Positional PT
26M with chronic tinnitus (high pitch ring both ears) - noticed around 1.5 years ago after stressful time.
For ~8 month I’ve noticed separate right-sided pulsatile tinnitus synchronized with heartbeat
The pulsatile part is not constant at all and VERY positional:
usually triggered by bending my torso forward
can appear/disappear within seconds depending on body position
sometimes I can almost “switch it on/off” by changing posture
head tilt alone often does nothing, but torso bending does
when I stand upright again it usually disappears quickly
Other details:
normal audiogram
neck Doppler ultrasound normal overall
mild C4–C6 cervical changes on X-ray
TMJ issues
Head symptoms:
occasional pressure/heaviness above forehead
worse during stress/anxiety and after sitting at computer for long periods
usually improves when I calm down or get distracted
no worsening with coughing
no morning headaches
While Im sure that ring sound is related to stress/TMJ Im trying to understand reasons of the positional PT