Contracting muscle of Mastication increases tinnitus volume in Archive 4 Forum

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Contracting muscle of Mastication increases tinnitus volume

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jrleo33	Contracting muscle of Mastication increases tinnitus volume	Lead	[-]
Posts: 118 04/12/07 2:25 PM Reply Quote More My Recent Posts	This phenomenon is a symptom of the myofascial syndrome, that is, triggers points in the SCM muscle complex or the Masseter muscle. Contracting, or otherwise pressuring any muscle innervated by the Mandibular branch of the Trigeminal nerve can either interrupt, or increase the volume of the tinnitus, only for as long as the muscle or muscles are contracted. The myofascial syndrome (reference pain), is often mistaken for the pain of TMJ arthritis.
jchinnis	Re: Contracting muscle of Mastication increases tinnitus vol	#1	[-]
Posts: 17203 04/12/07 2:33 PM Registered Member Reply Quote More My Recent Posts	I believe this phenomenon is very seldom due to myofascial syndrome. It is usually a normal response. Robert A Levine has been studying this and publishing papers for some time now. Dr. Levine is a neurologist at Harvard. Jim
jrleo33	Tinnitus is not a normal condition	#2	[-]
Posts: 118 04/12/07 3:17 PM Reply Quote More My Recent Posts	Tinnitus is not a normal phenomenon. Neither is causing or interrupting tinnitus by contracting certain muscles. If normal, then every human being would have tinnitus from birth. Obviously, there has to be a pre-existing condition present to cause head noise. What is that pre-existing condition?
jchinnis	Re: Tinnitus is not a normal condition	#3	[-]
Posts: 17203 04/12/07 4:13 PM Registered Member Reply Quote More My Recent Posts	According to Dr. Levine, who has studied this issue in great detail, "causing or interrupting tinnitus by contracting certain muscles" is perfectly normal. I think he found that something like 80% of people with tinnitus could affect their tinnitus in this way and something like 80% of people without tinnitus could create it in this way in a quiet place. Jim
jrleo33	Was myofascial considered, or ruled out?	#4	[-]
Posts: 118 04/12/07 6:11 PM Reply Quote More My Recent Posts	It would be interesting to discover if Dr. Levine ruled out myofascial on the patients he tested, or if myofascial may have been considered as a differential diagnosis. John
jchinnis	Re: Was myofascial considered, or ruled out?	#5	[-]
Posts: 17203 04/12/07 7:01 PM Registered Member Reply Quote More My Recent Posts	What would be the evidence for myofascial? He ran a long series of tinnitus patients arriving at his clinic and later he ran a group with no symptoms. Both could do the tinnitus-with-jaw-pressure trick. Multiple researchers have now traced some of the areas where the sensory inputs interact. Jim
ezKEYboard	Tinnitus and TMJ disorder	#6	[-]
Posts: 14 04/13/07 6:38 AM Reply Quote More My Recent Posts	Interesting. This is what I have, and what prompted me to hope that my tinnitus is caused by muscular problems and therefore could be somehow eliminated. Any word on whether or not the work that Dr. Levine has done shows that some forms of tinnitus can be eliminated by solving TMJ disorder (as claimed by my orthodontist, who has made a mint off of my hopes so far)?
jchinnis	Re: Tinnitus and TMJ disorder	#7	[-]
Posts: 17203 04/13/07 7:17 AM Registered Member Reply Quote More My Recent Posts	There is no evidence that tinnitus can be treated with treatment for TMJ disorder. There may be special cases where tinnitus benefits from TMJD treatments. Unfortunately, both tinnitus and TMJD are very common and therefore so is the overlap of the two. Jim
jrleo33	Muscle related tinnitus	#8	[-]
Posts: 118 04/13/07 7:29 AM Reply Quote More My Recent Posts	The evidence for myofascial would include hand palpation for TrPs and taut muscle bands in the SCM muscle complex. TrPs in the SCM, cause a host of neurological problems to the head and face area, including both facial and trigeminal (Atypical) neuralgia, motor nerve dysfunction, referred pain, referred tenderness, autonomic phenomena, and proprioceptive disturbances. The proprioceptive disturbances seem somehow involved in this class of tinnitus where muscle contraction or pressure are involved. John
jchinnis	Re: Muscle related tinnitus	#9	[-]
Posts: 17203 04/13/07 7:34 AM Registered Member Reply Quote More My Recent Posts	And we know that any change in proprioceptive inputs can affect tinnitus or induce it temporarily in one without it. Jim
jrleo33	Proprioceptive disturbances	#10	[-]
Posts: 118 04/13/07 8:23 AM Reply Quote More My Recent Posts	It is a well-established medical fact, that the SCM complex is loaded with proprioceptors, (sensory receptors), that monitor length, tension, pressure, and noxious stimuli of this muscle. One can imagine what does happen when one or more of the proprioceptors are hung up in a permanently taut muscle band, or worse yet, in a permanent contraction knot, (TrP). The temporary changes to the proprioceptive system become permanent, and when more pressure is applied to the SCM complex, a completely different set of symptoms can arise. I believe what we are discussing is, that proprioceptive disturbances can cause both permanent and a secondary or temporary tinnitus at the same time. (My symptoms.)
jchinnis	Re: Proprioceptive disturbances	#11	[-]
Posts: 17203 04/13/07 9:20 AM Registered Member Reply Quote More My Recent Posts	But virtually any proprioceptive input can affect or cause tinnitus (in those with or without tinnitus). It doesn't require an abnormality of any type. The question is whether many cases of intrusive tinnitus are caused by derangements of the type you describe. I don't think there are any good data. Jim
jrleo33	A electrical signal to the brain	#12	[-]
Posts: 118 04/13/07 9:48 AM Reply Quote More My Recent Posts	One of the interesting features of a TrP is; it is electrically dissimilar from any surrounding tissue, and produces a continuous low-amplitude noise-like component, that has a characteristic sound of a seashell held to the ear. Supposedly, this SEA has been dubbed as the Seashell Sound, by several prominent physiologists. Proprioceptive disturbances would send this signal or frequency directly to the brain for analysis. Also, as you state Jim; the SCM complex is not the only avenue by which the brain can receive proprioceptive disturbances. John
reph	Re: A electrical signal to the brain	#13	[-]
Posts: 27325 04/13/07 9:02 PM Admin Reply Quote More My Recent Posts	ezKEYboard, you might try some form of physical therapy. I have a tight, creaky neck and a fluctuating hiss (close enough to a seashell sound that John's description probably fits it). Massage and heat help me. So does neck exercise. Yard work such as pruning is the best because it requires so much change in head positions.
rose	Re: Contracting muscle of Mastication increases tinnitus vol	#14	[-]
Posts: 8 04/15/07 11:41 AM Reply Quote More My Recent Posts	Dr. Harold Gelb in Manhattan successfully treats people with T due to TMJ. I saw him for TMJ which he treated successfully years before i developed T and have met patients that he treated successfully with T due to TMJ.
Call Me Op	Re: Tinnitus is not a normal condition	#15	[-]
Posts: 6096 04/16/07 8:13 AM Reply Quote More My Recent Posts	If normal, then every human being would have tinnitus from birth. ........................... They do - it's just "normally" not perceived at the conscious level - in a "normal" auditory environment. -Op
jrleo33	Abnormal condition	#16	[-]
Posts: 118 04/16/07 9:31 AM Reply Quote More My Recent Posts	Hello OP: If I understand correctly what you are saying, humans cannot perceive the sound of tinnitus until something abnormal happens to the auditory environment? John
Call Me Op	Re: Abnormal condition	#17	[-]
Posts: 6096 04/17/07 8:59 AM Reply Quote More My Recent Posts	No - until something "abnormal" happens in the brain. -Op
jrleo33	Abnormal condition	#18	[-]
Posts: 118 04/17/07 3:42 PM Reply Quote More My Recent Posts	-Op Like maybe, the nerve signals received by the brain become abnormal? Is there any research information on the Internet regarding this subject matter? Thanks for your input John
Call Me Op	Re: Abnormal condition	#19	[-]
Posts: 6096 04/18/07 4:26 PM Reply Quote More My Recent Posts	There is information on the internet, but it's hard to find good information. The best info regarding our current understanding of mechanisms is summarized in Jastreboff's TRT book, in my opinion. -Op
Rob in Denver	Re: Tinnitus is not a normal condition	#20	[-]
Posts: 1115 04/18/07 8:01 PM Reply Quote More My Recent Posts	In my opinion the claim the everyone has tinnitus (even those that do not hear it) makes no sense. Everyone does not have tinnitus. The experiment that is continually cited to "prove" that tinnitus is really present in everyone consisted of herding people into a very quiet space after telling them that they would hear noises. But no noises were produced. Nonetheless, 9 out of 10 of the subjects reported hearing noises. This simply proves that people are suggestible, not that we all have tinnitus. Before I developed tinnitus, I worked for up to 12 hours a day in a very quiet environment and I heard nothing. Now I hear the hissing noise over almost every sound. That is not normal. And to say that one can have tinnitus that is not perceived is really problematic. If it is not perceived, it does not exist. It's like saying that one can have a pain that one does not feel. If you don't perceive tinnitus, you don't have tinnitus. Just my opinion, of course. Rob

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Contracting muscle of Mastication increases tinnitus volume

Contracting muscle of Mastication increases tinnitus volume