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Grounded | The Vestibular Podcast

Grounded | The Vestibular Podcast

By: Dr. Madison Oak PT DPT
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About this listen

 Vestibular Physical Therapist, and the founder of The Vertigo DoctorDr. Madison Oak, PT, DPT Hygiene & Healthy Living
Episodes
  • 97. Stress as a Vestibular Trigger

    97. Stress as a Vestibular Trigger
    Jul 22 2025
    One of the most stressful things to go through—is a move. Or building a brand new home and then moving into it. But that’s just one example of stress. And stress? That can wreak havoc on a vestibular disorder. This deep dive into stress, vestibular disorders, and migraine was inspired by this 2016 study I reference all the time. It reveals so much, which is great because this topic doesn’t yield a simple “yes” or “no” answer. In this episode, we’ll dig into: The “big 5” vestibular migraine triggers What stress actually is Common types of stressors What the Threshold or Bucket Theory is What VM triggers you can control When stressors trigger migraine attacks If stress is the root cause of migraine What you can do to reduce stressors Stress is not just mental—it’s physical, emotional, relational, environmental, sensory. And it matters a lot to vestibular disorders, migraine, and PPPD. So, is stress a migraine trigger? Tune in to find out. Related Episodes: Nervous System Regulation for VM Links/Resources Mentioned: Vestibular Group Fit (code GROUNDED at checkout!) Nervous System Regulation Study About Stress and Migraine More Links/Resources: ⁠The 4 Steps to Managing Vestibular Migraine ⁠The PPPD Management Masterclass⁠ ⁠What your Partner Should Know About Living with Dizziness⁠ ⁠The FREE Mini VGFit Workout⁠ ⁠The FREE POTS - safe Workouts⁠ ⁠Vestibular Group Fit (code GROUNDED at checkout for 15% off your first subscription cycle!) ⁠ Connect with Dr. Madison: ⁠@⁠⁠TheVertigoDoctor ⁠ ⁠@TheOakMethod⁠ ⁠@VestibularGroupFit⁠ Connect with Dr. Jenna @dizzy.rehab.therapist Work with Dr. Madison 1:1, Vestibular Rehabilitation Therapy Vestibular Group Fit Small Group Coaching (offered throughout the year, sign up for our email list to learn when!) Why The Oak Method? Learn about it here! Love what you heard? Reviews really help us out! Please consider leaving one for us. This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. ————————————— Stress as a vestibular trigger, vestibular disorders, stress response, stress relief, overstimulated nervous system, vestibular system, flexibility of nervous system, pliable nervous system, moving with vestibular disorder, migraine attacks, VM, migraine triggers, threshold theory, bucket theory, types of stressors, let-down migraine, stress feedback loop, PPPD
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    Less than 1 minute
  • 96. Nervous System Regulation for Vestibular Migraine

    96. Nervous System Regulation for Vestibular Migraine
    Jul 15 2025
    Most people think regulating their nervous system means being calm all the time or doing breathing exercises. It does not. Having a regulated nervous system is not about feeling calm all the time. It’s about how you are able to respond to difficult and new stimuli. Because that is a fact of life that’s not going anywhere! Nervous system regulation looks like a lot of different things depending on the person. We’re going to explore all the things you can do to have a more resilient and regulated nervous system. Your brain is overstimulated and overreacting to a lot of things. It is not your fault. But you can rewire your way out of VM. In this episode, we’ll dig into: What the nervous system is in charge of What the emotions thermometer is Why fight / flight / freeze is not a bad thing Why migraine attacks happen Why avoidance or elimination doesn’t solve the problem What true self-care is (with examples) How to rewire your brain with nervous system regulation It’s not just the symptom—it’s your nervous system’s response to that symptom that makes it feel like X, Y, Z is causing your life to fall apart. Emotions are not in our control. But we do have control over our thoughts much of the time. Remind yourself this can get better, that you do have a toolkit. Because being in the throes of a migraine attack is scary and unsettling. The ability—over time and with practice—to identify what you can do to regulate yourself and start to feel better allows your nervous system to become more flexible. Links from this episode: Vestibular Group Fit (code GROUNDED at checkout!) Nervous System Regulation Instagram Accounts Mentioned: @jenwellnesstherapy @lifewithmigraine @yourmigrainetherapist More Resources: ⁠The 4 Steps to Managing Vestibular Migraine ⁠The PPPD Management Masterclass⁠ ⁠What your Partner Should Know About Living with Dizziness⁠ ⁠The FREE Mini VGFit Workout⁠ ⁠The FREE POTS - safe Workouts⁠ ⁠Vestibular Group Fit (code GROUNDED at checkout for 15% off your first subscription cycle!) ⁠ Connect with Dr. Madison: ⁠@⁠⁠TheVertigoDoctor ⁠ ⁠@TheOakMethod⁠ ⁠@VestibularGroupFit⁠ Connect with Dr. Jenna @dizzy.rehab.therapist Work with Dr. Madison 1:1, Vestibular Rehabilitation Therapy Vestibular Group Fit Small Group Coaching (offered throughout the year, sign up for our email list to learn when!) Why The Oak Method? Learn about it here! Love what you heard? Reviews really help us out! Please consider leaving one for us. This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. ————————————— nervous system regulation for vestibular migraine, migraine attacks, VM, treating vestibular migraine, dizziness, stress response, improve balance, autonomic nervous system, migraine management, stress relief, survival mode, overstimulated nervous system, vestibular system, avoidance, perfectionism, burnout, chronic illness, fight, flight, fawn, freeze, somatic tracking, PEM
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    Less than 1 minute
  • 95. Guide to CGRP Medications For Treating Migraine Disorder

    95. Guide to CGRP Medications For Treating Migraine Disorder
    Jul 8 2025
    Today on Grounded: The Vestibular Podcast, we are talking all about CGRP medications. These are a class of drugs used to manage migraine attacks. Interestingly, people with migraine have a higher level of CGRP during migraine attacks, but also have a harder time breaking them down for whatever reason. In this episode, we’ll dig into: What CGRP medications are How CGRP medications work Generic names of CGRP medications How effective CGRPs are How CGRPs interact with Botox Will insurance cover CGRP medications What step therapy is and how to navigate it If a multi-pronged approach is still worth it Whether you’re newly diagnosed, still searching for answers, or supporting someone with VM, this episode was created as a resource for you. Tune in and discover if we’re fans of CGRPs over here… or not—and everything you need to know about these medications. Links/Resources Mentioned: Vestibular Group Fit (code GROUNDED at checkout!) More Links/Resources: ⁠The 4 Steps to Managing Vestibular Migraine ⁠The PPPD Management Masterclass⁠ ⁠What your Partner Should Know About Living with Dizziness⁠ ⁠The FREE Mini VGFit Workout⁠ ⁠The FREE POTS - safe Workouts⁠ ⁠Vestibular Group Fit (code GROUNDED at checkout for 15% off your first subscription cycle!) ⁠ Connect with Dr. Madison: ⁠@⁠⁠TheVertigoDoctor ⁠ ⁠@TheOakMethod⁠ ⁠@VestibularGroupFit⁠ Connect with Dr. Jenna @dizzy.rehab.therapist Work with Dr. Madison 1:1, Vestibular Rehabilitation Therapy Vestibular Group Fit Small Group Coaching (offered throughout the year, sign up for our email list to learn when!) Why The Oak Method? Learn about it here! Love what you heard? Reviews really help us out! Please consider leaving one for us. This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. ————————————— vestibular migraine, VM, CGRP medications, CGRPs for migraine, calcitonin gene-related peptides, migraine disorder, migraine attacks, preventative CGRP, acute CGRP, Aimovig, Ajovy, CGRP injections, Vyepti, Ubrelvy, oral CGRP, are CGRPs covered by insurance, step therapy, comprehensive migraine treatment
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    Less than 1 minute

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