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I never used the pinched nose. If there is any problem at all, I swallow. But 90% of the time I just do it internally. By that, I mean: Yawn: You will hear & slightly feel a "crackling or clicking" sound in your ears, usually while opening your mouth wide to yawn. I believe that is what happens when you're equalizing-it must be the eustacian tubes opening. Try to remain in that position of "crackling" to get the feel of it. Try this when on a plane. I think it's related to the "frenzel" (throat) maneuver. It works for a few people. I think the nose pinching & valsalva maneuvers are just other ways to get you to that "clicking" point.