Overview
Ear Pain and tinnitus
Tinnitus is the perception of sounds such as ringing, buzzing, or humming in the ears or head when no external sound is present. The most common causes of tinnitus are ontological in nature, meaning they are related to the structure, health and function of the ear. New onset tinnitus should be discussed with your GP and referral may be required to an audiologist or ENT. However, there are musculoskeletal causes or contributory factors of tinnitus that can benefit from physiotherapy treatments. Musculoskeletal or somatosensory tinnitus occurs due to dysfunction in the upper cervical spine, jaw and the surrounding musculature. This happens because nerve signals from the head and neck connect with the brain's auditory pathways. For example, muscle tension knots send abnormal nerve signals to the brainstem's auditory centres, confusing how your brain processes sound and causes false noises. The key to treatment is determining any musculoskeletal cause of tinnitus through thorough physiotherapy assessment. An example treatment plan would be muscle release therapies including; massage, myofascial release, dry needling/acupuncture, paired with work on posture and lifestyle factors and key exercises to address the dysfunction.
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