I used to get it every once and a while until I did my deco class. Hand over hand on the rope for the ascent keeps mine from happening anymore. I watch my vertical rates much closer now. I had an accute baratrauma once, ... once. It was from going down to fast, but I don't screw around with my vertical rates anymore. No more setting the anchor for me. The doc says I have small eustachian tubes. You know what they say, small feet...