PPPD Explained: When the Dizziness Doesn’t Go Away

About this episode

This episode unpacks Persistent Postural Perceptual Dizziness (PPPD) with insights from a neurologist and vestibular therapists.

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with neurologist Dr. Kristin Steenerson to unpack Persistent Postural Perceptual Dizziness, also known as 3PD or PPPD. If you feel dizzy, floaty, rocking, disoriented, or visually overwhelmed most days — especially in places like grocery stores, airports, busy restaurants, or while scrolling screens — this episode explains what may be happening in the brain and nervous system. Dr. Steenerson breaks down the diagnostic criteria for 3PD, why symptoms can continue even after the original vestibular problem improves, how 3PD overlaps with vestibular migraine, and why treatment often requires a combination of education, vestibular therapy, medication, cognitive strategies, lifestyle support, and gradual exposure. This conversation also addresses why 3PD is sometimes misunderstood, how hypervigilance plays a role, and why there is real hope for recovery and improved quality of life. Hosted by: 🎤 Dr. Abbie Ross, PT, NCS 🎤 Dr. Danielle Tolman, PT For episode recommendations or requests, email us at…

People in this episode

Hosts: Dr. Abbie Ross, Dr. Danielle Tolman

Guest: Dr. Kristin Steenerson

Topics covered

• PPPD
• dizziness
• vestibular therapy
• neurology
• treatment strategies
• quality of life

Keywords

• PPPD
• dizziness
• vestibular migraine
• treatment
• diagnostic criteria
• hypervigilance
• recovery

Sponsors

The Dizzy Reset™, Avulux glasses, Just Ingredients

Mentioned in this episode

Organizations: Balancing Act Rehab

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