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ANPPPD — persistent postural perceptual dizziness — There is a way out of PPPD! I battled it for years! Recovery course in my bio 🤍 #pppd #vm #vestibular #vestibularmigraine #vertigo
@anxietyrecoveryemilee
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THPPPD vs. cervicogenic dizziness 💫
Not all dizziness comes from the same system… This is why treating the wrong one can keep you stuck.
PPPD (Persistent Postural-Perceptual Dizziness)
This shows up as daily dizziness and feeling worse when you move, turn your head, or walk through busy environments.
In PPPD, the brain relies too much on vision for balance instead of body and inner ear input.
That mix-up makes the world feel weird, even if it’s not spinning.
That’s why these exercises use eye tracking and head movement.
They help teach the brain how to use the eyes and body together again so balance feels steady.
Cervicogenic Dizziness
This kind of dizziness often comes with a stiff or sore neck.
Your neck has sensors that tell your brain where your head is.
If those sensors aren’t working well, your the neck sends unclear or distorted messages to the brain…
So the brain gets confused and you feel dizzy.
That’s why these exercises focus on the neck and posture.
When the neck sends clearer messages, balance gets better.
#doctoradvice #pt #dizziness #dizzy
@the_balance_blueprint
68.0K
COI have helped hundreds of people in their chronic dizziness recovery journey
The steps aren’t complicated, but they do require you to commit.
If you want the blueprint and someone to walk you through it, comment: HEAL and I’ll show you how. 🫶🏼
#pppd #mdds #chronicdizziness #dizzinessrelief #vestibularmigraine
@conscioushealing.uk
2.6K
TH#pppd #3pd #persistentposturalperceptualdizziness #vestibular #dizziness
@thedizzypt_amy
24.1K
THComment PPPD below!!
#vestibularmigraine #pppd #vestibularmigraines #migraine #bppv #vertigosucks #neuroplasticity #vestibulardisorder #nervoussystemregulation #menieres
@thevertigodoctor
3.0K
THTesting for PPPD#dizziness #PPPD #vestibular #anxiety
@the_neuro_muscular_clinic
16.0K
REPPPD recovery is possible. 🎉
We have been chatting a lot about PPPD lately
And honestly, all of the learning I have had from our fellow community members that have helped me in many ways, including supporting through this case.
Imagine having a team to reach out to that can help you get someone better in just 5 visits. And not only that—the person who had trouble going to the grocery store is now doing aerial arts.
Wow!🤩
This is the power of the community!
Our Brain Bytes community is THE interdisciplinary community of neuroscience loving, big hearted and trailblazing therapists supporting one another in the most complex cases. We have therapists share their cases 24/7 in our private community and get all of the input and feedback! So if you are struggling with a tough case, join us today and get immediate feedback! (Like literally, share your case with us today—and get the whole team commenting and helping!)
Our doors close Thursday—we can’t wait to welcome you to the community!
Comment Brain Bytes below, I’ll send you the link!
#physiotherapy #physicaltherapy #physicaltherapist #physicaltherapystudent #occupationaltherapy #speechtherapy #speechtherapist #psychology #psychologist #onlinelearning #mentoring #community #pppd #fnd
@reactivept
161.7K
THPersistent Postural-Perceptual Dizziness (PPPD) is a chronic dizziness disorder where the brain becomes overly sensitive to motion, posture, and visual stimuli.
It’s one of the most common causes of long-lasting dizziness, yet many patients go months before getting the diagnosis.
What PPPD feels like
Unlike vertigo, PPPD usually does NOT cause spinning.
Patients often describe:
• Feeling rocky, swaying, or like they’re on a boat
• Constant or daily dizziness lasting >3 months
• Worse when standing or walking
• Worse in visually busy environments (grocery stores, crowds, scrolling screens)
• Symptoms triggered by head movement or motion around them
What triggers PPPD
PPPD usually starts after another event affecting balance, such as:
• Benign Paroxysmal Positional Vertigo (BPPV)
• Vestibular neuritis
• Labyrinthitis
• Concussion
• Severe panic or anxiety episode
The original problem improves, but the brain remains stuck in a hyper-alert balance state.
Key diagnostic clues
Providers start thinking about PPPD when:
• Dizziness lasts >3 months
• Symptoms are present most days
• Worse when upright, moving, or visually stimulated
• Neurologic and ear exams are usually normal
Treatment
The goal is retraining the brain’s balance system.
Evidence-based treatments include:
• Vestibular rehabilitation therapy
• Gradual exposure to motion/visual triggers
• SSRIs or SNRIs in some patients
• Managing underlying anxiety or vestibular hypersensitivity
The good news
PPPD is very real and very treatable.
Once recognized, most patients improve significantly with the right therapy.
#pppd #vestibulardisorder #healthconditions #nurse #nursepractitioner
@thejohnhongkim
4.3K
SRPart #1 of symptoms: along with my regular content, I’ve been sharing some reels to create vestibular migraine awareness. this page on instagram has the prefect way of showing what exactly people like me go though during a vestibular migraine attack and sometimes even without an active attack because our bestie PPPD is stuck to us 🫶🏻
#vestibularmigraine #vestibularmigraines #pppd
@srl_irl
15.6K
MOI’m Dr. Sina, chiropractor/global complex case consultant.
PPPD (persistent postural-perceptual dizziness) is real. The problem is how often it becomes a catch-all label, and the workup stops.
I see it constantly: chronic dizziness gets labeled “PPPD,” the plan becomes symptom coping for years (vestibular rehab, vision therapy, pacing, maybe meds), and if the patient plateaus everyone acts like the story is over. Plateau is not the end. Plateau is a diagnostic event.
PPPD is criteria-based. If the classic pattern is not clear (symptoms most days for months, reliably worse with upright posture, motion, and visually busy environments, usually after a precipitating event), I do not accept it as the primary explanation. “Normal” vestibular tests also do not automatically equal PPPD.
Here’s the blind spot: many persistent dizziness cases are not “just vestibular” and not “just psychological.” They are neck corridor cases.
When I say “cervicogenic dizziness,” I’m not only talking discs and joints. I’m talking the neck corridor as a systems hub:
• mechanics and proprioception (head-on-trunk input)
• spinal cord and brainstem signaling (myelopathy patterns can present without neck pain)
• arterial inflow and venous outflow patterns (positional intolerance matters)
• nerve tension and thoracic outlet syndrome patterns (NTOS/VTOS style compression)
• airway and breathing mechanics (sleep, CO2 tolerance, autonomics)
• upper aerodigestive factors (throat, reflux patterns) that keep the system irritated
Practical cues I refuse to ignore:
1. Dizziness reproducible with specific cervical positions.
2. Any abnormal neuro finding (gait change, reflex asymmetry, long-tract signs).
3. Symptoms that spike with head rotation/extension, or with sustained overhead arm use.
4. The “PPPD” patient who has done everything and still is stuck.
I just wrote up a case where a PPPD diagnosis persisted for years, until a full exam and systems screen exposed the real driver. I’m keeping the specifics inside the article because the reasoning process is the lesson.
Full Root Cause Breakdown is live in Movability Masterclass on Substack. The link is in our bio at the top of the page.
@movability
3.7K
DRNew study on PPPD risk factors! VISUAL CORTEX SENSITIVITY!
Previously, we knew that history of anxiety, body vigilance, and negative illness narrative put someone at risk for developing PPPD. This study for 2022 shows that those with PPPD and even people in the general population with “some PPPD-like symptoms” are more likely to report discomfort of looking at a static image that deviates from what we might see in nature (i.e., a grocery store). Researchers hypothesize that individuals with a predisposition to an over-active visual cortex might put someone at risk for developing PPPD, though more research needs to be done.
TL;DR: there’s a part of your brain called the visual cortex. This study finds that if your visual cortex is predisposed to being “overwhelmed,” you might be more likely to develop PPPD.
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. Powell, G., Penacchio, O., Derry-Sumner, H., Rushton, S. K., Rajenderkumar, D., & Sumner, P. (2022). Visual stress responses to static images are associated with symptoms of Persistent Postural Perceptual Dizziness (PPPD). Journal of vestibular research : equilibrium & orientation, 32(1), 69–78. https://doi.org/10.3233/VES-190578
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I’m so thankful to be part of this community and love engaging with you all! However, with the growth of my private practice, it’s become difficult for me to respond to all comments and DMs. As such, I am opening limited availability for those in PSYPACT states who want to meet with me as a one-time consultation (rather than ongoing therapy) in my private practice, The Vestibular Psychologist. If you’re interested, complete the form at www.thevestibularpsychologist.com. Thank you!
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Disclaimer: This is not therapy and does not replace therapy. Interacting through this medium does not constitute entering into a therapeutic relationship. This is for educational purposes only and is not intended as medical advice nor to diagnose or treat any medical condition.
#neuroscience #vestibular #vestibulareducation #dizziness #vertigo #dizzinessexperts #vestibularpsychologist #vm #vestibularmigraine #pppd #3pd
@dremilykostelnik
1.9K
PPTravelling in a crowded train has been one of my biggest fears. After getting PPPD, I avoided trains completely for the past five years. But recently, I travelled for two days in a row with no issues. I felt the fear, but I controlled it and tried not to give any attention to the anxiety. After some time, everything felt normal. Today, I even stood in a crowded train for one straight hour. I’m proud of that.
This may be a normal task for many people, but for someone with PPPD, it’s a big achievement and a real step toward overcoming fears.
#pppd #vertigo #dizziness #earbalance #migraine
@pppd_vertigo
✨ Guida alla Scoperta #Pppd
Instagram ospita 125K post sotto #Pppd, creando uno degli ecosistemi visivi più vivaci della piattaforma.
#Pppd è uno dei trend più coinvolgenti su Instagram in questo momento. Con oltre 125K post in questa categoria, creator come @thejohnhongkim, @conscioushealing.uk and @thevertigodoctor stanno guidando la strada con i loro contenuti virali. Esplora questi video popolari in modo anonimo su Pictame.
Cosa è di tendenza in #Pppd? I video Reels più visti e i contenuti virali sono in evidenza sopra.
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🔥 #Pppd mostra alto potenziale di engagement - posta strategicamente negli orari di punta
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Esplorare Pppd#pppd support groups online#pppd treatment options 2026#pppd symptoms#pppd and migraines connection#living with pppd#pppd symptoms and causes#pppd treatment centers near me#pppd maladie