Pain in relationship to Tinnitus and Hearing Loss

Author: Henk M Koning1, Bas C Ter Meulen2
Affiliation: <sup>1</sup> Department of Pain therapy, Pain Clinic De Bilt, De Bilt, The Netherlands. <sup>2</sup> Department of Neurology, OLVG, Amsterdam, The Netherlands.
Conference/Journal: Int Tinnitus J
Date published: 2022 Mar 3
Other: Volume ID: 25 , Issue ID: 2 , Pages: 124-128 , Special Notes: doi: 10.5935/0946-5448.20210022. , Word Count: 186

Cervical and lower back pain are noteworthy in the manner of development of tinnitus.

The focus of this research was to indicate the consequence of the severity of neck pain and pain of the lower back and/or lower limbs in tinnitus patients.

A retrospective analysis of 61 patients with tinnitus as main complaint during a three month period.

In this study, we found two groups of tinnitus patients defined by the existence of postural instability. Patients with tinnitus and postural unsteadiness were characterized by predominant female, self-perceived hearing loss, a higher intensity of tinnitus, cervical pain, and pain of the lower back and/or of the lower limbs, and more hearing deficit from 250 Hz to 4 kHz.

In patients with tinnitus one should be aware that hearing loss can be a consequence of high intensity cervical pain. Stimulation of the proprioceptive input pathways due to cervical pain can result in a higher intensity of tinnitus and a hearing loss in the range of 250 Hz to 4 kHz.

Keywords: Tinnitus; cervical pain; dorsal column nuclei; hearing loss; lower back pain; proprioception.

PMID: 35239293 DOI: 10.5935/0946-5448.20210022