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Proprioception: the missing link in the pathogenesis of tinnitus?
1Department of Pain Therapy, Pain Clinic De Bilt, Netherlands.
The International Tinnitus Journal
|January 26, 2021
Summary
Cervical spine issues are linked to tinnitus and neck pain. Postural instability is a key factor, suggesting tinnitus may stem from cervical pain syndromes, potentially worsening with hearing loss.
Area of Science:
- Neurology
- Orthopedics
- Otolaryngology
Background:
- Tinnitus and cervical pain are common complaints.
- The relationship between cervical spine pathology and these symptoms requires further investigation.
Purpose of the Study:
- To investigate the association between cervical spine pathology and the occurrence of tinnitus and cervical pain.
- To identify common and distinct pathological features in patients presenting with tinnitus or cervical pain.
Main Methods:
- Retrospective analysis of 124 patients with tinnitus and 300 patients with cervical pain.
- Evaluation of clinical complaints, postural stability, dizziness, and cervical spine imaging findings.
Main Results:
- 64% of tinnitus patients reported cervical pain; 44% of cervical pain patients reported tinnitus.
- Common findings included postural instability, dizziness, C5-C7 disc degeneration, and C5 anterior spurs.
- Cervical pain patients showed more C3-C4 disc degeneration, larger C3 anterior spurs, and reduced cervical lordosis.
Conclusions:
- Postural instability is a significant discriminant factor in both tinnitus and cervical pain patients.
- In cervical pain patients, postural instability correlated with tinnitus occurrence.
- Two tinnitus profiles emerged: one associated with postural instability and low-frequency hearing loss, suggesting a cervical origin.
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