Can Physiotherapy Help My Tinnitus?
Tinnitus — the perception of sound such as ringing, buzzing, or humming without an external source — affects millions worldwide. For some, it’s a constant, intrusive companion; for others, it fluctuates with posture, jaw movement, or even a gentle press on the neck. This variability is a clue: in certain cases, tinnitus is not purely an “ear” problem. It can be influenced by the musculoskeletal system — especially the neck and the temporomandibular joint (TMJ).
This form is often referred to as somatosensory tinnitus. In these cases, targeted physiotherapy may offer meaningful relief.
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Understanding Somatosensory Tinnitus
In somatosensory tinnitus, the neck, jaw, and associated muscles can alter the loudness or pitch of tinnitus through their connections to the auditory system. Research shows that nerve pathways from the cervical spine and TMJ interact with auditory processing centres in the brainstem. Tight or overactive muscles, joint restrictions, or postural strain can modulate these signals, sometimes making tinnitus worse.
Clues your tinnitus may have a somatosensory component:
Changes in tinnitus when turning the head, opening the mouth, or clenching the jaw
Co-existing neck pain, stiffness, or headaches
TMJ symptoms such as jaw clicking, locking, or tenderness
A history of whiplash or cervical strain
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The Evidence for Physiotherapy
Several clinical trials and systematic reviews have explored whether physiotherapists can help reduce tinnitus severity when somatic features are present. The findings are encouraging:
Cervical spine therapy — Gentle mobilisation, manipulation, and specific neck exercises can improve range of motion, reduce muscle tension, and, in some patients, lessen tinnitus intensity.
TMJ management — Manual therapy, jaw exercises, and splint therapy (in collaboration with dental professionals) can reduce TMJ pain and improve tinnitus in people with temporomandibular disorders.
Myofascial treatment — Trigger-point therapy, stretching, and occasionally dry needling or electrotherapy have shown reductions in tinnitus severity alongside muscle pain relief.
The benefits appear strongest in those who have clear somatosensory signs — especially tinnitus that changes with movement or pressure. Patients without these signs are less likely to respond.
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How Physiotherapy Fits In
If your tinnitus is linked with neck pain, TMJ discomfort, or muscle tension, a physiotherapist can:
1. Assess cervical spine and jaw movement, posture, and muscle function
2. Identify trigger points, joint restrictions, or movement patterns that modulate tinnitus
3. Treat with targeted manual therapy, exercise programs, and education to reduce strain
4. Collaborate with ENT and dental specialists for integrated care
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Setting Realistic Expectations
Physiotherapy is not a universal cure for tinnitus, but in the right cases, it can be a valuable part of management. Improvements may include:
Reduced tinnitus loudness or intrusiveness
Better neck and jaw comfort
Improved posture and muscle function
Less overall tension and stress
Progress is usually gradual, and benefits may be most noticeable in daily function and quality of life rather than a complete disappearance of tinnitus.
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Key Takeaway
If your tinnitus changes with neck or jaw movement, or you have associated neck pain, muscle tightness, or TMJ symptoms, physiotherapy may help. Early assessment and targeted treatment — especially when combined with ENT or dental input — can make a significant difference.
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Keywords: tinnitus, physiotherapy, neck pain, muscles, TMJ
