I do as you do. I go for head manipulation as needed.
I also do the home Epley maneuver.
What happens during the home Epley maneuver?
Start by sitting on a bed.
Turn your head 45 degrees to the right.
Quickly lie back, keeping your head turned. ...
Turn your head 90 degrees to the left, without raising it. ...
Turn your head and body another 90 degrees to the left, into the bed. ...
Sit up on the left side.
I find that if I make sure to take really good care not to to tense up that my vertigo is at least manageable. I really think for me it is a problem of my ear balance and when I tense up whatever is going on in my ear gets irritated.
Good luck!
Q