Hi Natedive,
Doc's earplugs have small holes in them, so the pressure equalizes no matter the depth.
I use Doc's earplugs on every dive. They don't necessarily help with equalizing. They do keep your ears warm--even in tropical water! I have pulled an earplug out in tropical water and whoa nelley, is that ever cold!
They advertise that your ears don't clog up as much if they are warm. I find it to be true.
I have a chronic sinus congestion problem. An instructor told me to blow my nose u/w at max depth and then every ten feet as I ascend. I still can't believe the snot that comes out of my nose and fills my mask. By the second day, my sinuses are cleaned out and equalizing becomes much, much easier. Don't blow hard enough to push snot up your Eustachian tubes. Nice and gentle. One nostril at a time.
I also sleep with a humidifier running. A good one.
In the shower, before diving I suck water up my nose and clean out my sinuses. It hurts, but it does clean out the gunk.
I have practically solved all clearing and reverse block issues.
You may not know that your sinuses are chronically impacted. I didn't. How would I? Congested sinuses were a normal everyday thing.
After two days of diving, I can 't believe how well I can breathe through my nose.
Try these RXs.
You may have my issue, and you may not.
Blowing your nose every ten feet on ascent is painless. What is it going to cost you?
Good luck,
markm