@heisenberg34 I am going through the same imbalance problems. It's not vertigo but just as awful! Feel like I am going to fall over. But my ENT performed a myringotomy (without tubes) and injected liquid steroids into my inner ear through my eardrum. Just had my third injection on Monday (one each week) and crossing my fingers because I feel much better, but time will tell. May need a 4th one next week. The Navage device is just a temporary clearing of nostril passages and the Flonase did absolutely nothing for me after 6 weeks of use. I am told this is either a stubborn inner ear inflammation which in turn inflames my eustachian tube or possibly Menier's Disease. In any event, your ENT telling you to "just keep spraying" is concerning to say the least. I found an awesome ENT after being quite dissatisfied and depressed from prior experience with a different ENT. I feel so sorry for you because I know exactly what you are going through. It is a horrible way to live. I wake up each day wondering if I can walk, drive or be joyful this day. But the injections are promising. I was told from the beginning that it may taken 1, 2, 3 or even 4 injections to find relief. Everyone is different. Even if I feel better, I am going to get a 4th injection to be sure. I am so grateful I feel better at the moment! Hope this helps you!