Bloom Physical Therapy

Migraine, and especially vestibular migraine, is a common cause of dizziness and vertigo.

Migraine is more than just a headache! And in some cases, you may not even experience head pain (like with vestibular migraine- headache is not always present)

Migraine is a complex neurological disorder and has multiple phases:
Prodrome, Aura, Migraine Attack, and Postdrome. The time in between is the interictal period. (Not everyone will experience all of these phases- and they may show up differently in each person).

The prodrome can occur a few hours to days before the next phase and may look like fatigue, cravings, mood and cognitive changes.

The Aura phase includes transient neurological symptoms (like odd visual changes) usually lasting minutes- an hour before a migraine attack.

The postdrome phase occurs after the attack, and can last up to a few days. It often feels like a hangover (feeling fatigued, irritable).

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Groundings for Dizziness:
🌀 Grounding is a powerful tool for managing symptoms of dizziness.
🦶Grounding refers to increasing somatosensory input (the sensation coming from your body, skin, joints, etc) to improve body awareness. It can help your body better determine where it is in space and correctly orient itself when sensation from your vestibular or visual system are conflicting or inaccurate.
It can also help calm your autonomic nervous system.

Here are some examples:

- Sitting with feet flat and with back support. You may also try standing against a wall or laying down. You can couple this with your favorite breathing exercise, meditation, or music.
- Holding light weights, using a light weighted vest, or a weighted blanket.
- Explore different positions, for example, quadruped or child’s pose.
- Do a body scan with focus on all of your contact points.
- Axial loading: use your hands to provide a GENTLE downward pressure through the top of your head.
-Isometric exercises.

**This is NOT medical advise. For educational purposes only. **

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If you’re living with a vestibular disorder or post concussion syndrome- you’ve probably wondered- “how hard should I push it?”

The 2 point rule is a great guideline/ starting point for pacing an activity or exercise. (It’s not really a RULE, but more of a guideline).

The two is referring to a symptom scale that ranges from 0 to 10, with 0 being no symptoms and 10 being severe symptoms.

If you’ve noticed a +2/10 symptom increase- that’s a great time to pause, slow down, take a break, or use a symptom management tool or strategy.

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📱 screen time after concussion:
This recent study (“early post injury screen time and concussion recovery”) observed a “Goldilocks” 🐻 effect with screen time in the first 7-10 days after injury, where moderate screen time demonstrated less pronounced group differences (compared to orthopedic injury), than both high and low screen time.

This supports the recommendation of moderation of screen time, versus a blanket restriction, especially after the first 48 hours.

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Did you know migraine is a common cause of vertigo and other vestibular symptoms?

CC: Migraine is often misdiagnosed as a sinus headache or sinus issues. I’ve seen this happen many times!

Vestibular migraine is a type of migraine that causes vertigo and other vestibular symptoms.

Vestibular migraine can be present WITHOUT head pain.

*This is not medical advice. For educational purposes only*

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