got this!

    Links Mentioned:

    • Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit
    • Avalux glasses (use code VERTIGODOC for 25% off): https://avulux.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.

    —————————————

    walking safety tips, living with vestibular disorder, exercises to improve balance, safe hiking, safe hiking tips, feel safe, vestibular disorder symptoms, return to walking, return to hiking, driving with vestibular disorder, how to get back into driving
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  • 131. Do I need to take an SSRI or SNRI for PPPD?

    131. Do I need to take an SSRI or SNRI for PPPD?
    Mar 17 2026
    Taking an SSRI or SNRI is considered the gold standard for PPPD treatment. But is it? Honestly, it depends. (And you know we’re gonna take a look at the research!) A lot of people are really sensitive to medication or simply don’t want to take it. And while you don’t need to take medication—it could be helpful. It could also not be helpful. To get to the best answer for your unique situation, it involves considering your specific wants and needs, goals, and timeline. In this episode, we’ll dig into: What the research says about the efficacy of SSRIs and SNRIs for treating PPPDWhy SSRI/SNRIs are being considered as a treatment tool to begin withThe relationship between our nervous system and dizzinessReal world examples of how your brain tries to protect youNew module that’s coming to Vestibular Group Fit this yearHow an SSRI or SNRI can help treat PPPDThings to do aside from meds to help regulate the nervous systemThe first step of better managing PPPD No, you can’t think your way out of chronic dizziness, but your brain and the way you’re thinking about things does have a big impact on your vestibular disorder. There is no right or wrong way to go about treating PPPD, vestibular migraine, or any other vestibular disorder. And… it’s expected for things to be changing and shifting as you try treatment methods, learn new things, or other goals or priorities force you to change your plan a bit. Things can get better! I see it every week inside Vestibular Group Fit! We’d love to see you in there. Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Citations: Maximilian Maywald, Oliver Pogarell, Susanne Levai, Marco Paolini, Nadja Tschentscher, Boris Stephan Rauchmann, Daniela Krause, Sophia Stöcklein, Stephan Goerigk, Lukas Röll, Birgit Ertl-Wagner, Boris Papazov, Daniel Keeser, Susanne Karch, Agnieszka Chrobok,Neurofunctional differences and similarities between persistent postural-perceptual dizziness and anxiety disorder,NeuroImage: Clinical,Volume 37,2023,103330,ISSN 2213-1582, https://doi.org/10.1016/j.nicl.2023.103330. (https://www.sciencedirect.com/science/article/pii/S2213158223000190)Bingel U, Wanigasekera V, Wiech K, Mhuircheartaigh RN, Lee MC, Ploner M, Tracey I. The effect of treatment expectation on drug efficacy: Imaging the analgesic benefit of the opioid remifentanil. Sci Transl Med. 2011;3 doi: 10.1126/scitranslmed.3001244.Those with chronic pain undergoing pain reprocessing theory found relief in symptoms but also changes in brain activity (citation here) Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The 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.comOtherwise, 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. ————————————— ssri vs snri, ssri for PPPD, snri for PPPD, medication for pppd, chronic dizziness, mindset shift, mindset and chronic illness, PPPD treatment options, dizzy anxious dizzy cycle, PPPD and anxiety, neuroplasticity, nervous system and dizziness, chronic pain, vestibular migraine and PPPD
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  • 130. Strategies for Spring Allergy Season & Vestibular Disorders

    130. Strategies for Spring Allergy Season & Vestibular Disorders
    Mar 10 2026
    You may experience allergies throughout the year, but we often see them in the Spring. Allergies increase inflammation, irritation, histamine responses, and will therefore impact your vestibular disorder. We’re diving into why that is, supportive strategies, and tools & testing you might want to consider when treating allergies in addition to a vestibular disorder. In this episode, we’ll dig into: Why allergies increase vestibular condition symptomsTips for when you’re inside vs outside in the SpringTools and strategies for seasonal allergy symptomsTesting that could be helpful for allergies and vestibular disordersThe best medications for seasonal allergiesClearing up confusion with sinus pressure vs migraine If you have questions about managing your vestibular disorders, allergies, mold, detoxing, etc. definitely join us in Vestibular Group Fit! (Use code GROUNDED for 15% off your first subscription cycle.) Related Episodes: Ep 91 Mold & Dizziness: What You Need to Know: https://thevertigodoctor.com/podcast/91-mold-dizziness-what-you-need-to-know/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fitJaspr Air Purifier: jaspr.co/VERTIGODOC (or use code VERTIGODOC)Dry Brushing the Body with Dr Kelly: https://youtu.be/I7GykwkaYtg?si=MGqOkNPlpMvpF_Yf Studies Cited: Maximilian Maywald, Oliver Pogarell, Susanne Levai, Marco Paolini, Nadja Tschentscher, Boris Stephan Rauchmann, Daniela Krause, Sophia Stöcklein, Stephan Goerigk, Lukas Röll, Birgit Ertl-Wagner, Boris Papazov, Daniel Keeser, Susanne Karch, Agnieszka Chrobok, Neurofunctional differences and similarities between persistent postural-perceptual dizziness and anxiety disorder, NeuroImage: Clinical,Volume 37,2023,103330,ISSN 2213-1582, https://doi.org/10.1016/j.nicl.2023.103330, https://www.sciencedirect.com/science/article/pii/S2213158223000190 Bingel U, Wanigasekera V, Wiech K, Mhuircheartaigh RN, Lee MC, Ploner M, Tracey I. The effect of treatment expectation on drug efficacy: Imaging the analgesic benefit of the opioid remifentanil. Sci Transl Med. 2011;3 doi: 10.1126/scitranslmed.3001244. Those with chronic pain undergoing pain reprocessing theory found relief in symptoms but also changes in brain activity. (citation here) Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit⁠The 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.comOtherwise, 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. ————————————— spring allergy season, allergy symptoms, colonoscopy prep, vestibular migraine, vertigo and vestibular disorders, interrupted routines, migraine toolkit, vestibular group fit, changing seasons, barometric pressure and vestibular disorders, threat bucket, sinus pressure, xlear nasal spray
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