PodcastsHealth & WellnessGrounded | The Vestibular Podcast

Grounded | The Vestibular Podcast

Dr. Madison Oak, PT, DPT
Grounded | The Vestibular Podcast
Latest episode

134 episodes

  • Grounded | The Vestibular Podcast

    133. What to do After a Vestibular Migraine Attack or Flare

    31/03/2026
    What to do after a vestibular migraine attack or flare up is something we talk about in Vestibular Group Fit a lot!

    Flareups or migraine attacks can bring up a range of feelings. There are physical sensations that come with a vestibular condition and migraine attacks, but there’s also the emotional side of things.

    Today, we’re going to look at what comes up with a vestibular migraine attack, but most importantly… what you can do after a flare up.

    In this episode, we’ll dig into:

    What the 4 phases of a vestibular migraine are

    What physical symptoms & emotions you’ll notice with migraine

    How long to scale back activity after a flare up

    What to know about the Wheel of Management from Vestibular Group Fit

    Movement to incorporate post migraine attack

    How to bring in mindset and nervous system regulation post-attack

    Flare ups happen. Considering what to do post-attack is going to be essential for you.

    These tools and strategies will continue to build your strength, resilience, and overall management.

    I know it can be challenging in the moment, but remember: you’re not starting from scratch.

    Related Episodes:

    Phases of Vestibular Migraine: https://thevertigodoctor.com/podcast/121-stages-of-vestibular-migraine-headache/

    Links Mentioned:

    Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit

    Avalux Glasses (use code: VERTIGODOC): 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 [email protected]

    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 migraine attack, migraine flare up, migraine attack, what to do after a migraine attack, chronic condition, living with vestibular migraine, signs and symptoms, manage vestibular migraine, postdrome phase, toolkit, threshold theory, nervous system regulation
  • Grounded | The Vestibular Podcast

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

    24/03/2026
    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 [email protected]

    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
  • Grounded | The Vestibular Podcast

    131. Do I need to take an SSRI or SNRI for PPPD?

    17/03/2026
    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 PPPD

    Why SSRI/SNRIs are being considered as a treatment tool to begin with

    The relationship between our nervous system and dizziness

    Real world examples of how your brain tries to protect you

    New module that’s coming to Vestibular Group Fit this year

    How an SSRI or SNRI can help treat PPPD

    Things to do aside from meds to help regulate the nervous system

    The 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/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 [email protected]

    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.

    —————————————

    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
  • Grounded | The Vestibular Podcast

    130. Strategies for Spring Allergy Season & Vestibular Disorders

    10/03/2026
    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 symptoms

    Tips for when you’re inside vs outside in the Spring

    Tools and strategies for seasonal allergy symptoms

    Testing that could be helpful for allergies and vestibular disorders

    The best medications for seasonal allergies

    Clearing 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-fit

    Jaspr 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/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 [email protected]

    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.

    —————————————

    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
  • Grounded | The Vestibular Podcast

    129. Travel Tips for Vestibular Disorders: Spring Break Edition

    03/03/2026
    Spring break will be here before we know it! And for some, that can mean: traveling.

    Which will send some of us living with vestibular disorders into a stressful tailspin. 

    This episode is here to remind you that while all the packing, planning, and even the act of travel can have its challenges—for most people, even on a good day—there is an optimal way to prepare yourself.

    Whenever you’re thinking of taking a trip (for spring break, over the summer), let these reminders guide your pre-trip steps so you can get where you want to go with ease and enjoy your time away!

    In this episode, we’ll dig into:

    What to do before your trip to make travel more enjoyable

    How to approach movement before and during your trip

    What to consider for medications and your toolkit while away

    How packing early can be beneficial

    What to do to support your nervous system before and during the trip

    Pre-planning for airports—like looking into the Sunflower Program

    Top tips for travel days (and different types of travel)

    Smart steps to take to support recovery post-trip

    We go much more in-depth about travel as well as how to return to travel—even return to driving, go on boat trips, plane trips, etc.—in Vestibular Group Fit. 

    As always, you can use code GROUNDED at checkout for 15% off (or… stay tuned for the sale we’re having for Women’s Day!).

    Links Mentioned:

    Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit 

    Travel Kit from Ruhewell (code VERTIGODOC): https://www.ruhewell.com/products/trial-and-travel-kit

    Avalux glasses (code VERTIGODOC): https://avulux.com/

    Earplanes: https://www.amazon.com/Original-EarPlanes-Healthcare-Earplugs-Protection/dp/B00XZEKSL4/?th=1

    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 [email protected]

    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.

    —————————————

    spring break travel tips, travel and vestibular disorders, vestibular group fit, VGF, vestibular disorders, vestibular system health, hypervigilant, threat bucket, pre treatment for vestibular migraine, visual vertigo, living with vestibular disorder, sunflower program

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About Grounded | The Vestibular Podcast

Vestibular Physical Therapist, and the founder of The Vertigo Doctor
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