Dizzy Diagnostics

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Baton Rouge, LA
Dizzy Diagnostics

Evidence-based resources for assessment and treatment of the vestibular system. NOT medical advice.
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All exercises should be performed under the supervision of a qualified clinician. We are Sara and Sydney, two physical therapists with a combined 20 years of experience working with patients with vestibular disorders. With a shared passion for vestibular rehab, we aim to equip fellow clinicians with evidence-based resources to provide high quality care to patients with vestibular disorders.

02/14/2026

We’re Sydney & Sara — vestibular physical therapists who have worked together for a decade in a specialized neurotology practice.

Sara’s path into vestibular education actually started in neuro rehab. Early in her career, she worked in an inpatient stroke unit and quickly realized how under-addressed vestibular dysfunction was in that population. The overlap between neurologic rehab and vestibular dysfunction pushed her to pursue deeper training in dizziness and balance.

That clinical work eventually led her to teaching vestibular courses… which then grew into founding Advanced Neuro Therapy Education — a company dedicated to making high-level vestibular concepts practical for everyday clinicians.

Fun fact: Sydney was actually Sara’s student in PT school!

What started as clinical instructor/student → evolved into coworkers → course instructors → business collaborators.

Our mission is simple: Make vestibular education evidence-based, clinically practical, and actually understandable, so clinicians feel confident instead of intimidated.

If you’re here to sharpen your diagnostic reasoning and feel more systematic with dizzy patients, you’ve found the right place.

We’re really glad you’re here. 🤍

02/11/2026

We had the BEST time chatting all things vestibular with Dani & Abbie from 🎙️

We dove into a practical, real-world approach to managing BPPV (yes, even the messy multicanal cases), vestibular neuritis, and VM/PPPD.

If you want the full conversation and pearls you can use in clinic…

Comment PODCAST and we will DM you the link 💬

Also, don’t forget to give a follow!

02/03/2026

When vestibular rehab and Mardi Gras collide 💛💚💜

always gifts course participants a little bag of 3D printed otoconia.. but this time we thew them out carnival style because, well… Louisiana 🙂

01/31/2026

In person, hands-on courses - our favorite part of this whole gig. Looking forward to a great weekend teaching PTs and OTs about vestibular therapy!

Thank you to for hosting us 🙂

01/30/2026

Multi canal BPPV: should you treat both sides in one visit?? The great debate!

A 2022 systematic review and meta-analysis (Alfarghal et al.) looked at treatment outcomes in multi-canal BPPV. Across studies, ~6-20% of BPPV cases involved more than one canal on the same side, so this isn’t rare.

What stood out:
🌀 Multi-canal BPPV often needs more repositioning maneuvers
🌀 It’s less likely to fully resolve in one visit
🌀 It has a higher recurrence rate than single-canal BPPV

The key clinical nuance:
➡️ Multiple canals on the SAME side: treating more than one canal in a single visit is supported when done thoughtfully, usually starting with the most symptomatic canal.
🚫 Bilateral BPPV: generally not recommended to treat both sides in the same session due to symptom burden and tolerance.

Bottom line is there’s no “one-canal-per-visit” rule. just use good assessment skills and clinical reasoning to make the best decision for your patient.

Save this for the next time you see multi-canal BPPV 👀

01/13/2026

Your interpretation of eye movements drives:
👉🏽 your diagnosis
👉🏽treatment strategies
👉🏽clinical decision making

Are you comfortable with doing and interpreting a full oculomotor assessment? What areas do you want to improve?

01/08/2026

Oculomotor testing gets a lot easier when you stop to ask the right questions

When you ask:
🧠 👂🏽 What part of the vestibular system am I testing?
You’re linking the eye movement to anatomy ->brainstem, cerebellum, or peripheral organs.

What would a peripheral finding look like?
👂🏽 Peripheral vestibular findings tend to follow predictable patterns. I.e. a right vestibular hypofunction will show abnormal head impulse test on right with a left beat spontaneous or gaze nystagmus (acutely).

What would a central finding look like?
🧠 Central findings don’t always follow rules. They can be direction changing, vertical, or generally inconsistent. I.e. direction changing or down beat nystagmus with gaze.

This is why interpretation matters more than memorization. We’ll keep sharing more on how to make sense of eye movements as we go!

01/01/2026

We met goals we didn’t even know we had.
What an incredible year 🤩

2025 was a year of surprises.

Somehow this year included teaching courses, speaking at national and international conferences, working with DPT students, helping a whole lot of patients, and learning constantly from some really amazing colleagues along the way.

Feeling very grateful to be surrounded by supportive people in this field and to keep learning from those who challenge and inspire us.

Special shoutout to these colleagues who we are lucky enough to learn from and/or collaborate with

Address

Baton Rouge, LA

Website

https://www.advancedneurotherapyed.com/

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