Abstrakt
Somatic tinnitus is a sub-group of tinnitus suffers. It was described by Pulec et al.in 1978 as "cervical tinnitus" , considered as a consequence of degenerative ganges in the cervical spine that could be, at least temporarly, reduced by injection of local anesthetic into tender areas of the neck.
This clinical entity was forgotten until Levine et al. in 2007 introduced the Somatic Tinnitus Syndrome (STS)in which tinnitus is associated to a somatic disorder involving the head and neck. They presented the anatomical basis for the auditory-somatosensory interactions and showed how auditory neurons respond to somatosensory stimulation.
Muscle--skeletal system could be a chronic stress source. In this way muscleskeletal disorders can pathologically integrate with auditory disturbances increasing tinnitus.
In this way Stress Reaction Tinnitus (SRT) model could be implemented into Somatic Tinnitus Syndrome (STS) model and Tinnitus School can acts through fitted physiotherapy aimed to a patient-oriented treatment of selected tinnitus patients. Somatic Tinnitus, generally, is a well treatable condition by means of manipulations, physiotherapy and physical exercises, or at least, removal of somatic component of patient's tinnitus significantly decreases tinnitus annoyance and improves quality of life