PPPD (Persistent Postural Perceptual Dizziness) Treatment and Recovery
Dr. Edward Cho (Beverly Hills ENT Cedars Sinai, formerly House Clinic) discusses PPPD (persistent postuarl perceptual dizziness) with Alicia, The Dizzy Cook.
- What is PPPD?
- How are you diagnosed?
- Can you recover from PPPD?
- What are the treatments?
We also discuss vestibular therapy and when it is good or bad for the patient, as well as tinnitus (ringing in the ears). What can be done to help tinnitus and where does it come from? Find out here!
The last 10 minutes are focused on questions from patients with PPPD, vestibular migraine and tinnitus. If you'd like to break up the video, just scroll to 30 minutes in.
Dr. Cho contact: www.beverlyhillsent.com/staff...
PPPD article: thedizzycook.com/persistent-p...
Find out more about vestibular disorders and vestibular migraine on thedizzycook.com.
Пікірлер: 156
thank you so much Alicia and Dr Cho! It’s so challenging to live with these vestibular disorders.
Wonderful video! Describes my issue perfectly!
This video deserves millions of views ❤
Great interview and super helpful 🙏
Thank you for providing this video. It is so helpful in understanding just how many causes lead to symptoms. The slide of the escalator and grocery store really hit home. Because of not being grocery stores or malls for over a year I hadn't realized how badly my brain detached from surroundings. Dr. Cho was very informative. Thank you for this session.
So much good information here! Thank you!
This was so incredibly helpful and informative! Thank you so much for this. ❤️
@TheDizzyCook
2 жыл бұрын
You're welcome! I'm glad it was helpful!
Thank you both for this amazing informative video. This is so helpful. You guys are fantastic at what you do. I cant express the joy of learning all the information and hoping to find some great doctors and PPPD vestibular physios here in London United Kingdom.
This is terrific information for both patients and clinicians. Thank you so much!
@TheDizzyCook
2 жыл бұрын
Thank you!
This was a great video! Ive been dealing with all these symptoms for about a year. Ive been doing the vestibular exercises for about 3 months and have only slightly improved.
Thanks for this video! Was told I had VM over 5 yrs ago. My new neurologist now said I have PPPD.
This was life changing information! Thank you both so much!
@TheDizzyCook
Жыл бұрын
Our pleasure!
I literally could cry…. I have been in and out of the doctors to try to figure this out. Neurologists, PCP appointments, balance study tests, etc….. and they want to put me on meds for dizziness. This video makes SO much more sense and I’m so grateful to have found this. The grocery store, elevators, computer are my biggest triggers and it’s been debilitating. Thank you for this video !!
@abhimanyucheba961
2 жыл бұрын
Amy I swear my life is really gone upside down since I have been suffering from this issue. Hope you are recovering
@AlisonNorton.
2 жыл бұрын
I've felt with this as well did you feel very lightheaded and like you were for sure gonna faint but it never happens and you feel like your out of your body and dissociate ?
@jasminajankovic4048
Жыл бұрын
Same here 😬
@kimsanghothi6418
Жыл бұрын
Do you have sinus inner ear dizzy
@marlac.876
Жыл бұрын
Any improvement!?
Very helpful! Thank you!
This was a great video. Didn't realize there is a population with exact symptoms I have. This was really helpful. After a stroke, I developed this and have developed a hyper sensitivity to senses so my solution has been to withdrawal but I see now not aggod strategy.
Thank you so much this video was so helpful!!! I have been struggling for 2 1/2 years. All of your videos have been encouraging and helpful!
I have been diagnosed with Mal de débarquement syndrome and need wait 6 months to get in. PPPD is a better fit to what I am experiencing. Thanks for the info.
I CANNOT BELIEVE THIS! I have been going doctor to doctor for two years trying to find a diagnosis. It’s BEYOND me why they wouldn’t mention this. I say over and over, it’s not DIZZY, I feel like I am swaying and I feel it in my legs and worse when sitting. This was triggered by a virus! I have had migraines and strange neuro symptoms as well. The accumulation of all the symptoms is what is disabling. I was suicidal. This gives me hope! Thank you!!!!!
@TheDizzyCook
Жыл бұрын
Sounds like we had the same journey. I saw so many "top" neuros, ent's and vestibular therapist...no one mentioned it.
@phyllisdavis3403
Жыл бұрын
This is me as well after post-covid.
@smca7271
8 ай бұрын
Its really hard when people keep trying to change the words you say (particularly drs)....I describe mine as 4 beers drunk....Dont give up,I was ready to end it 3yrs ago,but after a lot of utube excercises I am much better (just try them,if they work,do it else drop it)...
@r4tgl
5 ай бұрын
I had this in 2018. I was normal and healthy beforehand. Hang in there. I have residual symptoms now but have improved about 80 percent
@arjunramesh9631
5 ай бұрын
@r4tgl how did you improve ?
Wonderful information! I am a patient of Dr. Jeffery Staab as is mentioned in the video. I was so glad to receive the diagnosis, even though it is not a great condition to have. No one knew what was going on. This video should help others in my life understand what is going on with me, I hope!
@eshghedelameshghedelam1727
Жыл бұрын
Hi, I have pppd, May I ask did you have the feeling of floor moving when walking? Like walking on a boat ? If yes, how long did you have it? Really appreciate 🙏🏻
@guillermoguillen4160
Ай бұрын
Where is his clínic located?
My wife had this for several months. Saw several specialists before seeing Dr. Cho. Dr. Cho was able to finally determine the issue. Thank you Dr. Cho!!!
@kingbyouchoob2488
9 күн бұрын
hi. is she better now? how did she resolve the issue and how long did it take?
@kapchoi7332
8 күн бұрын
@@kingbyouchoob2488 it hasn't fully resolved but has gotten a lot better. I think it's a matter of getting acclimated to the symptoms is my understanding.
Wow so much valuable information & wonderfully explained! I’m still shock that the brain creates sound bc I have that happen as much as I wish it didn’t happen it’s fascinating what the body does. Please bring the doctor back in the future for vestibular migraine talk. Thank you for everything you do to provide all this information.
@TheDizzyCook
2 жыл бұрын
I found that surprising too!
Hi, I'm Reagan and your videos make me fell like im not alone in this world. I was diagnosed about 5 months ago. I came across your chancel and I got your cookbook. The diet has helped me so much. But I do miss cholate sometimes lol. but I have a question for you. I'm going on a Interational trip to Europe this summer. I was wondering if you could make a video of some Dizzy friendly quick snacks or meal. Thank you so much. And thank you for changing my life.
@TheDizzyCook
2 жыл бұрын
Hey! That's a great idea - thank you! Hopefully you can reintroduce chocolate eventually. In the meantime, you may really like this post. thedizzycook.com/migraine-diet-snacks/ It's all about snacks!
@MarMore13
2 жыл бұрын
@@TheDizzyCook are you referring to dark chocolate regular milk chocolate?
Very informative presentation. Please any physician that specializes on 3PD/vestibular migraine in Houston TX area?
Thank you for this helpful video. I have been diagnosed with Ménière’s but this just opened my eyes to the fact that all my symptoms point to pppd and vm. Are there any doctors in the Fort Worth Texas area that specialize in this?
@TheDizzyCook
2 жыл бұрын
Dr. Shin Beh at Beh Center for Vestibular and Migraine Disorders
This is so helpful Thank you ❤️
Don’t have the grocery store aspect but I do haul in them. Mine started after a bacterial infection. 4?courses of vancomycin. 2 Nuero’s and 6 cardio’s. One group of cardio, lee memorial kicked me out since begging for help. My pcp yesterday did not know anything about this. For 5 years feel like on a sailboat. Have tach and Pots. Yes I saw other videos a free days ago and cried my eyes out.
I have all pppd symptoms. I have not been diagnosed yet .I have a ent appointment in September and I'm hoping he knows about this . I have mentioned this to my chiropractor and he has never heard of this .it's funny how sometimes you know more than the doctors lol.
@RLogan-sl7xl
2 жыл бұрын
I can totally relate, my eye doctor gave me a funny look when I suggested that it might be vertical heterophoria.
I felt so alien all of these years (lots of them, basically almost my whole life) having Pppd with most of the symptoms described, including dissociation which is very unpleasant. And going from doctor to doctor just to tell me there's nothing wrong with my vestibular system or neurologically. Basically "it's all in your head was the answer" or "you have anxiety". I went on a 5 years treatment with antidepressants which diminished the Pppd, but gave me side effects I wasn't going to accept to tolerate my whole life. So I gave up antidepressants and symptoms came back. Not as debilitating as before, due to the terapy I made and practices I've learned over the years, but I can still notice a connection between dizziness attacks and visual overstimulation or crowds. So I am currently searching for instruments to help me relieve these symptoms. Thank you for this video, it made me feel seen and not so alien after all. ❤️
Damn this Doctor is just amazing
I cant find any link on your site to the gamma core device.
It's so sad because early treatment helps so much but sadly our Healthcare system blows you off for years and makes you feel like you're crazy or just have aniexty. I Am going on 8 years and JUST got a diagnosis after being gaslit for almost a decade
@amandar614
Жыл бұрын
I'm so sorry you have been struggling for so long! I have been dealing with this for almost 10 months and it's so awful! Are you doing any better now?
@Secondary-mf9vk
2 ай бұрын
Yes, gaslighting has been my experience too..the neuro I was referred to for treatment for VM denies I have VM, insists it's anxiety. He is clueless when it comes to VM.
I have vestibular migraine and also pppd. Do you have any idea why i have extreme pressure in my head and almost like numbing zaps when i talk? was recently diagnosed. I just bought your book and I'm starting my healing journey. Took 5 months to get diagnosed . Lots if doctors and tests. Been dizzy and headaches for months. Still learning. Thankyou for sharing your info to all of us that need educated on this horrible condition.
@TheDizzyCook
2 жыл бұрын
It's not uncommon at all from many people I talk to! Generally seems to be a VM thing, not PPPD. I hope you get some relief with the information on the book and website. It does take some time but those eventually go away!
@yendryrojas
Жыл бұрын
Hi! How are you ?
This video was helpful. Was diagnosed with 3PD and migraines at the Mayo Clinic this past week. I have had both for probably 15 years. Was recommended CBT, vestibular PT, and migraine medicine. I was kinda embarrassed to get the 3PD bc it seemed to be a catch all for “you are dizzy and we don’t know why so here’s where we will stick you”….but I think I’m beginning to understand that the main thing about 3PD is that it is a brain issue and not an ear or eye issue. 3PD does actually rule out some other reasons for dizziness. I do not have eye dizziness, or ear dizziness, I have a brain dizziness. Is that a correct way to understand it?
@tkazch8410
2 жыл бұрын
Can i ask you which Mayo Clinic did you go to? I just got off the phone with Mayo Clinic in Phoenix and they said the headache department and ent department were not taking new patients. They were really unhelpful.
@oliviawesterbeck1253
Жыл бұрын
Hey how are you doing now?
@nicoleblake4098
Жыл бұрын
@@oliviawesterbeck1253 same. I think knowing more about why I’m dizzy helps me mentally, but physically I’m still in the same situation as always. I have good days and bad days. I’ve kinda made peace with it. I have a good life and great family and friends and things could be worse. 💜
@yendryrojas
Жыл бұрын
@@nicoleblake4098 Hi!!! How are you ? Take medication ?
Where could I get treatment in Ontario, Canada?
So if u have severe Tinnitus and PPPD happen within a certain period of time of each other they’re most likely related correct?
I wore glasses for 62 years...after cataract surgery I no longer needed glasses...for those 62 years the first thing I did in the morning and the last thing I did in the evening was reach for my glasses, putting them on/taking them off...I continued to do this in spite of no longer wearing them. I knew the hardened neural pathways in the brain could be remapped based on what I'd read. BUT...I wasn't sure I believed it...Well, guess what. It took two months and without any effort or thought on my part I stopped reaching for my glasses!! I was amazed and encouraged b/c I knew that the brain is plastic and can be rewired!! It's exciting to me and it gives me hope that my horrid VM symptoms/triggers can be remodeled.
Does anyone know of a doctor and/or physical therapist in the NYC or Rockland County NY area who treats PPPD?
i really believe i have this and it started about 2 months ago. i def have a hypersensitive brain and have battled chronic anxiety and panic attacks for years. the one thing though is i have no issues driving at all. but i do suffer big time in like a grocery store for years now. i always thought i was crazy but its good to know its a real thing. But it is possible to have PPPD and be able to drive with no problems? im fine when im driving. i also feel totally fine when im laying down too. its only when im upright doing normal everyday movements like in the kitchen or bathroom the twisting and turning etc etc etc. i can take a long walk too with no issue as long as im moving forward constantly. all my symptoms seem to fit PPPD. mine started after having a bad vertigo attack that lasted like 10 seonds. ever since then ive had these PPPD symptoms (but no vertigo at all it was just that one time that triggered it) my vertigo/dizzyness i like in my head instead of external vertigo. its def worse when im having bad anxiety its very obvious it makes it much worse
how can i make appointment virtual to the doctor like Dr.Cho or Dr. Beh? what website ty
@carissakinder029
2 жыл бұрын
Omg yes! I would love to get a virtual appointment. I hope we get the link..
Has anyone tried Buspirone? I read a google patent from a Russian doctor suggesting the use of Buspirone for PPPD
Thank you. It looks like i pop up in 3pd, but additionally i have nausea very often i am tired. Are they also symptoms of 3pd? I had many tests done which are rather normal for my age. Thank you.
What is the diagnosis code for PPPD?
Please share how can we follow this Dr Thanks in advance
@TheDizzyCook
2 жыл бұрын
He can be reached at Beverly Hills ENT at Cedars Sinai.
Your speech
I get significant brain fog when sitting in a moving car. Will this improve. I am really nervous. Any information will really help. Thank you 🙏
@TheDizzyCook
Жыл бұрын
It does improve with treatment!
I wonder if insomnia is also associated with pppd. Most of these pppd symptoms starts at the same time with me, as well as insomnia.
Can pppd cause nerve issues throughout the body? Things like muscle twitching and “zaps” that come and go?
@truebluenovocastrian
8 ай бұрын
Thats very common with severe anxiety.. im suffering with that atm
Hi dizzy cook. Really appreciate if you answer. Did you yourself experience PPPD ? I wanted to ask you how long you have been through this if you’ve experienced it
@TheDizzyCook
Жыл бұрын
Yes I did! And it eventually got better too. I'm no longer dizzy everyday or have pppd.
@angelhernandez-ln8ik
11 ай бұрын
@@TheDizzyCookhow did u make it go away did ent la help get rid of 3pd or who did u visit to get the help?
Has anyone tried an ssri for their pppd?
What was your actual treatment plan? I think I have pppd not sure if I have vm but it all started with two bad vertigo attacks after the stomach flu. Ever since then I’ve been dizzy everyday. Had. mRI of brain, did a VNG test and an EEG all normal. Now being sent to a neurological institution. I feel as if there is no hope left. I just want to be normal again and live normal.
@TheDizzyCook
6 ай бұрын
Hey - I have it here or in another video on my youtube page. thedizzycook.com/vestibular-migraine-treatment-plan/
@SheilaBR
3 ай бұрын
Did you get better Jessica?
Its interesting...I had 2 tumors on cerrebellum and treatment...left with tbi,balance,cognition,speaking etc probs...3yrs latter,done hbot a ton of utube physio and brain games...Im changed and a lot better,but left with this rocking drunk feeling...and focus on the outside world is a problem...lots of the 3pd symptoms ring true,so thanks for this video.
Dommage de ne pas arriver à une traduction en Français 😢
Why i have off balance only when I'm lie down or trying to sleep and my off balance dizziness gets triggered by leg movements It's like I'm floating or on a bus roof which is doing off Roading or like I'm on a roller coaster ? And sometimes it's like strong dizzy spell
@user-qc6lj1ur9f
4 ай бұрын
When im sitting on chair and nove my legs i fell soo bad. How are you now?
How do you feel about Neurofeedback?
@TheDizzyCook
2 жыл бұрын
It's always something to try! I worked with a licensed therapist.
I have all these symptoms except I feel normal in a car sitting and laying down..
@cristhiandiaz1149
4 ай бұрын
Me too
@Secondary-mf9vk
2 ай бұрын
I too feel normal in my car when I'm driving or the engine is running.
@kingbyouchoob2488
9 күн бұрын
this is exactly me too. i have all these symptoms except im totally 100% fine driving and lying down. what ended up happening how did u resolve it? are u better now?
@kingbyouchoob2488
9 күн бұрын
@@Secondary-mf9vk i have all the PPPD symptoms except im totally 100% fine driving and lying down. i wonder if it still makes it PPPD? are u better now? if so what did u do? thanks. ive had it for almost 2 months now
Doctors just say it’s anxiety- but it’s not, they just can’t help you
This condition is so disturbing.... it takes over my life..I have all of this ..I am seeing a great therapist and I have to start my SSRI. Praying it all works
@BassetLover4463
Жыл бұрын
how do you feel now, Debbie? My daughter is starting with Zoloft today due to PPPD
Hello, and doctors who specialize in PPPD in Florida?
@TheDizzyCook
3 ай бұрын
Hey - my neuro Dr Beh does online consults for people in FL. I have his info and more here: thedizzycook.com/the-vestibular-migraine-guide-for-dummies/
I am suffering from PPPD for the past two years and because of my work I can't really get rid of it. I am heavily dependent on SSRIs for management of my issue. Can you recommend what should be the correct dose for the same. Also, when one is undergoing vestibular therapy , can I still go about doing my regular job or should it be done with a complete break.
@yendryrojas
Жыл бұрын
Hi! How are you ?
@abhimanyucheba961
Жыл бұрын
@@yendryrojas I am still suffering
@yendryrojas
Жыл бұрын
@@abhimanyucheba961 What medication do you take? is it not working for you?
@abhimanyucheba961
Жыл бұрын
@@yendryrojas SNRIs
@yendryrojas
Жыл бұрын
@@abhimanyucheba961 You have not noticed any improvement with the medication. ?
Live in South Florida - having a hard time finding a PT that knows about PPPD - do you know if there is a site to find a PT
@altprotestant8108
2 жыл бұрын
Same here in south Florida. Barely anyone knows PPPD Here
@eshghedelameshghedelam1727
Жыл бұрын
Hi, I have pppd, May I ask did you have the feeling of floor moving when walking? Like walking on a boat ? If yes, how long did you have it? Really appreciate 🙏🏻
I thought she had vestibular migraines not 3p. Trying to figure out the difference because they seem very similar.
@TheDizzyCook
10 күн бұрын
Hey! So I was diagnosed with VM when PPPD wasn't really being diagnosis. We now think I probably did have PPPD caused by the VM, but it just wasn't being recognized like it is now. PPPD is that constant background dizziness which I did have more more than 3 months.
@RitzWood32
10 күн бұрын
@@TheDizzyCook my lightheadedness randomly started maybe a few days a week and then then started becoming every day 24/7. No spinning, just lightheaded like on an elevator or like my head was somewhat floating. Almost like I took a drink of alcohol and had that initial head change but it never goes away. I got diagnosed with vm and neurologist started me on Effexor. Said to give it 3 weeks. I’m just wondering if vm dizziness can last all day everyday or if maybe I have pppv. I guess the good thing is they have similar treatments. Thank you for the response!
I am a hypochondriac, but i feel like I’ve been suffering from this for years. I just did a PPPD exercise and I feel more grounded. I am not as dizzy and feel like I am almost normal
@danielwiebe2123
9 ай бұрын
Which exercise did you do?
@sheenahhabet9733
5 ай бұрын
Hey, mind sharing the exercise with us?
@lauriyoung657
6 күн бұрын
What excercise ? Please share . Desperate 😢
Had my first covid Phizer vaccine in June 2021 and by july I was diagonised with vertibular neuritis, and 4 months down the line I had tinnitis. I am from London and to get an appointment to see an ENT specialist has been challenging. My doc put me on betahistine as I also had pressure issues, so he thought I had menieres disease. Finally had my ENT appointment nearly a year later and he thinks I have PPPD. The symptoms apparently are the after effect of vertibular neuritis. Has anyone got sick since their vaccine? I am not against it I just find it weird I was sick a month after having it. Maybe it just a concidence.
@dizzydee2021
2 жыл бұрын
Me! I developed chronic dizziness 4 days after my second covid vaccine Astra Zeneca
@judithwhitelaw2684
Жыл бұрын
I developed chronic dizziness within 5 days of my second AZ vaccine 🤔
@NeverHADaNes
Жыл бұрын
Also in the UK and I also developed PPPD after my vaccinations. It's completely destroyed my mobility and my life in general. I had the moderna vaccine.
@annedaniels8803
11 ай бұрын
I developed vestibular problems and tinnitus after my jab and have suffered ever since.
@rinariya2422
11 ай бұрын
@@annedaniels8803 Thank you for not making me feel so alone. I hope it improves for you. I am definitely better than I was a year ago but still not myself. The vertigo is 80% better, and the tinnitus is more evident when there is silence so it is bearable. What is frustrating for me the most apart from the dizziness is the foggy head. I also feel like I am a bit forgetful about things.
My sister’s Meniere disease was complicated with so many 🤢🤢symptoms like vertigo or dizziness, feeling of fullness in the ear or ringing, hearing loss, imbalance, motion sickness, nausea, or nystagmus and I had to gave her Dr Madida herbs from KZread recommendation and after she using the medicine, she was with me last month telling me that she is cured completely and don’t longer experience any of the symptoms anymore.💥💥
@onomiempireDIY
Жыл бұрын
Wow am so happy for your sister recovery , please can you share the link to get the herb, someone really needs it, thank you
@jackier9144
8 ай бұрын
Ow wow Can U pls share which herbs as I am really struggling
@keitymarley733
8 ай бұрын
@@jackier9144 I don’t know the herbs, contact Dr Madida and get their supplements.
@keitymarley733
8 ай бұрын
Search Dr Madida
Walcze z tym 6 lat nikt w Polsce nie unie pomóc
There is no treatment.
@nachochesse4797
3 ай бұрын
??? There is lol