1 00:00:04,080 --> 00:00:07,059 Hey, friend. Welcome to Grounded, the vestibular podcast. 2 00:00:07,200 --> 00:00:10,160 I'm doctor Madison Oak, AKA the vertigo doctor. 3 00:00:10,160 --> 00:00:12,400 I am the vestibular physical therapist who is 4 00:00:12,400 --> 00:00:14,259 here to help you with all things dizziness, 5 00:00:14,684 --> 00:00:15,904 imbalance, and vertigo. 6 00:00:16,445 --> 00:00:18,765 In this podcast, we explore the fascinating world 7 00:00:18,765 --> 00:00:21,164 of vestibular disorders. Come with me as we 8 00:00:21,164 --> 00:00:23,644 dive into the journey to discover the mysteries 9 00:00:23,644 --> 00:00:26,285 of dizziness, the brain, inner ear, and the 10 00:00:26,285 --> 00:00:28,384 balance mechanisms that keep us grounded. 11 00:00:28,839 --> 00:00:30,920 Whether you've been managing your dizziness for one 12 00:00:30,920 --> 00:00:32,760 day or for twenty five years, we are 13 00:00:32,760 --> 00:00:34,600 going to get real about what it takes 14 00:00:34,600 --> 00:00:37,320 to manage dizziness, handle the anxiety cycle, and 15 00:00:37,320 --> 00:00:40,539 thrive, not just survive with your vestibular disorder. 16 00:00:40,679 --> 00:00:42,119 First, I want to remind you that this 17 00:00:42,119 --> 00:00:44,604 is never medical advice. Remember this podcast is 18 00:00:44,604 --> 00:00:46,765 for informational purposes only and may or may 19 00:00:46,765 --> 00:00:48,284 not be the best fit for you and 20 00:00:48,284 --> 00:00:49,344 your personal situation. 21 00:00:50,045 --> 00:00:52,304 It shall not be construed as medical advice. 22 00:00:52,604 --> 00:00:55,405 The information and education provided here is not 23 00:00:55,405 --> 00:00:58,320 intended or implied to supplement or replace professional 24 00:00:58,320 --> 00:01:01,600 medical treatment, advice, and or diagnosis. Always check 25 00:01:01,600 --> 00:01:04,079 with your own physician, medical professionals, and health 26 00:01:04,079 --> 00:01:07,219 care team before trying or implementing any information 27 00:01:07,359 --> 00:01:10,099 found here. Meet me in your coziest chair 28 00:01:10,204 --> 00:01:11,965 while we navigate the highs and lows and 29 00:01:11,965 --> 00:01:14,144 the twists and turns of the vestibular universe. 30 00:01:14,204 --> 00:01:15,265 Welcome to Grounded. 31 00:01:15,564 --> 00:01:16,625 Let's dive in. 32 00:01:22,299 --> 00:01:25,280 Hello, and welcome to another episode of Grounded. 33 00:01:25,340 --> 00:01:27,819 My name is doctor Madison Oak, and this 34 00:01:27,819 --> 00:01:28,959 week's win 35 00:01:29,739 --> 00:01:32,560 of the week is by Christine. Christine says, 36 00:01:33,180 --> 00:01:36,385 my elementary school aged kids had a school 37 00:01:36,385 --> 00:01:38,224 dance last night, and there was two hours 38 00:01:38,224 --> 00:01:40,465 of blasting music and strobing lights in the 39 00:01:40,465 --> 00:01:42,625 gym. I did a lot of supportive things 40 00:01:42,625 --> 00:01:44,704 leading up to it. I wore my earplugs 41 00:01:44,704 --> 00:01:46,704 and sunglasses since I didn't I don't have 42 00:01:46,704 --> 00:01:48,930 blue light glasses yet. She knows already that 43 00:01:48,930 --> 00:01:50,530 she's not supposed to wear sunglasses inside, which 44 00:01:50,530 --> 00:01:53,010 is a one in itself. And regularly closed 45 00:01:53,010 --> 00:01:54,709 my eyes and did quick meditations. 46 00:01:55,170 --> 00:01:57,010 That coupled with some ginger gum and a 47 00:01:57,010 --> 00:01:58,770 couple of tools from the dizzy box, which 48 00:01:58,770 --> 00:01:59,750 is by RuWell, 49 00:02:00,209 --> 00:02:02,290 discount code vertigo doc if you want to 50 00:02:02,290 --> 00:02:03,314 get in on that, 51 00:02:03,795 --> 00:02:05,255 helped a lot with overstimulation. 52 00:02:05,795 --> 00:02:07,635 I love this. Nowhere in here was she, 53 00:02:07,635 --> 00:02:10,275 like, I had a panic moment and needed 54 00:02:10,275 --> 00:02:12,514 to leave and had so much dizziness and 55 00:02:12,514 --> 00:02:14,354 whatever. And even if that is the case, 56 00:02:14,354 --> 00:02:15,875 even if you're listening to this right now, 57 00:02:15,875 --> 00:02:17,175 you're like, that did happen. 58 00:02:17,599 --> 00:02:19,360 You know that's the case, you did the 59 00:02:19,360 --> 00:02:21,699 things that you needed to to cope 60 00:02:22,159 --> 00:02:24,639 with a lot of stimulation. Anyone knows an 61 00:02:24,639 --> 00:02:25,139 elementary 62 00:02:25,439 --> 00:02:28,099 aged kid at a dance with strobe lights 63 00:02:28,159 --> 00:02:30,639 and mute plastic music knows that that is 64 00:02:30,639 --> 00:02:31,620 hard to tolerate 65 00:02:32,000 --> 00:02:33,139 for pretty much 66 00:02:33,665 --> 00:02:34,965 literally everyone. 67 00:02:35,504 --> 00:02:38,224 So congratulations to you, Christine, for making it 68 00:02:38,224 --> 00:02:38,965 through this 69 00:02:39,264 --> 00:02:41,685 and using all of your tools and 70 00:02:42,064 --> 00:02:42,564 honestly 71 00:02:42,865 --> 00:02:46,030 just doing well with it overall because this 72 00:02:46,030 --> 00:02:48,689 is a huge step in the right direction, 73 00:02:48,830 --> 00:02:50,110 and I can't wait to see what you 74 00:02:50,110 --> 00:02:51,090 do next. Congrats. 75 00:02:51,550 --> 00:02:54,290 Alright. We are now talking about bilateral 76 00:02:54,750 --> 00:02:55,250 vestibular 77 00:02:55,550 --> 00:02:56,050 hypofunction. 78 00:02:56,590 --> 00:02:57,330 This is 79 00:02:57,629 --> 00:02:59,574 a frequently asked question, but but I think 80 00:02:59,574 --> 00:03:01,495 it's a frequently asked question because I think 81 00:03:01,495 --> 00:03:03,655 a lot of people are misdiagnosed with it. 82 00:03:03,655 --> 00:03:08,155 Bilateral vestibular hypofunction or bilateral vestibular dysfunction, BVH 83 00:03:08,294 --> 00:03:09,034 or BVD. 84 00:03:09,814 --> 00:03:13,639 Not to be confused by binocular vision dysfunction, 85 00:03:13,780 --> 00:03:17,319 BVD, it's very confusing. Bilateral vestibular hypofunction 86 00:03:18,019 --> 00:03:19,879 is when both of your vestibular 87 00:03:20,500 --> 00:03:23,139 systems, both of your inner ears, are not 88 00:03:23,139 --> 00:03:25,939 working properly. So the system in your inner 89 00:03:25,939 --> 00:03:27,400 ear, your vestibular system, 90 00:03:27,754 --> 00:03:30,074 both of them should be firing at the 91 00:03:30,074 --> 00:03:32,155 same time saying, I am looking forward and 92 00:03:32,155 --> 00:03:33,514 if you're watching on YouTube, you can watch 93 00:03:33,514 --> 00:03:35,435 me do this. But basically they say, I'm 94 00:03:35,435 --> 00:03:37,115 looking forward. I'm looking forward all the time. 95 00:03:37,115 --> 00:03:38,314 When you look to the right, the right 96 00:03:38,314 --> 00:03:39,995 side fires more. The left side fires less. 97 00:03:39,995 --> 00:03:41,939 And it says, okay. I'm looking to the 98 00:03:41,939 --> 00:03:43,620 right and then to the left and vice 99 00:03:43,620 --> 00:03:45,560 versa all day long. Now 100 00:03:45,939 --> 00:03:46,919 the problem is 101 00:03:47,379 --> 00:03:49,620 when this is not happening, when you have 102 00:03:49,620 --> 00:03:51,479 a unilateral vestibular hypofunction, 103 00:03:51,860 --> 00:03:54,099 let's say for argument's sake you have 0% 104 00:03:54,099 --> 00:03:56,625 function on your right side, your left side 105 00:03:56,625 --> 00:03:58,884 is pretty cool. It can compensate for 106 00:03:59,424 --> 00:04:01,104 that. But if for some reason you have 107 00:04:01,104 --> 00:04:03,264 0% function, which is really what we're talking 108 00:04:03,264 --> 00:04:05,284 about here, on both sides, 109 00:04:05,584 --> 00:04:06,884 it is going to pose 110 00:04:07,344 --> 00:04:10,784 a pretty significant vestibular disorder. Now that being 111 00:04:10,784 --> 00:04:11,284 said, 112 00:04:12,099 --> 00:04:14,760 I, again, think a lot of people are 113 00:04:14,900 --> 00:04:17,379 misdiagnosed or overdiagnosed with this. Not because it 114 00:04:17,379 --> 00:04:20,199 doesn't exist. It absolutely, positively exists, 115 00:04:20,980 --> 00:04:24,120 but because the VNG or video nystagmography 116 00:04:24,819 --> 00:04:25,319 exam 117 00:04:25,754 --> 00:04:27,675 is not a perfect test. And so the 118 00:04:27,675 --> 00:04:28,735 calorics portion 119 00:04:29,514 --> 00:04:31,355 of the VNG test where they put the 120 00:04:31,355 --> 00:04:33,355 air or the water in your ear, they 121 00:04:33,355 --> 00:04:35,435 see how long your eyes move around for 122 00:04:35,435 --> 00:04:37,595 that's supposed to happen. If it is done 123 00:04:37,595 --> 00:04:38,095 incorrectly, 124 00:04:38,555 --> 00:04:40,895 it can come back with a BVH diagnosis. 125 00:04:41,035 --> 00:04:43,729 So if you have a caloric test that 126 00:04:43,729 --> 00:04:46,229 says you have 0% function on either side, 127 00:04:46,529 --> 00:04:49,349 I highly recommend getting it redone 128 00:04:49,729 --> 00:04:51,750 at least one more time. So 129 00:04:52,129 --> 00:04:54,550 this chronic lack of signal is a problem, 130 00:04:55,009 --> 00:04:55,509 but 131 00:04:56,004 --> 00:04:57,204 a lot of people don't end up having 132 00:04:57,204 --> 00:04:59,125 it. And I I send people back for 133 00:04:59,125 --> 00:05:02,105 VNGs enough and they come back that say, 134 00:05:02,324 --> 00:05:05,125 actually, it showed function in both sides that 135 00:05:05,125 --> 00:05:06,024 it is there. 136 00:05:06,485 --> 00:05:08,345 Bilateral vestibular hypofunction 137 00:05:09,589 --> 00:05:12,170 is about lack of signal. 138 00:05:12,870 --> 00:05:15,430 It is not about spinning. You could technically 139 00:05:15,430 --> 00:05:17,430 still have spinning if you had vestibular migraine, 140 00:05:17,430 --> 00:05:19,050 which makes it a little bit confusing. 141 00:05:19,669 --> 00:05:22,470 But if you have no signal through either 142 00:05:22,470 --> 00:05:25,704 vestibular nerve from your vestibular system, it is 143 00:05:25,704 --> 00:05:26,925 your vestibulocochlear 144 00:05:27,384 --> 00:05:29,004 nerve, but from the vestibular portion. 145 00:05:29,625 --> 00:05:32,185 If you have no signal from either side, 146 00:05:32,185 --> 00:05:33,724 you cannot spin. 147 00:05:34,104 --> 00:05:35,724 So your symptom, 148 00:05:36,024 --> 00:05:39,829 usually the prevalent symptom here, is ultimately going 149 00:05:39,829 --> 00:05:41,930 to be imbalance. If you have 150 00:05:42,310 --> 00:05:44,329 a history of taking gentamicin 151 00:05:44,709 --> 00:05:47,350 or certain chemotherapy drugs, this can happen. They're 152 00:05:47,350 --> 00:05:48,329 called ototoxic 153 00:05:49,189 --> 00:05:49,689 medications, 154 00:05:50,230 --> 00:05:51,050 some autoimmune 155 00:05:51,430 --> 00:05:55,064 inner ear diseases, some genetic conditions. If you 156 00:05:55,444 --> 00:05:59,285 had bilateral vestibular neuritis, it caused 0% function 157 00:05:59,285 --> 00:06:01,365 on both sides. That is very rare, like 158 00:06:01,365 --> 00:06:02,105 very rare. 159 00:06:02,564 --> 00:06:04,985 But I guess it's possible because most neuritis 160 00:06:05,125 --> 00:06:07,205 is you still have some function on one 161 00:06:07,205 --> 00:06:07,705 side. 162 00:06:08,069 --> 00:06:09,209 Sometimes it's idiopathic, 163 00:06:09,750 --> 00:06:11,849 meaning we do not know why it happens. 164 00:06:12,229 --> 00:06:13,370 The main symptom 165 00:06:13,909 --> 00:06:16,169 of bilateral vestibular hypofunction 166 00:06:18,149 --> 00:06:20,569 is going to be unsteadiness when walking, 167 00:06:20,875 --> 00:06:23,035 especially in the dark or uneven ground because 168 00:06:23,035 --> 00:06:24,574 now you only have proprioception 169 00:06:25,274 --> 00:06:27,754 and vision to depend on. You are going 170 00:06:27,754 --> 00:06:29,915 to be visually dependent and that is ultimately 171 00:06:29,915 --> 00:06:32,074 going to be a coping strategy for you 172 00:06:32,074 --> 00:06:32,574 because 173 00:06:33,220 --> 00:06:36,019 if you were not visually dependent and you 174 00:06:36,019 --> 00:06:38,180 were trying to depend on something that is 175 00:06:38,180 --> 00:06:40,579 not there, it's not gonna work. It would 176 00:06:40,579 --> 00:06:43,319 be like if someone who is completely blind 177 00:06:43,699 --> 00:06:46,279 attempted to rely on their eyes for balance, 178 00:06:46,419 --> 00:06:47,879 and you can no longer 179 00:06:48,314 --> 00:06:50,975 rely on your vestibular system for balance. 180 00:06:51,675 --> 00:06:53,055 The next is oscillopsia. 181 00:06:53,754 --> 00:06:54,735 So that is 182 00:06:55,595 --> 00:06:58,715 gaze instability. So when your vision bounces or 183 00:06:58,715 --> 00:07:00,095 blurs with head motion, 184 00:07:00,610 --> 00:07:03,009 this is pretty common honestly. But when it's 185 00:07:03,009 --> 00:07:05,889 with BVH, it does not compensate because in 186 00:07:05,889 --> 00:07:07,189 unilateral hypofunction, 187 00:07:07,889 --> 00:07:10,770 you're using your opposite ear to attempt to 188 00:07:10,770 --> 00:07:11,270 compensate. 189 00:07:11,730 --> 00:07:12,550 In bilateral, 190 00:07:13,694 --> 00:07:16,914 you cannot compensate using your other side. 191 00:07:17,214 --> 00:07:17,714 Therefore, 192 00:07:18,654 --> 00:07:20,034 some level of oscillopsia 193 00:07:20,654 --> 00:07:23,534 is relatively permanent for people. It will be 194 00:07:23,534 --> 00:07:26,754 worsened in low light and visually complex environments, 195 00:07:26,894 --> 00:07:29,939 again, because you are going to have 196 00:07:30,240 --> 00:07:32,720 visual dependence and it's not something we're trying 197 00:07:32,720 --> 00:07:34,240 to get rid of. A lot of times, 198 00:07:34,240 --> 00:07:36,319 like, your visual dependence, we're gonna try to 199 00:07:36,319 --> 00:07:38,480 wean you off of being visually dependent, but 200 00:07:38,480 --> 00:07:40,000 here we need to use it as a 201 00:07:40,000 --> 00:07:42,100 coping and compensation strategy. 202 00:07:42,560 --> 00:07:43,300 And again, 203 00:07:43,604 --> 00:07:46,485 it does not cause a spinning sensation if 204 00:07:46,485 --> 00:07:49,044 you have 0% function on both sides. It 205 00:07:49,044 --> 00:07:52,245 does not. Most people report feeling like they're 206 00:07:52,245 --> 00:07:55,365 uneasy or swaying on a boat, things like 207 00:07:55,365 --> 00:07:56,584 that, walking on marshmallows, 208 00:07:56,980 --> 00:07:59,000 which are not to be confused with vestibular 209 00:07:59,139 --> 00:08:00,980 migraine. If you have these symptoms, it does 210 00:08:00,980 --> 00:08:03,860 not mean that you have BVH. You need 211 00:08:03,860 --> 00:08:06,180 to get a calorics exam to confirm that 212 00:08:06,180 --> 00:08:07,879 because, again, all vestibular 213 00:08:08,339 --> 00:08:08,839 symptoms 214 00:08:09,524 --> 00:08:12,725 go in every single vestibular disorder bucket. Like, 215 00:08:12,725 --> 00:08:15,764 spinning goes in almost every single one. Like, 216 00:08:15,764 --> 00:08:18,665 you can have spinning with BPPV, vestibular migraine, 217 00:08:19,045 --> 00:08:23,509 vestibular neuritis, vestibular labyrinthitis, meniere's disease. These symptoms 218 00:08:23,649 --> 00:08:25,750 are not specific to diagnoses, 219 00:08:26,129 --> 00:08:27,889 so I just want you to know that. 220 00:08:27,889 --> 00:08:30,930 You can get tested again with a rotary 221 00:08:30,930 --> 00:08:34,049 chair test. You could actually get tested with 222 00:08:34,049 --> 00:08:34,544 a 223 00:08:34,865 --> 00:08:38,464 VHIT or Videohead impulse test, VEMP and caloric 224 00:08:38,464 --> 00:08:38,964 testing, 225 00:08:39,664 --> 00:08:42,144 VNG, and then a DVA, which is a 226 00:08:42,144 --> 00:08:46,384 bedside exam, a dynamic visual acuity test. Is 227 00:08:46,384 --> 00:08:46,884 there 228 00:08:47,309 --> 00:08:49,950 improvement to be had to improve your function 229 00:08:49,950 --> 00:08:52,129 and quality of life? Yes, absolutely. 230 00:08:52,669 --> 00:08:54,129 It is really, really important 231 00:08:54,509 --> 00:08:56,929 for people with bilateral vestibular hypofunction 232 00:08:57,549 --> 00:08:59,629 to strength train. I know I say this 233 00:08:59,629 --> 00:09:02,289 all the time for every single vestibular disorder, 234 00:09:02,434 --> 00:09:04,514 and this applies to every single vestibular disorder. 235 00:09:04,514 --> 00:09:06,914 It really does. But especially if you have 236 00:09:06,914 --> 00:09:07,414 bilateral 237 00:09:08,034 --> 00:09:10,695 vestibular hypofunction, and this is because, 238 00:09:11,235 --> 00:09:12,454 basically, your 239 00:09:12,995 --> 00:09:13,495 proprioception 240 00:09:13,875 --> 00:09:16,934 is going to need to be really, really, 241 00:09:16,995 --> 00:09:18,950 really excellent. And one of the best ways 242 00:09:18,950 --> 00:09:20,950 to strengthen your proprioception are going to be 243 00:09:20,950 --> 00:09:21,850 balance exercises 244 00:09:22,309 --> 00:09:25,029 and then strength training. It also builds confidence 245 00:09:25,029 --> 00:09:27,110 and does other things you need to strength 246 00:09:27,110 --> 00:09:29,110 train. There's no which way about it, and 247 00:09:29,110 --> 00:09:30,470 we have safe ways for you to do 248 00:09:30,470 --> 00:09:32,115 so. Of course, obviously, 249 00:09:32,495 --> 00:09:34,334 in vestibular group fit, there's a sale next 250 00:09:34,334 --> 00:09:35,615 week in the twenty eighth and the twenty 251 00:09:35,615 --> 00:09:36,815 ninth. I will get you the code soon 252 00:09:36,815 --> 00:09:40,194 as well. Other things like wearing flatter shoes, 253 00:09:40,254 --> 00:09:42,174 bringing a walking stick, 254 00:09:42,495 --> 00:09:44,254 making sure you have a partner with you 255 00:09:44,254 --> 00:09:45,670 if you are going to go on, like, 256 00:09:45,670 --> 00:09:47,670 a hike with really uneven ground. Things like 257 00:09:47,670 --> 00:09:48,170 that, 258 00:09:48,710 --> 00:09:50,410 are all really going to be helpful. 259 00:09:50,790 --> 00:09:53,190 You can compensate usually a little bit with 260 00:09:53,190 --> 00:09:56,309 gaze stability. So VOR times one, VOR times 261 00:09:56,309 --> 00:09:57,129 two exercises. 262 00:09:57,590 --> 00:09:59,509 So when I see a patient with BVH, 263 00:09:59,509 --> 00:10:01,274 I typically try to get them the best 264 00:10:01,274 --> 00:10:03,674 that I can, but they're not gonna get 265 00:10:03,674 --> 00:10:05,914 all the way up to that, like, 240 266 00:10:05,914 --> 00:10:06,894 beats per minute. 267 00:10:07,595 --> 00:10:09,754 So we're probably not gonna get all the 268 00:10:09,754 --> 00:10:10,495 way there. 269 00:10:11,115 --> 00:10:12,254 We're gonna get 270 00:10:12,714 --> 00:10:14,654 part of the way there. So your oscillopsia 271 00:10:14,875 --> 00:10:18,290 is not as significant. But compensation strategies, again, 272 00:10:18,290 --> 00:10:20,529 are still going to be a big piece 273 00:10:20,529 --> 00:10:23,570 of this. And then habituation to reduce sensory 274 00:10:23,570 --> 00:10:24,550 overwhelm. Although 275 00:10:24,929 --> 00:10:27,170 we do need you to be slightly more 276 00:10:27,170 --> 00:10:29,750 dependent on your vision than in other vestibular 277 00:10:29,970 --> 00:10:30,470 disorders, 278 00:10:31,165 --> 00:10:32,605 we still don't want it to feel like 279 00:10:32,605 --> 00:10:34,285 when you walk into a room full of 280 00:10:34,285 --> 00:10:36,924 people, like there's so much overwhelm and panic 281 00:10:36,924 --> 00:10:37,424 and, 282 00:10:38,125 --> 00:10:40,285 just feeling not like yourself and things like 283 00:10:40,285 --> 00:10:42,205 that. So there is going to be some 284 00:10:42,205 --> 00:10:43,184 level of 285 00:10:43,529 --> 00:10:45,309 figuring that out. And so habituation, 286 00:10:46,329 --> 00:10:47,549 nervous system regulation, 287 00:10:48,009 --> 00:10:50,089 sensory practice, things like that are all going 288 00:10:50,089 --> 00:10:51,470 to help. Again, 289 00:10:52,009 --> 00:10:54,730 assistive devices are also going to be really 290 00:10:54,730 --> 00:10:55,789 important. So 291 00:10:56,615 --> 00:10:58,394 as much as you can, put a nightlight 292 00:10:58,455 --> 00:11:00,695 or motion sensor to prevent falls in the 293 00:11:00,695 --> 00:11:02,855 dark, don't have a super squishy rug in 294 00:11:02,855 --> 00:11:06,394 your room, avoid walking on super uneven surfaces, 295 00:11:06,615 --> 00:11:09,595 be cautious in crowds and busy visual environments, 296 00:11:10,730 --> 00:11:12,589 take breaks if you're feeling overloaded, 297 00:11:13,049 --> 00:11:16,169 build gentle movement and strength training, please, please, 298 00:11:16,169 --> 00:11:17,149 please, please, please, 299 00:11:17,610 --> 00:11:20,649 into your day to keep your system adapting 300 00:11:20,649 --> 00:11:22,029 and kind of moving forward. 301 00:11:22,615 --> 00:11:24,615 This is not the most common vestibular disorder, 302 00:11:24,615 --> 00:11:26,134 but it is one that I get really 303 00:11:26,134 --> 00:11:28,615 commonly asked about. So if you have 0% 304 00:11:28,615 --> 00:11:31,095 function on either side, this is what most 305 00:11:31,095 --> 00:11:33,415 applies to you. It is very real. It 306 00:11:33,415 --> 00:11:36,715 is very frustrating. Getting the correct support therapy 307 00:11:36,855 --> 00:11:37,835 mindset work 308 00:11:38,220 --> 00:11:38,959 is all 309 00:11:39,659 --> 00:11:42,879 important because improvement is definitely possible. 310 00:11:43,339 --> 00:11:44,480 You are not alone. 311 00:11:45,100 --> 00:11:47,360 There are is a growing community of vestibular 312 00:11:47,579 --> 00:11:48,079 warriors, 313 00:11:48,620 --> 00:11:50,139 who do get it. We get it in 314 00:11:50,139 --> 00:11:52,220 vestibular group fit if you need us. Other 315 00:11:52,220 --> 00:11:52,720 resources 316 00:11:53,184 --> 00:11:55,985 like a local PT, there are probably some 317 00:11:55,985 --> 00:11:58,085 support groups, and then of course the Vestibular 318 00:11:58,144 --> 00:11:59,125 Disorders Association 319 00:11:59,665 --> 00:12:01,445 can all be helpful as well. 320 00:12:01,985 --> 00:12:04,305 Thank you so much for tuning in. All 321 00:12:04,305 --> 00:12:06,805 about bilateral vestibular hypofunction, 322 00:12:07,184 --> 00:12:09,379 not binocular vision dysfunction. 323 00:12:10,080 --> 00:12:12,019 If you found this helpful, please subscribe, 324 00:12:12,399 --> 00:12:14,320 leave a five star review, and share it 325 00:12:14,320 --> 00:12:16,639 with someone who might need it. Until next 326 00:12:16,639 --> 00:12:18,259 time. I love you. Bye. 327 00:12:20,024 --> 00:12:20,925 Listening. If you 328 00:12:22,985 --> 00:12:23,406 liked this episode, head to the show notes 329 00:12:23,406 --> 00:12:24,925 and take the free vestibular migraine and persistent 330 00:12:24,985 --> 00:12:28,285 postural perceptual dizziness master classes. If you're interested 331 00:12:28,345 --> 00:12:30,745 in undoing your chronic dizziness and feeling better 332 00:12:30,745 --> 00:12:33,065 faster, join us in vestibular group fit using 333 00:12:33,065 --> 00:12:35,805 code grounded, all caps, for 15% off. 334 00:12:36,240 --> 00:12:38,559 Find me on Instagram at the vertigo doctor 335 00:12:38,559 --> 00:12:40,639 and doctor jenna at dizzy dot rehab dot 336 00:12:40,639 --> 00:12:41,139 therapist. 337 00:12:41,519 --> 00:12:44,200 Your success story begins today. Dizziness doesn't have 338 00:12:44,200 --> 00:12:45,840 to be forever, so let's get you the 339 00:12:45,840 --> 00:12:47,059 right tools to thrive. 340 00:12:47,440 --> 00:12:50,000 Remember, rate review and subscribe to this channel 341 00:12:50,000 --> 00:12:52,125 wherever you are listening so we can keep 342 00:12:52,125 --> 00:12:54,945 getting great guests and reaching new vestibular warriors. 343 00:12:55,245 --> 00:12:57,325 Love you, and see you next time on 344 00:12:57,325 --> 00:12:57,825 Grounded.