Vestibular Innovation in Pain

Inclusion Criteria:

• Provision of signed and dated informed consent form

• Age equal to or >18 years old

• Stated interest in and willingness to receive VCS and to complete the online patientreported outcomes before and after the procedure.

• Owns or has access to a smart phone or computer to complete outcome measures

• Diagnosis of one of the following:

• Fibromyalgia (FM), with at least a 4/10 average baseline pain on the numericrating scale at the time of inclusion.

• Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)

• Long-COVID

• Post Treatment Lyme Disease Syndrome (PTLDS)

Exclusion Criteria:

An individual with any of the following criteria will be excluded from participation in this study:

• History of tympanic membrane injury, rupture, or surgery

• Including tympanostomy, or "ear tubes," and/or cochlear implant.

• Ear infection within the last 3 months, or current ear pain.

• Current pregnancy

• Bipolar Disorder

• History of seizures (including non-epileptiform seizures)

• History of syncope

• Inability to lay supine for 30 minutes

• Clinically significant medical, psychological, or behavioral conditions that, in theopinion of the investigator, would compromise participation in the study

• Not fluent in English

• History of or current Meniere's Disease

• History of myocardial infarction (MI), stroke or TIA, or coronary artery bypassgraft (CABG) in the last three months

• History of hospitalization for severe hypertension

• History of vestibular schwannoma or meningioma resection.