Thanks all for the tips, as suggested the ASW settings appear to be my issue. Alternating between forced 45hz or off in the Oculus Tray Tool allowed me to resolve it. Next time I’ll try Ctrl+Numpad shortcuts, I assume those are Flight Simulator commands.
My last issue is that the head position seems to migrate a bit when I turn my head, like it’s not fixed to a point. I tried disabling head motion in the cfg file but that didn’t help. Anyway, this one I can live with at least.
Thanks again for the assistance, it really helped!