Posted by: seattledizzygroup | December 31, 2019

Communicating with Hearing Loss

Communication Tips for Hearing Impairment

Hearing loss is one of the most common chronic health conditions, affecting about 1 in 6 people. Most of us know someone with some degree of hearing impairment. The ability to speak, hear, and understand language and conversation are central to almost every aspect of daily life. Hearing loss hinders communication and impacts relationships. Hearing aids can help, but they do not “cure” hearing loss or return hearing to “normal.” Even with hearing aids, communication can be difficult. 

These tips can help improve communication despite hearing challenges: 


© Copyright 2019, Seattle Dizzy Group. All rights reserved.

Posted by: seattledizzygroup | November 30, 2019

Persistent Postural-Perceptual Dizziness (PPPD)

Persistent Postural-Perceptual Dizziness (PPPD)

by Morgan Kriz, DPT

Vestibular Physical Therapist

 (Presented to Seattle Dizzy Group on 11/16/19)

This presentation gives an overview of Persistent Postural-Perceptual Dizziness (PPPD) which is a newly defined diagnostic syndrome described as a common chronic dysfunction of the vestibular system and brain that produces persistent dizziness, non-spinning vertigo and/or unsteadiness.

Visual distracting environments (such as supermarkets, large crowds, or watching TV) can be overwhelming and cause significant distress for people with a Vestibular Disorder. Once recognized, PPPD can be managed.


Persistent: symptoms present > 50% of the time for more than 3 months; but wax and wane. Can get better with distractions, progress later in the day.

Postural: exacerbated with upright posture (standing/walking); sudden movements

Perceptual: active (self generated movement) or passive movement (elevator, car) with exposure to moving (traffic) or complex visual stimuli (wallpaper, phone)

Dizziness: false or distorted sensations of swaying, rocking, bobbing, or bouncing of oneself (internal non‐spinning vertigo) or the surroundings (external non‐spinning vertigo)

RD-D2 & C3PO

Not a “New” Diagnosis

  • Persistent Postural Perceptual Dizziness (PPPD, 3PD) – Dietrich and Staab 2014
  • Chronic Subjective Dizziness (CSD) – Staab and Ruckenstein2004
  • Visual Vertigo/Visual dependence/Space Motion discomfort (SMD) – Staab 2003
  • Phobic Postural Vertigo (PPV) – Brandt and Dieterich 1986
  • Mimic Post-Traumatic Stress Disorder (PTSD)

Prevalence of PPPD

  • About 5% of the population develops “vestibular” dizziness per year (Hain):
    • 0.05% = Mal Debarquement (0.5/1000 persons)
    • 50% = land sickness “LDS”
    • 1% = Vestibular Migraine
    • 0.2% = Meniere’s Disease
    • 10% = PPPD

How It Starts

Frequently at the beginning, there is an organic vestibular illness:

Medical Examination

  • Normal eye exam
    • Visual strain may contribute
  • MRI/imaging = negative
    • * May start with an initial insult of inner ear years prior

“Normal” Vestibular System

Impaired Vestibular System

Poor Recovery from Vestibular Illness


  • PPPD is in fact a series of normal misunderstandings between the ears, spinal chord, eyes and brain. The signals have been mislead and misfired.
  • It is all reversible!

Research Shows

  • Emerging research suggests that it may arise from functional changes in postural control mechanisms, multi-sensory information processing, or cortical integration of spatial orientation and assessment
  • Thus, PPPD is classified as a chronic functional vestibular disorder
  • It is not a structural or psychiatric condition

Fight or Flight Initiated

  • For this condition there is a strong link with anxiety and a subconscious underlying fear of the dizziness itself
  • The body sensations are perceived with a ‘fright’
Fight or Flight Video


Anxiety and Fear

    • It is not a psychiatric condition
    • Neuro-otologic (vestibular-brain connection) condition with behavioral elements = not moving pattern
    • Co-morbidities would make a person more “aware” of symptoms
  • If the pattern continues = problem


  • If left unmanaged, emotions can delay the natural recovery process as chronic anxiety inhibits neuroplasticity
  • Over time this can lead to increased anxiety and avoidance behaviors that perpetuate the PPPD condition
  • Not using body or inner ear, and instead only visual = PPPD

Treatment Options

  • Vestibular Physical Therapy Protocol
    • Education on condition -> improve control -> reduce anxiety
    • Evaluate for non-compensated vestibular hypofunction
    • TRIGGERS (start journal)
    • Reduce stress/GET SLEEP!
    • Cervical spine contributions
    • VOR adaptation
    • Reduce visual dominance
  • Cognitive and Behavioral Therapies
  • Serotonergic Medications (serotonin = happiness, wellness, neurotransmitter) for sustained remission when applied systematically
  • Non-Invasive Vagus Nerve Stimulation

Stimulate Vagus Nerve in Breath

Breathing Exercise


Take Home Message

  • Not a “new’ diagnosis, but has changed over time
  • Tell your brain “good job” and “you are safe”
  • Increased visual dependency = less somatosensory reweighting
  • Has central (brain) rewiring component
  • Intervention: Vestibular Rehabilitation Therapy (VRT), Cognitive Behavioral Therapy (CBT) and medication


Brandt T. Vertigo. Its multisensory syndromes. Springer Verlag, New York, 1991.

Brandt T, Dieterich M, and Strupp M. Chapter 5: Psychogenic forms of vertigo and dizziness in “Vertigo And Dizziness: Common complaints: Springer, 1995

Breslau, N., L. R. Schultz, et al. (2000). “Headache and major depression: is the association specific to migraine?” Neurology 54(2): 308-313.

Clark DB, Hirsch BE, Smith MG, Furman JMR, Jacob RG. Panic in otolaryngology patients presenting with dizziness or hearing loss. Am J Psychiatry 1994; 151:1223 1225.

Clark, M. R. and K. L. Swartz (2001). “A conceptual structure and methodology for the systematic approach to the evaluation and treatment of patients with chronic dizziness.” J Anxiety Disord 15(1-2): 95-106.

More Information about PPPD

PPPD Explained article by The Dizzy Cook
PPPD Information from Vestibular Disorders Association (VeDA)


Morgan Kriz, DPT

Vestibular Physical Therapist

Morgan has a Doctorate of Physical Therapy that specializes in Balance and Vestibular Rehabilitation. Morgan does have a strong background in Orthopedic Physical Therapy and this provides a foundation for general musculoskeletal conditions that may contribute to balance limitations.

Her focus as a provider is for patients to feel empowered with management of their condition and learn strategies to live a functional life so they can participate in the things they love. The human body is a magnificent. Each body system has a distinguished function however all systems are interdependent with one another. Morgan tries her best to educate patients so they may be proactive in their healthcare and strives to communicate well with other providers to give efficient and quality care through a multidisciplinary approach.

Vestibular Rehabilitation is an exercise based therapy program used to treat balance and dizziness disorders. It is based on the body’s natural ability to compensate for balance problems through optimizing the brain’s connection from your inner ear; eyes and body. Morgan uses evidence based guidelines when creating a patient’s individualized plan of care for Vestibular Rehabilitation. Morgan believes getting the most out of life is to make it fun/play games and tries to incorporate this into her rehabilitation programs so the brain retains the information for long-term management.

Contact Morgan:

Puget Sound ENT in Edmonds, WA:

Vestibular Therapy Specialists, telehealth services:


Presentation information is not meant to be taken as medical advice.

Presentations posted online may include discussion notes, links, images, and other information added by Seattle Dizzy Group.


© Copyright 2019, Seattle Dizzy Group. All rights reserved.


Posted by: seattledizzygroup | October 31, 2019

Weather and Dizziness

How Weather Impacts Vestibular Disorders

The change of seasons from the warmer, dryer weather of summer to the colder, wetter weather of fall and winter commonly triggers or worsens vestibular symptoms (dizziness, vertigo, imbalance, headache, etc.). 

Changes in barometric pressure especially affect those who are living with conditions such as Meniere’s Disease and/or Vestibular Migraine.  

These articles discuss how weather changes impact vestibular disorders and offer helpful coping strategies:

Environmental Influences on Vestibular Disorders

Seasonal Vertigo Sufferers Can Predict Weather Changes

Feel It? 4 Ways Barometric Pressure Affects Your Health

Under Pressure: Are You a Human Barometer?

See also:

Winter Survival Strategies


© Copyright 2019, Seattle Dizzy Group. All rights reserved.

Posted by: seattledizzygroup | September 30, 2019

Falls Prevention at Any Age


All Can Fall – Not Just Seniors!

Seniors are at a higher risk of falls, but anyone at any age can fall–especially, those living with chronic vestibular (inner ear/balance system) dysfunction.

Dizziness and imbalance are common symptoms for older adults and about 1/3 of people over age 65 fall annually.  However, falls are NOT a normal part of aging and are preventable!

The first week of Fall each year is Falls Prevention Awareness Week with the goal of raising awareness about how to prevent falls among older adults:

As a part of Balance Awareness Week (September 15-21, 2019), the Vestibular Disorders Association (VeDA) launched an “All Can Fall” online campaign to help raise awareness about falls. 

Being aware of yourself and your surroundings can help prevent falls.  (Remember, the acronym I DO NOT FALL). 

It is also important to be prepared to land as safely as possible when a fall happens.  (Try to stay bent, protect your head, fall on your buttocks or thighs, and roll with the fall rather than bracing yourself). 

If you are feeling unsteady, Vestibular Rehabilitation Therapy can help you regain balance and decrease your risk of a fall!

More information:

Falls Prevention Resources:

Balance and Aging VeDA Article

Balance and Falls in the Older Adult VeDA Article

Falls Prevention & Home Safety for Those with Vestibular Disorders VeDA Article

Falls Prevention Fact Sheet

NCOA List of Falls Prevention Articles

See Also:

Take Steps to Prevent Falls

Balance Awareness Week Did You Know Facts about Vestibular Disorders


© Copyright 2019, Seattle Dizzy Group. All rights reserved.


Posted by: seattledizzygroup | August 31, 2019

Be a Chronic Illness Ally

Ways to Better Support the Chronically Ill

About half of people currently have a chronic condition of some sort.  So, the likelihood is that if you are not personally chronically ill, someone you love is living with a chronic illness (which may not be obvious to others).

Even if the symptoms and impacts of chronic illness sometimes seem “invisible”, one of the very best things that friends and family can do to support a chronically ill loved is to tell them “I believe you.”

These articles share great suggestions for how to be a better chronic illness ally as well as ways to offer help and support to chronically ill loved ones:

8 Ways to Be an Ally to Someone with an Invisible Illness

Choose to Be a Better Ally to the Chronically Ill & Disabled 

How to Be an Ally to Sick People

100 Ways to Show Up for People with a Chronic Illness 

How to Help a Loved One with Chronic Illness

7 Ways to Be a Better Friend to Someone with Chronic Illness (and 3 Things You Should Never Do)

How to Be There for a Friend Who is Going Through an Incurable Medical Condition

Key Ways to Offer Support to a Friend with Chronic Illness

5 Things to Know about Supporting Your Chronically Ill Friend 

5 Things the Chronically Ill Want “Healthy People” to Know

5 Things to Say to Your Friend with Chronic Illness

5 Important Things to Know if You Have a Chronically Ill Spouse

“But You Don’t Look Sick” Understanding Invisible Illness Infographic

Learn to See Invisible Illness

Understanding Invisible Illness

Chronic Illness Facts

Ways to Maintain Healthy Relationships & Social Activity Despite the Challenges of Living with Chronic Illness


Show Your Support for People Living with Vestibular & Balance Disorders!

September 15-21, 2019 is Balance Awareness Week! This is a great opportunity to help raise awareness for vestibular and balance disorders and show your support as a chronic illness ally!

Find out how you can get involved at

Help Raise Awareness with Seattle Dizzy Group!


In celebration of Balance Awareness Week, Seattle Dizzy Group will host our Annual Walk for Balance Event on Saturday, September 21, 2019 (12-2:30 pm at Green Lake).  Join us for this fun community event where we will “Walk a Mile in Dizzy Shoes” together to help create greater awareness for vestibular and balance disorders and show our support for people living with chronic dizziness and imbalance–in Seattle and beyond.

Event details:

(Also, find out how Seattle Dizzy Group is Making a Difference for Balance Awareness)


Walk for Balance TM



© Copyright 2019, Seattle Dizzy Group. All rights reserved.

Posted by: seattledizzygroup | July 31, 2019

Overcoming Summertime Vestibular Challenges

Summer Tips for Vestibular Disorders

The hot weather, outdoor activities, and travel adventures of summer can be challenging for those living with a chronic vestibular or balance disorder. 

These articles offer helpful tips for managing dizziness and imbalance during summer:

Summer Challenges for Vestibular Patients

Managing Summer Activities and Vestibular Disorders

Summer Heat and Migraine Dizziness

Summer Survival Strategies

Ways to Combat Motion Sickness

Traveling with Dizziness (Adventures in “Dizzyland”)


Ways to Stay Cool with a Vestibular Disorder

By Julie Grove MPT of Cascade Dizziness & Balance PT

    • Heat and warmth can increase sensations of nausea.
    • When dizziness, vertigo, anxiety, or nausea/vomiting occur quickly apply cold towels to neck/head.
    • Move to a cool space, if safe, or feel the tactile (touch) receptors against a building wall.
    • Use cool/cold sensations to distract you (your brain) from the strong feelings of nausea.
    • Use natural anti-nausea foods: ginger and peppermint.
    • Reduce your body’s autonomic nervous system reactionary fight/flight to nausea/dizziness.

(Info from Calm Cool and Compensated blog post)


© Copyright 2019, Seattle Dizzy Group. All rights reserved.

Posted by: seattledizzygroup | June 30, 2019

Ways to Explain the Energy Limitations of Chronic Illness

Helpful Analogies to Explain the Energy Impacts of Activity when Living with a Chronic Illness

It can be challenging to explain to healthy friends and family about the energy limitations of living with a chronic illness and how fatigue impacts daily activity choices.  Those who are chronically ill have a very limited amount of energy each day as compared to those who are healthy.  It can be difficult to accomplish much when every activity costs energy and too quickly brings on fatigue.

These infographics illustrate The Spoon Theory and The Battery Analogy to explain the energy impacts of activity when living with a chronic illness:



These articles offer various ways to explain to others how symptoms and fatigue impact the activity level of the chronically ill:

The Spoon Theory

Warning: Low Battery (what living with chronic fatigue is really like)

Are You an Unchargeable or a Spoonie?

How I Talk to my Friends about my Chronic Illness: The Watering Can Analogy

16 Metaphors for Chronic Illness

Balancing Activity and Rest



© Copyright 2019, Seattle Dizzy Group. All rights reserved.

Posted by: seattledizzygroup | May 31, 2019

Health Benefits of Nature

Nature Green Space 4

“Green Up” for Your Health & Well-Being

Getting outdoors and into nature has many health benefits!  For example, spending time in green spaces can reduce your stress, calm your anxiety, boost your mood, improve your cognition, and strengthen your immune system. 

Even those living with a chronic illness who may struggle to get outside due to lack of energy or mobility can find ways to “green up” their days for a better quality of life. If you are housebound, having indoor plants, decorating with photos or artwork of nature, or just looking out your window at trees and flowers can bolster your well-being.

More Info about Nature’s Health Benefits & Ways to “Green Up”:

The Top Health Benefits of Green Space

16 Ways Green Space Improves Your Life

5 (Scientific!) Reasons Getting Outside is Good for You

The Life-Changing Health Benefits of Grounding

The Benefits of Therapeutic Gardens

Do You Need a Nature Prescription (Ecotherapy)?

Why You Should Get Your Daily Nature Fix (Even When You’re Housebound)

See Also:

Soak Up the Sun for Vitamin D


© Copyright 2019, Seattle Dizzy Group. All rights reserved.

Posted by: seattledizzygroup | April 30, 2019

Cervicogenic Dizziness

Cervicogenic Dizziness image 3

Cervicogenic Dizziness

by Kaela Pauly, DPT

of Cascade Dizziness & Balance Physical Therapy 

 (Presented to Seattle Dizzy Group on 4/13/19)

This presentation gives an overview of cervicogenic dizziness including common causes (such as neck, head, or brain injury), signs and symptoms, and how physical therapy can help.

What Is Cervicogenic Dizziness?

Cervicogenic Dizziness (CD) is dizziness associated with neck dysfunction and/or pain caused by direct injury to the neck. To understand CD, a basic understanding of the anatomy and pathophysiology of the neck is required.

  • The Neck Is Composed Of:
    • Seven vertebrae (bones of the neck)
    • These bones come together and form joints of our neck called facet joints
    • In-between these joints, nerves exit
    • Our neck has deep and superficial muscles


  • How Does Our Neck Help Us Balance?
    • Within our muscles and joints we have small sensors that send information about where our head/body is in space.
    • This information travels up the neck, through our nerves and into our brain.
    • These sensors are activated when our muscles stretch and shorten, or when our joints bend with movement.
    • This system is called proprioception.

Neck muscles

Possible Pathophysiology Of Cervicogenic Dizziness

  • It is believed that injury to the neck may interfere with the balance system by damaging muscles, joints, or nerves that send proprioception information to the brain.
  • Proprioception is one of many systems that help us maintain balance.
  • Our brain uses multiple systems/senses to help us balance:
    • Vision
    • Touch
    • Vestibular (inner ears)
    • Proprioception
  • All of these systems must come together in a process called “sensory integration” for us to balance properly.
  • If one system, such a proprioception, is sending inaccurate information or contradicts the information from other systems, this can trigger dizziness.
  • It is important to note that currently the pathophysiology of CD is theoretical and mostly based off of animal studies.

Balance sensory integration

What Are Common Causes Of Cervicogenic Dizziness?

Mechanical forces that cause inflammation or irritation of nerves, muscles, or facet joints in our neck, which may cause altered proprioception signals.

  • Common Causes:
    • Chronic neck pain: creating general neck stiffness and muscle tension
    • Whiplash Associated Disorders (WAD)
    • Concussion
  • Gate Control Theory of Chronic Pain:  Before they can reach the brain, pain messages encounter “nerve gates” in the spinal cord that open or close depending upon a number of factors (possibly including instructions coming down from the brain). When the gates open, pain messages “get through” more or less easily and pain can be intense. When the gates close, pain messages are prevented from reaching the brain and may not even be experienced. Pain messages may be overridden/modulated by other signals/inputs such as massage, heat, cold, TNS (transcutaneous nerve stimulation), acupuncture, etc. (Information from:
  • Whiplash:  Neck injury due to forceful, rapid back-and-forth movement of the neck
    • This “whiplash” motion occurs during motor vehicles accidents, unexpected falls, or any direct blow to the head.
    • The quick “whip” like motion of the neck can cause muscle and joint damage.
    • Common symptoms of Whiplash Associated Disorders (WAD):
      • Neck pain, stiffness, muscle guarding, tension
      • Abnormal posture and movements:  moving “on block” or very rigid
      • Dizziness and instability
        • Dizziness correlates with high levels of neck pain
        • Only a small portion of patients suffering from WAD will experience dizziness


  • Concussion/Traumatic Brain Injury (TBI):  An injury to the brain that results in temporary loss of normal brain function.
    • There are two different mechanisms for sustaining a concussion:
      • Coup:  Occurs at the location of the initial impact
      • Counter Coup:  Occurs opposite of the initial impact due to momentum pushing the brain into the skull
    • Concussion may be caused by rapid head movement (without any direct hit/impact).
    • Head injuries may have concomitant neck injuries due to the high forces of the direct blow causing joint and muscle damage.
    • Often times prolonged concussion symptoms may be caused by undiagnosed neck dysfunction, including WAD and CD.

Concussion Traumatic Brain Injury TBI

Concussion VEDA infographic

Symptoms Of Cervicogenic Dizziness

  • Whiplash and Concussion/Traumatic Brain Injury may cause “sensory integration” problems resulting in vestibular symptoms such as:
    • Dizziness
    • Imbalance
    • Headache/Migraine
    • Vision Problems
    • Brain Fog
  • The onset of vestibular symptoms may be delayed 1-2 weeks after injury.

How Physical Therapy Can Help

  • Head and neck injuries as well as sensory integration problems may be improved with physical therapy exercises.
  • Usual recovery with physical therapy is about 3-6 weeks (for about 50% of patients).
  • If regular activity is resumed too quickly prior to fully recovering from injury and sensory integration problems, the patient may decompensate and experience a relapse of symptoms.


More Information About Cervicogenic Dizziness

Cervicogenic Dizziness Article from the Vestibular Disorders Association

Seattle Dizzy Group Meeting April 2019 Cervicogenic Dizziness Kaela Pauly

Kaela Pauly, DPT

of Cascade Dizziness & Balance PT

Kaela has a Doctorate in Physical Therapy (DPT) from the University of Colorado. While in school, Kaela developed a strong interest in vestibular rehabilitation when she completed a clinical rotation in an outpatient neurologic clinic. Since that time, she has continued to evolve in her expertise in this area through coursework, mentorship and self-study.

With a natural sense of adventure, Kaela has worked as a traveling physical therapist in remote areas such as Alaska, rural Colorado and towns throughout the Pacific Northwest. Those opportunities provided her with invaluable experience in outpatient, inpatient and home health settings and she was able to see how balance and vestibular disorders effect people of all ages and backgrounds.

“I love working with balance and vestibular disorders because every patient is different in how they present and each require their own unique treatment.”


Presentation information is not meant to be taken as medical advice.

Presentations posted online may include discussion notes, links, images, and other information added by Seattle Dizzy Group.


© Copyright 2019, Seattle Dizzy Group. All rights reserved.

Posted by: seattledizzygroup | March 31, 2019

Functional Neurology and Neuroplasticity

Functional Neurology

Functional Neurology & Neuroplasticity

Help Your Brain, Help Your Body

by Dr. Daniel Hanson, D.C.  D.A.C.N.B

of Hanson Chiropractic Neurology 

 (Presented to Seattle Dizzy Group on 3/16/19)

This presentation gives an overview of functional neurology including how brain-based therapies work to promote natural healing through neuroplasticity which can help improve balance and reduce chronic vestibular symptoms such as dizziness, headache, and brain fog.

What is Functional Neurology?

Many people with neurological or vestibular/balance disorders suffer from debilitating imbalance and dizziness/motion sickness (feeling of being on a boat, spinning of the room, abnormal sensations of movement, etc.).  Functional neurology utilizes chiropractic techniques and specialized therapies to restore balance in the musculoskeletal, cerebellar, vestibular, and cortical system. Personalized functional neurology exercises create neuroplasticity which helps to alleviate a patient’s chronic symptoms and improve their balance issues.

  • Conditions Functional Neurology Can Treat:
    • Balance Problems
    • Dizziness
    • Headache
    • Brain Fog
    • Chronic Pain or Fatigue
    • Mal de Debarquement Syndrome


What is Neuroplasticity? 

Neuroplasticity is the ability of the brain to reorganize itself, both in the structure and how it functions.

  • How does it work?
    • “The brain that fires together, wires together”
    • Cellular Immediate Early Gene Production
      • Leads to mitochondrial production of protein (i.e. “the building blocks of life”)
  • How do we implement this?
    • Brain-based therapies in clinic and functional neuro exercises specific to the individual for homework

What are the Benefits of Functional Neurology & Neuroplasticity?

  • Long Term Results
    • Works best with intensive programs
  • “Plastic” Change
  • Overall brain health improved
  • Influence any aspect of your life!

Nueroplasticity 2

What is Breaking Down in the Body Causing Symptoms?

The Brain

Brain parts

  • Parts of the Brain:
    • Frontal Lobe
    • Parietal Lobe
    • Temporal Lobe
    • Cerebellum
    • Brain Stem

Brain Frontal Lobe

  • Frontal Lobe
    • Irritability
    • Mood Changes
    • Anxiety
    • ADHD/ADD
    • Working Memory Loss
    • Impulse Control Issues
    • Inhibitory Control Issues
      • Brain Inhibitory Pathway Compromise
  • Parietal Lobe
    • Balance
    • Eye Movements (Pursuits)
    • Pain Receptors
    • Somatosensory Cortex

Brain Parietal Lobe

Brain Temporal Lobe

  • Temporal Lobe
    • Long Term Memory
    • Entorhinal Corex
      • Memory
      • Navigation
      • Perception of Time
    • Hippocampus
      • Memory Relay Station
        • Frontal Lobe to Temporal Lobe
    • Emotional Modulation

Brain Cerebellum

  • Cerebellum
    • Primary area affected by head injuries or whiplash
    • “The Little Brain”
    • Modulates and Coordinates all Movement and Thought
    • Main communication body to the cortex
    • Involved with:
      • Balance
      • Posture
      • Motion
      • Eye Movement Integration
      • Inhibition of the Vestibular Output

Brain Stem

  • Brain Stem
    • Mid Brain (Mesencephalon)
    • Pons
    • Medulla Oblongata
    • Cranial Nerves are located in the region and are directly impacted by concussions as well as vestibular disorders, balance problems, and dizziness
    • Autonomic Control
      • Sympathetic
      • Parasympathetic
      • Gut-Brain Axis

The Vestibular System

  • What is the Vestibular System?
    • Controls reflexes of the eyes
    • Controls reflexes of the body
  • If the Vestibular System Malfunctions:
    • Bad function can mean perceiving too much, too little, or the wrong direction of movement
    • Vestibular Rehabilitation Therapy
      • Uses habituation exercises in order to promote compensation

How the Vestibular Otolith Organs WorkVestibular System How It Works

The Vestibular-Brain Connection


Assessing Vestibular/Cerebellar Function

  • Eye Movements
  • Gait
  • Balance
  • Limits of Stability
  • Reactions to Perturbation
  • Cortical Cerebellar
    • Integration
    • Evaluation

Brain Fog 6

How Can Functional Neurology Help?

  • Total Brain Solution Program
    • The V3 Exam System
      • V1: Cortical Integration
        • Functional Neurological
      • V2: Vestibular/Cerebellar
        • Balance and Function
      • V3: Musculoskeletal
        • Structure
    • Eye Tracking & Posturography  Right Eye System Logo
      • Right Eye Testing & Balance Tracking System (FDA cleared)
        • Measures:
          • Brain Stem – Gaze fixation
          • Frontal Lobe – Saccadic eye movement
          • Parietal Lobe – Pursuit eye movement
          • Cerebellar – Eye movement monitor and control
          • Pons – Burst activity of eye movement
          • Vestibular Apparatus – Canal and otolith VOR reflexes and associated eye movements and integration
    • Functional Neurology
      • Brain Based Therapies
      • Drug Free, Surgery Free Therapies
    • Create Neuroplasticity in the weak pathways

Example of Post Treatment Patient Improvements

  • Being able to walk quicker at ease, more free to walk down stairs and less trip prone going up
  • Deeper night’s sleep
  • Less pain when sleeping on side
  • Tightness and locked up feeling around neck, behind ear and around the jaw extremely lessoned
  • Ability to work scheduled shifts with less pain or neck or shoulders locking up
  • Able to hold clarity of vision for long periods, blurry vision is less intense and light and sound is less extreme
  • Able to enjoy her love of music again, sometimes able to start singing with it again
  • Family, friends, and coworkers noticed her spirits and big smile come back
  • Able to track and process cars in front and around her
  • Able to handle windshield wipers and light sensitivity to brake and blinker lights
    • Before the patient felt confused in the space around her, having a foggy feeling with difficulty processing what’s around her
  • Can drive at night without dark shade sunglasses
    • Even able to endure high beams

Brain of Individual

Individualized Specialized Treatment

Every person is an individual!

  • Each case is unique
    • Different focuses
    • Different reactions
    • Different status before the symptoms
    • Different abilities to recover (genetic influences)
  • Treatments should be individualized as well
    • Different functional losses
    • Different symptoms
    • Different mechanisms

Old You New You Exit Signs

How Patients Get Started

  • Free Consultation
    • To make sure you are a great fit!
  • Functional Neuro Exam
    • Frontal Lobe, Parietal Lobe, Temporal Lobe, Cerebellum, Vestibular System, and Brain Stem integration
      • Testing, Measurement and Analysis
  • Blood Lab Analysis
  • Metabolic Assessment Forms
  • Brain Assessment Forms

Dr Daniel Hanson Functional Neurology Chiropractor

Dr. Daniel Hanson, D.C.  D.A.C.N.B

of Hanson Chiropractic Neurology

Dr. Hanson is one of only a few Board Certified Functional Neurologists in Washington State that focuses his expertise in chiropractic neurology. He has been in practice for 22 years and specializes in neurological, musculoskeletal and pain disorders without drugs or surgery.

“If you are suffering from numbness, pain, or other symptoms that are debilitating, progressing and affecting your life negatively then I would value the opportunity to help you. I find it very rewarding to help people with these symptoms and functional neurological problems. I see this daily in practice and will do everything I can to help you improve your symptoms and life.”

  • Board-Certified Functional Neurologist
  • Diplomate of the American Chiropractic Neurology Board since 1997
  • 500+ hours of training specialized in functional neurology
  • Practicing in Redmond, Washington for 23 years working with brain conditions and brain injuries on a daily basis




Presentation information is not meant to be taken as medical advice.

Presentations posted online may include discussion notes, links, images, and other information added by Seattle Dizzy Group.


© Copyright 2019, Seattle Dizzy Group. All rights reserved.

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