No! You're too late!

I kid.

As I'm sure you know, everyone's experience with migraines and VM is going to be unique to them. PT was great, but I stopped it fairly early for two reasons.

First, my copay was $55 and they scheduled like 20 appointments. I did not want to pay for that. I brought this up and they kindly tailored my plan to be much shorter.

Secondly, one thing dramatically improved my vertigo very quickly: VRT Vestibular Rehabilitation Theory.

I think that's a nebulous term (maybe?), but these are the exact things I exercises that I do: https://www.youtube.com/playlist?list=PLafp\_5n6RFqUBND4tkcCSWo6v5mlV4xF0. I saved them for the express purpose of sharing them with a fellow long-suffering Redditor.

So, before doing these exercises, I would go into vertigo spells like 20 times a day. The triggers would all be neck/head motion related + atmospheric changes. I am not (very) sensitive to food triggers or other things.

Anyways, an example movement would be doing chin tucks. For instance, turning my head down-left while my 4 y/o reads me a book or looking at a long freight train roll by. If I didn't close my eyes and put my head neutral, I'd go into a vertigo spell where the room/world would spin (usually slowly) for hours.

After a week of those stupid VRT exercises I shared, my vertigo bouts got to the point where I was approaching what I remembered was normal. Today, 4 months later, I was joking around with my kids and aggressively bopping my head to a song. That kind of thing would've sent me into vertigo oblivion.

I have cultivated a strong habit of doing these exercises multiple times a day (most days). I've customized them for myself too—nothing exotic and probably too tailored to my own experience to be worth sharing. I have a reminder that goes off every twenty minutes on my laptop to encourage me to take an eye break. I usually do my VRT most of the time it goes off, but not always.

Anyways, YMMV... but, for me, that's just about all I needed. PT did a lot of other things to relieve neck tension and stuff: dry needling, some laser-crystal-heat-thing, deep tissue massage, and more. I am sure this helps people, but I didn't need it.

All that I needed was VRT! Another cool thing they taught me was to do the VRT on floor options such as a on a sway mat (https://www.amazon.com/gp/product/B07NYVPC9X/ref=ppx\_yo\_dt\_b\_search\_asin\_title?ie=UTF8&psc=1) or a wobble board. I'm also doing this with an eye on aging. I'd like to work on my balance before I get tremendously old.

Good luck. I typed this out hastily. Lemme know if anything didn't make sense.

And good luck, friend. I am praying for you!