Hi Dr. Nagler, After six months with Tinnitus, I have reached a point where various doctors (my otolaryngologist, general practitioner, dentist, chiropractor, and neurologist) all agree that my Tinnitus is being exclusively caused by muscle spasms in my head, neck, jaw, or upper back. They have termed this generally as TMJ dysfunction, but they have cautioned me that this is often times a "catch-all" for all neuromuscular inflammatory conditions caused by muscular and skeletal problems in the region and that all muscles in the head, neck, shoulder, and upper back are deeply intertwined. I have been able to completely silence my Tinnitus using a standard 7-day taper of prednisone; I have been able to also almost totally eliminate my Tinnitus by using NSAIDs combined with anti-spasmodics. I do not want to be on drugs forever, however, and in some cases, these can just cause other problems. I will be seeing, at @Carlos1's encouragement, Dr. David Keith in July; Dr. Keith has a worldwide reputation for treating and curing people of TMJ, and has considerable experience with TMJ-caused Tinnitus. However, his approach tends to be surgical (he is a surgeon, after all), whereas I have generally read that most surgeries don't actually cure neuromuscular inflammation caused by TMJ -- they just address the underlying muscular and skeletal problems exacerbating them. If you were in my position, what sort of approaches would you take heading into a meeting with Dr. Keith? What sort of questions should I ask about diagnostics and treatments at this stage? Thank you!