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
