Grounded | The Vestibular Podcast copertina

Grounded | The Vestibular Podcast

Grounded | The Vestibular Podcast

Di: Dr. Madison Oak PT DPT
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Vestibular Physical Therapist, and the founder of The Vertigo DoctorDr. Madison Oak, PT, DPT Igiene e vita sana
Episodi
  • 161. Activities With Family When You Have a Vestibular Disorder

    161. Activities With Family When You Have a Vestibular Disorder
    Oct 13 2026
    One of the most common things I hear from people with vestibular disorders is how hard it feels to do things with family (especially kids). You want to be present, you want to participate, but you’re also trying to manage your symptoms and not make things worse. In this episode, I’m sharing a list of ideas to have on hand for those moments. Whether you’re having a higher symptom day or an easier one, these activities are designed to be low-demand, flexible, and (gasp) fun! Save this episode, come back to it, and remember, you’ve got this. In this episode, we’ll dig into: Tips for making movie night more manageableCard games for lower symptom daysEasy painting and drawing activitiesOptions for building or scrapbookingCooking and food-related ideasInstagram accounts to follow for more ideas Showing up, in whatever way you can, is more than enough for those who love and care about you. Related Episodes: Go-To Activity List for High Symptom Days: https://thevertigodoctor.com/podcast/152-activity-list-for-high-symptom-days-living-with-vestibular-disorder/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fitLoops: https://amzn.to/4kbPhPa CampSnap digital camera: https://www.campsnapphoto.com/Kiwi Co subscription boxes: https://www.kiwico.com/Crunch Labs build-a-box subscription: https://www.crunchlabs.com/products/build-box-subscriptionPetals and Profanity coloring book: https://amzn.to/49VMBTC Card games: Sagrada board game: https://amzn.to/4fMGN2l Carcassonne board game: https://amzn.to/4ejqbgk Flip 7 card game: https://amzn.to/4vHK5su Five Crowns card game: https://amzn.to/44bNuUw Instagram accounts to follow: https://www.instagram.com/heyazka/https://www.instagram.com/brambila_bits/ https://www.instagram.com/parentingwithmigraine 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. activities with family, activities with family at home, living with vestibular disorder, vestibular migraine, VM, chronic dizziness, PPPD, vestibular group fit, VGF, psychosocial impact of chronic vestibular disorder, living with VM
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  • 160. Treatment Options Guide for Vestibular Disorders

    160. Treatment Options Guide for Vestibular Disorders
    Oct 6 2026
    In this episode, we’re going to cover some common questions about advocating for treatments at the doctor’s office, which can occur for a few different reasons. Having research to help advocate for your needs not only helps you educate future people, it also helps provide objective evidence for your specific needs. Areas we’re gonna talk about are: CGRPs, why tryptans are often less effective for the dizziness side of VM, benefits of Botox, benefits of Timolol eye drops, and VM masquerading as BPPV. We’re also talking about the triad of VM, hypermobility, MCAS, and POTS. And then BPPV, MDDS, and PPPD. Save this episode! You’re going to want to listen to it more than once because there is so much good stuff in here. In this episode, we’ll dig into: Why having research helps you advocate for your specific needs at the doctorCGRPs for vestibular migraineWhy tryptans are often less effective for the dizziness part of a VM attackWhat the research says about Botox for vestibular migraineWhat studies show about Timolol eye dropsWhy vestibular migraine is commonly misdiagnosed as BPPVWhy VM, hypermobility, POTS, dysautonomia, and MCAS so often appear togetherWhat to ask about if you keep getting recurrent BPPVA 2024 MdDS treatment protocol that had a 64% improvement rateHow a sleep apnea assessment helps both VM and BPPV patients Knowledge is one of the most powerful tools you have when it comes to advocating for your care—and now you have a little more of it. Related Episodes: What is Optimal Bloodwork?: https://thevertigodoctor.com/podcast/98-optimal-vs-normal-bloodwork/How to Get a Dizziness Diagnosis: https://thevertigodoctor.com/podcast/154-how-to-get-a-dizziness-diagnosis-with-a-bonus-resource-guide/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fitGuide with links from the episode in this Canva doc: https://www.canva.com/design/DAHQDflgIhM/TiRFvtDhQ9AY2hPv2SkBRA/edit 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. Citations Russo, C. V., Saccà, F., Braca, S., Sansone, M., Miele, A., Stornaiuolo, A., & De Simone, R. (2023). Anti-calcitonin gene-related peptide monoclonal antibodies for the treatment of vestibular migraine: A prospective observational cohort study. Cephalalgia : an international journal of headache, 43(4), 3331024231161809. Hoskin, J. L., & Fife, T. D. (2022). New Anti-CGRP Medications in the Treatment of Vestibular Migraine. Frontiers in neurology, 12, 799002. https://doi.org/10.3389/fneur.2021.799002 Staab JP, Eggers SDZ, Jen JC, et al. Rizatriptan vs Placebo for Attacks of Vestibular Migraine: A Randomized Clinical Trial. JAMA Neurol. 2025;82(7):676–686. doi:10.1001/jamaneurol.2025.1006 Oh, S. Y., Kang, J. J., Kim, S., Lee, J. M., Kim, J. S., & Dieterich, M. (2022). A preliminary trial of botulinum toxin type A in patients with vestibular migraine: A longitudinal fMRI study. Frontiers in neurology, 13, 955158. https://doi.org/10.3389/fneur.2022.955158 Migliazzo, C. V., & Hagan, J. C., 3rd (2014). Beta blocker eye drops for treatment of acute migraine. Missouri medicine, 111(4), 283–288. Cossack M, Nabrinsky E, Turner H, Abraham A, Gratton S. Timolol Eyedrops in the Treatment of Acute Migraine Attacks: A Randomized Crossover Study. JAMA Neurol. 2018;75(8):1024–1025. doi:10.1001/jamaneurol.2018.0970 Hac, N. E. F., & Gold, D. R. (2024). Advances in diagnosis and treatment of vestibular migraine and the vestibular disorders it mimics. Neurotherapeutics : the journal of the American Society for Experimental...
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  • 159. Is MCAS or Histamine Intolerance Genetic?

    159. Is MCAS or Histamine Intolerance Genetic?
    Sep 29 2026
    Histamine and MCAS are everywhere on the internet right now, but there’s a huge piece missing from the conversation. Genetics. In this episode, I’m joined by two board-certified genetic counselors, Natalie Samson and Sarah Upp of Golden Genetics. They’re here to break down what’s going on at a DNA level when it comes to histamine intolerance, MCAS, connective tissue disorders, and the symptoms so many vestibular warriors are navigating. The biggest takeaway might just be how you can start advocating for yourself with your providers (especially if these things are new to them). This one is dense, practical, and unlike any conversation I’ve had on this podcast before. In this episode, we’ll dig into: How genetic changes affect how your body worksHow your environment and genetics work togetherThe pentad super syndromeWhy weak connective tissue may be at the root of these overlapping conditionsWhat happens when the DAO and HMT genes aren’t working wellWhere histamine comes from and how to empty itThe barn analogy for understanding mast cell stabilizationWhy a low histamine diet isn’t meant to be foreverFoods to add in that lower histamineThe two panels Golden Genetics recommendsWhy methylation matters for histamine breakdownWhat to do when testing for MCAS doesn’t give clear answersHow to advocate for yourself when a provider dismisses MCAS as a social media diagnosisThe ongoing research between Golden Genetics and the vestibular migraine communityHow to use the 2026 MCAS guidelines flowchart at your next appointment Histamine intolerance and MCAS aren’t just about what you’re eating. They’re rooted in your genetics, and understanding your specific DNA can help you stop guessing and start identifying the right interventions for your body. Related Episodes: Toxic Products That May Be Making Your Dizziness Worse w/ Dr. Zach Spiritos: https://thevertigodoctor.com/podcast/53-toxic-products-that-may-be-making-your-dizziness-worse/ Meet Natalie Samson & Sarah Upp Natalie Samson and Sarah Upp are both board-certified genetic counselors and the team behind Golden Genetics, an integrative genetic counseling practice. They specialize in helping people understand their DNA, order the right tests and turn results into a personalized action plan—with a special focus on histamine, inflammation, connective tissue, and nutrigenomics. Natalie founded Golden Genetics to bring genetics into the integrative health conversation, and together she and Sarah are currently conducting research on the genetic links to vestibular migraine. Connect w/ Natalie Samson & Sarah Upp: Website: www.goldengeneticshealth.com What is a logistics call with Golden Genetics? https://goldengenetics.practicebetter.io/#/652843bfc5600d631946d7b9/bookings?r=67d88822ff4b8cf37956c65d&step=servicesBook a logistics call with Golden Genetics: https://www.goldengeneticshealth.com/book-a-discovery-call-1Pre-test session with Sarah: https://goldengenetics.practicebetter.io/#/687574970c2232e0dccceef5/bookings?r=69bb16570d392e7826c8903bInstagram: https://www.instagram.com/goldengeneticshealth Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit2026 MCAS Guidelines flowchart: https://www.mastcellaction.org/assets/_/2025/04/01/d6de24e1-f6f6-4248-a3f4-12866d7bf713/mast-cell-activation-syndrome-mcas-a-primary-care-guide-final.pdf 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. is histamine intolerance genetic, genetics and mcas, genetics and histamine, genetic counselors, ...
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