In this special episode of Talk Dizzy to Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Dani Tolman, PT sit down with two giants in the vestibular field: Jeff Walter, PT, DPT, NCS and Helena Esmonde, PT, DPT, NCS (Vestibular First).Jeff tries to stump the group with vestibular questions covering:The history of John Epley and his contributions to the fieldAlexander’s law, Brun’s nystagmus, and the origin of the word nystagmusA precise definition of vertigoAdvanced use of the bow and lean test for horizontal canal BPPVWhat happens when BPPV maneuvers go “wrong” (short arm, conversion, retesting)Practical use of the Rinne test, recruitment, and tuning forks in vestibular practiceHow to interpret CT scans that “show” superior canal dehiscence (SCD)A rare case of cough-induced nystagmus The reality that some dizzy patients don’t fit neatly into any diagnosis—and why that’s okayWhether you’re a vestibular therapist, audiologist, ENT provider, or someone with dizziness hungry for answers, this episode is packed with clinical pearls, red flags, and pattern recognition tips for vertigo, BPPV, nystagmus, and beyond.Episode ResourcesJeff Walter, PT, DPT, NCShttps://www.vestibular.todayMedBridge Courses: https://www.medbridge.com/educate/instructors/jeff-walter-dpt-ncsHelena Esmonde, PT, DPT, NCShttps://vestibularfirst.comJournal Club: https://vestibularfirst.com/education/journal-club/Educational Resources/Handouts: https://vestibularfirst.com/education/resources/Vestibular First 's Journal Club- Clinical Pearls from an Unusual Case of Vertigo: https://youtu.be/ASjx5Yet1So?si=3qu5LkiD_pEDagHqHosted by:🎤 Dr. Abbie Ross, PT, NCS🎤 Dr. Danielle Tolman, PT For more FREE resources, click ⁠⁠⁠here⁠⁠⁠.For episode recommendations or requests, email us at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠[email protected]⁠⁠⁠⁠⁠⁠⁠⁠⁠Connect with Us:→ ⁠⁠⁠⁠Book a free call with us-hope and healing start now⁠⁠⁠⁠→ ⁠⁠⁠⁠Get free resources straight to your inbox⁠⁠⁠→ ⁠⁠⁠Join the waitlist for The Dizzy Reset wellness program⁠⁠⁠→ ⁠⁠⁠⁠Watch podcast episodes (and more) on YouTube ⁠⁠⁠⁠→ ⁠⁠⁠⁠Follow us on Instagram⁠⁠⁠⁠→ ⁠⁠⁠⁠Follow us on TikTok⁠⁠⁠⁠→ ⁠⁠⁠⁠Follow us on Facebook⁠⁠⁠⁠→ ⁠⁠⁠⁠Disclaimer⁠⁠⁠⁠→ ⁠⁠⁠⁠Enjoying the podcast? Leave us a review!Timestamps00:00 – Intro00:15 – Meet the Hosts & Guests02:09 – Education Resources & Journal Club03:08 – History Lesson: Dr. John Epley06:21 – Alexander’s Law Explained09:39 – Gustav Alexander’s Shocking Death11:10 – Origin of the Term “Nystagmus”13:31 – Brun’s Nystagmus & CPA Tumors15:10 – Defining Vertigo (ICVD-Based)18:22 – Bow & Lean Test: Angles, Mechanics & Clinical Pearls23:24 – Short Arm / Anterior Arm BPPV & Tricks to Get Crystals Moving27:34 – Retesting Posterior Canal BPPV: When You Re-Create the Problem32:23 – Short Arm Debris & “Wimpy” Persistent Torsion35:08 – Maneuver Names, Variations & Confusion in the Literature38:53 – Tuning Forks in Vestibular & ENT Practice45:19 – CT & Superior Canal Dehiscence: Might vs Definitely49:22 – Cough-Induced Nystagmus51:39 – Pattern Recognition, Edge Cases & Not Knowing Everything56:15 – Reassuring Patients & “Doing the Next Right Thing”

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