MOST patient with chronic balance problems have symptoms that wax and wane. They end up visiting the doctor when their symptoms are at their absolute worst, so no matter what the doctor does it looks like the correct treatment for a short period of time (because there is nowhere to go from 'absolute worst' except toward 'better' ...). A balance specialist will want to hear your entire story, not just the current flareup.

I had an ENG study, did not prove that I had anything major with my ears.. although I did have the slight dizzy feeling. I do have several visual issues, but they decided they were not the CAUSE of my dizziness.
I did have several sessions with the exercises for Vestibular Disorder.. they were very helpful.. I no longer need to use a walker to steady myself.

Normal ENG does NOT rule out vestibular problems. The test is simply not very sensitive. Rotational chair is a MUCH more sensitive test of the balance system than ENG.

A study of over 1400 patients we did last year showed that ENG provides physical evidence of peripheral vestibular involvement ("inner ear") in only 42% of cases. Adding rotation testing increases the probability of finding physical evidence of peripheral vestibular involvement to 71%. Advanced testing identified central nervous system "brain") involvement in an additional 6.9% of patients.

Even with advanced testing (rotation and posturography platform), 22% of tests were completely normal. The VAST majority of normal studies were in folks who had a headache history that met the International Headache Society criteria for migraine ... simply put, if your test results don't show anything, migriane MUST be considered, even if you don't have horrible headaches.

I had the rotation part as well.. I also have regrowth of pituitary tumor (5cm) that will eventually, as with the more invasive one in 1978 put more pressure on my optic nerve... At least this tumor is non-secreting.. as was the first.

My ENG seemed to indicate to my ENT that I have BPPV. He said I do not have menieres. He feels confident of that. My MRI shows nothing abnormal. He told me to begin doing the epley and to continue it until symptoms are gone. I still have an appointment scheduled for the 5th to see a neurotologist in my area. I am going for to switch over. I wonder what he will say? I really need a second opinion on this. The epley does seems to be helping intitally, but it creeps back up on me later. My concern is why do I keep getting this one episode after another and why won't it leave? Is there nothing that can be done to figure out WHY the crystals keep coming loose? And if they can't figure out what is causing it then how is it possible to fix it?