Unilateral Tinnitus with No Triggering Event/Cause

HeavyPhoton

Member
Author
Nov 1, 2020
3
Tinnitus Since
2019
Cause of Tinnitus
Unknown
I've had it for about a year in my right ear. Seems to be entirely physical. I get it when sitting upright or laying down, particularly on my back. I always wake up with it regardless of my state when I went to bed. I have days where there's nothing, days where it comes and goes, and days where it's full on.

At it's worst it's an ~8kHz tone, more or less continuous and extremely loud, audible over pretty much everything and it's as if it's more or less right in my ear. When it's less troublesome it varies in volume, kind of fluttering, though not pulsatile.

I can raise its volume by tilting my head to the left, and any activity that makes the muscles in my neck tense can raise the volume, returning to 'normal' when the movement ends. Weirdly, there's a maximum volume, when it's at its worst, head movements make no difference.

A hot shower can make it go away for minutes or hours. Ibuprofen lessens it, for a big difference I have to take a lot, 1800 mg-2400 mg per day. I've recently had a very bad bout of sciatica and was prescribed Pregabalin and that may also have lessened it. I've not had the chance for a conversation with my doctor about that...

Sometimes I can be sat on the sofa watching TV and it will build up in my ear to a screaming pitch. I get up to make a hot drink, and by the time I've switched the kettle on, it's gone.

I've had an MRI, showing nothing. I have no hearing loss, though when it's bad I also have hyperacusis. I have been cleared of acoustic neuroma and other brain nasties, Meniere's disease and damage to any part of my ear. There was no triggering event, one day it wasn't there, the next it was.
 
Hoping you find some relief. After reading quite a bit on here it seems like there is hope. Good luck to you.
 
@HeavyPhoton Hello. Need to know the following.

How is your posture?
Look into a wall mirror or bathroom mirror standing with shoulders relaxed and see if one shoulder is lower than the other.
Have you had a fall, accident or even minor whiplash?
Need to know about your sciatica - where?

From everything that you mention it may be cervical neck ligament - C1 -C2 or lower that causes hypermobility in the cervical spine and places pressure on the nerves that run through lower cervical vertebrae and the nearby circulatory system into the ears. Occipital nerves is a possibility. Herniated disc - MRI would have seen this as well as a vagus nerve problem. Doubtful other cranial nerves being involved. Possible sternocleidomastoid pressing a nerve.

A MRI isn't a total exam for what you describe. A neck CTA or MRA is also needed.
Most likely the problem and tinnitus is fixable after location of problem with physical therapy.
 

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