Podcast|October 7, 2023

Ring of Truth: Exploring Physiotherapy's Role in Tinnitus Treatment

Tinnitus header



00:00 Intro
00:46 Definition of Somatic Tinnitus
01:35 Tinnitus and the Cervical Spine
04:47 Prevalence of Tinnitus
06:22 Epidemiology of Tinnitus
08:15 Physiotherapy Diagnosis Possible?
10:30 ENT Diagnosis of Somatosensory Tinnitus
14:27 Special Testing for Tinnitus
16:00 Cervical Spine Assessments
17:35 Tinnitus and the Jaw
18:51 Red Flags
20:53 Physiotherapy Effectiveness for Somatosensory Tinnitus
22:00 Typical Treatment Course
23:20 What causes Improvements in Symptoms?
25:18 Tinnitus Relapse
27:10 Prognostic Factors
29:30 Sarah’s Treatment Approach
31:48 Why Patients get worse
34:15 How to learn more about Tinnitus
35:10 Is MT knowledge required?
36:20 Sarah’s Closing Thoughts
37:30 Could Van Gogh have been saved?
38:10 Outro


Sarah michiels profile

Sarah Michiels

Sarah is a physiotherapist, manual therapist and assistant professor in musculoskeletal rehab at Hasselt University in Belgium. Her special interest is tinnitus and she has published many papers on the topic in the last 10 years.


In this podcast episode, physiotherapist Sarah Michiels discusses somatic tinnitus, a type of tinnitus that is often caused by dysfunctions in the upper cervical spine and jaw. She highlights the prevalence of somatic tinnitus and the importance of a comprehensive diagnosis to rule out other causes. The talk provides insights into her evaluation and treatment approach, emphasizes the role of physiotherapy in improving muscle function and coordination to manage this debilitating condition.


Transcript and Infographic

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