Tinnitus

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Tinnitus or "ringing in the ears" is a conscious perception of a sound without there actually being an outside stimulus causing it. The term tinnitus is derived from the Latin word "tinnire", which means "to ring".

 

Tinnitus affects 10-19% of adults. A small percentage of these experience a marked reduction in quality of life.

 

Ringing in the ears caused by the somatosensory system of the cervical spine (neck) and/or temporomandibular (jaw) region is called somatic tinnitus.

 

Recent research shows that jaw physiotherapy appears to be effective in 61% of cases in somatic tinnitus where problems with the temporomandibular joint or muscles play a role (jaw clenching and grinding). This study also showed that a mouthguard or an oral application in combination with orofacial physiotherapy can contribute to less experience of tinnitus complaints. Research into the effect of dry needling in the jaw and neck region in somatic tinnitus also provides hopeful favorable outcomes. 

 

Many clients with tinnitus are seen by an ENT specialist. In most cases, this finds - for the ENT doctor - no treatable variables. These clients are increasingly being referred to a jaw physiotherapist, orofacial physiotherapist or craniofacial therapist (CRAFTA).

 

At Mind Your Motion Jaw Physiotherapy & Manual Therapy Amsterdam, all our therapists have completed in-depth courses in head, jaw, neck and neck complaints (orofacial, craniofacial, CRAFTA and/or jaw physiotherapy). Dry needling or manual muscle techniques and awareness of unconscious oral habits are standard part of our Tinnitus treatment protocol. We can also advise on the use of oral applications (Myosa oral appliances) that improve your oral habits and relax your jaw muscles. So you have also come to the right place with ringing in the ears / tinnitus complaints.

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You can here schedule an appointment online yourself.

 

 

Sources:

1. Campagna, CA, Anauate, J., Vasconoelos, LGE, & Oiticica, J. (2022). Effectiveness of Dry Needling in Bothersome Chronic Tinnitus in Patients with Myofascial Trigger Points. International Archives of Otorhinolaryngology, 26(2), 233–242. https://doi.org/10.1055/s-0041-1730429

2. Cima, RFF, Mazurek, B., Haider, H., Kikidis, D., Lapira, A., Noreña, A., & Hoare, DJ (2019, March 1). A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment. HNO. Springer Report. https://doi.org/10.1007/s00106-019-0633-7

3. Delgado de la Serna, P., Plaza-Manzano, G., Cleland, J., Fernández-de-Las-Peñas, C., Martín-Casas, P., & Díaz-Arribas, MJ (2020). Effects of Cervico-Mandibular Manual Therapy in Patients with Temporomandibular  Pain Disorders and Associated Somatic Tinnitus: A Randomized Clinical Trial. Pain Medicine (Malden, Mass.), 21(3), 613–624. https://doi.org/10.1093/pm/pnz278

4. Michiels, S., Van de Heyning, P., Truijen, S., Hallemans, A., & De Hertogh, W. (2016). Does multi-modal cervical physical therapy improve tinnitus in patients with cervicogenic somatic tinnitus? Manual Therapy, 26, 125–131. https://doi.org/10.1016/j.math.2016.08.005

5. Sharma, P., Singh, G., Kothiyal, S., & Goyal, M. (2022). Effects of Manual Therapy in Somatic Tinnitus Patients Associated with Cervicogenic and Temporomandibular Dysfunction Domain: Systematic Review and Meta Analysis of Randomized Controlled Trials. Indian Journal of Otolaryngology and Head and Neck Surgery, 74(2), 247–253. https://doi.org/10.1007/s12070-021-02426-x

6. Van der Wal, A., Michiels, S., Van de Heyning, P., Braem, M., Visscher, C., Topsakal, V., … De Hertogh, W. (2020). Treatment of somatosensory tinnitus: A randomized controlled trial studying the effect of orofacial treatment as part of a multidisciplinary program. Journal of Clinical Medicine, 9(3). https://doi.org/10.3390/jcm9030705

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