Serendipidy,
If you “let” chronic go on too long, does it become permanent?
There’s no evidence to suggest that this is the case. In fact, if you have a read of the Waterston paper, you’ll see that two of his chronic cases saw full resolution of dizziness after having had no relief for 10 straight years. The treatments used: 0.5 mg pizotifen and the other 40 mg propranolol.
http://www.mvertigo.org/articles/Chronic_Migrainous_Vertigo.pdf
Cheers … Scott 
Thank you, Scott! Look forward to this reading material after work today. Haven’t paid attention to MAV developments in awhile as I thought there’d never be any research in our little area. I’ve heard of the term “status migrainosus” for regular migraineurs and it frightened me, then I realized that describes me for the last 20 years, except it’s my equilibrium that’s off. Sure hope there is still light at the end of the tunnel. In the past I have enjoyed much-appreciated days of reprieve or even weeks when the dizziness was less persistent, when the disequilibrium was quite minor, but I haven’t felt still/normal for 20 years, and I haven’t felt an hour let alone a day of reprieve lately.
Btw, how long has pizotifen been around? Is it new? I wonder why it was never offered to me (it’s the only one that wasn’t, but…)? I’ve trialled so many preventives.
Can anyone who has vertigo chronically like this describe their symptoms? Do you have times when the vertigo is better than others? What’s seems to help you? I recently had surgery for a tumour on my eighth nerve and I’m having chronic dizziness. It’s from one ear sending good signals and one sending bad ones. I’ve tried vrt but it hasn’t done much yet but I have high hopes. Could someone point me in the right direction for exercises for chronic vertigo. Thanks
Nick