- Sep 23, 2020
- 143
- Tinnitus Since
- 09/2020
- Cause of Tinnitus
- ETD, TMD, CI
Hello,
I make this topic to try and list everything I possibly can to determine the root cause of my tinnitus and hopefully prevent worsening it or even get rid of it.
My tinnitus started three weeks ago. I put my pinky in my ear canal to slightly move it to relieve itch. Upon doing that and removing it, I was welcomed with a high pitch tone that felt coming slightly above my ears, inside the temporal area. I closed my other ear and realized it is happening on both ears. It has not went away, it has not increased in intensity, it slightly decreases during the day.
Facts before the incident: I have been abusing q tips. I have never had my ears wax removed since my teenage years. My ear canals have been itching a lot. I would rarely have very mild liquid coming out of my ear canals. I have had discomfort on my jaw, especially right under my zygomatic arch and I'm diagnosed with TMJ with no cartilage wear. I have had slight discomfort of aural fullness, mostly when sleeping. Morning dizziness for a few seconds, a lot of neck discomfort, shoulder discomfort and a general intolerance to very loud sounds, specifically motorbikes and forks/spoons hitting together. I had two incidents of tinnitus for one-two seconds upon abruptly leaning my head on the side, a loud pitch noise. I have not had any pain.
Facts after the incident:
1) ENT tests were performed and show zero hearing loss, almost equal ability to detect sound on both ears on various frequencies, slight hyperacusis on higher frequencies, double the desired pressure in my middle ear, very clean nostrils, ear drum slightly tired but healthy, assuming no ear damage whatsoever.
2) Medications were used at the end of first week, cortisone pills for a week, three pills a day for two days, then two a day for two days and then one a day for two days. There was no alteration in tinnitus.
3) Physiotherapy sessions were done, from the end of week one till now. One physiotherapist performed treatment on my neck, traps and shoulders using mostly lasers. They seem to slightly alter the pitch when placed on my c1 and c2. Another physiotherapist performed manual release on the back of my c1, c2, lower jaw and mandible. The tinnitus was completely gone for a few minutes. Slightly opening my mouth and pushing my jaw to the left for fifteen repetitions results in my Eustachian tubes popping upon opening my mouth wide, when they previously wouldn't.
4) MRI was done on my neck, showing three slight herniated discs but no c1 or c2 issues and no atlas dislocation or something severe. I'll upload everything later.
5) MRI on my head is not done yet but I have it planned to show a clearer image of the Eustachian tubes, pinched nerves etc because one physiotherapist claims it probably is that. Upon lying in bed turning on my right side caused the tinnitus to disappear for a minute. Lying in my bed on my back, depending on my neck position, I had two incidents of a much louder, high pitch ring that went away in a second, one incident of a weird hollow sound and one where my ear drum felt like a constant spasm, all went away within two seconds.
6) I have read that tinnitus can result from a plethora of reasons. From hyperacusis itself, from ETD itself, from TMJ, cervical issues, muscle issues, ear infection and of course more severe cases from noise-induced and tumors. I try to rule out each so that I can narrow it down to one.
Mine seems to be somatic as I have no hearing loss or an incident of trauma. I do have ETD which has greatly improved after I stopped clenching, keeping my tongue up to my palate and eating soft foods. I do have TMJ, which seems to be influenced by certain movements, certain release but not all and it also influences my tinnitus. I do have a straight neck with certain complications and it seems to influence the tinnitus pitch. My SCM does not seem to influence it directly but neck movements result in slight pitch alteration stemming more from a change in aural fullness than actual pitch. In fact it feels like blood circulation change and so does the tinnitus at that particular moment. Pressure in the occipital area has been greatly reduced as well upon resting more and using neck support in the form of a yoga roll in my lower neck when asleep. It has not changed the tinnitus. I have had slight pain inside my ears during the first days with more profound ETD, as ETD has decreased the slight pain has also disappeared. ETD seems to be influenced by my neck position and gravity, also the tension under my zygomatic arch and the mandible does the same. If I put muscle tension on my ears to create a hollow sound / sensation in my ear drum, it feels better or worse depending on my Eustachian tube fullness and position (worse when lying down).
I read that tinnitus from an ear infection with or without pain can happen and last weeks, with cases or even temporary hearing loss. I read that cases of a perforated ear drum can cause tinnitus, itch and fluid coming out, until the ear drum heals itself and tinnitus is gone. I also read that hyperacusis and TTTS both go hand in hand and can be the cause of tinnitus, where you need to have a quick and careful rehabilitation to sounds in order to heal, plus if left untreated you can face noise-induced trauma. I'm reading up on TMJ which seems to be a tricky one, I have an appointment with a neurologist, neurosurgeon and physiotherapist.
Below I post some links I came across and found useful, hopefully some can relate to my story, some benefit, who knows.
TTTS
Tonic tensor tympani syndrome in tinnitus and hyperacusis patients: a multi-clinic prevalence study
Tonic Tensor Tympani Syndrome: Causes, Symptoms & Treatment
Tonic tensor tympani syndrome (TTTS)
Acoustic Shock Disorder (ASD) and Tonic Tensor Tympani Syndrome (TTTS) - Guide for Medical Practitioners
TMJ
Physiopedia - Temporomandibular Disorder (TMD)
Earaches/Tinnitus (Ringing)/Itch
TEMPORAL MUSCLE SYNDROME, TMS - step.es
TMJ and posture, yes it's all connected: the chain theory of body linkage
Imaging of the temporomandibular joint: An update
Imperfect bite may cause tinnitus
Portland TMJ Clinic - TMJ Symptoms
Orofacial Myofunctional Disorders (OMDs): Dx, Rx, Tx, & Px
Signs and Symptoms of Temporomandibular Joint Disorders Related to the Degree of Mouth Opening and Hearing Loss
Association between Ear Fullness, Earache, and Temporomandibular Joint Disorders in the Elderly
Muscle Fatigue in the Temporal and Masseter Muscles in Patients with Temporomandibular Dysfunction
ETD
Eustachian Tube Problems
Middle Ear, Eustachian Tube, and Otomandibular/Craniofacial Pain
Chapter 122: Otalgia and Otorrhea
Ear Congestion Feelings
An Overlooked Cause of Temporomandibular Joint Disorders (TMJD)
Anatomy, Head and Neck, Ear Eustachian Tube
TONGUE (mewing)
Tongue dysfunction screening: assessment protocol for prescribers
The assessment of resting tongue posture in different sagittal skeletal patterns
NECK
Contribution of Cervical Spine in Temporomandibular Joint Disorders: A Cross-Sectional Study
Atlas Misalignments – An Overlooked Cause of TMJ Dysfunction
Is it TMJ or Upper Cervical Dysfunction?
SOMATIC TINNITUS
Somatic (somatosensory) tinnitus
Somatic Tinnitus - Dizziness & Balance.com
OTHER
10 Causes of Ear Fullness: What You Should Know
Can Digging in Your Ears Cause Tinnitus or Damage?
Why Does Amplification Sometimes Exacerbate Tinnitus?
I make this topic to try and list everything I possibly can to determine the root cause of my tinnitus and hopefully prevent worsening it or even get rid of it.
My tinnitus started three weeks ago. I put my pinky in my ear canal to slightly move it to relieve itch. Upon doing that and removing it, I was welcomed with a high pitch tone that felt coming slightly above my ears, inside the temporal area. I closed my other ear and realized it is happening on both ears. It has not went away, it has not increased in intensity, it slightly decreases during the day.
Facts before the incident: I have been abusing q tips. I have never had my ears wax removed since my teenage years. My ear canals have been itching a lot. I would rarely have very mild liquid coming out of my ear canals. I have had discomfort on my jaw, especially right under my zygomatic arch and I'm diagnosed with TMJ with no cartilage wear. I have had slight discomfort of aural fullness, mostly when sleeping. Morning dizziness for a few seconds, a lot of neck discomfort, shoulder discomfort and a general intolerance to very loud sounds, specifically motorbikes and forks/spoons hitting together. I had two incidents of tinnitus for one-two seconds upon abruptly leaning my head on the side, a loud pitch noise. I have not had any pain.
Facts after the incident:
1) ENT tests were performed and show zero hearing loss, almost equal ability to detect sound on both ears on various frequencies, slight hyperacusis on higher frequencies, double the desired pressure in my middle ear, very clean nostrils, ear drum slightly tired but healthy, assuming no ear damage whatsoever.
2) Medications were used at the end of first week, cortisone pills for a week, three pills a day for two days, then two a day for two days and then one a day for two days. There was no alteration in tinnitus.
3) Physiotherapy sessions were done, from the end of week one till now. One physiotherapist performed treatment on my neck, traps and shoulders using mostly lasers. They seem to slightly alter the pitch when placed on my c1 and c2. Another physiotherapist performed manual release on the back of my c1, c2, lower jaw and mandible. The tinnitus was completely gone for a few minutes. Slightly opening my mouth and pushing my jaw to the left for fifteen repetitions results in my Eustachian tubes popping upon opening my mouth wide, when they previously wouldn't.
4) MRI was done on my neck, showing three slight herniated discs but no c1 or c2 issues and no atlas dislocation or something severe. I'll upload everything later.
5) MRI on my head is not done yet but I have it planned to show a clearer image of the Eustachian tubes, pinched nerves etc because one physiotherapist claims it probably is that. Upon lying in bed turning on my right side caused the tinnitus to disappear for a minute. Lying in my bed on my back, depending on my neck position, I had two incidents of a much louder, high pitch ring that went away in a second, one incident of a weird hollow sound and one where my ear drum felt like a constant spasm, all went away within two seconds.
6) I have read that tinnitus can result from a plethora of reasons. From hyperacusis itself, from ETD itself, from TMJ, cervical issues, muscle issues, ear infection and of course more severe cases from noise-induced and tumors. I try to rule out each so that I can narrow it down to one.
Mine seems to be somatic as I have no hearing loss or an incident of trauma. I do have ETD which has greatly improved after I stopped clenching, keeping my tongue up to my palate and eating soft foods. I do have TMJ, which seems to be influenced by certain movements, certain release but not all and it also influences my tinnitus. I do have a straight neck with certain complications and it seems to influence the tinnitus pitch. My SCM does not seem to influence it directly but neck movements result in slight pitch alteration stemming more from a change in aural fullness than actual pitch. In fact it feels like blood circulation change and so does the tinnitus at that particular moment. Pressure in the occipital area has been greatly reduced as well upon resting more and using neck support in the form of a yoga roll in my lower neck when asleep. It has not changed the tinnitus. I have had slight pain inside my ears during the first days with more profound ETD, as ETD has decreased the slight pain has also disappeared. ETD seems to be influenced by my neck position and gravity, also the tension under my zygomatic arch and the mandible does the same. If I put muscle tension on my ears to create a hollow sound / sensation in my ear drum, it feels better or worse depending on my Eustachian tube fullness and position (worse when lying down).
I read that tinnitus from an ear infection with or without pain can happen and last weeks, with cases or even temporary hearing loss. I read that cases of a perforated ear drum can cause tinnitus, itch and fluid coming out, until the ear drum heals itself and tinnitus is gone. I also read that hyperacusis and TTTS both go hand in hand and can be the cause of tinnitus, where you need to have a quick and careful rehabilitation to sounds in order to heal, plus if left untreated you can face noise-induced trauma. I'm reading up on TMJ which seems to be a tricky one, I have an appointment with a neurologist, neurosurgeon and physiotherapist.
Below I post some links I came across and found useful, hopefully some can relate to my story, some benefit, who knows.
TTTS
Tonic tensor tympani syndrome in tinnitus and hyperacusis patients: a multi-clinic prevalence study
Tonic Tensor Tympani Syndrome: Causes, Symptoms & Treatment
Tonic tensor tympani syndrome (TTTS)
Acoustic Shock Disorder (ASD) and Tonic Tensor Tympani Syndrome (TTTS) - Guide for Medical Practitioners
TMJ
Physiopedia - Temporomandibular Disorder (TMD)
Earaches/Tinnitus (Ringing)/Itch
TEMPORAL MUSCLE SYNDROME, TMS - step.es
TMJ and posture, yes it's all connected: the chain theory of body linkage
Imaging of the temporomandibular joint: An update
Imperfect bite may cause tinnitus
Portland TMJ Clinic - TMJ Symptoms
Orofacial Myofunctional Disorders (OMDs): Dx, Rx, Tx, & Px
Signs and Symptoms of Temporomandibular Joint Disorders Related to the Degree of Mouth Opening and Hearing Loss
Association between Ear Fullness, Earache, and Temporomandibular Joint Disorders in the Elderly
Muscle Fatigue in the Temporal and Masseter Muscles in Patients with Temporomandibular Dysfunction
ETD
Eustachian Tube Problems
Middle Ear, Eustachian Tube, and Otomandibular/Craniofacial Pain
Chapter 122: Otalgia and Otorrhea
Ear Congestion Feelings
An Overlooked Cause of Temporomandibular Joint Disorders (TMJD)
Anatomy, Head and Neck, Ear Eustachian Tube
TONGUE (mewing)
Tongue dysfunction screening: assessment protocol for prescribers
The assessment of resting tongue posture in different sagittal skeletal patterns
NECK
Contribution of Cervical Spine in Temporomandibular Joint Disorders: A Cross-Sectional Study
Atlas Misalignments – An Overlooked Cause of TMJ Dysfunction
Is it TMJ or Upper Cervical Dysfunction?
SOMATIC TINNITUS
Somatic (somatosensory) tinnitus
Somatic Tinnitus - Dizziness & Balance.com
OTHER
10 Causes of Ear Fullness: What You Should Know
Can Digging in Your Ears Cause Tinnitus or Damage?
Why Does Amplification Sometimes Exacerbate Tinnitus?