Pulsatile Tinnitus and Cervical Instability- Why we like Ultrasound for IJV & Carotid Artery Flow
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- Опубліковано 27 чер 2022
- Ross Hauser, MD discusses pulsatile tinnitus and why we often see it in patients with cervical instability as well as how documenting it using ultrasound instead of CT venogram is an option.
To read more of our articles on tinnitus: www.caringmedical.com/proloth...
The Hauser Neck Center at Caring Medical Florida is located in Fort Myers, Florida in the US. We treat patients who travel to our center from all around the globe, however, please understand that we do not treat all cases. If you are looking for our team to review your case and possibly see you in our center, you can contact us through www.caringmedical.com, call us at 239-308-4773, or email info@caringmedical.com.
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**DISCLAIMER: As with any medical treatment, no guarantees or claims of cures are made as to the extent of the response to treatment that every person experiences. Every therapy/treatment has patients who experience varying levels of success and failure. Results may not be the same from patient to patient, even with a similar diagnosis, as the body’s internal status is unique to each individual.
Thank you for all you do! Very helpful!
That was one of the most informative videos you’ve produced and all of your videos are beyond amazing for so much practical, nuanced and detailed content. The images and the information were spot on. This will help so many people that have little knowledge of this area of the body. Thank you.
The best specialised I've seen yet!
Thanks for watching, Shaun!
I have i.i.h , ever since being shunted my ears ring 24 hours a day.Very informative video.
Wow. Thanks for sharing. You really need to open a clinic somewhere in South America. US is unreachable for lots of people and LATAM should be a great market for you guys. Have you ever think about it?
I just wanted to let others, who may be considering Prolotherapy, know that It is so easy and it was not painful. I had my first treatment and it was easier than dry needling therapy (which I’ve had in my neck and all over my body many times). Just an encouragement if you’re considering Prolotherapy, but scared it will hurt. It did not hurt, it was easy, it was quick, and I was only slightly stiff and very tiny amount of muscle tightness for a few days. 2 more treatments to go and I’m hopeful for my healing. Best to all of you. I know how hard cervical instability is to live with. Atlas orthongal chiropractor and Prolotherapy are changing my life for the better!
Prolotherapy!
This is exactly what I have and no ENT specialist knows how to help me 😭
Hi Nicole, Sorry to hear that and hope that you will soon find a specialist who can put your case together and see if there are structural issues happening in the neck that may be involved and help you move forward. If you feel that you need to see our team in the future, you're welcome to reach out to us directly. Take good care. Wishing you all the best in healing!
Me too. Did yours go away as of now?
Same since 2011, no help 😞
Me too
My wife got similar problem since 2012, had seen many doctors, no use 😢
I wish you would open a clinic in Canada! Or at least Seattle? Pretty please!
I have been scanning vascular ultrasound for 20 years and until a past video of yours, I never knew I could see the vagus nerve. I have scanned it all this time and didn't differentiate the nerve structure. I looked at mine and of course it measures abnormally. I scan so many patients for that!
Wow!! I'm going to start looking for this!
But where it has been told that the vagus nerve can be seen with ultrasound? Only the jugular vein compressed by the carotid artery.
@@Jot_Pe It was on a previous video. He showed on ultrasound images where it is. It is adjacent to the carotid. Between the CCA and Internal jugular.
@@Kellm93 Thank you, but could you please give the title of that video? The last one was "Finding joy in difficult times". I searched through couple of previous ones but could not find.
Pretty cool, right?
doctor, can you talk about the curvature of the knee backwards, is this due to the cruciate ligaments?, or to the ligament behind the knee, I think it has to do with a ligament behind the knee, thanks for your videos.
What kind of scanning should I have to find out about my pulsatile tinnitus?
Can a CT angiogram also show jugular vein compression
Is there any treatment or massage which we can do?
I’m having this issue in both of my ears. It started out on the left and now the right. It only stops if I press into my neck. It’s getting louder. I’ve been to three different specialists. I know there’s a connection between my neck and the sound but because they didn’t see anything on the mri they haven’t checked any further. They called today and mentioned intracranial pressure as a possibility and suggested I get a lumbar puncture. The first specialist suggested brain surgery although he says he is not sure what the problem is. It’s impacting my hearing and life in general but I’m not comfortable with either of these interventions If anyone has found a tx please share
just realized myself suffering from pulsatile tinnitus I believe then trying to get diagnosed for close to 2 years my second primary is about a year now
it also includes extreme fatigue especially when any activities also when driving I fatigue increases lightheadedness all the time but increases when activity increases shockwop hits 4 months ago had a leg blood clot on blood thinners also diagnosed with high blood pressure about a year ago
does this help narrowing down what I have
should I call you guys to get more info suggestions on diagnosis
I did find out myself that should start with a ear otolaryngologist
thanks
Thanks for a great explanation! I have started walking and only notice momentary pulses(2-3 at a time) when I sit or tilt my head a certain way. Can cervical instability be resolved with chiropractic care?
i am waiting for the answer
How are you doing now ??
Thankyou for explaining this more indepth. Id love if someone in Australia could do these images. My c1 is tilted the left side my PT is on from Whiplash mine has come & gone more constant for last 8 months. I am seeing an upper cervical chiro & looking into prp/prolo as well.
Can i ask how does prolotherapy align the instability if its not in right position, would one need to do curve correction on top to?
I have intermittent pulsatile tinnitus, in both my left and right ears (also manipulable with neck movement/physical pressure) Recent neck flexion X-ray revealed antherolisthesis in my C2-C5. Would a doppler ultrasound differ in results if the test were to be taken at a time that I am not hearing the pulsatile tinnitus? Thank you
so what can clear the obstruction more naturally ? fasting ? enzymes ?
How do u fix it
Oh my gosh! That pulsating tinnitus is what I have had for years. They did a brain and head scan but could find nothing. I still have this but sometimes constant and sometimes I hear my heart rate in my head. I also have 2 herniated discs C4-6 and slight bulge at C2 that sometimes get pretty large. 9 years ago I was using a railroad bar at my job and chipping asphalt out of my truck and something snapped right under my occipital bone on both sides and I had a horrific burn. 3 hrs later my eyeballs started twitching while I was driving, went to ER they found nothing. For the next year every time I went shopping and would look left to right at the shelves I would get very dizzy and nauseous. Doctors still found nothing. I have spent thousands trying to fix this and now I have hypothyroidism, digestive symptoms, RLS and severe leg cramping at night, low back issues, hip issues, knees and feet. It slowly started at the top and worked it's way down. You have opened my eyes to other alternatives and things to have checked if I can find someone to see here in Arkansas. Thank you Dr. Hauser! I just wish our corrupt insurance organizations would cover this type of therapy.
I'm having tinnitus for last four months, and I had head scan, and went to ENT has had expensive hearing tests and told everything about myself (including backpains). They couldn't find any reason. I also have had back pain for last 6 months, which has not settled yet. Now I will focus on getting treatment for neck and back pain and I'm very hopeful tinnitus will settle soon. God Willingly
They always fing nothing, how frustrating
I have had MRI, US everything so far and no help whatsoever
I'm a 64 year old male and I get the Pulsatile Tinnitis in my left ear occasionally, then it will disappear for weeks or months. Sometimes gentle manual manipulation of the ear canal can solve it. I have constant low-level tinnitis in the left ear due to an injury. An MRI showed that the left inner ear structure was more prone to tinnitis.
What kind of doctor are you seeing to get this information? I’m looking for a specialist and don’t know where to start. I live in Birmingham Alabama and can’t find anyone. Should I look at ENT specialist?
@@rosiesiefker neurosurgeon
Yes an ENT. I went to one in Marshall county. He told me there was nothing they could do I would just have to live with it. He sent me back to the hearing specialist. She said I needed hearing aids. No thank you. It’s maddening, my is going on two years of 24/7. If the doctor’s had this it would be fixed. Praying for our journey to lead us to someone who cares and will helps us. God bless you.
@@rosiesiefker look at Dr. Papas in Birmingham.
@@mountvernon3725 Update?
You name it I’ve got the lot drives me nuts
The first time I heard my pulse was when I was swimming and wore a cap. When I took the cap off, it got quieter. I had every test possible and nothing was found. I have lived with it now for 15 years. At first I thought I was in imminent danger of a deadly aneurysm, but now I endure it. It seems to affect my hearing only when it masks sounds on a similar frequency.
hi, i have recently started getting pulsatile tinnitus at bedtime and very scared of it, do you usually get used to it or it bothers you daily? please reply it gives me hope thank you
I certainly got used to that fear, but it dissipated once I got tested and nothing was found, but that meant I would just have to live with it. I hardly notice it in the daytime as it blends in with whatever is going on. At night if it is bothersome I use "mindfulness." I breathe deeply and actually listen to the sound rather than trying to ignore it. How does a baby sleep in the womb while hearing the mothers' heartbeat?
So you should see a doctor and get referred for hearing test, ENT, etc. I even had an MRI and CAT scan.
Let me know how it goes!
@@user-ni1he8qv6u
@@user-ni1he8qv6uI’ve been getting it around me bed time too, matter of fact rn hahaha, it’s been few years now.. I’m coping with it and no ENT can help so f it :)
I've been having sharp pain on and off on the same side as my PT for the past 7 years
Oh and I had a time when it went away while I was pregnant
After pregnancy i have this
@@anji9593 me too. Started 2nd trimester. Wil it go after pregnancy
I didn't hear how I can get help?
How do you fix a compressed internal jugular vein? Chiropractor? Physical therapy? Surgery? I suspect that is causing my PT but can't get any answers from my doctor. Great video--thanks!
Have you done an mri?
It's a good idea to get an MRI done and find an upper cervical chiropractor. Before you go, make sure to do some research. Acupuncture also helps
@@nadegejosna yes I’ve had MRIs done and my doctors give me a blank look and tell me there’s nothing I can do but pop pills for neck pain. I just believe there’s a better way. Thanks for your reply-I’ll keep looking for a good chiropractor.
Where are you located? I’ve been watching your videos for a long time now. Nobody understands what I’m talking about when I describe my symptoms in clinical terms. But they aren’t your Dr specialty. Do you consultations?
Same here. No one understands or they don't want to understand. As if they don't want to believe me, especially my own family.I did research on all my symptoms and led me to a neck injury almost 20 years ago.I finally just told my doctor I wanted a cervical x-ray and did that last week. Now just waiting for the results so I can get answers. All I ever get are misdiagnosis and more medication. This is my chance, could be my last.
Fort Myers’s Florida
Can a carotid web cause PT?
DR. HAUSER, does the PT need to be actively occurring during a test for accurate results?
Good question, no it does not.
Lemon balm?
Would a doppler ultrasound differ in results if the test were to be taken at a time that I am not hearing the pulsatile tinnitus? Thank you
This is a great question. I have gone in and done many tests and scans for some reason the PT is never there when I am doing tests. So, how would they see it if it is not happening at that time?
I have cervical problems, carotid irregularities and hear a whooshing noise in my ear as my heart pumps.
hello! I have the same problem. Tell me have you found a solution? Thanks!
@@ThePelotkz no solution
@@francesg.1587 I have the same whooshing sound in ear along with strong pulse in neck its so scary
What specialist do you guys recommend i can see for this? What do i ask for? I have PT and the front of my neck feels pulsy and off.
Someone like Dr. Hauser - a Prolotherapist! We would absolutely love to help you, please contact our office directly and we can learn more about your case. We do understand that traveling is not feasible for all so we can recommend that you search for a provider in your area who can see you for an exam and consult.
I have pulsatile tinnitus. Have gotten mras, ctas, mrv, ctv , duplex ultrasounds and have found no findings. I recently had mri of brain and brain stem and neck and they found spondylitis of my neck. Can that be the cause of my pulsatile tinnitus? It’s C3-C7 of my neck where I have minor bulging and spondylitis. Does that qualify as neck instability and the cause of PT?
How are you doing now
This is interesting. We have EDS, and my daughter has been dealing with what we think is exploding head syndrome. Her legs will twitch and then it happens. she also has severe scoliosis. I wonder if you have encountered this and if so, could you or have you done a video on it?
I have leg and foot twitching, hearing my heartbeat, dizzy when I look up, I get a severe sudden migraine and ear pain together. Any clue yet?
@@Dreadtheday None yet. She hasn't had it in a while but she dreads it. Migraines are no fun at all especially with ear pain. I do experience stroke like symptoms bf my migraines. I am sorry you have to deal with that.
@@christiearnold2781 ty for responding, it was worth a shot.
@@Dreadtheday there is a channel called Amanda Nova Wellness. She talks about vagus nerve issues and has techniques to help. She talks about ears in one I believe. It might help.
@@Dreadtheday You might want to consinder checking for plauge in your Carodic Artery
I have had tinnitus for over 30 years now.
The intensity varies and I have noticed it becomes louder as my blood pressure increases.
So what you are saying about the carotid artery makes sense.
Now my question to you is can it be resolved and how?
My son who just turned 50 has tinnitus now also.
Mine is getting worse and when I place my head on the pillow at night I can now hear a rhythmic beat noise akin to a fast ticking clock.
I am concerned about this new condition I’m experiencing.
Any suggestions?
see an ent!
A sound machine set to rain at night when this happens helps me get back to sleep.
Its not always caused by C2 issues, someone with Atherosclerosis will have pulsatile tinnitus
I have learned so much from your work and informative videos in my hopes of curing my tinnitus. Thank you for that. What does it mean when the pulsing in my left ear stops when I ever-so-slightly touch any part of my lower jaw? Thanks again for being real and so informative. Peace, man. (from a fellow hunched-over artist)
Mine does the same thing, does not make any sense.
the same, when i touch my pulse in the neck it stop the wooshing sound
at the end of the video, what kind of therapy did you mention? it sounded like "Polo therapy?"
Prolotherapy - we've got a lot of information on our website if you'd like to learn more!
I deal with this. Since age 30. My concern is if this is dangerous? No one can give me a clear answer, spoke to ent, neurologist and got mri. No help. Almost impossible to find a doctor that has any clue about this. I am in south Florida….
We would love to help you!! Please reach out to our office directly and someone from our fabulous clinical team can learn more about your case.
Can prolotherapy help cyclic vomiting syndrome?
Hi sleepy580- If the syndrome is found to be related to cervical instability, then it may be appropriate. A much deeper look into the case would need to be done to help determine the correct treatment.
Can this problem cause a "jittery " feeling? Can it also cause hypertension?
I get That to
Yeah i have a hypertention i just started hearing this after last wk i took my Bp nad my bP is elevated like 160/95 and started hearing this so my doctor prescribe me another meds besides metorpolol he gave me losartan. Not sure if medication interaction coz when i took losartan and atovastatin its just started hearing this. So ill have this mentioned tonmy doctor. I also do my research that water pill/dieuretic will get pulsatile tinnitus. But im not so sure also i had problem with my ear. Had my ENT check last yr coz my ear is always moise inside. The ear doctor after got all the test said everything is fine. This is before my pulsatile.
i heard pulsatile tinnitus usually caused from the brain near the ear?
Tinnitus can be tricky as there are not many known causes. We have so many patients that come in complaining of ear pain, ringing in the ears, etc and it is a result of cervical instability. Everything in your body is connected and when things aren't working how
they were intended it can cause other problems to arise. We have an article on tinnitus if you'd like to research further! caringmedical.com/prolotherapy-news/tinnitus-2/
I'm suffering from pulsatile tinnitus from 12years in my left ear.. I have vision issues, no papilledema.. I have difficulty in logical thinking.. I have recently been diagnosed with left transverse sigmoid junction stenosis.. with a pressure gradient of 18mmhg.. I have been advised stent but I'm really scared to have stent in me for whole life.. please advise what other options should I consider.. I'm based out of India
Do you have cervical instability?
I’m sorry you’re going through this! I keep hearing that the stent is a huge relief for people with that diagnosis and got rid of their tinnitus instantly. Praying you make the best decision for you 🙏🏼
@@rikkijhogan not sure.. but I got stented and my pulsatile tinnitus s fixed
@@jessicaa776 hey yes, I got stented June 30th, my PT is fixed but my eye blurryness s not improving, I also have Kerotoconus, lens r not helping.. I'm a software engineer, quit job because of this, not sure what to do
@@chethanag115 congratulations. You got a stent. How are you feeling? Im having a catheter angiogram in few weeks.
My friend got this after the jab.
So did I. The night of my second jab of Pfizer
Me too
Got this after getting covid!
@@mrs.s8855same with me. Got COVID for the second time and this came along with it. It's been seven months now and it won't go away.
I have a pulsatine tinnitus since 1 year but somedays I feels like my body is also shaking with it. Sometimes in back or legs or hips. Is this also happens with you.
Consult an interventional neuroradiologist
Hi deepakbhola1585- Sorry to hear that you've been dealing with these symptoms for the last year. Hope you're feeling better now. If your medical team still has not gotten to the bottom of what is happening and you'd like to potentially see our team here in Fort Myers, FL, you're always welcome to reach out to us directly. More recently, we put out a video on internal tremors if you want to do a deeper dive on the topic: ua-cam.com/video/njJ8M8uCx7A/v-deo.html
Wish you all the best in healing!
Chiropractic?
So there is hope?
There is always hope! Give us a call at 239-308-4773 or email info@caringmedical.com, we would love to help you on your road to healing! We are praying for your complete healing and hope to hear from you soon!
What if MRI and CT Scan came clear?
Hi imarianalee3805- Like we discuss in many of our videos, we use dynamic diagnostics where the person is upright and in various positions where traditional MRI and CT are with the person lying still, and many of our patients previously had no abnormal findings on those tests yet are extremely symptomatic and have obvious abnormalities during dynamic tests. There is a place for traditional MRI and CT but we find that they are not very helpful in many cases involving cervical instability-related symptoms. That is why we developed a dynamic testing center at our clinic. Wish you all the best in health!
I am jst 29 and I can hear hear beat sound on my left ear and it stops when I touch mu neck ... So what should I do pls help me
The same..
Get a referral from your doctor to see an ENT. I'm 25 and I starting having this issue in my right ear 8 months ago. They sent me for an MRI and MRA to make sure that I didn't have an Aneurysm or a benign cyst forming. All came back clear and I still have no idea what's causing it but it stops when I press on my neck. It was assuring though to rule both of those out.
You need an MRA because if it stops when you press on it then most likely it’s venous. Also if your scans come back clear have a interventional neuroradiologist read your scan they have a better eye for pulsatile tinnitus causes
See a chiropractor to correct it.
Same here how are you now ?!
But is this covered by insurance-?
We do not take insurance however when you are checking out you will receive information if you wish to self submit to your insurance. We have had some patients who hear back from their providers and they end up covering it. It ultimately depends on your insurance.
This must be exactly my problem. I used to play the viola and one day I got pulsatile tinnitus on the left side. I went to an ENT and got an MRI but they “didn’t find anything” - they were just looking for big obvious stuff. I’ve had it since 2017? Just started playing again too.
Hello laviolist - sounds similar to other patients of ours! They visit many doctors and receive a lot of testing to hear that there is nothing wrong. So sorry to hear that you are dealing with this but it is great to hear that you are researching other options for treatment. Dr. Hauser wrote this article on Tinnitus if you'd like to take a look! www.caringmedical.com/prolotherapy-news/tinnitus-2/
If you would like to contact our office directly we would love to help you on your road to healing!
@@CaringmedicalProlotherapy Thank you! I’m in Sarasota so I’ll plan to come down one of these days
what is the point of this video? english is not my first language so it's hard for me to understand the point. is it can be cured by neck therapy?
In this video Dr. Hauser is discussing pulsatile tinnitus, this is when individuals have a swooshing noise inside their head. He also explains that we often see pulsatile tinnitus in patients with cervical instability. If this is something that you experience we would absolutely love to learn more about your case! Please reach out to us directly.
@@CaringmedicalProlotherapy yes i have PT in my right ear since August 2023. i met 3 different ENT doctors and did infrared & laser therapy but it didnt works. then the last ENT doctor referred me to oral surgeon because i told her i have impacted teeth. last week i had my surgery for 4 impacted teeth but i still hear the wooshing sound :( what should i do? i am so far, i live in indonesia. first time it happened to me when i had a quite long period of cough and cold last year.
💖💜💛🌿
I wish I could afford you...
I have been moaning and complaining about this for years no Dr will take me seriously 😅 been in healthcare my entire adult life they act like I know nothing and I'm crazy. Looking up feels like I'm standing on my head pressure, pounding, heartbeat... How do you get the dr to take you seriously?
Elizabeth we are so sorry to hear that you are not being heard. Remember that you are your biggest advocate! Keep pushing and fighting - it also helps to see a provider who has knowledge on your condition. We would love to see you in our office :)
World renown yet all groups and doc wont even put you on their list.
EDS groups and cervical groups all agree on that.
Ehhh.... maybe more Self appointed world renown.
ｐｒｏｍｏｓｍ 🌟