Hissing, Squealing Pulsatile Tinnitus After Neck/Head Movement

Discussion in 'Support' started by rocoloco64, Oct 20, 2020.

    1. rocoloco64
      Worried

      rocoloco64 Member

      Tinnitus Since:
      04/2020
      Cause of Tinnitus:
      neck movement
      Hi people,

      So my problems started 6 months ago. I am 33 years old.

      Two or three weeks after ending manual therapy (not chiro and not physical therapy, but more of a neurological approach with pressing special points on the muscles), I noticed a standard ringing tinnitus in right ear. I blame manual therapy for this because effect of it is delayed. Therapist noticed that neck vertebrae and atlas are misaligned. Now I think I should have left it misaligned.

      This got me frustrated and I made a neck movement, similar to whiplash. I did a chin tuck and then I leaned my head backwards, possibly tilted it also to the side.

      Then this pulsatile sound came, it was like a hiss, with squealing sound at the end.
      Since then it is changing all the time, even from minute to minute, it depends on the activity, neck position, head position... Sometimes is more noticeable, sometimes it is quieter, sometimes is just hissing, sometimes is squealing...

      It is accompanied with continuous ringing which is also changing. Ringing, white noise, whistling...

      There are times I notice 3 different sounds in my right ear, 1. pulsatile sound, 2. continuous ringing (almost like it is in my head) and 3. soft whistling which fluctuates. it whistles for 3 seconds, then it stops, then it whistles again...

      Often in the morning when I first wake up is like it is gone, but after I move my neck or head it becomes noticeable and becomes louder as the day goes on.

      I had MRA of neck and head, they found nothing. ENT was useless.

      I don't know if I got used to it, but I think it is 10 % better than at the beginning. But then I have days when I think it is still almost the same.

      I become a little bit depressed, I have less energy, less will, I am less fun.
      And all day I just listen to this sound hoping it will get better or one day just suddenly disappear.

      I need advice on which tests should I do? Which things to try? I definitely moved or touched something in my neck or atlas.

      Thank you,
      Rok
       
      • Hug Hug x 1
    2. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      @rocoloco64 Hello:
      Pulsatile sounds most likely relate to your C - spine and vertebral artery - head backwards with tilting neck to one side. I have other posts somewhere here with links to this. C spine may have straighten a bit causing pressure to the vertebral artery which is housed in the C spine. This can cause pulsatile tinnitus.

      Your MRA should had noticed any pulsatile cause within the neck, but it won't note the vertebral artery. The vertebral artery is hidden, so an angiogram is needed. A series of neck X Rays will confirm if your C spine has a bit of straightening. After testing, a doctor of physical therapy should be able to release tension of C spine, and thus vertebral artery.

      In the meantime, use correct posture and don't sleep with space within neck and pillows. It's best to use non foam pillows. Two pillows where one hangs lower in front of the other, like a ramp.

      " Then this pulsatile sound came, it was like a hiss, with squealing sound at the end. " This would be the vertebral artery being pressed.
       
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    3. AUTHOR
      AUTHOR
      rocoloco64
      Worried

      rocoloco64 Member

      Tinnitus Since:
      04/2020
      Cause of Tinnitus:
      neck movement
      Thank you for your answer @Greg Sacramento.

      Do yu mean I should have physical therapy after testing with X-ray or angiogram?

      I am hoping to avoid an angiogram...

      What about MRI or any other scans?
       
      • Optimistic Optimistic x 1
    4. Greg Sacramento

      Greg Sacramento Member Benefactor Hall of Fame

      Tinnitus Since:
      April 2011
      Cause of Tinnitus:
      syringing and now somatic T dental work
      Yes after X Rays and CTA, not before.
       
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    5. AUTHOR
      AUTHOR
      rocoloco64
      Worried

      rocoloco64 Member

      Tinnitus Since:
      04/2020
      Cause of Tinnitus:
      neck movement
      Thank you for your advice and for pointing me in new direction. Will report back.

      Br, Rok
       
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      • Optimistic Optimistic x 1
    6. AUTHOR
      AUTHOR
      rocoloco64
      Worried

      rocoloco64 Member

      Tinnitus Since:
      04/2020
      Cause of Tinnitus:
      neck movement
      Xray of the neck shown straightening of neck lordosis and deviation to the right in the upper part of cervical spine.

      The movement I did + this neck stuff found probably explain pulsatile squeaking and hissing in the right ear.

      2nd picture: Very apparent deviation at the top of the neck spine on my right side worries me a bit. It is not equally deviated on the left side, just on the right. Could be that this is the main area where artery is being depressed...

      Currently waiting for advice from my GP.

      Next stop is probably doctor of physio and then physical therapy?

      slika2.jpg

      slika.jpg
       
      • Hug Hug x 1
    7. Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Case report of a pulsatile tinnitus caused by a Dural arteriovenous fistula after head position changes. (no history of head trauma, acoustic trauma, or surgery of the head and neck).
       

      Attached Files:

    8. AUTHOR
      AUTHOR
      rocoloco64
      Worried

      rocoloco64 Member

      Tinnitus Since:
      04/2020
      Cause of Tinnitus:
      neck movement
      Thank you, but I am 99,9% that neck is the blame. Since I did a movement similar to whiplash, plus tilting my head to the right. It started the same second I did this.
       

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