Cervical spine-related issues
Hello, doctor.
In very quiet places, I experience tinnitus, and if I bend my head down for too long, it also triggers the tinnitus.
Changing my position helps improve the symptoms.
Previously, I visited a rehabilitation clinic and had X-rays taken, which indicated that I have some cervical spine degeneration (straightening).
If the severity is graded on a scale of one to five, I am currently at level three.
I have been scheduled for cervical traction therapy, but after the treatment, I experience dizziness.
When I perform chin tucks at home, I also feel slightly dizzy.
Can I continue with the cervical traction therapy? Is it safe to keep doing the chin tuck exercises? Do my symptoms qualify as cervicogenic tinnitus? Should I see a neurosurgeon or go directly to the rehabilitation clinic? Thank you, doctor.
Cai Xiaojie, 30~39 year old female. Ask Date: 2022/09/30
Dr. Lai Zhaokang reply Neurosurgery
Hello: It is recommended to postpone cervical traction.
Further examination of the cervical spine can be arranged, such as dynamic X-rays of the cervical spine, MRI, or carotid ultrasound.
You may consult with a neurosurgeon, neurologist, or rehabilitation specialist.
Wishing you good health.
By Dr.
Lai Chao-Kang, Neurosurgery.
Reply Date: 2022/09/30
More Info
Cervical spine issues can significantly impact various bodily functions, including auditory perception, which may explain the tinnitus you are experiencing. Tinnitus, or ringing in the ears, can be influenced by several factors, including cervical spine degeneration, which can lead to nerve compression or altered blood flow to the inner ear. Your MRI findings indicate cervical spondylosis and disc degeneration, which are common in individuals with neck pain and can contribute to symptoms like tinnitus.
The relationship between cervical spine problems and tinnitus is complex. The cervical spine houses nerves that can affect the auditory system. When there is degeneration or misalignment in the cervical vertebrae, it can lead to nerve irritation or compression, potentially resulting in tinnitus. Additionally, the cervical spine plays a role in maintaining proper blood flow to the brain and inner ear. If the blood vessels are compressed or if there is muscle tension in the neck, this can also contribute to auditory symptoms.
Regarding your current treatment, cervical traction can be beneficial for relieving pressure on the cervical discs and nerves. However, if you are experiencing dizziness after traction or while performing chin tuck exercises, it is essential to proceed with caution. Dizziness can indicate that the cervical spine is not responding well to these treatments, or it may suggest that there is an underlying issue that needs to be addressed. It is crucial to communicate these symptoms to your healthcare provider, as they may need to adjust your treatment plan.
As for whether you should continue with cervical traction or chin tuck exercises, it is advisable to consult with your physical therapist or physician before proceeding. They can assess your symptoms and determine if these exercises are appropriate for you. If you experience significant discomfort or dizziness, it may be best to pause these activities until a thorough evaluation is conducted.
In terms of whether your symptoms are classified as cervicogenic tinnitus, it is possible. Cervicogenic tinnitus refers to tinnitus that is caused by cervical spine issues. However, a definitive diagnosis should be made by a healthcare professional who can evaluate your symptoms in the context of your cervical spine condition.
As for which specialist to see, both a neurologist and a rehabilitation specialist can provide valuable insights. A neurologist can assess for any neurological implications of your cervical spine issues, while a rehabilitation specialist can focus on physical therapy and rehabilitation strategies to alleviate your symptoms. If you are primarily concerned about the cervical spine and its impact on your tinnitus, starting with a visit to a rehabilitation specialist may be beneficial. They can guide you through appropriate exercises and treatments tailored to your condition.
In summary, your cervical spine issues may indeed be contributing to your tinnitus. It is essential to monitor your symptoms closely and communicate any changes to your healthcare provider. Adjustments to your treatment plan may be necessary to ensure that you are receiving the most effective care for your condition.
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