Dizzy Diagnostics

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.

Your interpretation of eye movements drives:👉🏽 your diagnosis👉🏽treatment strategies👉🏽clinical decision makingAre you com...
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









What’d we miss?! What are YOU leaving behind this year?Happy new year to all of you!
12/30/2025

What’d we miss?! What are YOU leaving behind this year?

Happy new year to all of you!

12/18/2025

Anyone else decorate their clinic tree with otoconia and vestibular models? 🤩🎄👂🏽

We love a festive opportunity to highlight our favorite vestibular models from

12/11/2025

Surface training is one of the simplest and most effective ways to help your patients learn to trust their vestibular system again!

When we teach this, we start by breaking down the three balance systems and how each one shifts depending on the surface or situation. Once patients understand why uneven or compliant surfaces challenge proprioception, they immediately see the value in up-weighting the vestibular system.

And if you want the exact visual we use to explain this?

✨ We made it a FREEBIE.
Comment “balance” and we will send you a link to the handout with our go to vestibular and balance graphic.



*Please note that all content posted by is for educational purposes only and is not to be used as medical advice. This platform is designed to serve as a resource for healthcare professionals. assumes no responsibility for any misuse or reliance on the information provided on this page.

Ever notice how many surfaces you walk on each day? We usually breeze right over them without much thought. But if your ...
12/10/2025

Ever notice how many surfaces you walk on each day? We usually breeze right over them without much thought.

But if your vestibular system isn’t pulling its weight and you add a proprioceptive challenge, suddenly even simple surfaces feel difficult.



*Please note that all content posted by is for educational purposes only and is not to be used as medical advice. This platform is designed to serve as a resource for healthcare professionals. assumes no responsibility for any misuse or reliance on the information provided on this page.

12/05/2025

Practicing balance on different surfaces is a key part of vestibular rehab because daily life rarely happens on perfectly flat floors.

Uneven, compliant, or unpredictable surfaces challenge the vestibular system in ways that carry over to real movement in real environments. Think:
⛳️grass
🪨gravel
🏝️sand
🏠carpets
🚶sidewalks

Training across these variations helps patients improve sensory integration, confidence, and stability during everyday activities like walking in the yard, at the park, around the house, or in busy community settings.

We also love to use towels or pillows for surface training. Give us your ideas below!!!

12/03/2025

Trying to summarize a complex positional case into a quick reel is TOUGH 🥴

There are details that aren’t included for the sake of time and simplicity, so if you have any burning questions drop them below!

11/29/2025

Our two passions:
✨ Helping patients navigate vestibular disorders
✨ Helping clinicians master vestibular rehab

For 14 years I’ve primarily taught in-person courses… but we’re expanding to make vestibular rehab accessible no matter where you live.

We’re running a FLASH SALE on our online courses for Small Business Saturday.

Comment “course” for the links + 25% off 🎉

1️⃣ Foundations of Vestibular Rehab
New to vestibular therapy (or haven’t touched it since grad school)? This 1-hour course breaks down anatomy, physiology, differential diagnosis, testing, and treatment in a clear, practical way.

2️⃣ Current Concepts in BPPV
You’ve done the Epley… but do you fully understand why? This 3-hour course is your “aha” moment for positional dizziness, packed with graphics and video demos.

3️⃣ Mastering the Spin: Assessing Acute Dizziness
Sudden-onset dizziness can be intimidating. Learn the clinical skills to differentiate benign peripheral causes from concerning central ones with confidence.

‼️Sale ends 12/2/25
Comment “course” to get the links + 25% off

Let’s talk — What are your favorite resources for vestibular therapy? Share below! 👇
11/26/2025

Let’s talk — What are your favorite resources for vestibular therapy? Share below! 👇

11/25/2025

To be completely honest…. We are posting this because we hear WAY too many horror stories from patients about how the Epley did not help them or made them worse. So let’s breakdown why 👇

The Epley maneuver is a mechanical treatment that moves dislodged crystals out of the posterior semicircular canal and back to the utricle.

It is highly effective for posterior canal BPPV!

‼️BUT… It does not treat other vestibular disorders. The crystals may be in another canal OR the dizziness is not caused by dislodged crystals and requires a completely different treatment approach.

Each and every vestibular condition needs its own individualized treatment program.

The Epley is powerful when used for the right diagnosis. Accurate knowledge and testing is what makes all the difference!

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Baton Rouge, LA

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