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Is Tinnitus Driving You Mad? It May Be Caused In Your Neck!

Is Tinnitus Driving You Mad? It May Be Caused In Your Neck!

Key Takeaways

  • Tinnitus can sometimes be influenced by the neck and jaw through shared nerve pathways, which is often called somatosensory or cervicogenic tinnitus.
  • Certain neck muscle tension patterns and posture-related strain may change tinnitus loudness or pitch in some people.
  • Conservative care that addresses neck mobility, muscle tone, and posture may help some patients manage tinnitus, especially when symptoms change with head or neck movement.
  • A proper evaluation matters because tinnitus can have many causes, and some require prompt medical assessment.

Tinnitus Care-Two Muscles In Your Inner Ear May Be The Cause!

Tinnitus is one of the most misunderstood and difficult conditions to correct. Current medical science has little to offer on what causes tinnitus. And even less to offer in the form of successful treatment. While we do not have a magic bullet for tinnitus, in the following blog we will attempt to shed some light on what some of the literature is saying about its origin.  Then we will introduce a little-known procedure that may help end your nightmare. Tinnitus is defined as a ringing, roaring, or whining in the ear. It may be either constant or transient. Some patients find that it is made worse by stress. however many find no real correlation to what makes it ebb and flow. Tinnitus is also very common with, vertigo, TMJ, and cognitive fog.

What Does The Research Say?

There are several peer-reviewed studies in the literature that implicate the tensor tympani and stapedius muscle involvement. Hypertonicity of these muscles can cause tension in the insertion of the muscle that connects to a piece of cartilage in the inner ear. This increase in tension creates stress that then alters sensory input to the nervous system.  Another article suggests that clonus(tightening of the muscle) is responsible for the clicking sensation that some tinnitus sufferers experience.

Medical Intervention:

There is no known medical treatment that is effective for tinnitus sufferers. With that said, many patients report that anti-anxiety medication, wine, and other outside influences decrease or temporarily eliminate tinnitus symptoms. It appears that when there is a normal tone in these two muscles there is normal neurological input into the CNS.  However, when these muscles become spastic it sends an aberrant signal into the CNS causing the replication of tinnitus symptoms. If anti-anxiety medication and other muscle relaxers help temporarily by reducing spasms in these muscles what can one do to remove one of the underlying causes of their tinnitus? 

Upper Cervical Care and Tinnitus: While Upper Cervical Care does not correct Tinnitus in 100 percent of the patients,   approximately 30 percent of those that come to us have 90 percent improvement. Another 40 percent improve about 50-70 percent while the other 20 percent seem to be unchanged. We wish there was a 100 percent success rate. With that said, patients who are relieved of their constant noise are grateful. 

Many tinnitus sufferers notice that their onset of tinnitus happens following a neck injury. This can be explained by muscle, ligament, and soft tissue injury to the neck. When someone experiences whiplash they lose normal joint biomechanics. This loss of motion sends aberrant neurological input into the CNS  which can underlie chronic hypertonicity of the stapedius and tensor tympani muscles. Remove the interference and health returns! 

The Upper Cervical Correction: The goal of Upper Cervical Care is to restore proper neurological function. Upper cervical doctors do this by following a procedure to determine if the patient has an upper cervical misalignment. Once a problem has been located a set of precise x-rays are taken to ascertain exactly what direction the joint has misaligned. Once determined a precise correction is made, which does NOT include popping, twisting, or jerking of the neck. 

After the initial correction, the goal is for the joint to stay in motion so the body can heal and repair and the nervous system can return to normal function. If you have ringing in the ears and have not consulted an Upper Cervical Doctor you should. While it is not a cure-all many tinnitus sufferers have found it life-changing.

 

 

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for personalized medical guidance. If you are experiencing a medical emergency, call 911 or your local emergency number immediately.

Frequently Asked Questions

Can tinnitus really come from the neck?
Yes—sometimes. In some people, tinnitus is influenced by the neck (often called cervicogenic or somatosensory tinnitus). The idea is that sensory input from neck joints and muscles can interact with auditory pathways in the brainstem. A common clue is tinnitus that changes with neck posture, turning your head, or pressing on certain neck muscles.
What are signs my tinnitus might be neck-related?
Neck-related tinnitus often has a few patterns: your tinnitus changes when you move your neck or jaw, you also have neck stiffness or headaches, symptoms flare after long computer or driving days, or you notice shoulder/upper back tension. These signs don’t prove the cause, but they can help a provider decide whether a neck and posture exam should be part of your work-up.
What conservative treatments may help if my tinnitus is influenced by neck tension?
If a provider suspects a neck component, conservative care may include gentle manual therapy for neck mobility, soft-tissue work for tight muscles, posture and ergonomic coaching, and a home program of stretching and strengthening for the neck and upper back. Some patients also benefit from relaxation and breathing strategies to reduce muscle guarding that can amplify symptoms.
Should I see an audiologist or a musculoskeletal provider first?
Many people start with an audiologist or primary care provider to rule out ear-related causes and check hearing. If your tinnitus changes with neck movement, comes with neck pain, or started after a strain or whiplash-type event, it’s reasonable to also see a chiropractor or physical therapist for a neck and posture assessment. Coordinated care is often the most practical approach.
When is tinnitus a reason to seek urgent medical evaluation?
Seek prompt medical care if tinnitus is sudden, only in one ear, accompanied by sudden hearing changes, severe dizziness, facial weakness, or new neurologic symptoms. Also get evaluated if you have pulsatile tinnitus (a rhythmic sound that matches your heartbeat). These patterns can signal conditions that need medical testing rather than conservative musculoskeletal care alone.

Sources

  1. Tinnitus — National Institute on Deafness and Other Communication Disorders (NIDCD) (2024)
  2. Tinnitus: Diagnosis and Management — American Family Physician (2021)
  3. Tinnitus (Ringing in the Ears) — NHS (2023)

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