Talk Dizzy To Me

Differential Diagnosis Demystified: Dizziness, Tinnitus, and Hearing Loss Explained

Talk Dizzy To Me

Show Notes

In this episode of Talk Dizzy to Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT are joined by Dr. Ben Shaw, a London-based consultant audiovestibular physician specializing in dizziness, vertigo, balance disorders, tinnitus, and hearing loss.

Dr. Shaw explains how he evaluates patients with vague, recurrent, or chronic dizziness and why understanding the timing, triggers, and associated symptoms is essential for reaching the correct diagnosis.

The conversation discusses various vestibular conditions, including Benign Paroxysmal Positional Vertigo (BPPV), vestibular migraine, Ménière’s disease, vestibular neuritis, labyrinthitis, Persistent Postural-Perceptual Dizziness (3PD/PPPD), and Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome (CANVAS).

The episode also includes an in-depth discussion of tinnitus. Dr. Shaw explains why tinnitus is a symptom rather than a diagnosis and presents a holistic approach to tinnitus management.

Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT

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This episode is for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare provider for diagnosis and treatment. The views expressed by guests are their own and do not necessarily reflect those of the hosts.

Time Stamps 00:15 Meet Dr. Ben Shaw 01:34 Audiovestibular medicine explained 02:53 Evaluating dizziness 06:12 The vestibular examination 07:59 When additional testing is needed 08:55 Central red flags 10:23 Vestibular migraine and PPPD 11:49 Vestibular neuritis 12:19 Ménière’s disease 13:44 Neuritis vs. labyrinthitis 16:04 Understanding tinnitus 18:27 Managing tinnitus 20:46 CBT, mindfulness, and habituation 22:39 Tinnitus red flags 23:07 Sudden hearing loss 24:28 Pulsatile and unilateral tinnitus 25:28 Complex dizziness cases 25:58 CANVAS syndrome 27:53 Vestibular migraine and anxiety case 29:21 Treating migraine before vestibular rehab 31:19 Advice for clinicians 34:41 What patients should know about vertigo 36:04 Vestibular suppressant medications 37:03 Preventing vestibular migraine 37:56 Connect with Dr. Ben Shaw 39:21 Closing thoughts

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