PPPD Explained: When the Dizziness Doesn’t Go Away

<p>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. Kristen Steenerson to unpack Persistent Postural Perceptual Dizziness, also known as 3PD or PPPD.</p><p>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.</p><p>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.</p><p>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. </p><p><br></p><p><strong>Hosted by:</strong></p><p>🎤 Dr. Abbie Ross, PT, NCS</p><p>🎤 Dr. Danielle Tolman, PT</p><p><br></p><p><strong>For episode recommendations or requests, email us at:</strong> <a href="info@balancingactrehab.com" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠info@balancingactrehab.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><br></p><p><strong>Partnered with:</strong></p><p><strong>→</strong> Our online program and community, <strong>The Dizzy Reset™</strong><em>, </em><a href="https://tdr.balancingactrehab.com/invitation?code=2AAFEJ" target="_blank" rel="ugc noopener noreferrer">⁠use code TALKDIZZYTOME for 40% off your first payment<em>⁠⁠⁠⁠</em>⁠</a></p><p><strong>→ </strong><a href="https://avulux.com/DIZZYRESET" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠Avulux glasses, use code DIZZYRESET for $25 off⁠⁠⁠⁠⁠⁠</a></p><p><strong>→ </strong>⁠⁠⁠⁠⁠<a href="https://justingredients.com/TALKDIZZYTOME" target="_blank" rel="ugc noopener noreferrer">⁠⁠Just Ingredients, use code TALKDIZZYTOME for 5% off⁠</a></p><p><br></p><p><strong>Connect with Us:</strong></p><p><strong>→</strong> <a href="https://calendly.com/balancingactrehab/10min" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<strong>Book a free call with us</strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→ </strong><a href="https://www.balancingactrehab.com/subscribe" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<strong>Get free resources straight to your inbox</strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→ </strong>⁠⁠⁠⁠⁠⁠⁠<a href="https://www.balancingactrehab.com/group" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠<strong>Join our online program and community, The Dizzy Reset™</strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→ </strong><a href="https://www.youtube.com/BalancingActResources" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<strong>Watch podcast episodes (and more) on YouTube </strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→</strong> <a href="https://www.instagram.com/balancingactrehab/" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<strong>Follow us on Instagram</strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→</strong> <a href="https://www.tiktok.com/@balancingactrehab" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<strong>Follow us on TikTok</strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→</strong> <a href="https://www.facebook.com/balancingactrehab" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<strong>Follow us on Facebook</strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→</strong> <a href="https://www.balancingactrehab.com/disclaimer" target="_blank" rel="ugc noopener noreferrer">⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠<strong>Disclaimer</strong>⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠</a></p><p><strong>→ </strong><a href="https://www.google.com/maps/place//data=!4m3!3m2!1s0x88e771bf195fa121:0x6fb31eb28017da06!12e1?source=g.page.m.dd._&laa=lu-desktop-reviews-dialog-review-solicitation" target="_blank" rel="ugc noo