Pain in relationship to Tinnitus and Hearing Loss
Author: Henk M Koning1, Bas C Ter Meulen2
Affiliation:
1 Department of Pain therapy, Pain Clinic De Bilt, De Bilt, The Netherlands.
2 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
Introduction:
Cervical and lower back pain are noteworthy in the manner of development of tinnitus.
Objectives:
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.
Design:
A retrospective analysis of 61 patients with tinnitus as main complaint during a three month period.
Results:
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.
Conclusions:
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
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