PMC4803736_01
The figure represents the full length of disease history of this single case, from the beginning 20 years ago with a cervical pain syndrome associated with tinnitus. When the cervical pain syndrome was intensely treated with established treatments (mainly physiotherapy of various types; for details, see the respective signs within figure) the CPS only gradually improved over time, even worsened after a chiropractic measure. After successful treatment of the cervical pain syndrome, the tinnitus, nevertheless, was chronic, persistent over about 20 years. The tentative recommendation to consider this type of tinnitus as a minor symptom of an incompletely treated cervical syndrome was based on own personal experiences and observations (Karl Bechter, see Introduction), and led to recommend exclusively the intermittent CC use in an outpatient setting (with no other treatment). CC was used repeatedly during day time, initially more frequent, after 2 weeks less frequent, and after 4 weeks the usage nearly ended because of rapid, complete relief from tinnitus. Abbreviations: T, tinnitus; HS, periarthritis humero scapilaris simplex left; Oth, orthopedic therapy; Pth, physiotherapy; OsTh, osteopathic therapy; CC, cervical collar.
fpsyt-07-00043-g001.jpg
PMC4803736_01_fpsyt-07-00043-g001.jpg
F1
An acoustics technician (coauthor Martin Wieland) suffered for over 20 years from chronic tinnitus, starting with comorbid CPS and cervicogenic headache, initially, the CPS being in the foreground and at time even enhanced by unsuccessful osteopathic maneuvers (see Figure 1).