At the risking of “jinxing” it, I believe I’m seeing an improving trend. Although I still have an tendency to develop tension in my head and disequilibrium as the day progresses these sensations do seem to be lessoning in intensity. Also the episodes of vertigo seem to be becomming less acute. The last couple I’ve had were mild enough that they probably shouldn’t even be called vertigo as there was never any “movement” of objects in my visual field The term dizziness is probably better. These episodes are also becomming shorter in duration - a minute or two - as opposed to 5 to 10 minute episodes that I was having previously.
So what do I attribute this to? First I’ll say it is hard to tell because it seems that I don’t get immediate feedback from anything I do. Rather, any change I make (ie diet, exercise, medication, etc.) must be maintained for a period of months before I start to see a change. Having said that here is what I’m doing now: Verapamil (120/day - I’ve been on it for 17 days now), cardiovascular exercise (30 min/day - 4 days per week - for the past month), migraine diet (past two months).
As to which of these things is responsible for the improvement, I’d guess its a combination. For now I’ll continue doing all three and see if this trend continues. Perhaps if I can ever really get this under control for any length of time I’ll experiment a bit a see if I can pin it down. For now I’m just thankful that things seem to be moving in the right direction.