Neck Tension and Ear Sounds: Possible Causes and Solutions - Neurology

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Cervical issues


Hello, doctor.
Recently, I've been feeling a tightness in my neck, and when I turn my head, I hear a sound similar to pressure in my right ear.
Sometimes, when I lie flat at night, I can also hear a heartbeat in my right ear.
However, if I press on the right side of my neck, the sound disappears.
What could be the possible cause of this? Thank you for your response.

Xiao Yu, 20~29 year old female. Ask Date: 2020/04/11

Dr. Jiang Junyi reply Neurology


Hello: Your symptoms are likely caused by cervical myofascial inflammation and tension, as the blood vessels near the cervical spine can contribute to these issues.
It is recommended to change your posture every 15 minutes to allow the neck tissues to rest.
Maintaining any posture (including a normal one) for an extended period can lead to tissue fatigue and inflammation, so moving around briefly can reduce the chances of muscle inflammation.
If symptoms persist, vascular abnormalities may need to be considered.
It is advisable to consult a neurologist or a rehabilitation specialist to discuss examination and treatment options.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.
However, due to the recent COVID-19 pandemic, it is recommended to wait until the situation stabilizes before going to the hospital for examinations.
Please also implement self-protection measures and maintain cleanliness and disinfection before and after seeking medical care.

Reply Date: 2020/04/11

More Info


Hello! Thank you for your question regarding neck tension and the sounds you are experiencing in your right ear. Based on your description, it seems that you are dealing with a combination of neck tension and auditory sensations that could be related to several underlying factors.

Firstly, the tightness in your neck could be due to muscle tension or strain, which is quite common, especially if you have been under stress, maintaining poor posture, or engaging in repetitive activities that strain the neck muscles. This tension can lead to discomfort and may also affect the surrounding structures, including the ears. When you turn your neck and hear a sound in your ear, it could be related to the Eustachian tube, which connects the middle ear to the back of the throat. If the muscles around the neck are tense, they may inadvertently affect the function of the Eustachian tube, leading to sensations of pressure or sounds that resemble squeezing or popping.

The sound you hear when lying down, which resembles a heartbeat, is often referred to as pulsatile tinnitus. This condition can occur when blood flow near the ear is more pronounced, or when there is increased awareness of internal sounds due to a quieter environment. The fact that applying pressure to the right side of your neck alleviates the sound suggests that there may be a muscular or vascular component to your symptoms. It is possible that the tension in your neck is affecting blood flow or nerve function, leading to these auditory sensations.

In terms of possible solutions, here are a few recommendations:
1. Physical Therapy: Engaging in physical therapy can help address muscle tension and improve posture. A physical therapist can provide exercises to strengthen the neck and shoulder muscles, which may alleviate tension and improve overall function.

2. Stress Management: Incorporating stress-reducing techniques such as yoga, meditation, or deep breathing exercises can help reduce muscle tension. Regular physical activity can also be beneficial.

3. Posture Correction: Pay attention to your posture, especially if you spend long hours sitting at a desk or using electronic devices. Ergonomic adjustments to your workspace can help reduce strain on your neck.

4. Warm Compresses: Applying warm compresses to the neck can help relax tight muscles and improve blood circulation.

5. Hydration and Nutrition: Staying well-hydrated and maintaining a balanced diet can support overall muscle function and health.

6. Consultation with a Specialist: If your symptoms persist or worsen, it may be beneficial to consult with an ear, nose, and throat (ENT) specialist or a neurologist. They can perform a thorough evaluation to rule out any underlying conditions that may be contributing to your symptoms.

In conclusion, the combination of neck tension and the auditory sensations you are experiencing may be interrelated. Addressing the muscle tension through physical therapy and lifestyle changes may help alleviate both the neck discomfort and the ear sounds. If symptoms persist, seeking further medical evaluation is advisable to ensure there are no other underlying issues. Wishing you the best in your journey toward relief and health!

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