Dizzy Diagnostics

09/28/2025

Comment ‘facial’ for links to a foundation course for clinicians, patient education, and a recent publication on management of unilateral facial palsy!

~Sara

09/25/2025

If you are a patient experiencing dizziness, we highly recommend following Dr Emily Kostelnik. Her experience and insight is invaluable if you’re dealing with chronic dizziness!

She had a FB account with tens of thousands of followers that got hacked 😭😭😭 so this is her new one

I am a Vestibular Psychologist and fellow vestibular warrior here to teach you about all things dizziness and vertigo!

09/23/2025

🇪🇸 I’m in Spain this week for the international Facial Nerve Symposium, so it feels like a good time to spread some awareness for facial nerve disorders!

🙂What is facial rehab—and why does it matter?

Facial rehabilitation is a specialized therapy focused on rebalancing and retraining the facial muscles to restore movement, symmetry, and expression after injury or disruption.

The facial nerve (cranial nerve VII) can be affected by many different conditions—such as Bell’s palsy, Ramsay Hunt, trauma, acoustic neuroma, or surgical procedures—leading to changes in movement and expression.

When the facial nerve is impacted, people may experience:
👁️ Incomplete eye closure
😊 Asymmetrical smile
🥘 Difficulty eating or drinking
😞 Emotional challenges from altered expression

Early education is ESSENTIAL! Patients benefit from learning about facial nerve physiology, eye protection strategies, eating and drinking tips, and ways to adapt verbal/emotional expression. Just as important is knowing what NOT to do. For example, avoid forceful movement or external stimulation (like e-stim) while the face is still paralyzed.

Recovery timelines vary, and some patients may need months or years of ongoing therapy—but early intervention helps set the right trajectory for recovery.

Early, skilled facial rehab can make a major difference in functional recovery. If you or your patients are navigating facial nerve changes, don’t overlook the power of specialized therapy.



(Thanks for being my face model 😁)

09/18/2025

⚖️ Balance isn’t fixed!! It’s constantly being renegotiated in the 🧠

🦩 Balance awareness week seems like a good time to review this important concept!

Standing upright is inherently unstable. Stability only happens because the brain is continuously recalibrating & deciding how much to trust vision, vestibular, or somatosensory input.

This process is called sensory reweighting. It shifts with environment, task, and pathology.

👉🏽👉🏽👉🏽Next time you see a patient with vestibular dysfunction, remember: their ability to stay upright depends on how effectively their brain can reweight sensory input.

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08/12/2025

If you’re asking “but how many variants can there be?!?” just comment ‘BPPV’ and we will send you a quick, free rundown!!

Questions? Comment? Let us hear them! 👇

08/08/2025

This is the *in a nutshell* version of how to progress vestibular exercises 🌰 🥜

Is this how we progress every patient? NO.

Some people need lower level exercises, some need higher level. So, how do you find the right path for advancement?

👉🏽What is important to them? What level of physical participation does it require?
👉🏽Is it challenging enough? If they aren’t showing any degree of error with the exercise, it’s too easy!
👉🏽is it functional? Make the exercises match their goals - salience is 🔑

We typically do a lot more walking exercises, but for the sake of this post, all exercises are done in this little corner space.

How can you challenge your patient a little extra today?



*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.