That's nice that your chiropractor knows how to treat BPPV. It's not that hard to learn the maneuver, and you can even do it at home if you know which canal the debris is in (usually the main Epley manuever works).

BPPV can be seen on an ENT exam if it happens to be active at the time of the exam. It is diagnosed by the Dix-Hallpike maneuver, which consists of lying the patient quickly back on a table with head hanging slightly overboard at an angle and observing the eye movements for the typical BPPV nystagmus.

But a person with BPPV won't necessarily be symptomatic at the time of the exam, so a negative Dix-Hallpike doesn't rule out BPPV. Usually doctors can tell (or guess) from the patient's description of the symptoms and what brings them on.

Laura, you look so young, did they say whether they think your BPPV is related to MS? Usually (not always) it occurs in older persons or people with inner-ear disease. (Outer or middle ear infections shouldn't be related to it, unless they get into the inner ear area.)

A vestibular therapist once told me that it occurs more frequently in people with MS (for unknown reasons), and I think I heard this once somewhere else, too. But I don't know whether that's really true or not.

Best of luck to you--you have a lot on your plate already these days!!

Nancy T.