Mda, e foarte similara cu a mea, "cap plin", "oboseala in zona gatului", dupa amiaza se accentueaza si declansata de o "raceala". Eu inca sunt sub tratament si observ imbunatatiri de la o saptamana la alta. Foarte usoare, lente. Tot Betaserc iau si eu (doza stabilita de doctor).
Dar, si asta e cea mai importanta parte, raceala nu e cauza ci doar factorul declansator. La mine cel putin cauza a fost sedentarismul acut (am avut permisul suspendat in perioada aia si foarte mult de munca) combinat cu o pozitie gresita la calculator (gat intors, tocmai imi mutasem monitorul pe consola laterala). Asa ca m-am ales cu o "frumusete" de tinnitus, cel cu cauza cea mai frecventa si de obicei prost diagnosticata: tensiune musculara. Exista cel putin doua documente care o arata ca prima sursa de cauzare a acufenelor.
Headacheas and tinnitus: correlation found.
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Tinnitus: Causes and Treatment
Muscle spasm
Muscle spasm in head or neck is probably the most common cause of tinnitus, accounting for 80% of patients [8]. When the noise is made better or worse by changes in bodily posture, or arm or neck movements, the patient has "somatic tinnitus." Somatic tinnitus is usually unilateral. In its earliest stages, it may be caused by hearing trauma, an injury, or a muscle contraction (such as by grinding one's teeth) that compresses some part of the auditory system. Later, cross-talk occurs between the signals the muscles send to the brain and the signals from the ear. For these patients, relaxation therapy and biofeedback, which help the patient establish voluntary control over the muscle, can be helpful. Once alerted to the possibility that stretching and muscle relaxing exercises may be able to alleviate their tinnitus, patients may be able to devise an effective treatment on their own. In extreme cases, botulinum toxin to temporarily paralyze the muscle, or even surgery, can be performed (see Treatment below).
For some patients, anything that causes torsion of the neck, such as having bad posture, using a pillow at night, or bending the neck to look through a microscope, even for a few seconds, causes a muscle spasm that invariably produces tinnitus. This muscle spasm and the resulting tinnitus may not occur immediately, but can start several hours after the neck is twisted, making the cause difficult to identify.
Many leading researchers on somatic tinnitus, such as Robert A. Levine [2], believe that somatic tinnitus resulting from muscle spasms is not produced by compression of nerves or blood vessels in the ear, but rather results solely from the convergence in the dorsal cochlear nucleus of sensory signals from muscle spindles in the head and neck with sound signals from the cochlea. This may explain how somatic tinnitus can even occur in deaf people [4]. The characteristics of somatic tinnitus are [5]:
The muscle and tinnitus are ipsilateral (same side).
There are no vestibular or neurological abnormalities.
Tone and speech audiometry is always symmetric and within normal limits.
Therefore, the first step in identifying the cause of tinnitus is to get a hearing test. If hearing is normal, and pathological causes can be ruled out, it points to a possible muscle, dental, or TMJ problem.
The sternocleidomastoid muscle appears to be the culprit in most cases. Palpation of this muscle, which is the large muscle under the ear on both sides of the neck that acts to rotate the head, aggravates tinnitus in many patients. Other muscles that are commonly involved include the masseter, splenius capitis, and even the middle and upper trapezius and temporalis muscles. The lateral pterygoid muscle may also serve as a trigger point. The current thinking is that these effects are mediated by their excitatory connections to the DCN. Palpation or pressure at other points on these same muscles can sometimes reduce tinnitus.
The sources of the muscle sensory signals are proprioceptive (location) and cutaneous (touch) projections. Nociceptive (pain) signals are not involved in tinnitus [6].
Am luat Betaserc vreo 3 saptamani fara nici o imbunatatire. Apoi am schimbat radical cateva lucruri si au inceput sa apara imbunatatirile:
- mi-am schimbat pozitia la calculator adoptand-o pe cea recomandata;
- mi-am schimbat perna de dormit cu una anatomica si am inceput sa dorm pe spate (greu al naibii daca nu e genul tau, mai ales cand iti tiuie ambele urechi);
- miscare zilnic, in limita permisa de cele -20 de grade de afara (astept cu disperare sa se usuce afara sa incep trasee de 5-6 Km de mers pe jos de minim 2-3 ori pe saptamana cum faceam acum cativa ani);
- am limitat miscarile gurii, zambete rare (
), fara guma de mestecat;
- mi-am luat o husa cu vibromasaj de auto si am pus-o pe scaunul de calculator. De 2-3 ori pe zi ma bucur de ea.
- dupa fiecare ora de stat la calculator, 2-3-5 minute de exercitii (rotiri de gat, maini, etc);
Dupa fiecare zi d'asta "ca la carte", scad acufenele a doua zi cu 10%. Dar daca intr-o noapte dorm pe burta (nu stiu cand ma intorc, asa ma trezesc) cresc iar cu 50%.
Cum spuneam, sunt inca "sub tratament", imbunatatirile le simt dar inca nu pot spune ca am scapat definitiv deci nici nu pot spune ca "asta a fost si asa am tratat-o".
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