Anne: I was wondering about why the epley maneuver helps so many of us when it is tms related and no therapy treatment should be the cause of the recovery. And I think I get why. Tell me what you think. When a person gets positional vertigo and they or someone else performs the epley maneuver on them, the maneuver puts the patient in the worst possible position bringing on the most extreme vertigo. To the brain by doing the maneuver (especially by yourself) sends a DEFIANT message to the brain that "instead of me being afraid and not putting myself in the position that will cause the extreme vertigo I am doing the opposite and causing the vertigo that you (brain) tried to trick me into avoiding". This would be similar to the patient who is in pain but continues to go about his day. Both are defiant to the mission of the brain and hence the vertigo goes away. I am saying this because so little is known (medically) about this condition and perhaps the "ear rocks" are just another ploy by the brain. I don't about you but I'm going with this one for now. Because BPPV is unlike other illnesses. Doctors all agree that the more you move your head freely (even bring on the vertigo) the quicker you recover cause the brain adapts to the vertigo. Unlike other disorders where you rest, etc., you are encouraged to get on with your life. It's clear that doctors know the mind is doing someting but they just don't quite know how. I have not been back to ENT since my first vertigo episode five years ago but if I do I'll be bring him a copy of Dr. Sarno's book.