Neck Muscle Tension Linked to Hearing Disturbances After Cold Exposure - Otolaryngology

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Neck muscle stiffness causing abnormal amplification of hearing?


Recently, while exercising outdoors, I accidentally got chilled by the cold wind, which caused me to shiver for a while after returning to my dormitory.
Later, during the weekend at home, I sometimes hear a high-frequency buzzing sound in the kitchen, but once I close the kitchen door, the buzzing stops (the kitchen appliances include a refrigerator and freezer among other items).
The only sound I hear is from the television in the living room.
When I asked other family members, they said they didn't hear the buzzing sound, and I'm unsure if it's a problem with my ears or the kitchen appliances.
I went to the hospital for a hearing test, which showed normal results with no abnormalities, and there was no sudden hearing loss.
My Eustachian tubes and eardrums are also normal with no inflammation.
The doctor concluded that it is a psychological anxiety issue, and I am experiencing chills or anxiety that leads to neck muscle stiffness, causing cracking sounds when I turn my head.
Wearing a mask makes it difficult to breathe, and with the severe pandemic situation, I really don't know what to do...

Yan Zhongyan, 30~39 year old female. Ask Date: 2022/05/03

Dr. Ji Zhaoyun reply Otolaryngology


Hello, theoretically, "stiffness in the neck muscles causing abnormal amplification of hearing" is unlikely to occur as they are likely different conditions.
It is recommended to consult an otolaryngologist if the symptoms persist.

Reply Date: 2022/05/03

More Info


The symptoms you are experiencing, including the high-frequency buzzing sound in your kitchen and the neck muscle tension, may indeed be interconnected. Exposure to cold, particularly during outdoor activities, can lead to muscle tension and discomfort, which in turn can affect your auditory perception.
When you were exposed to cold winds, your body may have reacted by tensing up, especially in the neck and shoulder areas. This tension can lead to a variety of issues, including discomfort, headaches, and even auditory disturbances. The neck muscles, particularly the suboccipital muscles, play a crucial role in head and neck movement and can influence the function of the auditory system. Tension in these muscles can lead to a condition known as cervicogenic headache, which can sometimes be mistaken for ear-related issues.

The buzzing sound you hear in the kitchen, which disappears when the door is closed, suggests that it may be related to environmental noise rather than a direct auditory issue. This phenomenon is not uncommon; individuals can perceive sounds differently based on their physical and emotional state. The fact that your hearing tests came back normal is reassuring, indicating that there is likely no significant damage to your auditory system.

Your doctor’s suggestion that anxiety may be contributing to your symptoms is also valid. Anxiety can lead to muscle tension, which can exacerbate physical discomfort and create a cycle of stress and tension. The difficulty you experience while wearing a mask, especially if it causes you to feel claustrophobic or anxious, can further contribute to this cycle.
To address these issues, consider the following strategies:
1. Physical Therapy: Engaging in physical therapy can help alleviate muscle tension in your neck and shoulders. A physical therapist can provide exercises and techniques to improve flexibility and strength in these areas, which may reduce the popping sounds you hear when turning your head.

2. Relaxation Techniques: Incorporating relaxation techniques such as deep breathing, meditation, or yoga can help manage anxiety and reduce muscle tension. These practices can promote overall well-being and may help alleviate the buzzing sensation you are experiencing.

3. Ergonomic Adjustments: Ensure that your workspace and daily activities promote good posture. Poor posture can contribute to neck tension and discomfort. Consider using ergonomic furniture and taking regular breaks to stretch and move around.

4. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support muscle function and overall health. Dehydration can lead to muscle cramps and tension, so ensure you are drinking enough water throughout the day.

5. Consultation with Specialists: If your symptoms persist, consider consulting with a neurologist or an ear, nose, and throat (ENT) specialist. They can provide further evaluation and determine if there are any underlying conditions that need to be addressed.

6. Mindfulness and Cognitive Behavioral Therapy (CBT): If anxiety is a significant factor, consider seeking support from a mental health professional. CBT can help you develop coping strategies to manage anxiety and its physical manifestations.

In conclusion, while your symptoms may seem complex, they are likely interrelated. By addressing both the physical and psychological aspects of your condition, you can work towards alleviating your discomfort and improving your overall quality of life. Remember to be patient with yourself as you navigate this process, and seek support when needed.

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