The Eight Cervical Nerve and Its Role in Tinnitus

Discussion in 'Research News' started by Frédéric, Apr 1, 2020.

    1. Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      1 - Cause of tinnitus sufferers is not mentioned
      2 - Henk koning performed percutaneous radiofrequency of C2 in a previous study.
      https://www.tinnitustalk.com/thread...ical-sympathetic-ganglion-and-tinnitus.11089/

      ABSTRACT

      Introduction: The eight cervical nerve might be a source of input to the auditory system.

      Objectives: The object was to assess the efficacy of infiltration of the eight cervical nerve root for treating tinnitus patients and to find indicators for a successful result.

      Design: Retrospective cohort study. Subjects were 79 tinnitus patients visiting our clinic in a three-year period and who were treated with infiltration of the eight cervical nerve root.

      Results: Twenty-six percent of the tinnitus patients had a reduction of their tinnitus following an infiltration of the eight cervical nerve root. Most of the successfully treated patients rated the effect of therapy as a moderate reduction of 25% to 50%. Fifty percent of the successful treated patients still had benefit at 6.6 months. In 5% of the patients, their tinnitus was aggravated after the infiltration of the eight cervical nerve roots. Patients with a hearing loss at 500 Hz that exceed the hearing loss at 2 kHZ responded the most to infiltration of the eight cervical nerve.

      Conclusion: Infiltration of the eight cervical nerve root reduced the intensity of tinnitus in 26% of the cohort of 79 tinnitus patients with a moderate to good effect. This therapy for tinnitus patients’ needs to be considered, especially in those with a hearing loss at 500 Hz that exceed the hearing loss at 2 kHZ.
       

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    2. Monte Castleman

      Monte Castleman Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Noise Exposure
      This makes sense to me:

      1) After getting a cervical injection my tinnitus went down to almost nothing and stayed there for a month
      2) I have back issues causing pain in my arm, and when that pain flares up so does my tinnitus
      3) My ENT has a patient that found someone to do a cervical injection on him periodically just for tinnitus control.

      They keep wanting to do surgery to fix my back for good, but I've heard horror stories about how surgical anesthetics and antibiotics can make tinnitus worse. I feel I can no longer take even oral antibiotics or antidepressants for any reason.
       
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    3. Jack V

      Jack V Member Benefactor

      Tinnitus Since:
      1/2020
      Cause of Tinnitus:
      please stop editing my posts - thanks
      If this is a "thing," why don't they do more of it?
       
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    4. Monte Castleman

      Monte Castleman Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Noise Exposure
      Possibly because spine doctors and ENTs don't talk to each other and since it's not accepted medical practice it's not covered by insurance It's also possible they're concerned about radiation exposure if the procedure is done repeatedly? It's not the nicest feeling but the only thing I actually felt was the IV and the initial Novocaine. My injection was a little bit higher than the study, at C5.

      The ENT I go to is nationally known (associated with Northwestern University) so he has some rather well-heeled patients. One of them described his 4000 square foot second home in Chicago as "our little place". And as in the case of Michael Jackson if you have money you can get a doctor to do anything even if it's not accepted medical practice. Obviously if you can get doctor to give you surgical anesthetic to help you sleep you can get a spine doctor to do injections because it helps your tinnitus.
       
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    5. ABakos
      Wishful

      ABakos Member Benefactor

      Tinnitus Since:
      04/2017
      Cause of Tinnitus:
      ? neck injury/unknown
      Where is this doctor and what is the name of the procedure?
       
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    6. Monte Castleman

      Monte Castleman Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Noise Exposure
      It's an epidural spinal injection- it's a pretty standard treatment for arm and neck pain due to spinal issues along with physical therapy before resorting to more invasive procedures; I don't remember the doctor that did mine and it's not important because any orthopedic center does them. The doctor who did epidural injections because it helped the patients tinnitus I didn't ask my doctor because it wasn't any of my business and I don't know if he knew, it was just an anecdote shared by another patient.

      The neurotologist I see is at Chicago Dizziness and Hearing. They don't have a cure more than anyone else but they do actually try to work with you, after a couple of visits and a half dozen different drugs I found a mixture of Keppra and Klonopin noticably helps. They are used to out of town patients seeing them but it does take about 6 month to get an appointment.
       
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    7. AUTHOR
      AUTHOR
      Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Another article from the same researcher.

      Upper Cervical Nerves Can Induce Tinnitus

      Henk M Koning* Department of Pain Therapy Pain Clinic De Bilt, Groenkanseweg Bilt, The Netherlands

      ABSTRACT

      Introduction: Treating cervical spine disorders can result in a reduction of tinnitus

      Objectives: The object of the study was to ascertain the benefit of therapy of the third and fourth cervical nerves in reducing tinnitus and to assess parameters indicating a long-term relief.

      Design: Subjects were 37 tinnitus patients who were treated with infiltration of the third and fourth cervical nerves. Clinical data form these patients were reviewed retrospectively. An independent perceiver evaluated the long-term effect of the therapy by telephone interview.

      Results: In a group of tinnitus patients, 19% of the patients reported less tinnitus after therapy of the third and fourth cervical nerves. Most of the patients had a moderate reduction of 25% to 50%. At 3.8 months, 50% of the successful treated patients still had a positive effect. No adverse events of the procedure were observed. The combination of an evident anterior spur at the third cervical vertebrae together with less hearing at 2 kHz indicate patients who responded the best to therapy of the third and fourth cervical nerves.

      Conclusions: Treating cervical spine disorders can reduce tinnitus. In a group of tinnitus patients, 19% of the patients had less tinnitus after therapy of the C3 and C4. Screening of tinnitus patients is needed for the proper selection of the ones who could benefit from a somatic approach. In our study, the combination of an evident anterior spur at the third cervical vertebrae together with less hearing at 2 kHz indicate patients who responded the best following therapy of the C3 and C4.
       

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    8. Juan

      Juan Member

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      Is it a dexamethasone injection at the root of the eighth cervical nerve?
       
    9. Monte Castleman

      Monte Castleman Member

      Tinnitus Since:
      2008
      Cause of Tinnitus:
      Noise Exposure
      I don't know what I was injected with, some steroid or combination thereof so it could have been dexamesathone, and it was towards the middle, C4 if I recall correctly. For me the positive effect lasted less than 3.8 months, more like two or so.
       
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    10. ABakos
      Wishful

      ABakos Member Benefactor

      Tinnitus Since:
      04/2017
      Cause of Tinnitus:
      ? neck injury/unknown
      Hi and thank you. I developed tinnitus 2 weeks after I injured 2 vertebrae in my cervical spine. So I am almost definite the neck injury caused the tinnitus. I live in Canada, but I will reach out to this clinic.
       
    11. GBB

      GBB Member

      Location:
      NYC
      Tinnitus Since:
      2016-2019 (Mild, Cured) 8/2020 (Severe)
      Cause of Tinnitus:
      Microsuction / Additional Acoustic Trauma in Close Proximity
      May I ask, does the Keppra help with your tinnitus?
       
    12. AUTHOR
      AUTHOR
      Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
    13. JRC1

      JRC1 Member Benefactor

      Tinnitus Since:
      2016
      Cause of Tinnitus:
      medication
      Does anyone have full access to the article in the above post from Frederic?
       
    14. annV
      Fine

      annV Member

      Tinnitus Since:
      2005
      Cause of Tinnitus:
      unknown - possibly hereditary
      I do.
       

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    15. JRC1

      JRC1 Member Benefactor

      Tinnitus Since:
      2016
      Cause of Tinnitus:
      medication
      Thank you annV, I always enjoy your posts.
       
    16. GlennS

      GlennS Member Podcast Patron Hall of Fame

      Tinnitus Since:
      1992
      Cause of Tinnitus:
      Loud music
      Speaking as someone with neck problems (and TMJ for that matter), articles like these make me feel like even if FX-322 works that my tinnitus won't go away.
       
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    17. AUTHOR
      AUTHOR
      Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      From the same practitioner but with the fifth cervical nerve.

      Somatosensory-Auditory Processing of the Fifth Cervical Nerve in Tinnitus

      Introduction: Cervical spinal nerve projections influence auditory responses and play a role in the pathology of tinnitus.

      Objectives: The intention of our research was to lay down the amenity of treatment of the fifth (C5) cervical nerve to lessen tinnitus and to obtain specifications associated with a long-term effect of this method.

      Design: Subjects were 54 tinnitus patients who were treated with infiltration of the fifth cervical nerve. Clinical data form these patients were reviewed retrospectively. An independent perceiver evaluated the long-term effect of the therapy by telephone interview.

      Results: Treating the C5 is beneficial for 30% of the tinnitus patients. The majority of patients with a beneficial result rated the tinnitus reduction of 50% or more. At 9 months, half of the patients still had benefit. Less hearing at 1 kHz together with a large spur in front of the fifth cervical vertebrae forecasted a beneficial effect of the C5 therapy on tinnitus at 7 weeks.

      Conclusions: Treating cervical spine complaints can lessen tinnitus. Therapy of C5 resulted in less tinnitus for 30% of the tinnitus patients. However, selection of tinnitus patients with an evident spur in front of the fifth cervical vertebrae together with a less hearing at 1 kHz will improve the success rate of C5 therapy

      Source: https://www.tinnitusjournal.com/abs...e-fifth-cervical-nerve-in-tinnitus-12930.html
       

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