Vestibular Rehab: PPPD | Extensive Exercises with Modifications and Progressions, Tips for Success
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- Опубліковано 11 лип 2024
- Persistent Postural-Perceptual Dizziness (PPPD or 3PD) is a chronic condition characterized by non-spinning dizziness and unsteadiness provoked by environmental or social stimulation. These exercises decrease sensitivity to stimulation and improve tolerance for daily activity and motion. I include recommendations for making the exercises more comfortable and manageable.
Timestamps:
0:00 Intro
1:05 Rate Perceived Dizziness at Baseline and Threshold Level
2:14 Body Scan
5:57 Diaphragmatic Breathing
7:25 Head Turn
8:03 Head Turn with Eyes Closed
8:46 Progression Tips
9:38 Diagonals
10:23 Diagonals with Eyes Closed
10:49 180 Degree Turn
11:42 360 Degree Turn
12:23 Walking Depth Deception
14:18 Overall Exercise Program Recommendations
15:18 Recommendations for Symptom Management
Please leave questions or comments below and I'll get back to you. Thank you for clicking the thumbs up button and subscribing to the channel! Every like and subscribe helps UA-cam promote the video for other viewers who could benefit from this video. Click the notification bell to stay current on new videos.
Other videos in my Vestibular Rehab playlist that might be helpful for you:
• Vestibular Rehab/Vertigo
Walking Videos:
• Top Ten Walking Exerci...
• Starting and Progressi...
Breathing Videos:
• Breathing Exercises an...
Balance Videos:
• Balance Series
Check out VeDA, Vestibular Disorders Association, for professional, high-quality information on a wide variety of vestibular topics at vestibular.org/.
Here's to your healing, health and happiness!
** This content is provided for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult a healthcare provider for guidance about any specific medical condition and before doing anything contained in these videos. The viewer is solely responsible for all outcomes of the use of this material. - Навчання та стиль
It was great.god bless you.thanku so much🙏🙏🙏🙏
SOLVED …. So I had all the symptoms of PPPD. I’m male, 50 years old. Spend long hours in from of computer screens. Symptoms started about 2 years ago. Feeling of confusion, brain fog, unable to concentrate, poor memory. Then mild dizziness when walking especially corridors and the supermarket. Symptoms got worse, depression and very emotional. Jaw pain at my TMJ and incredible neck pain. Had MRI, CT, ear pressure test, eye test, changed glasses, dental checks etc. All cost me a small fortune. Tried stretches, yoga, meditation etc. nothing worked. THEN… by chance I had reason to close my ears with my fingers… symptoms reduced. So I wore earplugs and …. Symptoms reduced. Kept them on 24/7 for a week to get through the day. I still didn’t know why symptoms reduced. Took the ear plugs out it was like letting the devil back in. With the earplugs in whilst driving and pressed down on the plugs and symptoms reduced even more. Was convinced it was ears. So I watched a video on doing ear massage and stretching. When I pulled and stretched my ears, away from my nose line, and held them there for a minute, it was quite sore, the symptoms had reduced massively!! The pain in jaw / cheek had gone but my inner ear was very sore as I kept doing this all day. The next day all symptoms had gone by 90 percent but has very sore inner ears. I am now on day 3 and no dizziness etc but still quite sore inner ears and haven’t stretched them since. Please try this and reply if this worked for you. Go easy on the ears tho. Very gently pull and stretch them away from the side of your head. Please do reply if this works or not.
I got jaw pain same😢😢 now it gone . How to make this diziness out bro
Did ear plugs reduce symptoms?
@@galinaleonov7401 ua-cam.com/video/LnV3Q2xIb1U/v-deo.htmlsi=9Mc8CKawypTjNHrP
@onalilsmail I am 34 and an IT project manager
I am facing similar situation
Had bppv earlier but it seems now it’s pppd
How long do you suggest to do the ear stretch?
@@riteshm2249I think the key is whether this is ear related for you. Do ear plugs reduce symptoms? If yes the ear massage stretch should solve your issue. I only had to do it for a week daily. Almost immediate relief.
Thankyou for this. Been needing this theraphy since accident 3 yrs ago. Thankyou.
You're welcome, Vicki! So glad you found my videos. All the best!
Thank you for sharing :)
I absolutely love your body scan, Beth...it was like a guided meditation through my body. Your energy is contagious...thank you!!!
Susan, I'm so glad you felt the energy flow in the body scan! It is a very useful tool for connecting with your body and feeling grounded, which are integral to recovering from PPPD and getting back to doing the things your love to do every day. Thank you for sharing your experience!
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
THANK YOU FOR THIS
You're welcome!
Always good thank you 🙏
You're welcome, Andrew! Thank you for your comment!
All your exercises are amazing. Thank you !!
Did these actually help
Your exercise, walking and looking at object on floor and then out a window in the distance reminds me of my first bad dizziness episode. I was walking in the woods with no established trail. Naturally I had to look up and down frequently to avoid obstacles. After 20 minutes of doing this I became very lightheaded. This kind of situation still results in symptoms.
Bruce, your experience is quite common. These exercises intentionally stimulate the vestibular system, which brings on symptoms. The idea is to retrain the brain in order to interpret motion better without causing dizziness and to get used to the movement so that it no longer feels strange. The goal is to do enough to achieve these results without overdoing it. Just a few reps and a few minutes at a time, then rest and do it again the next day. All the best!
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
Thank God that I get to clear my schedule and be able to to this after my long break exercising. I really felt that I need to go back on square one but I believe as I go I will be able to see the improvement s after weeks. Thank you very very much for this.
Jan, you're very welcome. That's great you'll have time to return to the exercises and continue your recovery! You might be surprised at how well and quickly you're able to get back into it... Take it one session at a time. All the best!
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
@@Rose-gc8og yes I do have that kind of feeling. Back then, I have a very severe condition of vertigo but now it is mild with the help of different vestibular therapies like this one. But my condition becomes severe when I'm still and not moving, after a series of busy movements. I hope you understand my English is not that good. 😅
@@janrance8887 thanks for the reply. So you still have it? May I ask when it started? Do you have vestibular migraine and pppd or just pppd?
@@Rose-gc8og It started March 2020. Yes I still have it i haven't successfully get rid of it yet and it frustrates me . But then I know this will still end just have discipline on doing therapy which I am working on again right now. And I don't have migraine, just the pppd
Dear Beth
I got my first vertigo back in May in my sleep. I had no other symptoms for about 2 weeks and then another vertigo in my sleep. Again no other symptoms other than mild balance issues for about a few days. I visited a VT and she suggested that I have BPPV. First test showed a horizantal nystagmus and she did BBQ roll. 3 days after the BBQ I had another vertigo in my sleep. I went back to her the next day but this time the test triggrered a severe vertigo with cercular nystagmus and she did epley. I was unable to walk right after the epley cause I felt so sick that day. My symptoms were improved in about 8 days at almost 90%. 4 weeks later while sitting at the beach on a hot humid day I had dizziness. It was not vertigo but severe rocking right left sensation. I hardly was able to walk to the ferry station. Since then I am having balance issues and dizzy when lying down in bed. I use 45 degree pillow. This morning I was dizzy when I woke up.
I told my VT that I might have VM rather than BPPV and she suggested very possible since I suffer from migraines for the last 7 years. My dizziness while walking (sensation of rocking right left, imbalance and fear of going to fall) is PPPV developed after VM episodes? If yes, would that be safe to bike?
Thanks
Tan Bass, based on the severe rocking, imbalance and fear of falling, I would not recommend outdoor biking at this time. If you miss riding your bike and want the cardio conditioning, you might consider putting your bike on a trainer and setting it up on your patio, in the driveway, garage, etc.. Basically, somewhere on a flat surface outside where you can feel fresh air moving, maybe in front of trees or other greenery. That would be much safer and still helpful for the physical and mental benefits of riding your bike.
Do you include Optokinetic exercises in your PPPD routines? New to your channel.
Thank you so much for doing one on pppd.🌸
You're welcome, Arasia!
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
Thanks for the video! I have PPPD for the last 2 years and with VRT I went from being ridden to be functional even though I have daily symptoms and still can’t do many things.. is it normal that now all the things that are difficult for me trigger fatigue more than dizziness? For example if I go to the grocery store or take a walk or if for 5 minutes I do some squats or lift some weights I get very very tired that I have to lie down and often take a nap. Since the beginning of this condition these triggers give me immense fatigue around my eyes and in my head
think that my issues seems like PPPV. It is exact symptoms I have. @ weeks ago I went to the ER thinking I had Coveid-19 so the Doctors ran labs test MRI etc and Covid test was negative. Well, they though I had another Stroke and was admitted overnight until my Doctor (Neurologists) said no I didn't have another stroke. They think I have BPPV but until I saw you video explain what a PPPV is I released here I go that exacting what I feel. So far I its been 3 weeks since I started feeling this and at the same time I got a very bad cold. Thank you for sharing. I am going to start doing the exercises. Thank you!
DaveW, you're welcome. I'm glad you found my videos! I hope the exercises help you feel better! If you continue to experience symptoms and you want to see a specialist, seek out an ENT (ear, nose and throat) for further testing of your vestibular system to determine a specific diagnosis and start an individualized treatment plan. All the best!
How are you doing now David
With this condition, having the constant non spinning dizziness, is it common to feel the effects of unsteadiness with eyes closed? I go back and forth between this video the beginner vestibular exercises and also the visually induced video. I sway pretty good after getting out of driving my car.
You're a rockstar for helping all of us!!
I hope you respond 😊.
I have the non spin dizziness too xx
Until the BPPV is addressed and corrected, do the other exercises become null and void? Thank you!
Linda, yes it is common to feel the effects of unsteadiness with eyes closed. I think that's a great idea to go between the three videos since they focus on slightly different exercises, as you've experienced. It's common to sway after getting out of a car or other situation/environment that includes a lot of visual stimulation.
@@MovementFunction maam I need your help how should I contact??
Ive been suffering tremendously for over a year and a half. I was also diagnosed with pppd. I’m on 5 different meds that are/were supposed to correct it but im still miserable. I’ve done months of acupuncture, i did vestibular therapy for a few months which didnt do anything. Nothing helps and it makes me job (im a construction worker) incredibly difficult and nobody has any clue that 80% of the day i feel like i just woke up on anestesia from surgery bc all the drugs im on and im STILL dizzy constantly, feels like im walking on a boat or jumping up and down constantly.
This condition is a silent killer bc it makes me suicidal, im never been more miserable. I just want it to stop! I cant take it any longer and NOTHING works 😩
I’m going to try this but i went to a clinic for months that specialized in “vestibular therapy” and all it did was make my symptoms worse but never got better… and i work 12 hours a day at 400+ feet elevation walking on pipes on construction sites.. its so awful, and i already lost 6months of pay last year bc i couldnt work.. i could barley walk let alone perform strenuous job duties on a construction site for 10-12 hours a day
Jason, I wish you the very best in your healing and health. I hope these exercises are helpful for you to decrease your dizziness. Be sure to monitor your symptoms while doing these exercises. Doing too much can certainly make symptoms worse, so try the 'remote control' suggestion I included in the video to be sure you're not pushing too hard. It's normal to feel a little more dizzy while doing the exercises because they intentionally stimulate the vestibular system, but it's important to not push too hard and to rest and recover following the exercises. Best to you, Jason!
jason i so understand. im 5 yrs in and still bad. what a life hey
5 yrs of it
Jason , maybe the treatment do not work because you may need to change your lifestyle . You cannot do this job anymore , I am screaming for you . Thé anxiety of being so high up everyday without touching the ground may render any treatment impossible to work because it’s too much !! Please I hope you can find an alternative occupation . It’s to consider highly if you have suicidal thoughts . You are not alone , sending thoughts your way x
@@magretsit is right , it is the job. The same happen to me. I think is accumulated stress and anxiety, it can be combined with ear problem. Every time I sit down on My car SEAT , to return Home I feel a great relief.
Yes you can get better…but you have to believe it !!
Beth, you are a star. Thank you for this video. How many weeks do you recommend I do these exercises for? I have been diagnosed with PPPD.
I suggest starting with six weeks of daily exercise to start to see improvement. If they are helping and you feel you can taper, reduce to 2-3x/week and continue as a maintenance program.
Diagnosed with BVH.. upgraded to CANVAS.... I work hard... Any advice?
Thank you for this. I was told that I may have MDDS/PPPD/vestibular migraine. In your experience, is it possible to get back on a boat or sea travel without making things worse? I ask because there are mixed views on this very topic - but I love and miss cruising! Thank you.
Rohit, this is an excellent question. The answer is highly individual, which is partly why you're seeing mixed views. With the combination of vestibular issues you are dealing with, it's very difficult to anticipate how you might respond to provocative movements, especially extended sea travel over a number of days/week(s). What I say is that truly anything IS possible. We have a great deal more power to change things in our bodies than we realize. Since you are passionate about cruising, don't give up on it! If possible, I suggest testing out your response to being on a boat little by little. If you live in an area with boat access, go out for an hour... then a few hours... then a full day... etc., and build up until you're ready for a cruise. If not, you might try buying a tilt board, BOSU ball or something like that to test your response to ground movement AND to build up tolerance. I love the BOSU ball. It's expensive and there are other brands, so shop around. I'm not sure what is available in your area.
Here's the Bosu ball on Amazon: www.amazon.com/Bosu-Balance-Trainer-65cm-Blue/dp/B00AQ4F19K/ref=sr_1_4?crid=2U888IC1HY8Z2&keywords=bosu+ball&qid=1643068290&s=sports-and-fitness&sprefix=Bosu+ball%2Csports-and-fitness%2C172&sr=1-4
The balance tilt board is also a great tool and more affordable. Here's the balance tilt board on Amazon:
www.amazon.com/PACEARTH-Professional-Challenge-Stability-Accessory/dp/B08DHWJ5TL/ref=sr_1_8?crid=1NDA8L94I0QN2&keywords=balance+tilt+board&qid=1643068414&sprefix=balance+tilt+%2Caps%2C183&sr=8-8.
I don't make any money from Amazon , it's just easiest to look up products on Amazon in the U.S. :)
Hi I also have been diagnosed with PPPD and Vestibular Migraine it has been 2 years. We own a boat and do extensive cruising. It’s weird and not sure why but I feel way better on the boat than on dry land. Usually we can be out for a couple of weeks I have no problems I feel like my old self. I usually get symptoms just at home or even just watching TV. But on the boat I have no symptoms at all. Not sure if you have been on a boat since your diagnosis don’t let the anxiety of PPPD overshadow your enjoyment. Hope this gives you some hope.
In fact , for me , an external moving vessel brings the symptoms down, may be coz the brain is distracted to the other motion 😄..having been on a boat since pppd started..but have flown till US from India.
Persue ur passion.. it brings confidence.
So exciting to hear y’all’s experiences. Personally I haven’t been able to go on a boat in ten years. However for the first eight years I self limited myself in every aspect to avoid dizziness. Now that I know I can address the problem with vestibular rehabilitation it’s a whole different ball game.
Hi, I have persistent non-spinning vertigo (lightheadedness) that is made worse by complex backgrounds, would you recommend i practice the exercises in this video or the ones in the visually induced dizziness video?
I just responded to your other message... Now that I see this message, I suggest that you start with the exercises in the PPPD video. The body scan in the PPPD video could be very helpful for you. And overall, the exercises are less intense in the PPPD video compared to the visually-induced dizziness video. Once you're able to tolerate the PPPD exercises, keep doing the body scan and try the exercises in the visually-induced dizziness video at about 50%. Adjust up or down as needed. All the best!
Hi Amazing Beth, I've got pppd and currently doing the vrt you suggested. It's going well and after being stuck at home, I've started including a daily walk. Unfortunately I've just had an episode of BBPV on my right side. I've followed you BBPV video and completed the epley manoeuvre. Where does that leave me with the vrt exercises? Should I lay off them for a few days and let the BBPV settle? Can pppd cause BBPV? Such naughty timing as the vrt is going really well. Thank you
Hi Laura. I suggest taking a break from the vrt exercises for about a week and let the BPPV settle. When you return to the exercises, start at a less intense level than where you left off, for example, do fewer exercises and fewer reps at a slower speed, less movement, etc., and build back up gradually. Hang in there, you'll be back to the vrt soon. :) As for your question re: PPPD and BPPV, sometimes it's difficult to know if one vestibular condition is causing another or if they are concurrent conditions. Especially with PPPD and BPPV. I'm sorry I can't answer your question more definitively. I wish you all the best!
i have been diagnosed with bppv since 18 yrs…but since few months my situation gotten even worst…i cant even go to the grocery store all the time i need my husband to hold my hand or else i’ll hold the shopping cart it makes me feel much better to hold my balance while walking and the same happens with me in the airports or malls or any open and empty spaces…at least with bppv i can able to do my work or go for walks but now i think i have pppd from almost 3 to 4 months ….while having a kid who is 3 yrs old its very hard me to not engage her with some activities or taking her outside…is this really symptoms of pppd and can i really get cure from these exercises
Hi Beth,
Thank you for being such a gracious and thorough teacher and for explaining so well and so patiently each exercise. 🙏😘
I live in Paris and was finally diagnosed with PPPD last June, after many months of various medical exams and total disarray, as nobody was able to find the reason of all these symptoms I had been suffering from for many months, until I went to see a physiotherapist specialized in vestibular rehabilitation!
Soon after I started my rehab online on his website, I discovered your videos and started to use them as well, as I felt more comfortable with you!
One question: the symptoms disappeared almost completely after a 3 week rehab, but COVID obliged me to stop completely for 2 months, and now the symptoms are coming back, so I'm very slowly resuming my rehab. Does it mean that I can never interrupt rehab even when symptoms disappear ? Do I have to practice forever?!
Lubna, this is an excellent question. The only accurate answer I can give you is that time will tell... In general, some people are able to fully recover without continuing the exercises while others need to do maintenance exercises. In your case, you had an illness that likely involved sinus congestion and inflammation, which is a common irritant to the inner ear, so it is understandable that you'd need a rehab period (hopefully short!) for vestibular function following an upper respiratory virus. All the best!
@@MovementFunction
Thank you for your answer Beth, your explanations are so clear, as usual! 🙏 I need one more precision, if possible : do I have to restart the rehab from the start or just continue from the level I had reached before being obliged to interrupt the program?! I wonder how the brain functions and wouldn't want to make things worse ... 😘
@@lubnafran5546 I suggest starting at the beginning and progressing day by day as you can to reach the level where you feel some dizziness while doing the exercises but at a tolerable level that decreases within 20 minutes. Your brain will respond better to starting easier and work up then starting with too much and having to recover. All the best!
@@MovementFunction
OK, will do! Thanks a lot Beth! 🙏🌹
Bonjour, puis-je savoir qui vous a donné ce diagnostique à Paris ?
Hi
Thank you for your videos.
I am 31 years old and I have had dizziness for over 3 years now which is getting worse and worse especially since last year. I have visited many many doctors in different countries but no one seems to find the cause. Unfortunately this has now caused me anxiety too which prevents me doing many things.
I have been doing your exercises for 2 months which seem to help but I am still not fully dizziness free. I was born with hearing loss on one side and is now getting worse so I am nearly deaf so I wear a hearing aid. Some doctors says this is the cause of my dizziness which I doubt. I am a barber which requires me to focus a lot and look down therefore it might be because of my neck? As I had a MRI scan which showed I have sight slipper disc there.
I am just wondering if I keep carry on doing your exercises could it make me completely dizziness free or not cause of my hearing loss?
I appreciate your help and your reply.
Kaka, For many people with chronic dizziness, it can take several months to achieve maximum results and best outcomes. Since the exercises are helping you, keep doing them. I can't say if your symptoms will completely resolve and whether hearing loss is a factor in your situation. Regarding your neck, I suggest checking out the cervicogenic dizziness video I posted and my other videos addressing cervical spine dysfunction. All the best to you!
I also have pppd for over 3 years now. It didnt get nay better. Any thoughts if cbd oil may help? Gona try everithing since it isnt geting any better.
Have you tried her exercises for several weeks yet?
Hi Dr Beth, My dizziness is triggered while looking down, especially when I am sitting and looking down. I am diagnosed with 3PD. Thank you. Would you recommend any specific exercises?
muvish, I think all of the exercises in this video would be helpful for you. Sometimes moving in the same direction that causes your dizziness is helpful for getting used to the movement and sometimes it aggravates the dizziness... Sometimes moving in other directions helps your body get used to movement overall and decreases the sensitivity to looking down... Every body and every person with 3PD is different. I suggest giving them all a try and adjusting as you go. All the best!
@@MovementFunction Thank you very much. These exercises are helping me greatly.
How are you doing?@@VMM_20
Thank you so much for this 🌷
I'm suffering from PPPD for more than a year.
Checked with many doctors and no one diganonzed me with pppd
After research I discovered by my self that I have PPPD
I hope the problem resolve with this session.
Many thanks 🌷
Ahmaad, you're welcome and I'm very glad you found my channel. All the best!
How are you doing noe
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
Same I discovered by myself
I got too dizzy on diagonal right up and left down. Had to stop.
I have practiced the exercises and felt fine after doing them. I went for a run just after doing the exercises and I felt very dizzy for a long time, could it be due to the exercises? Thanks :)
Since you felt fine after doing the exercises alone and felt dizzy after adding the run, it is likely the run was too much or the combination of the run and the exercises was too much. Try doing the exercises and running at different times of the day and see how your body responds. If you still feel very dizzy, decrease the distance of your run and see if you can tolerate a shorter run.
This has happened to me on several days by now. It has happened to me so many times (recently, with less intensity) that I have like a mental meter on how much exercise I have done and how dizzy, tired or anxious I will feel if I go out for my usual daily walks. Don't worry, having symptoms mean that your brain is recovering and will manage to decrease the sensitivity to movement over time.
Is this the exercise I have to do for mdds as well or the other vestibular exercise you have?
I suggest the exercises in the Beginner Vestibular video. ua-cam.com/video/drRwAdjZ644/v-deo.html
I get vestibular migraines that last about a day and then I have symptoms that last for quite some time. The symptoms are unsteadiness, postural sway feels exaggerated and foreign. I constantly feel like I’m moving. I only feel this way when I’m standing up and moving. The migraines that do happens are either random, or happen from looking at tall structures, being on tall structures or being inside a closed area that is large and open. I’m being put on nortryptoline to try to stop the migraines from occurring. Any ideas on what I should do for the other symptoms? They have gone away and come back, but I’ve had them for a couple weeks now.
Brian K, you may benefit from the exercises in my video on Vestibular Migraine: ua-cam.com/video/uWVdZEX36iU/v-deo.html. If those are tolerable and you're ready for more, try the exercises in my vestibular rehab series starting at the beginner level: ua-cam.com/video/drRwAdjZ644/v-deo.html. All the best!
I have somethingssimilar. I have this persistent unbalanced feeling last year that lasted for weeks then went away. Now for the last three weeks I've had temple headaches and an even worse feeling of being unbalanced. It sucks
@@lukefletcher9644 you might also benefit from my video on Vestibular Migraine: ua-cam.com/video/uWVdZEX36iU/v-deo.html. And if you haven't already had a thorough evaluation by a vestibular specialist, that might be a great next step. VeDA, Vestibular Disorders Association, offers a wealth of information and resources at www.vestibular.org. Contact their patient coordinator for personalized assistance in finding appropriate resources at info@vestibular.org.
Is this 3PV?
I feel like a "blood rush" directly to my head and it makes me feel "dizzy" (but nothing moves and I don't feel balance).. It's just like I got hit in the head but without pain.
This happens sitting down, sometimes standing, even lying down.
Sometimes happens for several days then gets better, then comes back a bit worse....
What do you think?
Don Missit, I strongly recommend seeing a healthcare provider for a thorough evaluation of your symptoms.
@@MovementFunction I did, neurologist and ENT but found nothing wrong. But oh well 😕, I've read about people with pppd and I don't feel I fit with the problem...
@@nutriconciencia I agree, what you describe doesn't fit well with PPPD... The blood rush sensation and lightheadedness are not typically caused by a vestibular issue. I'm sorry, I know it's frustrating to not have a clear idea of your condition. The only thing I might suggest is to talk with your doctor about seeing a cardiovascular specialist...
@@MovementFunction I really appreciate your time. Yes, I don't have problems with patterns or stores or that stuff I've read. It's only that "rush" that makes me feel "dizzy" without movement.
I gotta keep on my research I guess. But thanks for telling me it doesn't sound like PPPV
I have the same prob. Im diagnosed with VM plus pppd
hey, can i ask about pppd or anxity? i feel dizzyness from my eyes,like they cant keep uo from what i see, sort of lagg. aalso looking up and down etc is making it worse, whats the diffrnt between pppd and anxity dizzyness?
i feel l ike its flucuation to much for being pppd?
pppd is actually non-spinning dizziness that can be caused by either anxiety or vertigo. Basically, you feel like you are sitting in a train or boat most of the time.
@@sahibakaur2909 well yeah thats how i feel ish, but its like, in the moring is shit, then in the afternoon its oke, and sometimes good, then in the evening is horrible... can that be from pppd or more axnity or something like that?
@@jbholland1987 It sounds like you're questioning if you have PPPD because your symptoms fluctuate throughout the day... is that right? If so, the answer is yes, you could still have PPPD with the fluctuation you experience. The persistent part of PPPD doesn't mean that the intensity of symptoms is constant or that symptoms are present 100% of the time. There is variability with PPPD and often people have triggers that worsen their symptoms (and perhaps alleviating movements/positions as well).
@@MovementFunction oke, thank you verry much for the information !!
@@jbholland1987 well I feel the same like yours. Doctor diagonsed this and he gave me anti anxiety medicine which is helping me to boost the confidence to fight against pppd. You should consult neurologist. He will guide you properly.
Should I avoid listening to music when I'm doing these exercises?
Are VT really necessary or can I heal on my own doing normal movements? I just can’t bare to induce the dizziness through these exercises any longer.
Jessica Amber, for some people, just getting back to doing normal movements is enough to heal. For others, especially if movements are limited to avoid dizziness, the specific exercises in vestibular rehab are very helpful. If the dizziness brought on with these exercises is too much, try to do what you can in your everyday life, gradually increasing your movements a little bit at a time. All the best to you!
Movement & Function thank you for the response! ☺️☺️
@@jessicaamber6623 Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
@@Rose-gc8og I did and still do alittle at night. It’s taking me a while for my symptoms to settle down but I notice slow improvements each week.
@@jessicaamber6623 thank you for the reply. What is 24/7 at first? How long did it take time to get here and what helped you most ? Thanks a lot Jessica
Is it normal to have temple/pressure headaches along with unbalanced sensation with this diagnosis?
Luke, yes, headaches and imbalance are common symptoms with this diagnosis. If you have a history of migraine headaches, then Vestibular Migraine might be a possibility as well. I responded to your other comment with the link to my Vestibular Migraine video and the link to VeDA, Vestibular Disorders Association, for further information and resources on everything related to vestibular disorders. All the best.
Yes definitely. Hope you are feeling better
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
I'm wondering if magic mushrooms will help
Can someone please comment if these exercises actually helped them?
Hello, I'm french and I don't understand english, I will try thèse exercices. stupid question, with this concern, can we eat everything? Or some foods can improve our nervous systèm ? Thanks you so much for tour answer
Mario Dash, great question. In general, a well balanced, nutritious diet will help the nervous system. In addition, foods that are anti-inflammatory, such as berries and turmeric are better than foods that promote inflammation, such as dairy and sugar. A lot of information comes out constantly about foods that decrease or increase inflammation, so I recommend a google search for the most recent information. All the best!
@@MovementFunction Thanks you, so this PPPD us an inflammatory of the nervous system ?
Thanks you so much for your help
@@mariodash5 Not specifically, but calming the nervous system and decreasing inflammation throughout the body is helpful for decreasing sensitivity and restoring equilibrium.
@@mariodash5 j espère que vous allez mieux , j ai aussi PPPD et je suis française ça fait 8 mois que j ai ça et j en ai marre ! Apparement certains chiropracteurs spécialiste de upper cervical spine peuvent aider ( knee chest specialist) je vois une spécialiste la semaine prochaine donc je vais voir ce qu’il en est . Courage je sais comme c est difficile !!
Hello! I am writing in hope maybe you will have some advice for me. So i suffer from VN/ labyrinthitis which initially started end of May. Now I do feel better, my balance most parts is okey, mostly thank your videos which I did since very begining... but. BUT I still have an enormus issue with walking and while walking turning my head side to side. I try walk streets and fix my eyes on distance objects ahead and walk in their direction looking at them turning head side to side, but yeah my vision gets jumpy anywayz. I try to do thus excerises of your where when i have something like dot on the walk and walk towards it while turning me head side to side. But i do it since very begining and see no progress. Maybe you have any suggestions of excerises I can do? Feel like you are the only person on this planet which can recommend me something
Zuzanna, thank you for your comment and for subscribing to my channel! I'm so glad that the exercises in the vestibular series have been helpful for you and you've noticed improvement. With the walking exercises, have you been doing the other variations, including moving your head up/down and in a diagonal direction as well as side to side? You might also try varying the distance of the object you're focused on, so look at something close for a few head movements, then far, and then medium distance, etc. Also, this one is new: Try tilting your head side to side (ear to shoulder) while looking at an object at varying distances as you're walking. Another new very advanced exercise is to walk with your eyes closed and turn head side to side, up/down, diagonals and tilts (Be sure you do this in a safe space where you won't trip or run into anything). Start slow and walk just a few steps, build up gradually while maintaining balance. This is a challenging one - I have a hard time doing it. Finally, have you had your vision checked since May? All the best to you!
@@MovementFunction Thank you for writing me back so quickly. Yeah I had my eyes checked vut from very begining doctors are saying its issue with my vestibular system. VNG showed pver 50% loss in my affected ear so I feel it's the root of everything. Now about exercises I already do this that when I walk and look at something at distance i try to not only move head side to side but i also try to tild it or move up and down but never tried with closed eyes so maybe i will try it from now on. I have a question about this other thing you recommend me though. This fixing my eyes on targets at different distance: close medium and far. While i do so i should be standing still and just move my head in this all directions you wrote before and just fix my eyes on point. Or i should walk toward this distant point and move my head but "stop" at some points for a short while and perform movements there too. I didnt catch that one. Yeah in all i feel like head movements are most triggering for me just feels weird moving my head, everything goes crazy then. i dont know what excerises may be especially beneficial for fighting with it :/
Zuzanna, I'm suggesting that you continue walking and choose different targets at different distances without stopping. Do several head turns while focusing on one target then change targets and continue the walking head turns (or nods, diagonals, tilts, etc.). For example, you start walking down the street and look at the house closest to you, do 5 head turns or as many as you can before you pass the house. Continue walking and choose a house as far down the street as you can see. Do 10-20 head turns, then choose a target at medium distance and do more head turns. Continue walking with changing targets and doing head turns. Vary the number of head turns for additional variety. This is a high-demand coordination exercise as well as vestibular exercise.
@@MovementFunction Thank so much! I will try to employ that to my daily walks. + one more question since, we talk. Are there any vestibular excerssies for spinning while turning in bed from side to side? At my early stages ofc I had awfull vertigo which resolved with time, but now still many, many months after I got ill when i turn in bed my vision is slighlty moving/jumping for few seconds and then all calms down. Ofc at beginning was a lot of spinning now as I said more like jumping of vison for few sec. Are there any excerssies I can try for that? or you can not not recommend me any specific?
@@zuzannakledzik3011 Yes, for the mild, residual vertigo you are experiencing, the best treatment is canolith repositioning maneuvers. You need to do the Dix Hallipike test first to know which side to treat. I demonstrate all of that in my video on vertigo: ua-cam.com/video/auOI6_lPI94/v-deo.html.
I've been doing these exercises for more the 9 month and still no difference. I feel extremely worried that I'll be stuck with this condition for the rest of my life.
Does anyone have anxiety associated with you as well, I have anxiety and I have constant neck tension or spasms in back of head, seems like with every heart beat they are like this. No real pain from it just tense all the time.. And this unbalanced feeling has progressed over the last year. Just came out of nowhere. Im gonna have a vng test soon. I missed the first two due to my anxiety. I've tried these exercises, but just make the unbalanced feeling way worse and take forever to go away
I'm curious how the body scan in this video felt...? You might benefit from breathing exercises at this time to decrease your anxiety and neck tension and help you get through the vng test. You might try my breathing exercise video: ua-cam.com/video/04Z4t9udlmo/v-deo.html. And breathing exercise with neck movements: ua-cam.com/video/qCmvIXQtWJ0/v-deo.html.
@@MovementFunction i have read from the dr Paul Montgomery website who is a dizziness specialist PPPD that PPPD sufferer must not do mindfulness body scan as its provocative and induce panick
Do you know if driving counts as a form of VRT?
Excellent question and I'd say the answer depends on who you ask. :) I say that yes, it does count as VRT because of the demands on your visual and vestibular systems, especially with movement in all directions and depth perception.
@@MovementFunction I feel like the environment is floating when driving and my spacial awareness is off. It's horrible and scary. I avoid highways at night.
Hi Dr. Wagner. I've completed 3 weeks of your 3PD PT and am in intermediate . I had been improving until I did too much one day, now with a set back; the feeling of, almost, falling is back. Usually, my medicine ( sertraline 50mg) takes care of the falling sensation, and your PT was caring for the rest of the illness. It's been 5 days now and I want to keep improving? My brain feels hurt, sore inside my skull. I've been resting, doing the PT very slow with few reps. While up walking and doing, I move body and head very slow. It's harder to think now, but on this 5th day, I feel a tiny bit better. Will talk to ENT and Neuro tomorrow. What do you think I should do? Thank you for your work and help
Kimberly, by now you've seen the ENT and neuro, and I definitely recommend following their advice. If you hadn't been planning to see them, I would have suggested continuing the exercises very slowly, few reps and gradually increase very slowly, such as 1 rep of one exercise per day. And take a rest day 1-2 days a week to help you reset and to avoid overdoing it. All the best!
Have you been able to see people make a full recovery from PPPD?
Yes
@@ronnyscooking you made a full recovery ?
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
Which bedside test do we use to identify PPPD?
Cindy, there is no bedside test to diagnose PPPD. It is typically diagnosed by a combination of signs and symptoms and is in part a diagnosis of exclusion (meaning that other conditions have been ruled out or are not likely).
All my tests are Normal now
Doctors say it's normal but I feel diziness suddenly from nowhere
Oral Steroids course for 25 days is completed and Doctors recommendation is Vestibular exercises.
Suggest me please !
Vikas, I saw another comment you wrote that you've been following me and symptoms are decreasing but now that comment is gone. I'm wondering if that comment was in response to this video? In general, I recommend starting with my beginner vestibular rehab video because it includes the most variety of exercises to help with different aspects of vestibular rehab. Progress as you can to the intermediate and then advanced videos. All the best!
@@MovementFunction
My symptoms comes and goes but I am doing everyday two times the intermediate Vestibular exercises of your Video. It's a great help thanks
@@vikasmalhotra8386 Good work! Keep it up and you'll continue to improve!
I have dizziness since 3 years i hv consult many doctors im not able to cure ....its breaking me from inside ...how long will this exercise takes to show results?
Robiul, it usually takes about 6 weeks of daily exercises to begin seeing improvement and it can take a few months or more for maximum recovery. Just as with any exercise program, it takes time to retrain the brain and for communication between systems to reconnect. All the best to you.
@@MovementFunction thank you
ive so had enough of this. sooner be dead. sorry to say. thankyoy for helping.
Hi Ms
How long does it take to see results?
It usually takes about six weeks of daily performance to see results. Some people begin to notice improvement sooner and others need more time.
I went overboard on exercises in June and since then have had the weirdest rocking\bouncing and pulling feelings in my head and a zapping feeling in my right ear where the problem started. It's like strings pulling in all different directions and rummaging wiggling etc. I get it all day everyday and have been too weak to work and unable to look at computer screens. Is this the brain reprogramming the pppd? Doctors don't have a clue what it is and it's taking forever. Anyone else had this?
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
I feel the exact same for 6 months now
@@Angelamj do you have pppd ?
@@Rose-gc8og yes
Do you think these exercises help people with meniere
Rita, these exercises typically do not do much for Meniere's but they also will not make it worse, so it might be worth the effort to try them and see how you feel.
When you have pppd why are the balance suddenly bad?
Amelia Runge, balance is affected by PPPD because the messages the vestibular system sends to the brain about where we are in space are affected. The information is not as fast or accurate and this leads to imbalance.
Hi. Really appreciate if answer. Did you have the feeling of floor shifting when walking? Like walking on the walkways at the airport. Or walking on the boat.?
Hey i did these exercises and i have tinnitus idk why is it normal?
@prati3853, tinnitus is a very common symptom of vestibular dysfunction. I don't think the exercises caused the tinnitus. Tinnitus often comes and goes.
This is such a horrific illness! God help us all. ...
Why do you experience headaches with PPPD as well as feeling fatigue
Rushana, there could be many reasons for headaches and fatigue and I can't say for sure what the cause is for you specifically. For many people with PPPD, the constant dizziness is exhausting and stressful, which might cause or contribute to headaches and fatigue. I suggest further exploring these symptoms with your doctor(s).
@@MovementFunction I have gone to doctors ,ent specialist and then finally a neurologist who diagnosed me with PPPD however I've had high and low thyroid levels 6 months after giving birth Which that's what we thought it the dizziness was from however it's not that case, it causes so much anxiety ,and constantly thinking that something is wrong because the dizziness never goes away it's always there & it affects everyday life I've had it for over a year now
@@rushanakavanagh236 Under those circumstances, having headaches, fatigue and anxiety are understandable. The exercises in this video will likely help reduce the dizziness and I included tips for managing the symptoms to reduce anxiety associated with the condition. I hope these are helpful for you to get your life back! All the best.
@@MovementFunction thank you so much 🤗 how many times a week should those exercises be done?
@@rushanakavanagh236 Try to do them daily. Taking a day off once a week is fine.
Is pppd curable
arun kumar, full recovery from PPPD is possible. The time is takes and the degree of improvement varies from person to person. Typically, it is not a quick process but takes time and a combination of treatment to address multiple contributing factors.
@@MovementFunction thank you mam .. thank you veryy much
Is this more comprehensive than your Vestibular Exercise Program, so no need to do the later?
Alex, this program is more specific to PPPD while the vestibular rehab series includes a broader selection of exercises to address various vestibular diagnoses. There is some overlap. To complete the most comprehensive program, I suggest starting with this video and then adding in the exercises from the beginner vestibular video .
@@MovementFunction Thank you very much. I missed your message and started with the vestibular rehab and am hopeful that it will get me back at least to normal.
I hope to continue as you suggested. Thank you.
@@alexblum5082 That's great. Try both and feel free to construct your own program combining the two that works for you.
@@MovementFunction is it possible that what causes the vertigo when I lie down is also the cause of my balance problems?
Is it normal to feel extra dizzy even after finishing the exercises, I feel almost like car sickness
Abi, yes it is normal to feel more dizzy after finishing the exercises but the increased dizziness shouldn't last longer than 20 minutes. And you shouldn't feel completely miserable. So, if the extra dizziness lasts more than 20 min or is severe, back off the exercises by doing few reps, fewer exercises or moving slower. You might also try taking breaks between the exercises and/or breaking up the exercises into shorter sessions to decrease the intensity.
I find letting myself return to baseline after each exercise really helps my overall healing. Let’s say I’m going into the exercises and my dizziness is a three that day. For me, I will do the exercises until I reach a seven or eight and then let myself settle back down to whatever my baseline is that day before continuing.
mam, is swiming good for pppd??
Swimming can be helpful if it is relaxing and comfortable. Be mindful of head movements though... especially if head movement provokes vertigo. It's likely best to start with breaststroke, where your head stays relatively stationary. Very gradually try other strokes, keeping movements slow and steady to start. Don't swim alone. Be sure that there is someone with you who knows about your condition and will be able to help you if you need it.
@@MovementFunction many many thanks mam,,, how i contact with you??. i am sufering from imbalance while i walking and standing few time,, please advice me and safe my life..i am very worried panicked and depressed this conditions. Please help me
Does anyone feel off when they close there eyes to sleep? I do the exercises but when i lay down to sleep i feel like the onset sensation of vertigo but when I open my eyes to check I’m not spinning.
Anyone experience anything similar?
yes i feel you. i just feel very off balanced throughout the day, my doctor says it bppv but nothing seems to help. especially when im going to bed i feel it way more. i just want to feel normal again
@@anaiahm27 I know exactly what you mean. I pray it all goes back to normal for you one day. Its not easy. I appreciate your reply.
This feels like hipster hippie BS.
It’s not, it’s vestibular therapy for neural circuit dizziness
I am 24 years old and I am suffering from PPPD and chronic vestibular migrain from past 5 years and it is continue. I am taking anti depressant medicines on a daily basis from past 5 years as doc has prescribed. Doc has told me that it is not curable and I have to take medicines. My life has become hell from past 5 years due to this and it is continuing. Today I saw this video. I am going to do these exercises....hope it will make my condition better.
Same here 😢