Why Does Massage Therapy Work for Cervicogenic Tinnitus?
A biopsychosocial framework helps put into context the interconnected and multidirectional interaction between: physiology, thoughts, emotions, behaviors, culture, and beliefs. In terms of clinical responses to massage therapy there are a couple of proposed mechanisms of action, including but not limited to: neurodynamics, contextually aided recovery, neuromodulation, social grooming and mechanotherapy.
Structures to be Aware of When Treating Cervicogenic Symptoms
A treatment plan should be implemented based on patient-specific assessment findings and patient tolerance. It should include screening to identify red flags, that would lead to appropriate management and medical referrals. Structures to keep in mind while assessing and treating patients suffering from tinnitus may include neurovascular structures and investing fascia of:
• scalene muscles
• temporomandibular joint
• longus colli muscle
More to Explore
Haider, H.F., Hoare, D.J., ... Paço, J.C. (2017). Pathophysiology, Diagnosis and Treatment of Somatosensory Tinnitus: A Scoping Review. Front Neurosci. (OPEN ACCESS)
Michiels, S., Van de Heyning, P., Truijen, S., De Hertogh, W. (2015). Diagnostic Value of Clinical Cervical Spine Tests in Patients With Cervicogenic Somatic Tinnitus. Phys Ther.
Michiels, S., Van de Heyning, P., Truijen, S., Hallemans, A., De Hertogh, W. (2016). Does multi-modal cervical physical therapy improve tinnitus in patients with cervicogenic somatic tinnitus? Man Ther.
Michiels, S., Van de Heyning, P., Truijen, S., Hallemans, A., De Hertogh, W. (2017). Prognostic indicators for decrease in tinnitus severity after cervical physical therapy in patients with cervicogenic somatic tinnitus. Musculoskelet Sci Pract.
Oostendorp, R.A., Bakker, I., ... Samwel, H. (2016). Cervicogenic somatosensory tinnitus: An indication for manual therapy? Part 1: Theoretical concept. Man Ther.
Oostendorp, R.A., Bakker, I., ... Samwel, H. (2016). Cervicogenic somatosensory tinnitus: An indication for manual therapy plus education? Part 2: A pilot study. Man Ther.