Ask Dr. Yo: which vestibular rehabilitation therapy VRT exercise should I do for my symptoms?

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  • Опубліковано 29 вер 2024

КОМЕНТАРІ • 77

  • @mindyli5974
    @mindyli5974 Рік тому +5

    hey dr.yo so i was wondering like sometimes theres a few days that go by when i feel fine and even mentally im like okay i know what this is its fine its just danger mode and prediction errors but then all of a sudden ill feel a sensation with stronger force and it scares me and puts me right back to the fear and becoming super conscious of any little thing again because the sensation was so strong and then i am constantly looking for and very cautious about what i am doing and the way my body moves. please help with this

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Hi Mindy, this is very common. I discuss this more in this video ua-cam.com/video/B1iQELBDYII/v-deo.html

  • @lolitamiranda4472
    @lolitamiranda4472 8 місяців тому +1

    How long should i do the exercises ,i felt better and i was-healed, thank you dr.yonit ,i’ did the exercises for a month 3times a day and 2 times for one week should i continue doing them?I also stopped taking my serc for the dizziness .They’re so helpful.Thank you a million times !Now i can do normal exercises ,zumba but i do them lightly ,not vigorously they’re low impact exercises ,i owe you my healing !

    • @TheSteadyCoach
      @TheSteadyCoach  8 місяців тому +1

      A full course of VRT is typically 8-12 weeks so it would be good to do them for at least that long! I am so happy to see your progress!!!

    • @veravera2452
      @veravera2452 8 місяців тому

      Hi @lolitamiranda4472 did you have a vestibular disorder? How long did you have it? And after exercised for 1 month? Were you back to 100% normal? I had VN For 1 month. And diD VRT for 2.5 weeks, sometimes i feel better, but every 2-3 days I still feel the room moving rotated for 3-8 seconds. Then makes me feel nauseous for 15-30 minutes.

  • @andreasoares-schwartz3846
    @andreasoares-schwartz3846 Рік тому

    Good evening. I just found your channel. I have been dizzy for over 25 years. I got in a car accident when I was high school. After that, I started to get dizzy. I have been to the ENT twice and I there is a test they do that blows hot and cold air in your ear. There is another test that actually puts cold and warm water in your ear. I do not like either of those tests. I have an appt with an ENT at the end of August. I am sure they will recommend either of those tests. Is there another way to test for vertigo or anything similar without doing those two things?
    I did not like how it made me feel. I am so happy I found your channel.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Hi there, this is a bit complicated but caloric testing (the hot and cold air) are usually not necessary tests. There are others that are actually much more sensitive to vestibular issues. Ask your doctor whether he or she has access to the alternatives.

  • @ritasimonetti8401
    @ritasimonetti8401 Рік тому +3

    Dr Yonit why do all the doctors prescribe VRT? Is that all they know, and or they are prescribing drugs!

    • @BlessedKarma10
      @BlessedKarma10 Рік тому +2

      Its all they know.

    • @christiangee942
      @christiangee942 Рік тому +1

      Good question.

    • @christiangee942
      @christiangee942 Рік тому

      ​@@BlessedKarma10surely let Dr steady coach answer that rather than answer so speculatively without evidence.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +2

      @blessedkarma9510 is 100% correct. Many of my viewers deserve honorary degrees in dizziness and know more than many doctors. Doctors think biomedically/structurally so they prescribe biomedical/structural solutions.

  • @susanp2349
    @susanp2349 Рік тому

    Thank you for all your videos. you, alone, have been most helpful to me and my pppd. I am feeling so much more confident returning to yoga. But now, I am questinging jumping on a rebounder (trampoline).. I tried it for less than 5 min, and I got dizzy, scared and felt a tinge in my neck and shoulders. Could this have been just anxiety, or is this type of exercise not recommend for me. I would appreciate your thoughts on this. Thank you so much

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +1

      Go for it!! Unless there is a physical medical reason not to do it, your brain is just responding to the unfamiliar with alarm. The best way to show it not to be alarmed is to go in and do it again- patiently and with outcome independence ("It's ok if I have symptoms. I can slow down or stop if I need to. But the symptoms are safe and I am safe.").

  • @fenomen1387
    @fenomen1387 Місяць тому

    Thank you for your Videos 🙏🏼. I have 1000 emotional/ psychological reasons for my symptoms and i just dont know how to address them and how to calm my nervous system. Any suggestions besides psychotherapy ( i already do) ? I know why or i suppose i know why, but it doesnt help me to move on .. the symptoms are still there :(

  • @kcallaway79
    @kcallaway79 Рік тому +3

    What about balance exercises? I have been dizzy over a year now and my balance is getting worse.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Worth having a PT evaluation if your balance is affected. Many people with neural circuit dizziness are worried about falling but rarely have actual balance issues.

  • @ritasimonetti8401
    @ritasimonetti8401 Рік тому +3

    Thank you Dr Yonit for validating what I suspected! You are my best dizzy guru

  • @dustintyson354
    @dustintyson354 Рік тому +4

    Just discovered you’re channel and very grateful that I did. Recently did a bunch of testing too finally find out I had a vestibular disorder. For years I was told I just had anxiety and took the medication but it never helped me. Thanks for what you do and for the education you provide. I felt utterly lost and hopeless barely left the house or lived a life. I’m just starting on this journey but feel like I can get too a better place if I keep at this. Once again thanks 🙏 newly subscribed

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      You can ABSOLUTELY get better! And no it is not just anxiety!! Welcome, Dustin.

    • @santsu8392
      @santsu8392 10 місяців тому

      This is what I'm told and I'm on SSRI. How did you fix your dizziness? What was the cause?

    • @dustintyson354
      @dustintyson354 10 місяців тому

      @@santsu8392 still battling trying too heal. Doing my best hope you can get better!

    • @santsu8392
      @santsu8392 10 місяців тому

      @@dustintyson354 so if it's not anxiety then I assume it's physical ailment? Probably has a cure to fix it? I'm on SSRI for years and never seen my dizziness get better.

    • @dustintyson354
      @dustintyson354 10 місяців тому

      @@santsu8392 I got off of ssri because they didn’t help and made me gain weight. No one has been able too figure it out yet 🤷‍♂️ been to a lot of doctors no one can explain my dizziness or neck pain. So far just been doing my best too follow this channel and apply it

  • @jillradovanovic3460
    @jillradovanovic3460 Рік тому +2

    Hi Dr Yonit
    So standing on a cushion with eyes closed to help with rocking isnt a good idea?

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +2

      If it helps you acclimate to it, manage fear and teach your brain this is safe, it’s perfectly fine to do it.

    • @jillradovanovic3460
      @jillradovanovic3460 Рік тому +1

      @@TheSteadyCoach thank you

  • @mikelamusic
    @mikelamusic 4 місяці тому

    @TheSteadyCoach Thank you for directing me to this video. My dizziness symptoms aren't as perpetually active as they once were, however, most of my other symptoms seem to have gotten louder. I know that you refer to it as symptom drift. Now it's mostly crushing fatigue, elevated heart rate, light headed, POTS-like stuff, etc... I don't do as many eyes exercises at neuro-rehab anymore, but mostly do body movement based stuff, jumping in place, vagal-stim, etc... I was told that I have either VM or PPPD. That said, if I'm dealing with POTS style symptoms without a formal diagnosis would you still recommend staying away from nuero-rehab exercises, and would you say that POTS-like symptoms and PPPD or VM can often go hand in hand? Thanks for your time!

  • @LovelyHomes-g3n
    @LovelyHomes-g3n Рік тому +2

    So do nothing?

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +2

      It’s probably worthwhile to watch the many videos on my channel in which I explain all the things you should do.

  • @PJG1710
    @PJG1710 10 місяців тому +1

    Hi, 12/2/23, discovered your channel again.. Thank you for doing these videos. Hope you can help me.. My situation: In August 2023, I had Sepsis, UTI and dehydration hit me all at the same time. Hospitalized for four days until they cleared up the UTI. Went home and the imbalance continued I used a walker for approximately 7 weeks until I regained my strength. Went to PT where they focused on strengthening and we did numerous balance and eye exercises. In MID november changed PT to a VPT and we concentrated on the eye movement exercises. Here is the rub... She will lay me down and turn my head to the left & right... I do NOT feel anything except slightly not normal when I sit up.
    Along those lines when I'm standing and move my eyes or head left to right no significant changes in my balance. When I move my eyes/head up and down... That's another story the imbalance issue is personified. I am not on any RX. Did take Meclizine initially it made matters worse, stopped for a few weeks. Then went back on when I felt it could help since I had gone past the initial dizziness/imbalance. Considering going back on????
    When I try to play golf, it's obvious my imbalance is a problem. So if anyone can suggest something or has had a similar experience, please feel free to comment. Sorry for the long comment, just frustrated. Never had to deal with anything like this. Not complaining, feel very fortunate in many ways.
    Some background Info: two issues, the left BPPV and right ear vestibular weakness.
    Assessment from my VNG testing:
    LEFT EAR
    Benign paroxsymal positional vertigo (BPPV). He shows an ageotropic nystagmus with head roll, larger rolling left. This is most consistent with horizontal canal cupulolithiasis/horizontal canal BPPV in the short arm of the canal and the bow and lean maneuver indicates this is impacting the LEFT EAR. We performed the Gufoni maneuver in an attempt to convert that to the long arm but subsequent head roll continued to show ageotropic nystagmus.

    RIGHT EAR
    Patient will likely benefit from work with a physical therapist to help clear the BPPV (perhaps starting with Gufoni for RIGHT EAR followed by log roll) as well as traditional vestibular adaptation exercises.

    • @TheSteadyCoach
      @TheSteadyCoach  9 місяців тому +2

      Hm, sounds like there was an initial vestibular insult, perhaps from the hospitalization. If the BPPV is resolved and there is no sign of ongoing vestibular damage, and you've been doing VRT for a while, adaptation should occur. If adaptation is not occurring (aka you're still dizzy and it's not getting better), it's worth considering that a neural circuit issue is contributing.

    • @PJG1710
      @PJG1710 2 місяці тому

      @@TheSteadyCoach Hi, thank you for the response... I start VPT this Friday, 7/12/24.. Also will have CDP to help put together a program to reduce/maybe eliminate my dizziness and imbalance.... Will keep you posted.

  • @jasongiles2518
    @jasongiles2518 6 місяців тому

    I have unilateral hypo function 23% right ear weakness what exercises should I do?

  • @ΑλεξάνδραΨαρρά-υ9ο

    What about the people that recovered only doing vrt?

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      I'm thrilled for them! This channel is for people who didn't or aren't.

  • @ariannesmakman5639
    @ariannesmakman5639 Рік тому +1

    Dear Dr Yonit... i want to thank u first..for all the videos and answers in my questions. You have helped me so much. Still...i'm not there yet..however i do.understand so much now what is going on. By now you know my main problem is being scared of symptoms itself. And i know this keeps me in the loop.
    I do live life almost fully.
    However, i am.not "living" like others. Mostly i am surviving still. Anyway...there is something i like to ask.
    I feel like i AM getting there...closer to the finish . .
    But... i just dont understand a few things.
    Last week, i drove my car on the highway 100 km an hour. For 1.5 hours. it was a while ago i did a trip at this distance & speed. I was so scared to go, afraid my brain and eyes would be in trouble with the speed and moving stuff around me. I did it 4 x last week!. The first time was SO difficult. Pressure, delay in my head and weird in my head all the time. The 2th time was better. 3th time was actually quite relaxed..And the 4th time really almost normal! But...walking and look around is really a problem! But, never the same! Some days its almost normal, most days i feel delay behind my eyes, and some days i feel terrible when walking and looking around, i feel.completely "lost" and unbalance because of this. I just dont understand how this works...But...i do think..
    If something was really not working un my brain...than it could not be possible i vould drive so good after 4 times?
    And..also if my brain is not working amymore than would it be possible that 1 day is almost ok and the next one is totally insane....would you have any idea how i can interpret this? Some days i get totally panic when i feel like looking around makes me feel so weird..but than, the same day when i go and walk the dog, and tell myself come on than bring it on and make the symptoms as worse as you can.. and lets see what will happen! And than...nothing really bad happens and i do feel a bit delay but not nearly as much as i did before on the same day😮...
    I am SO confused by these things...i WANT to go out, go on and challenge myself, my brain, my eyes...but i am also terrified that something is REALLY wrong when i do feel it so bad...Please dr Yonit...i wish i could have seen you in real.life and discuss all these weird things.. but if it would be possible i would LOVE your opinion on what is happening here with me...
    and...should i keep on trying to go on walking maybe even more to let my brain get used to this delay sensation?
    Right now i feel like almost not wanting to go outside...just to avoid the delay sensations that i than feel more...afraid to make it worse🥰

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Hi Arianne, thank you for trusting me in your journey. It is hard for me to answer individual symptom specific questions through this forum. Please consider my free course or my other services I offer for further support. thesteadycoach.com/free-course

    • @kelvin3763
      @kelvin3763 7 місяців тому

      I just saw this message of yours from 7 months ago. May i ask how you are now?
      I am just beginning trying to convince myself my delay is all anxiety. Its hard but i really believe this is the way forward.
      It still sounds scary to feel symptoms sometimes and not other times (feeling of no control probably ;) ), but to be honest thats what im looking forward to so much right now. It would be the first step into really believing i could fix this.
      I hope you you made a step forward since then ❤

  • @jasongiles2518
    @jasongiles2518 6 місяців тому

    Ur videos look awesome and are very interesting

  • @sagarsaha8145
    @sagarsaha8145 Рік тому

    I have dizziness over 6years.i feel dizzy,when walking more I feel more dizzy,crowded area make me more dizzy.moving object feeling me worsen.when i round a circle my dizziness is worsen and I feel falling unbalanced.when symptoms are worst then I take anti vertigo drug .can I do vestibular exercise to cure my problem?😊

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      You are not alone in how you are feeling. I would highly recommend taking my free course on healing chronic dizziness. All of my techniques and recommendations are condensed within this course thesteadycoach.com/free-course

  • @lonnekeoverboom2220
    @lonnekeoverboom2220 11 місяців тому

    So my vestibular system on the left side is not working properly after I got a virus in my ear almost a year ago. but I have been doing VRT for 2,5 months but the progress is small to almost none. Could it be neural circuit dizziness and should I stop doing VRT? I have had dizziness for years before I even had the virus but it has never been as bad as after the virus in my inner ear.

    • @TheSteadyCoach
      @TheSteadyCoach  11 місяців тому

      Hi Lonneke, although I am not able to medically advise you, it does sound like it follows the symptoms of NCD especially since you had dizziness before the virus. You may be interested in this video that discusses more if your dizziness is neural circuit dizziness: ua-cam.com/video/rtwNNaw7dqA/v-deo.html.

  • @theofilostzinikos3584
    @theofilostzinikos3584 11 місяців тому

    hello...my doctor told me that this is more neurophytic and that it comes from my anxiety...i have it for 4 months now.He gave me stedon 2mg for a month 3 times a day... do you think is a good idea? can i do exercises together?I asked him if I stop the medication, what happens next? it tells me you have to change character

    • @TheSteadyCoach
      @TheSteadyCoach  11 місяців тому

      Hi there! Medications can be very helpful when someone is really struggling with the anxiety side of things. What I would work on while you’re on the medication is learning ways of dealing with the anxiety and the stressors leading to the anxiety. I talk about this in depth in my course, it’s free, please take it if you haven’t already thesteadycoach.com/free-course

  • @madmax3171
    @madmax3171 Рік тому

    Hey! I have been told by my pt that I have bppv, I’m a boxer and I got a concussion in January and I’m still now suffering from bppv. Since it’s been lasting for so long is there a chance it might be pppd? I do get a bit dizzy a few hours a day but the worst symptoms is extreme nausea, which I do have some hours of a day.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Positional vertigo? Watch to find out if it’s BPPV, PPPD or something else (& learn what to do next) ua-cam.com/video/rAgTJ-qocCU/v-deo.html

    • @madmax3171
      @madmax3171 Рік тому

      @@TheSteadyCoachthank you! I’m new to your channel and I’m learning a lot. This really helps❤

  • @rachellucas5269
    @rachellucas5269 8 місяців тому

    Excellent!!

  • @lolitamiranda4472
    @lolitamiranda4472 8 місяців тому

    I tried the vestibular exercises but they made me more dizzy.

    • @TheSteadyCoach
      @TheSteadyCoach  8 місяців тому

      Yes, that's normal. ua-cam.com/video/yLY7MG7HBt0/v-deo.html

  • @philtansley-scales1049
    @philtansley-scales1049 Рік тому

    Thanks for the videos. Im 5 years in to this horrendous condition. I have unilateral vestibular hypofunction. I was never given a percentage of damage i was just told it was severe. I was discharged and that was that. I had a sudden attack of unsteadiness for a few seconds which calmed and then the unsteadiness set it. The really frustrating part is that over the past 5 years i have recovered. But then the exact same thing happens again. I get the few seconds of quite severe unsteadiness then i know for the next few months my life is going to be a living nightmare. I was wondering if youve heard of this repeating trigger sensation before? Thanks for your time x

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Yes, frequently, because neural circuits can be deactivated by stress. I’m sorry you’re going through this. This video will help explain ua-cam.com/video/y6UQmNSnVFo/v-deo.htmlsi=P4FhbTBUY3hRZ_6W

    • @SINDHUJITGANGULY
      @SINDHUJITGANGULY 11 місяців тому

      @@TheSteadyCoachdo you mean activated or deactivated ?

  • @DiamondForevah
    @DiamondForevah Рік тому

    Thank you again for another video dr. Yonit! With vrt i went from being bedridden to be functional but still with daily symptoms especially when im visually stimulated or strangely when i move my waist, like turning my head walking to see whats going on behind me. Now with my physio we do vrt to stimulate my triggers.. do you think its useless? Last week we did a new exercise to improve the waist turning problem but we went too hard and i was so fatigued for 3 days that i barely left the bed and slept a lot, because right now my main symptoms are extreme fatigue in my head and eyes when exposed to vestibular stimuli. Any advice? Thank you!

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +2

      VRT can be SUPER helpful when you have triggers that you are afraid of, and it’s normal to have VRT make you feel crappy at first. I wouldn’t give up yet.

    • @DiamondForevah
      @DiamondForevah Рік тому

      @@TheSteadyCoach thank you, I asked because you said you don’t have your clients do VRT anymore! It’s almost a year I’m doing it and certain positions, movements and activity still trigger me, so I wanted to ask if it’s helpful to still do it! Like it seems I can’t get rid of the turning waist issues or the visual issues

  • @vincentvega3747
    @vincentvega3747 9 місяців тому

    How do you address the danger mode??

    • @TheSteadyCoach
      @TheSteadyCoach  9 місяців тому +1

      It takes a course to explain this, it's a bit lengthy. The course is free. thesteadycoach.com/free-course

  • @audreypiguet7760
    @audreypiguet7760 Рік тому

    Possible translate in frensh please ?

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Hi Audrey, there is auto translation available by turning on subtitles and clicking the gear icon to select French.

  • @christiangee942
    @christiangee942 Рік тому

    I wonder what other vestibular experts would or do make of this ? Would they honestly agree when so many of them recommend and train rehab exercises ?

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому

      Many of their patients end up here because a biomedical approach and vestibular PT isn’t working. I would hope that the good ones would be open to the idea that addressing stress, anxiety, trauma etc rather than continuing to use exercises that aren’t working is worth trying.

    • @christiangee942
      @christiangee942 Рік тому +1

      To me you are too easily dismissing the benefit of good quality vestibular PT. There have been plenty of stories of people finding a really good skilled and knowledgeable therapist and getting much better.

    • @christiangee942
      @christiangee942 Рік тому +1

      @@TheSteadyCoach What studies have evidenced your approach as being more successful ?

    • @anaareasfodor
      @anaareasfodor Рік тому +1

      @@christiangee942 She is not being dismissive. You're being overly confrontational and even rude. She has a lot of success with patients who end up here because they DON'T have good therapists or their cases are deeper, and all you need to do is watch her content to see she is based in science but views many of the cases as being better treated with a bio-psycho-social framework. Now what on earth is wrong with that? For people like me who don't have many resources she's the one who's gotten us feeling much better , knowing how to use our visits to get the most out of them. I as a patient often have not found support that was adequate. Just to give you an example, a neurologist ordered an MRI and his office never called back. An ENT nurse read the results for me and couldn't believe the neglect.
      I've been dealing with mainstream docs my whole adult life and yes I am going to tell you, *I'M* fed up.
      All Dr. Yo may ever show is a tad bit of frustration. there is a waiting list to work with her, individually, and her courses are totally free.
      So what the ISSUE against her is baffles me. I don't understand this aggressive attitude.

    • @christiangee942
      @christiangee942 Рік тому +1

      ​​@@anaareasfodorIs it confrontational and aggressive to question something ? No. Why would you fear someone asking to validate something ?

  • @BlessedKarma10
    @BlessedKarma10 Рік тому

    Yes makes so much sense. Thankyou

  • @santsu8392
    @santsu8392 10 місяців тому

    Can cervical spondylitis be a cause for NCD?

    • @TheSteadyCoach
      @TheSteadyCoach  10 місяців тому

      NCD by definition doesn't have a physical tissue damage cause. However, often neck issues are blamed for dizziness even when they're not actually causing it. ua-cam.com/video/uTSbc-DSSp8/v-deo.html

  • @MICHIGANGIRL4TRUMP
    @MICHIGANGIRL4TRUMP Рік тому

    They Prescribed VRT for me, and it was a waste of money. And during that they prescribed Zofran. But I never took it. I don’t take medication I don’t even take Tylenol or Advil. I’m strict keto/carnivore. Have been for many years. I think they were a one-size-fits-all, and that’s why it didn’t work.

    • @TheSteadyCoach
      @TheSteadyCoach  Рік тому +1

      Yes, unfortunately, sometimes this is their approach.

    • @MICHIGANGIRL4TRUMP
      @MICHIGANGIRL4TRUMP Рік тому

      @@TheSteadyCoach your exercises... I have completed 5 so far. I'm already learning to use it as a tool throughout my day.
      One thing I noticed ALREADY during your somatic tracking exercises is that when you are guiding us to "know that we're just finding information" that it's okay that to follow that sensation or sensations to learn more about it... I'm having a hard time getting a grip on it!! ❤️ You were saying follow it but it wasn't there no matter how hard I tried to provoke it.
      Hoping that's a good thing?

    • @MICHIGANGIRL4TRUMP
      @MICHIGANGIRL4TRUMP Рік тому

      @@TheSteadyCoach also, if I have a favorite exercise is it okay to practice that specific exercise more often than others? Or is it better for the brain by using a variety of exercises?