Dizzy Diagnostics

12/11/2025

Surface training is one of the simplest and most effective ways to help your patients learn to trust their vestibular system again!

When we teach this, we start by breaking down the three balance systems and how each one shifts depending on the surface or situation. Once patients understand why uneven or compliant surfaces challenge proprioception, they immediately see the value in up-weighting the vestibular system.

And if you want the exact visual we use to explain this?

✨ We made it a FREEBIE.
Comment “balance” and we will send you a link to the handout with our go to vestibular and balance graphic.



*Please note that all content posted by is for educational purposes only and is not to be used as medical advice. This platform is designed to serve as a resource for healthcare professionals. assumes no responsibility for any misuse or reliance on the information provided on this page.

12/10/2025

Ever notice how many surfaces you walk on each day? We usually breeze right over them without much thought.

But if your vestibular system isn’t pulling its weight and you add a proprioceptive challenge, suddenly even simple surfaces feel difficult.



*Please note that all content posted by is for educational purposes only and is not to be used as medical advice. This platform is designed to serve as a resource for healthcare professionals. assumes no responsibility for any misuse or reliance on the information provided on this page.

12/05/2025

Practicing balance on different surfaces is a key part of vestibular rehab because daily life rarely happens on perfectly flat floors.

Uneven, compliant, or unpredictable surfaces challenge the vestibular system in ways that carry over to real movement in real environments. Think:
⛳️grass
🪨gravel
🏝️sand
🏠carpets
🚶sidewalks

Training across these variations helps patients improve sensory integration, confidence, and stability during everyday activities like walking in the yard, at the park, around the house, or in busy community settings.

We also love to use towels or pillows for surface training. Give us your ideas below!!!

12/03/2025

Trying to summarize a complex positional case into a quick reel is TOUGH 🥴

There are details that aren’t included for the sake of time and simplicity, so if you have any burning questions drop them below!

11/29/2025

Our two passions:
✨ Helping patients navigate vestibular disorders
✨ Helping clinicians master vestibular rehab

For 14 years I’ve primarily taught in-person courses… but we’re expanding to make vestibular rehab accessible no matter where you live.

We’re running a FLASH SALE on our online courses for Small Business Saturday.

Comment “course” for the links + 25% off 🎉

1️⃣ Foundations of Vestibular Rehab
New to vestibular therapy (or haven’t touched it since grad school)? This 1-hour course breaks down anatomy, physiology, differential diagnosis, testing, and treatment in a clear, practical way.

2️⃣ Current Concepts in BPPV
You’ve done the Epley… but do you fully understand why? This 3-hour course is your “aha” moment for positional dizziness, packed with graphics and video demos.

3️⃣ Mastering the Spin: Assessing Acute Dizziness
Sudden-onset dizziness can be intimidating. Learn the clinical skills to differentiate benign peripheral causes from concerning central ones with confidence.

‼️Sale ends 12/2/25
Comment “course” to get the links + 25% off

11/26/2025

Let’s talk — What are your favorite resources for vestibular therapy? Share below! 👇

11/25/2025

To be completely honest…. We are posting this because we hear WAY too many horror stories from patients about how the Epley did not help them or made them worse. So let’s breakdown why 👇

The Epley maneuver is a mechanical treatment that moves dislodged crystals out of the posterior semicircular canal and back to the utricle.

It is highly effective for posterior canal BPPV!

‼️BUT… It does not treat other vestibular disorders. The crystals may be in another canal OR the dizziness is not caused by dislodged crystals and requires a completely different treatment approach.

Each and every vestibular condition needs its own individualized treatment program.

The Epley is powerful when used for the right diagnosis. Accurate knowledge and testing is what makes all the difference!

11/20/2025

Pt. 1 review of the atypical nystagmus pattern from last week.

A positional down beat nystagmus could mean 3 things:
1. Central cause
2. Anterior canal BPPV (rare!)
3. Atypical (Apogeotropic) posterior canal BPPV

What are your thoughts?? We will break this down more in part 2, so stay tuned!

11/18/2025

Using our new system for vestibular rehab!!! (Not an ad, we are just really loving this product)

This drill layers some of the skills a teacher needs when returning to work 🍎

The patient is responding to a light up pod with a head mount laser, then walking to the visual background to reach for a number on command. Then walking backwards and doing it again!

We’re training:
👁️ Visual, vestibular, and proprioceptive interaction so walking down a busy hallway doesn’t trigger dizziness
🚶‍♀️Dynamic balance while moving toward & away from a target, like walking to the board or between desks
🧠 Cognitive dual tasking to mimic answering questions or giving instructions

Teaching requires moving, thinking, looking around all at once, so we have to be sure to train that way! 👩‍🏫

What would we add next? Add more rotations, increased cognitive load, incorporate more vertical movement, etc.

11/13/2025

😃Comment ‘education’ and we will send you a simple script to use when educating your patient on BPPV!

09/28/2025

Comment ‘facial’ for links to a foundation course for clinicians, patient education, and a recent publication on management of unilateral facial palsy!

~Sara

09/25/2025

If you are a patient experiencing dizziness, we highly recommend following Dr Emily Kostelnik. Her experience and insight is invaluable if you’re dealing with chronic dizziness!

She had a FB account with tens of thousands of followers that got hacked 😭😭😭 so this is her new one

I am a Vestibular Psychologist and fellow vestibular warrior here to teach you about all things dizziness and vertigo!