some of the physical damage of muscles and joints in the cervical neck can be improved
When there is lost of disc height and bone spurs, we call this arthritis, osteoarthritis, or wear-and-tear arthritis. It is not reasonable to expect the disc space to increase nor bone spurs to shrink, but, unless those become very bad/advanced, those are NOT causing the symptoms, they are PART of the symptoms. Like a wear-and-tear-caused callus on your hand, only when it is getting WORSE/advancing will it cause symptoms. The symptom-causing tissues are the irritated nerves, typically irritated by poor joint motion or trigger points in muscles. This brings us closer to your next point.
prevent is muscle spasms by improper movements and body strain
Muscle spasm, or if we could broaden that to excess tension, is what causes waste products to build up in muscles, become toxic, and develop trigger points. This video covers some of the key movements/strain that we should avoid:
Here's a video on ways to address those causes.
I have said a lot on how to address the trigger points in the neck, jaw, and head. You can check out my videos or other comments on that...and my upcoming series on somatic tinnitus.
This is an interesting one. Restoring the cervical lordosis (curve) can reduce the strain on the neck muscles and joints quite a bit, for the long term. "Chiropractic Biophysics" is the specialty/technique that focuses on normalizing spinal curves. There are several ways to accomplish this. I incorporate this technique in my practice, focusing primarily on home therapy. I don't give any specifics to even my patients until I have seen their recent x-rays, but here are some generalities. In advanced arthritis, the muscles and nerves may be irritated MORE by attempting to restore the lordosis. Apart from that, it is usually a good approach. I have tried numerous approaches over 21 years to restore cervical lordosis. There are 2 that I can count on for effectiveness and one that is likely effective.
For EACH of the 3, proper placement can make all the difference. The LIKELY effective one use a foam wedge, specifically a
Denneroll. I didn't get results with this, I think largely because patients didn't take it seriously and use it as directed, 2-3x/day, every day for about 3 months. The next one is a counter pressure traction device that truly looks like a torture device which is set up in chiro. biophysics doctor's office. The 3rd, what I recommend, is the
Posture Pump (link to a knock-off I like better than the original), used on the same schedule as the Denneroll. I usually expect 30-50% improvement in the CURVE, and often get more.
such as the temporomandibular joint, one may have a change to their tinnitus levels
All the muscles of the jaw and the major muscles of the head are related to TMJ movements. So addressing this is KEY. The 2 biggest solutions for TMJ problems include stopping clenching or grinding and trigger point therapy. Clenching or grinding usually comes from stress (occasionally from malocclusion). So, STRESS REDUCTION is critical. That's harder when tinnitus is the stress cause AND effect. This is why I recommend CBT for everyone. Muscle work/Trigger Point Therapy is my forte, but SPLINTS, stretching, and mobilization exercises. The stretching and mobilization in most studies are fairly general, but I will be come out with more details soon. Unless you get heavy into Orofacial Myofunctional Therapy (OMT), the primary goal is to reinforce the work done with the trigger point therapy.