Shoulders Up

Dr. Jennifer Braswell Christy is leading researcher and contributor to the field of pediatric vestibular rehabilitation. The conversation delves into the prevalence, diagnosis, and unique challenges faced by pediatric vestibular patients. It explores the impact of vestibular dysfunction on children's behavior, developmental challenges, and educational support. Additionally, it presents a case stud...

Catherine Dykes, CEO of Chronic Migraine Awareness Inc., shares her journey with chronic migraine and the founding of CMA. She discusses the impact of migraine on her life, the challenges she faced, and the mission of CMA. The conversation also highlights the need for advocacy, support, and awareness for migraine sufferers. Takeaways Chronic migraine can have a profound impact on a person's identi...

The conversation between Jimmy and Melissa Baumbick covers the topic of facial pain disorders, their impact, and the advocacy work of the Facial Pain Association. Melissa provides insights into the nature of facial pain disorders, their prevalence, challenges in diagnosis, and the mission of the Facial Pain Association. Takeaways Facial pain disorders are often misdiagnosed and underreported, lead...

The conversation delves into the understanding of chronic dizziness, the complexity of vertigo diagnosis, and the impact of visual vertigo on individuals. It also explores the diagnosis and impact of 3PD, the role of neuroplasticity in vestibular therapy, and the comprehensive assessment for visual dependence. Takeaways Vertigo is a symptom, not a diagnosis Visual dependence is a complex issue tha...

Dr. Amal Starling discusses the differentiation between primary and secondary headache disorders, the diagnosis and characteristics of migraine, comorbidities and central sensitization, and the modern understanding of migraine pathophysiology and treatment. The conversation covers the revolutionary impact of CGRP inhibitors on migraine treatment, the challenges and future of personalized medicine...

The conversation delves into the complexities of vestibular disorders, highlighting the frustration of patients with diverse symptoms. It explores the limitations of imaging and biomarkers in diagnosing these disorders and emphasizes the value of functional tests and the therapist's perspective in providing clinical insights. Takeaways Vestibular disorders present with diverse symptoms Functional...

The conversation delves into the understanding of Cyclic Vomiting Syndrome (CVS), the challenges faced by patients and families, and the need for improved healthcare support and awareness. It also highlights recent developments and the hope for a better future for those affected by CVS. Takeaways Cyclic Vomiting Syndrome (CVS) is a debilitating disorder with intense nausea and vomiting, impacting...

Disclaimer: This episode is for educational purposes only and not medical advice. Please consult a healthcare professional. The podcast episode delves into the complexities of vestibular migraine, highlighting its unusual symptoms and the challenges in diagnosis. It emphasizes the neurological nature of migraine and the need for comprehensive management strategies. Takeaways Vestibular migraine pr...

The conversation delves into the rare disorder known as Dravet Syndrome, its impact on individuals and families, the need for healthcare provider awareness, and the role of rehab therapists in managing the disorder. It also highlights the importance of spreading awareness and supporting research efforts for Dravet Syndrome. Takeaways Dravet Syndrome: A rare form of intractable epilepsy that begins...

The podcast episode features Dr. Jasmine Forte, a pediatric neurologist, discussing the prevalence and unique challenges of pediatric migraine and headache disorders. The conversation delves into the presentation of migraine in children, case studies, interdisciplinary management, healthcare system improvement, and hopeful advances in child neurology and migraine treatment. Takeaways Pediatric mig...

The conversation delves into the role of occupational therapy in migraine care, emphasizing the holistic approach and the interplay between sensory sensitivities and migraine disorders. It also explores the challenges of migraine management, personal experiences with migraine, the migraine threshold theory, and conservative management. Additionally, it discusses sensory strategies for nervous syst...

The conversation covers the relationship between 3PD and otoliths, the challenges in diagnosing and treating 3PD, the impact of otolith dysfunction on symptoms, and the importance of patient education and sensory reweighting in treatment. It also highlights the need for comprehensive otolith assessment and the challenges in healthcare and clinical practice. NeuroDizzyDuo's work can be supported th...

The conversation explores the intersection of brain injury and FND, discussing the rarity of the combination, early signs of FND in concussion patients, and the evaluative process for treatment. It also delves into a specific case study, highlighting the patient's symptoms, examination, and treatment techniques. Takeaways Brain injury and FND can present as a rare combination in patients. Early si...

In this episode, Dr. Jimmy Pang discusses the limitations of the Epley maneuver in treating vertigo and dizziness. He emphasizes the need for a more comprehensive understanding of vestibular disorders and the importance of accurate diagnosis and treatment. Takeaways Epley maneuver limitations Comprehensive understanding of vestibular disorders Chapters 00:00 The Limitations of the Epley Maneuver 0...

The conversation delves into the world of headache advocacy, highlighting the impact of personal stories, challenges, and the progress made in migraine management. It emphasizes the importance of legislation and policy in addressing the unique challenges faced by individuals with headache disorders. The discussion also encourages active involvement in advocacy efforts and provides insights into th...

Dr. Corey Hillman, a physical therapist specializing in craniofacial therapy, discusses the link between jaw dysfunction and headaches, the challenges in treating complex cases, the importance of lifestyle factors and conservative relief, evaluation and tracking progress in TMD, collaboration with dentists, and the complexity of facial pain disorders. He shares a clinical case and treatment techni...

The conversation covers the inspiration behind Haven Headache, challenges in accessing headache care, advantages of private practice, designing the ideal clinic, improving access to care and patient experience, migraine care and treatment journey, pediatric migraine care and future plans, and misconceptions and stigma surrounding migraine. The takeaways include the concept of a virtual first pract...

The conversation delves into the journey of product development, from the invention of adjustable walker weights to the process of patenting, marketing, and sales efforts. It also explores the challenges and successes faced, as well as the mindset shift required to expand beyond clinical care. The episode concludes with a focus on promoting the product and seeking support from fellow therapists. T...

Our guest Dr. Becca Timko, a functional neurologist, discusses the diagnosis and treatment of POTS and dysautonomia, sharing insights into patient presentations, diagnostic criteria, and treatment techniques. She also highlights the impact of these conditions on patients' daily lives and the importance of early intervention post-concussion. Takeaways POTS and dysautonomia are complex neurological...

The conversation delves into the impact of headache disorders on the population, highlighting the need for better representation and policy. It explores the economic and social implications, discusses the Headache Act, Connect for Health Act, and the Safe Step Act, and concludes with a call to action for advocacy and support. Takeaways Headache disorders impact a significant portion of the populat...

In this episode of the Shoulders Up podcast, Dr. Jimmy Pang discusses the Epley maneuver, a common treatment for BPPV (Benign Paroxysmal Positional Vertigo). He emphasizes the importance of accurate diagnosis, as many patients misattribute their vertigo to BPPV when it may be caused by other vestibular disorders. Dr. Pang explains the mechanics of BPPV, the treatment process, and the challenges fa...

In this episode of the Shoulders Up podcast, Jimmy dives deep into the complexities of Medicare as it relates to physical therapy. He discusses the misconceptions surrounding Medicare, the differences between covered and uncovered services, and the implications for both cash-based and insurance-based providers. The conversation also explores the opportunities available for therapists willing to na...

Migraine remains the 2nd leading cause of disability in the world yet it hardly gets the attention it deserves. The lack of access and awareness leads to stigma and worse outcomes. Cerebral Torque is an online migraine educator. A prolific creator, he is always churning out migraine content based on the latest medical literature. Find out more about Cerebral Torque at: www.cerebraltorque.com Insta...

In this inaugural episode of the Shoulders-Up Podcast , Dr. Jimmy Pang introduces the Shoulders-Up framework : an integrated model for understanding headaches & dizziness. Rather than treating symptoms in isolation, this episode explores how the neck, jaw, visual system, vestibular system, and autonomic nervous system interact to drive complex presentations like vertigo, migraines, brain fog,...