Does seem directly related to the pain. I have been having balance issues since early in my diagnosis and treatment that are worsened by pain but not directly tied into them. Just when my feet are bearing weight only. Not inner ear related. Seen two neurologist and my primary (had MRI) and rheumy, of course. They don't know what to make of it. Very annoying. I can still ride a horse, 'though. That's a plus. Thanks for sharing.