♪ Bob and Brad ♪
♪ The two most famous physical therapists ♪
♪ On the internet ♪
- Hi folks I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together we are the most famous physical therapists
on the internet.
- In our opinion, of course Bob.
- Are you dizzy?
We're gonna talk to you about the signs
you need to call your doctor, now,
immediately when you have dizziness.
'Cause it's not always an emergency, but sometimes it is.
- Right.
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- Oh, yes.
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- There ya go.
- You can only put up with-- Bob and Brad,
what are we giving away this week?
- [Both] Booyah!
- Yeah, we're giving away the Booyah Stick,
very versatile, really good for
shoulder pain and posture and balance and, anything else?
- Exercises in general, I use it a number of times.
- All right. There it goes.
All right, dizziness, very common,
you get that light headedness, feeling faint,
false sense of spinning sometimes, the vertigo.
- Right, right, yep.
- You get, the problem is it can be unsteadiness,
loss of balance, you can get a fall.
It can lead to something really bad.
Some people also talk about just, like, it's,
they feel like they're floating, or like,
swimming.
- I don't know, do you feel that way sometimes, Bob?
(laughs)
- Right now.
- So, we're gonna talk to you about when you should
call the doctor immediately.
But, at the end we're also gonna mention
some common causes and cures.
- Right.
- So, we're gonna mention that.
So, when to call the doctor immediately.
If you experience sudden dizziness
along with a head injury.
So, like if you fell or, and then you have dizziness.
- Right.
Even if like, you're, lift up your head
under a countertop and bump your head
and you get dizziness associated with that.
Then you better be concerned.
- Yeah, my daughter Jamie, she got a concussion.
It was really,
it was something like that.
- Yeah.
- I remember, so, it doesn't take much.
If you're experiencing sudden dizziness
with a headache and you normally don't get headaches.
You know, we're worried, we're always,
a lot of these are concerned about a stroke.
- Right.
- And, or brain aneurysm.
I don't wanna panic people, but,
there's things that could be along with that.
Same thing with a neck ache.
If you're getting dizziness along with a neck ache
that you didn't have before.
- Right.
- Right. Now, if you have neck aches all the time
and then you get dizziness, then I'm not as concerned.
- Right, if it pops out of nowhere,
you haven't had it, you know,
there's some potential for some circulation problem.
- A high fever along with dizziness.
Time to check with the doc.
Blurred vision.
Hearing loss.
Difficulty speaking.
What are all those, Brad?
- Stroke or CVA potential.
- Numbness or tingling, along with the dizziness.
- So, that would often times, may be in the face.
- Right, right, exactly.
- Could be radiating down the neck or the arm, possibly.
- Droopiness of the eye or mouth.
- Typically on one side.
That's, you need to get ahold of the doc,
or get in quickly.
- Loss of consciousness, I sure hope people go in
and see the doctor when that,
if you suddenly go out.
Chest pain, always with chest pain,
you don't wanna mess around with that.
You wanna have it checked out,
even if you had a lot, at many times.
Ongoing vomiting.
That happened to me.
I had it one night, I was a little dizzy
and I vomited.
But I only vomited once and the dizziness went away
so I didn't go in.
- Sure.
- But I think it was just something I ate.
- Really?
- Yeah, it was strange.
Those are it, Brad, those are the things
that you wanna be concerned about
and see the doctor.
- I know one thing, if you do get dizziness,
big concern is falls,
and we've got some of these common causes that,
for instance, my mother recently had a fall
and her blood pressure medication,
we're gonna get into that.
- Yeah, blood pressure,
especially what they call orthostatic hypo blood,
hypertension, hypotension.
Which means is when you stand up
your blood pressure goes down.
- Right.
- Or even when you go from, if you're laying down
and you sit up.
In fact, that's a test we do.
So if someone is laying down
we first have them sit up.
We check their blood pressure.
Then we have them stand up.
We check their blood pressure again.
If there's a drop of 20 points
that could mean that you have orthostatic hypotension.
- Which, dizziness and lightheadedness,
but it only last for usually
up to 30 seconds or so
and it consistently clears up
and you feel fine.
That's very common.
Particularly the people who've been laying,
if they've been ill and been laying flat
for a number of days.
Very common, especially if you're older.
- So, the easy recommendation or the easy solution,
hopefully to that, a lot of times
is to sit up for a while before you get up.
- Right.
- Also, stand up for a while
before you walk.
- Exactly, right.
- Now, also, are they checking
your mom's medications at all?
- Well, that was the issue.
We think that she took, she fell,
but we think she took her blood pressure medication
twice in the same day, so,
it dropped it even more, but,
with this Covid-19 thing we couldn't monitor.
- Yeah, it's been tough.
- Yeah, we've got a nurse coming in there now
and monitoring for us.
- Okay. So, yeah, medications is big common cause.
You know, Brad and I see this a lot.
We work in skilled nursing facilities
or have done a lot, and,
so we see a lot of these.
Dehydration, very common in the elderly.
- Right.
- Just seems like they don't have,
they can't,
they don't have the sensation
that they are thirsty at all.
- Right.
- And, so, they don't drink enough water
and they become very dehydrated.
- Or they drink too much coffee,
which is diuretic, which can lower the,
fluids, and when you get lower fluids
the blood pressure goes down and--
- Well, medications, too.
- Right.
- There's a lot of medications.
- All these things can overlap.
- Right.
What else, Brad?
One of the more common causes
is when you have an inner ear, those little crystals,
and they get in the wrong spot.
- Right.
- We just did a video on BPPV.
- Vertigo.
- Vertigo, and the only good thing about that
is it's generally very treatable.
- Right, without medication, therapy, we've,
Bob and I've treated many people.
- We've got a bunch of videos on that.
If you have that, you wanna check out
the Epley maneuver, E-P-L-E-Y,
'cause that, oftentimes a treatment or two
and it could possibly take it away.
- Right, right.
And that's typically associated with head movement.
Whether you're laying in bed or up,
if you move your head, sometimes quickly,
sometimes not even quickly,
and you get that associated nausea and spinning.
And a lot of times people will report
the whole room is spinning, it can be very--
- Oh, it's disturbing.
- Yeah, it, people are very,
even younger people that have had it,
they're just--
- Yeah, they're thinking somethings very terrible going on
and like Brad said, one of the most,
the biggest signs of that, is you're laying in bed
and you turn your head--
- Yep.
- To get up, and all of a sudden
the world starts spinning.
- Right, and you, sometimes vomiting,
or you feel like vomiting.
Typically that settles down within 30 seconds to a minute
if you don't move.
- If it's that type of BPV or that type of vertigo.
It does tend to settle down, but,
again it's very scary.
Hypoglycemia, in other words you have low blood sugar.
- Sure.
- And, I had a friend that would
have a lot of episodes of this
and luckily now he's got a monitor that's actually,
he's got a needle that goes into his skin
the entire time, he's got the monitor there,
and he can monitor on his phone.
- Yep.
- The only thing is, when he stays over at our cabin
he sleeps down in the basement
and alarm goes off if his blood sugars are too low.
- Why would you send him down in the basement?
- I don't--
- When he has his, why don't you put him up
with everyone else?
(laughs)
- 'Cause he tries to bug me all the time, so
(laughs)
but, yeah, you know, there's like three, four people
down in the basement with him
- I see.
- And the alarms going off--
- Everyone's waking up, yeah.
- And of course, there's been some drinking, you know.
- Oh, Bob, let's keep that to yourself.
- Yeah, all right.
So, I think that, oh, anemia,
we see that, too sometimes,
especially after surgeries and stuff like that.
- And people that, excessive exercise.
Especially after, I've done this where,
like if today I'd be out exercising
for long periods of time running.
Heat coming in, not enough salt,
and I've gotten, not so much dizzy,
but lightheaded.
- I do, too,
you become a lot more sensitive as you get older.
I'm using those, I'm almost taking those Nuun tablets--
- Yeah, I've got--
- N-U-U, N-U-U.
(laughs)
- What did I say, ooh ooh?
- Yeah, ooh oh.
- N-U-U-N.
- Yeah, phonetic there, Bob, but anyways--
- Those work well.
- I need to get some of those
because it's this time of year
where I'm gonna be out riding my bike
and sweating like a,
can I say pig?
- Yeah.
- Sweating like a pig,
and I gotta keep the--
- No, it's true, I've gotten to the point now
where I'm taking it representatively.
- Yeah.
- I took one this morning.
- Right.
- Because, it's just, I'm more sensitive.
I used to be able to handle that.
- Yeah, well, Bob, the aging process
takes its toll on all of us.
- That's right.
- We're starting to babble now,
we're gonna have to finish up.
- All right, you know, Brad and I
can fix just about anything.
- Except for...
- What?
- Oh, I forgot.
- A broken heart. (laughs)
- Oh yeah, a broken heart, but we're continuing
to work on it.
- We're working on it.
- Effortlessly, even if we forget we did.
- Yes, thanks.