Ask Dr. Yo: what testing should I do & do I need more testing to recover from chronic dizziness?
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- Опубліковано 28 чер 2024
- More details about testing in my course. It is FREE. thesteadycoach.com/free-course
What tests do you need to do in order to "rule in" neural circuit dizziness? And should you REALLY pursue more specialized testing? We break down these loaded questions in this video and I give you my take on when and how to do testing.
How to handle doctor visits: • How to use doctor visi...
Basics of neural circuit dizziness: • Why you have PPPD, MdD...
Why physical symptoms and triggers can be a neural circuit problem: • Why movement & physica...
00:00 Intro & about my biases
01:56 Your medical provider should be your first stop
04:28 The question you MUST ANSWER before you decide to have further testing
06:07 Questioning the need for further testing through a biopsychosocial lens
09:55 The second question you need to answer before having further testing
DISCLAIMER: Please note that Yonit Arthur, The Steady Coach and any of our other guests are not acting as an audiologist nor offering audiology or medical services services or advice on any public videos or on any other content. This channel provides wellness education and personal opinion only, and are not meant to be a substitute for medical or mental health instruction or intervention. Use any tools discussed at your own risk. - Розваги
I want to thank one of The Steady Coache's care coordinators for sending me this video and response to my question. Although I have been dizzy. (Rocking, floating) for 7 months since my cruise. I only now found The Study Coach. I feel almost certain I have MDDS and I'm not sure if I want to pursue the vestibular testing I have been prescribed. Especially since my caregiver was quite skeptical in the mind-body connection on recommending the testing. I have had anxiety in many forms in my life and I strongly feel this is just another way my body is telling me I need to deal with some problems I have pushed aside. I'm starting therapy very soon. Perhaps if that doesn't show helping anyway I will go back for testing. I'm so grateful to have found The Steady Coach.
I am in my 6th year with MdDS from a 6 hour flight. I did all the testing and MRIs. I could not see a specialist at Wake Forest Hospital unless I did vestibular testing. I gladly did it so I could be seen by a doctor who worked at Mount Sinai and understood MdDS. She was also the first doctor who was ok to give me meds when I was over a year into this thing. I am not saying that meds are the answer, but I certainly wanted the opportunity and choice to get them. Now I have a wonderful neurologist who really listens and understands. I wish you stillness.
If you want, I have success story aswell. I had chronic dizziness with PPD, swaying, visual symptoms and are today almost symptom free:)
We always love hearing stories like yours, please email us :) info@thesteadycoach.com
Dr. Yo: What is the purpose of an ENG test? I had one years ago and swore I would never go through that again. My MRI came back normal recently. I've seen Otolaryngologists. At one time I was being treated for Meniere's and Vestibular Migraine. Stopped treatment, didn't notice much difference without the medications because one doctor didn't think it was Meniere's. Had a triggering event about four months back, and dizziness has been daily, and is definitely stress related. I'm just wore out. Thank you for your channel! I am going through your free course now and it has helped me a lot.
ENG/VNG are ways of diagnosing weakness in the inner ear. If you've already been treated for Meniere's or VM, that's a pretty good sign your physicians felt that the issue was not the result of ear weakness. I'm very sorry you're going through all of this.
@@TheSteadyCoach Thank you so much for your response!
Hello Doc, first of all I sincerely appreciate the position you play and the sultle hints you make regarding statements that you don't have to make but you're gonna cause it's the truth and it has to be saiad and we all know that the truth always shows its head. Well I've been handling my side with only a few moments of releasing all this f'n pent up anger I got and more or less will continue because on Maui there happens to be no one I've talked to with any f'n concept actual symptoms and the debilitaing factors that I've been festuring in and out since 2018. Look up, down, strope light especially is so intense that I can actually feel my frontal lobe, behind my eyes seizing just by the illumination in spurt make me wanna square off cause it honestly feel like a threat and I f'n hate threats. Going on to my 6th anniversery with this chronic symptoms that no one really f'n understands and I can only say it so many way before I start chin checking them. The only reason I haven't is because I know that I brought it unto myself because of all the fights I got into and the scars on my face is only a taste. I getting too old plus with my Veteran status I believe there will only be two outcomes with each of the Docs that never cared for my Quality of life that barely got me skimming the surface. They act like this a game and if only me on the islands, I'll handle but I know I'm goingnto handle it in so many ways if I find out that theres more locals dealing with the same shit with the same Docs. Yeah, morally I can not allow that type of evil to be without seeing some kind of light. I don't wanna be forced to make that decision.. I pray the Docs be touched by the grace of God.
You’re not alone. I’m a local on Big Island.
My dizziness began in 1998. Took six years to find a doctor on O’ahu who knows what the vestibular conditions are. Get the tests recommended. Get the medical clearance that your dizziness symptoms aren’t due to a life threatening illness.
Dr. Yoni’s channel can take you from there. She knows what she is talking about. Follow her instructions on how to build your daily practice to begin the end of the misery of feeling stuck in symptoms that can take over your life. 2024 and I can say I have my life back. Finally.
@@bettinablock-franzo2736hey there! awesome that you are seeing the light at the end of the tunnel's. My dizziness started in 2018-2019 and it has been a roller coaster to say the least. Fast forward five years later and still have it but it's not as bad as it was in the beginning I hope that means that I'm also healing.thanks for your input appreciate it. Bye I'm on Oahu what part of the islands are you from. Aloha!!
@@cabuboyvisitacion1298
I’m originally from east O’ahu but live north Kohala of Big Island since ‘96.
Have you had any vestibular tests? Any tests to rule out any other health conditions that can cause dizziness? Once you get all clear on anything life threatening don’t worry about getting a vestibular diagnosis. You can get sucked into a rabbit hole of unnecessary tests that are not only expensive but are very uncomfortable.
Follow Dr. Yoni videos on calming your brain when you feel symptoms. That’s essential and the first step. Only then can your brain start to recalibrate when it feels safe. It’s a process that takes daily practice and trust that it works. It does. I’m proof. Didn’t even believe I could feel normal, ever again. Lost all hope. You can retrain your brain to feel normal but you have to trust.
@@cabuboyvisitacion1298
If you’d like, give me your email and we can talk story.
If you are feeling better without having done VRT or other things you appear to be on the way to healing.
I was dx with vestibular migraine. I think it’s right bc I get migraines. But they are like everyday and I get muscle weakness and blurred vision. Had MRI, CT, LOTS of bloodwork, have Hashimoto’s PsA PA Raynaud’s Peripheral neuropathy. I think I might have another type of migraine disorder, my appt at headache clinic is in 8 weeks.
Hi. Just found ur chanell. suffered violent vertigo for 10 years. First vertigo, then heavey sweating, then throwing up non stop, been in hospital 3 times. The only thing that helps i attivan, puts me to sleep. Then i wake up and feel better, but my body would be whipped out because of the attack. Ent gave me betahistine which helped a lot. The only thing i have left is this full head and dull headache all the time and slite dizziness. The ENT said i have Meniers. Then she changed it to vestibular migraines, and i said well why do i get a vertigo attack if my head goes back, like as if looking up to the sky, even shaving i wouldd get vertigo . She said i dont know.. My neck use to be very stiff it would hurt to turn left or right now is better, because i streatch my neck every day for over a year. I think it was all coming from my neck to be honest, but then why is my neck getting so stiff...... well because of stress i would tell my self. So now i am at the part of , how do i switch off the stress, any advice would be great ..... A friend from Canada. Going to sub after this letter
Hi there, very sorry you have endured SO much suffering- vestibular migraines are very much the subject of my channel. Did you take the free course? It's truly free, it will walk you through the process step by step. thesteadycoach.com/free-course
Thanks for this video Doctor, i don't really know where to start from . PT ? MRI ? Neurologist/Neurotologist ( is it the same thing ? ) In 2020 i had a lot of stress for 1 year and I worked sitting in a very bad position (neck bent backwards) in front of the computer sometimes 12 hours in a row 6 days a week with only small breaks in between. It was during this period that i started to feel a HUGE fatigue, dizziness, weakness and tension in the back of my neck. Since i didn't know where this was coming from, i started having panic attacks (I'm prone to them, but I haven't had one for several years.) My condition improved for a few weeks/months before returning to the same symptoms. I suffer 2 or 3 episodes a year of these disabling symptoms. The extreme fatigue and dizziness prevents me from carrying out my tasks. I started going to the gym again 1 month ago and during my first training sessions i only trained at 50 or 75% of my capacity to avoid straining my neck, but at the last training session i pushed a little too hard and I felt a huge fatigue, i feel that since i have these symptoms my recovery capacity is enormously reduced. I feel that i have the recovery capacity of a 90 year old, even though i am in my mid-thirties. Even when the symptoms go away, i feel that my recovery from even light training takes a long time. Is anyone else experiencing what I'm experiencing and do you have any advice to help me? And by chance, if anyone knows of a good professional in the Montreal area (Canada), please let me have his or her contact details. Thank you in advance for your help this situation is really tough on the mental.
@@cherieleigh10 in the beginning they laster for 2 to 3 weeks now between 1 and 2 weeks . But between them i’m not 100% i’m just used to be dizzy and have a bad recovery . Thanks for you advice ❤️
So many others here are experiencing exactly this situation, I promise, and there is a lot of hope and lots of things you can do to get better. I wish I had someone to recommend in Montreal.
Hello Dr yonit... I wanted to ask that what is your take on taking medicines for active vertigo attacks?? I have pppd and always have an active vertigo after every few weeks and I take prochlorperazine and cinnarizine it provides a little relief to the point that I can start moving again so I wanted to ask that would taking these medicines hinder the process of recovery or should I try not to take medicine during the vertigo attack? What do you recommend? Also after observation I have found that even the slightest stress triggers the vertigo and I have gotton a bit better from following your videos and somatic exercises I am just confused about this. Would be glad if you could help me
I don't see any issues taking "rescue" medicine occasionally. I think a good goal would be feeling less fear and anticipation of the vertigo. What often ends up happening is people start to anticipate and fear the vertigo, and that ends up making it more likely for it to happen, creating a vicious cycle like you describe. I know vertigo sucks and you're never going to like it, but it might help to experiment with working with the initial sensations before jumping to take the medication. it's always there if you need it, but you may surprise yourself- when you feel like you can handle it, and you don't take the meds each time, you may feel a lot less fear.
thank you for the info dr Yo
but is it ok to have panick atack during recovery? does that mean i need antidepressant? been dealing with panic lately
Panic attacks are very common during recovery and it doesn't mean you're doing anything wrong. It doesn't mean you need medication. HUGS. Hang in there. You're going to be ok.
Dear Dr.Yo! May I ask for your kind opinion?
I had a few severe vestibular cases:
#2021 - BPPV
#2022 - stroke of cerebellum
#2023 - SCDC (Dehiscence ) neurosurgery
#a month after - Vestibular neuritis
#mid 2023 - starting PPPD (so adding AD)
#end 2023 - 2nd BBPV
#mid 2024 - 3rd BPPV
Thanking to you I do believe into neuroplasticity.
I have vestibular hypofunction after neuritis as 65-70% of the norm.
I do vestibular rehab every second day during 40-50 min and am ready to do it lifelong.
If I have a chance to recover my vestibular hypofunction to 100%?
Thanks!
Is it recommended to take anti depression medication if I have anxiety , I have dizziness for almost 5 years
I talk about my thoughts on meds here: ua-cam.com/video/NLnSNCpewh4/v-deo.html
Probably due for an update!
Vertigo/dizziness since 2.5 yrs..I do have a work from home job ..but no timings of anything. Sit, eat, work, sleep. Done MRI, blood tests, ENT etc etc..visited 5 different doctors. MRI says - 5th, 7th and 8th cranial nerve on the right side shows vascular loops. But i have just been given betahistine and some stress reliever (SOS).I have never completed the course. Recent vertigo test says there is neck stiffness and slight nstagmus observed during moving head from right to left on high frequency. Pls explain what this is, help Ma'am. I am not able to find a way. I visited the best of doctors.
after covid, my symptoms got worse. some of the symptoms that were gone came back, such as eye dizziness.
do you think I should I do the VRT exercises again??
This is pretty common and I don’t usually suggest VRT: ua-cam.com/video/nMPRrUFmiYY/v-deo.htmlsi=95lzQLO2eFpWM-tz
I have been diagnosed with PPPD but have had a couple of visual auras zig zag flashing patterns but no headache. Is this a common thing with PPPD or it it basically a migraine ? Never had a migraine
Totally common!
@TheSteadyCoach thanks so much. I guess PPPD has many overlapping symptoms with VM and migraine in general
What about neuro vision testing? I found out I have binocular vision disorder and wondering if it is possible to recover without neuro vision therapy?
I talk about BVD in this one! ua-cam.com/video/o0F6n_QB4iU/v-deo.html
❤❤❤
What about when you have a vertigo attack in the middle of night(when you're sleeping) from VM . How is it possible to deal with that? I mean , i guess its not related to stress (usually my vertigo attacks 80% of the time are triggered by stress or weather change.
Hi there, I think it would be a good idea to watch this video, because stress does not immediately translate into symptoms for most people and may have a delayed effect on your nervous system. Your overall "stress bucket" matters a lot more. ua-cam.com/video/SKEincksdCk/v-deo.html
I’ve been diagnosed with PPPD - going on 4 months now. Has anyone else gotten burning sensations throughw whole body with this disorder/diagnosis? I haven’t heard it in any of the testimonials. But it is horrible, feels like my body is on fire! Been through all the testing possible- no answers, except PPPD (I also have all the other more common symptoms). This one just didn’t seem to fit. Anyone able to help ?
Yes! I see all sorts of burning and tingling sensations in my clients.
Hello Dr Yonit,
It’s not possible to translate the comments, I would have liked to read them. Is there an option activated on your side ? Thanks you 😢
It is not possible on my end, I'm sorry :(. You can copy and paste them into Google Translate, that is what I do!