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Pain in relationship to Tinnitus and Hearing Loss
Henk M Koning1, Bas C Ter Meulen2
1Department of Pain therapy, Pain Clinic De Bilt, De Bilt, The Netherlands.
The International Tinnitus Journal
|March 3, 2022
Summary
Neck and lower back pain are linked to tinnitus severity. High-intensity cervical pain may cause hearing loss in tinnitus patients, impacting frequencies from 250 Hz to 4 kHz.
Area of Science:
- Audiology
- Neurology
- Pain Management
Background:
- Cervical and lower back pain are associated with tinnitus development.
- Understanding the relationship between pain and tinnitus is crucial for patient management.
Purpose of the Study:
- To investigate the impact of neck pain and lower back/limb pain severity on tinnitus patients.
- To identify characteristics of tinnitus patients with postural instability.
Main Methods:
- Retrospective analysis of 61 tinnitus patients over three months.
- Categorization of patients based on the presence of postural instability.
Main Results:
- Two patient groups emerged: those with and without postural instability.
- Patients with tinnitus and postural unsteadiness showed higher tinnitus intensity, cervical and lower back/limb pain, and hearing deficits (250 Hz-4 kHz).
- This group was also characterized by a higher prevalence of females and self-perceived hearing loss.
Conclusions:
- High-intensity cervical pain can lead to hearing loss in tinnitus patients.
- Cervical pain may stimulate proprioceptive pathways, increasing tinnitus intensity and causing hearing loss between 250 Hz and 4 kHz.
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