Tinnitus caused by neck degeneration

Tinnitus—often described as ringing or buzzing in the ears—is a common symptom with a wide range of possible causes. While hearing aids and sound-based therapies are often used to manage the symptom, treatment options aimed at addressing underlying structural factors are limited.

At the Headache and Neck Clinic, we focus on the craniocervical junction and the alignment of the upper cervical spine. In some cases, individuals with tinnitus may also present with signs of cervical spine dysfunction or misalignment, particularly in the upper and lower neck regions.

When the neck joints lose proper mobility or alignment—sometimes due to past trauma or cumulative strain—this may contribute to biomechanical stress and degeneration over time. Degenerative changes in the cervical spine, also known as cervical spondylosis, may have wider effects depending on the structures involved.

A 2018 study by Henk M. Koning et al., published in the International Tinnitus Journal, explored a potential association between certain types of degenerative bony changes in the lower cervical spine and nerve-related tinnitus symptoms. Specifically, the research discussed how structural encroachment in this region could potentially irritate the superior cervical ganglion, a nerve structure associated with sympathetic nervous system function.

⚠️ Note: This area of research is ongoing and does not establish a direct cause-and-effect relationship. Not all cases of tinnitus are related to the spine, and individual outcomes vary.

At our clinic, we utilise advanced 3D imaging (CBCT) to investigate structural changes in the neck, including possible joint displacement or misalignment. In selected cases—where appropriate clinical indications exist—we may recommend a targeted care approach with the goal of improving joint mobility and addressing structural stressors that may be contributing to symptoms.

Our aim is to offer safe, conservative care that respects each patient’s individual history and anatomical variation.

Following are CBCT scans showing examples of typical findings in the tinnitus patients:

Not all cases of tinnitus linked with cervical spine degeneration will respond to care. In particular, when degenerative changes are severe—such as cases where the spinal joints have become significantly fused—the potential for improvement may be limited.

At the Headache and Neck Clinic, we take a thorough, evidence-informed approach to assessing whether the cervical spine may be contributing to a patient’s tinnitus. If you've explored other care options without success, and you're looking to understand whether structural factors in your neck may be involved, we invite you to contact us for an assessment.

This process includes a clinical evaluation and, where clinically justified, advanced 3D imaging (CBCT) to examine the structural relationship between the cervical spine and surrounding tissues.

Please note: Every patient’s condition is different, and outcomes can vary. We do not guarantee symptom resolution.

Reference:Koning, H.M., Koning, M., Koning, N., & Ter Meulen, B. (2018). Anterior Cervical Osteophytes and Sympathetic Hyperactivity in Patients with Tinnitus: Size Matters. International Tinnitus Journal, 22, 97–102. https://doi.org/10.5935/0946-5448.20180017