Author | Lightnews

Vestibular First @vestibularfirst.bsky.social · 2d

Good question. Tachycardia is not a primary or diagnostic symptom of vestibular migraine, but it certainly can occur for some people during a vestibular migraine episode. POTS is also a common coexisting condition.

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Vestibular First @vestibularfirst.bsky.social · 3d

What's your go-to maneuver for posterior canalithiasis (long arm) BPPV? v1st.co/Summit25 for a brilliant multi-topic coverage of essential physio insights for hospital/emergency department care - don't miss it! #bppv #vestibular #emergencymedicine @theeddpt.bsky.social

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Vestibular First @vestibularfirst.bsky.social · 5d

What meds may or may not suppress the nystagmus we rely upon to help diagnose BPPV? Meclizine is not recommended as per the clinical practice guidelines for BPPV, for example. Ready to have fun? v1st.co/PPS25 to join us at the PT Private Practice Section conference in Orlando this November! #bppv

Vestibular First @vestibularfirst.bsky.social · 8d

How can we help decrease sensitivity to visual patterns/motion? In addition to training increased use of proprioception, here are great ideas! v1st.co/JT25 to register for an upcoming Journal Club on treating oculomotor issues after mild TBI with the brilliant Dr. Jacqueline Theis. #concussion #tbi

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Vestibular First @vestibularfirst.bsky.social · 10d

We need your help - are there TWO maneuvers both called the Reverse Epley? Which if any did you learn? v1st.co/bppvMN to register for an awesome in-person (not virtual and not recorded) intermediate BPPV course in January 2026 in St. Paul, MN! #bppv #vestibular

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Vestibular First @vestibularfirst.bsky.social · 12d

Are there any contraindications to BPPV testing? Learn more about BPPV testing - check out v1st.co/freeLDH for a free info page on the very helpful updated option of Loaded Dix Hallpike by Dr. Jeff Walter et al. (2020). #bppv #vestibular

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Vestibular First @vestibularfirst.bsky.social · 15d

In honor of National Physical Therapy Month: Enter to win our giveaway of 1 free registration (virtual or in-person) to the intro/intermediate level multi-disciplinary Iowa Vestibular Symposium on January 17-18, 2026. v1st.co/IVS25 to learn more and to enter to win! #vestibular #ptmonth

Vestibular First @vestibularfirst.bsky.social · 16d

🍎🧑‍🍳 Dizzy in the kitchen with frequent turns to get ingredients and cooking tools?

1️⃣ 2️⃣ 3️⃣ Here is a simple (video is sped up for quick viewing) activity to train turn tolerance, along with a dual task of keeping track of colors. #vestibularrehabilitation #vestibular #physiotherapy

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Vestibular First @vestibularfirst.bsky.social · 17d

How do you know a BPPV maneuver worked? Number 1: Positional nystagmus resolved upon re-test (recommend 10 minute rest first) of positional testing such as Dix-Hallpike. Check out a wonderful PT job opportunity at Sandpoint PT - call 208.265.0610 option 1 to learn more and apply! #bppv

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Vestibular First @vestibularfirst.bsky.social · 18d

💈🪩 🚗 Dizzy when viewing moving vehicles or moving patterns/lights? Here's a handy treatment idea to use equipment that many homes and clinics already have (playing cards and a treadmill!) to work on decreasing sensitivity to visual motion. #vestibularrehabilitation #physiotherapy

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Vestibular First @vestibularfirst.bsky.social · 19d

Do you see light sensitivity with vestibular migraine? v1st.co/dizzycook for a great article on optical tint lens options, and v1st.co/BB25 to learn more about a fantastic upcoming online guided chronic dizziness care program led by Dr. Emily Kostelnik. #vestibularmigraine #neuropt

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Vestibular First @vestibularfirst.bsky.social · 22d

Please join us in congratulating Sonia Vovan, PT, who referred several clinicians to our products to earn points thru our Rockstar Rewards program. Sonia choose to use her points to donate to VeDA. v1st.co/rewards to join our Rewards Program today! #vestibular #physiotherapy

Vestibular First @vestibularfirst.bsky.social · 23d

🚂🎾🪾 Dizzy cleaning up toys, picking up a ball, or clearing sticks from your yard?

⬇️⬆️ Here are paced ideas for reducing sensitivity to self-motion. Adjust speed/duration of activity to avoid elevating symptoms by more than 2 units from baseline. #vestibularrehabilitation #vestibular #physiotherapy

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Vestibular First @vestibularfirst.bsky.social · 24d

Want to use the most powerful tools in vestibular rehab? For those with unilateral vestibulopathy, gaze stability (VORx1) still wins, but surprisingly, proprioception influences VOR more than otoliths. Email [email protected] for a great vestibular PT job in northern Idaho! #ptjobs #vestibular

Vestibular First @vestibularfirst.bsky.social · 25d

BBQ/Lempert/log roll.💡 Did you know? Horizontal or lateral canal BPPV accounts for approximately 15-46.3% of all BPPV cases (Bhandari et al., 2023; Cakir et al., 2006).
🕊️ Gentle and paced, for those who are more symptomatic.
🛟 Relatively effective at 74-85%.
🔁 Can end where started positionally.

Vestibular First @vestibularfirst.bsky.social · 26d

Want to decrease risk of canal switch in BPPV? Be sure to wait 10 minutes and avoid supine positioning immediately after a maneuver! v1st.co/musc25 for a fantastic upcoming in-person or virtual vestibular conference, hosted in beautiful Charleston, South Carolina! #bppv #vestibularrehab

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Vestibular First @vestibularfirst.bsky.social · 29d

🌲 🥾 Dizzy when hiking or walking on uneven sidewalks in your neighborhood? Here is some practice negotiating uneven surfaces with vestibular rehab activities.

Now, let’s get back outdoors! #vestibularrehab #vestibular #naturewalk

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Vestibular First @vestibularfirst.bsky.social · Sep 25

Can downbeat nystagmus from brain issues be treated? It's international Ataxia Awarenesss Day, and persons with ataxia may have downbeat nystagmus as a feature, creating double or blurred vision among other issues. v1st.co/downbeat to learn more! #IAAD #ataxia #downbeat #nystagmus #vestibularrehab

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Vestibular First @vestibularfirst.bsky.social · Sep 24

Looking for a flexible physical therapist job in suburban Philly? Email [email protected] to learn more - orthopedic, sports, and wellness-focused care, with opportunities to provide or learn vestibular/balance care if desired! #ptjob #physicaltherapist #privatepracticept #physicaltherapyjobs

Vestibular First @vestibularfirst.bsky.social · Sep 22

Don't miss a FREE online event (register v1st.co/vert25) on #vestibularrehab, tech and more, with speakers such as Drs. Michael Schubert, Danit Macklin, Dara Meldrum, Helena Esmonde, + ENT Matthew Crowson, plus tech gurus Mark Berry + Patrick Esmonde. See you Wed, October 1, 9 AM to 130 PM EDT!

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Vestibular First @vestibularfirst.bsky.social · Sep 19

Why isn't vestibular rehab working? Check out this post for possible reasons as well as a free Dizziness Handicap Inventory pdf resource at v1st.co/freeDHI. Also, it's Balance Awareness Week, so don't forget to join the v1st.co/DizzyBat challenge! #vestibularrehab #balanceawarenessweek

Vestibular First @vestibularfirst.bsky.social · Sep 18

🚧🚦 Dizzy or off-balance while walking over uneven surfaces (pavement can be so uneven!) and crossing the road? Treatment ideas incoming!

💃🏻It’s Balance Awareness Week, so visit v1st.co/DizzyBat to join the Dizzy Bat Challenge.

#balanceawarenessweek #vestibularrehab #balancetraining

Vestibular First @vestibularfirst.bsky.social · Sep 18

Tonight (Thursday, September 18) is the launch of our September Journal Club with the excellent Dr. Enrico Armato. v1st.co/EA25 to register and you're entered to win an awesome vestibular model. Watch at 7 PM Eastern or anytime after - it's recorded and will be on our YouTube channel! #vestibular

Vestibular First @vestibularfirst.bsky.social · Sep 17

Vestibular migraine does NOT require headache! Shout it from the rooftops, check out these key vestibular migraine facts, and learn more at v1st.co/migrainetips. Also, it's Balance Awareness Week, so please join the v1st.co/DizzyBat challenge! #vestibularmigraine #balanceawarenessweek

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Vestibular First @vestibularfirst.bsky.social · Sep 16

Join us in recognizing Balance Awareness Week! If you or a colleague needs new infrared video goggles, get a free box of customizable face cushions for use with the goggles via coupon code CUSHION-BAW25. Let's help even more people with dizziness or imbalance! #balanceawarenessweek #vestibularrehab

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