At Mr Physio

Acknowledging your expertise on the above subject, I said the following with total respect of your opinion. The Epley's maneovre is not likely to work here, these symptoms do not suggest a BPPV. I agree that the problem may be central, however I also acknowlege the fact that neck treatments are giving some form of relief. The word BPPV, "benign" which is the keyword indicates that the dizziness is never constant, it lasts for a few seconds or slightly more...more constant dizziness opens up a new field to explore with regards a possible diagnosis

What seems to tally in this situation is the evidence of a c1-c2 subluxation... the tightness of the neck muscles, the relief after specific neck treatment that lasts for a day or two..for a dizzy patient who experiences symptoms constantly, this is significant...

BPPV we all know is easy to diagnose, you only confirm suspicions with audiological tests... all these tests have come back negative from two different countries, the gentleman has not reported dizziness from head movements...

Maybe his problem is not from the ear afterall...I agree that having some fullness in the ears makes the history quite confusing,

the gentleman can try the epleys maneovre but we cannot ignore the subluxation of the upper cervical spine vertebrae, if this is the root of all the problem attempting the Epleys maneovre can worsen the situation...

cheers