Sinusitis Signs Stiff Neck

I am going to begin this article with a case history seen at our center and then we will discuss the research that shows a connection between cervical spine instability and neck pain leading to your problems of chronic sinusitis and various other conditions you may suffer from including Eustachian tube dysfunction.

As I have stated many times in the articles on our website, people we see rarely suffer from one problem or condition by itself. Tinnitus, vertigo, imbalance, dizziness, and hearing loss are common symptoms of cervical spine instability caused by weak or damaged cervical spine ligaments and are often symptoms of those who are diagnosed with POTS (postural orthostatic hypotension), cardiovascular dizziness, vestibular neuritis, migraines, benign postural positional vertigo, persistent postural perceptual dizziness, or Meniere’s disease, and can have common pathophysiology: Cervicovagopathy. Cervico – a structural problem in the neck that is causing “vago” vagus nerve “pathy” or disease or illness. Cervicovagopathy is then the neck’s altered or broken structure causing compression or disease on the vagus nerve and then on to produce a myriad of symptoms related to dizziness.

A 25-year-old college student became a patient at Caring Medical. He suffered from a myriad of symptoms including chronic sinusitis. As with many 25-year-old men he engaged in sports, some high contact sports. He also worked out, trained, and ran. He also told us about the many high-speed impacts he had with other players during games. He reported a number of hits to the head. As his symptoms progressed his activity levels fell to a now “couch potato, ” status.

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After one particular game where he was involved in a high-impact collision, our patient started to get popping sounds and a sensation of grinding in his neck. After the collision, he felt as if his nose was all plugged up. This presented a problem for him as he stated he was always a nose breather. As this symptom worsened, he stated he would spend 15-30 minutes every morning blowing his nose and using other decongest aids and techniques so he could breathe out of it.

Even when he was successful at this, this would only allow him to breathe out of his nose for a few minutes, then it would get stopped up again. He described it as having a really bad cold or flu all the time. With the stopped-up nose came ear fullness, hearing loss, tinnitus, and dizziness. His ears popped constantly, like balloons. He noticed the symptoms were worse when he looked down at his phone or the ground.

He saw many doctors, including ENTs, allergists, primary care physicians, emergency room physicians, a gastroenterologist, a cardiologist, and neurologists. They all said he had allergies and prescribed different types and variant strength decongestants, steroids, antihistamines, and other drugs to no prevail. He was also prescribed anti-anxiety medications.

What Are The Symptoms Of Chronic Sinusitis?

Again, as we typically see, this patient had various conditions and symptoms. Already mentioned above were trips to a gastroenterologist to track down digestive problems, a cardiologist to rule out heart problems, and neurologists to determine if neurological deficits and problems were at play here. As these other possible causes were being ruled out, what could be left? For some people, it is cervical spine instability and compressive problems in the neck. Nerve impingement can be going on.

When this person came into our center, it was after a screening process to determine if cervical spine instability could be realistically thought of as a cause of his problems. Once we suspected cervical spine instability as the underlying cause of his problems, we asked about other cervical instability symptoms including headaches, visual changes, neck/head, and scalp pain, he noted he had all of them. In fact, his neck was causing him a lot of pain and discomfort, enough so that he had sought out chiropractic care. Of which he did say that he did find relief, but only on a temporary basis.

Upon his initial examination, we noted that he had a deviated uvula sitting to the left of where it should be. This typically signals right side vagus nerve injury and low vagal tone which correlated with his right side tinnitus from Eustachian tube dysfunction being worse than left. His digital motion x-ray showed a loss of the cervical curve (he had a military curve), forward atlas (atlas anterior subluxation), and significant C1-C2 (atlantoaxial) instability.

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Let’s stop the case history here so we can go deeper into the problems discovered during our examination and have a better understanding of what is happening. We will also have some specialists come in, in the form of research papers that will help you understand what we saw in this patient’s first examination.

There are various clues that the vagus nerve is involved in the different and complex neurological, cardiac, and gastrointestinal problems some people have. One of the simplest ways to send us down the path of vagus nerve function is to simply look down the throat of the patient and see if the uvula (the small finger-like tissue that hangs at the back of the soft palate) deviates to one side, we call that a deviated uvula and a deviated uvula is one of the biggest clues that the vagus nerve is not functioning correctly.

“I had all these tests, my doctors can’t find anything, how can looking down my throat tell me something the tests did not?”

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When it comes to strange symptoms, doctors often report cases that “stumped” them. This is where we call in the specialists, the medical research papers.

When it comes to strange symptoms, doctors often report cases that “stumped” them. By reporting these cases it is hoped that this will help those health care providers after they see these cases and maybe figure out something beneficial for future patients who may have similar symptoms.

What we will focus on here is a report of a uvula deviation and how this may be a way to screen unresponsive or difficult to treat or understand neurological and digestive-type symptoms.

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EXPLANATORY NOTE: Look at what is happening here. The boy had a deviation of the uvula and a “curtain” movement of the posterior pharyngeal wall (the back of the throat). The curtain movement is an involuntary movement of the soft palate at the back of the throat. The muscles of the palate move up and down like a curtain rising and falling. This problem is also associated with clicking in the ears. Clicking in the ears is a symptom of Eustachian tube dysfunction.

So what these doctors pointed out was there was a case of asthmatic bronchitis, which turned into other symptoms, it affected the vagus and hypoglossal nerves.

This case is presented to show the interplay between an infection, in this case, asthmatic bronchitis and vagus nerve malfunction. How one can affect the other.

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An important aspect of vagus nerve function is its role in the regulation of middle ear pressure by opening the auditory tube or Eustachian tube. The Eustachian tube connects the middle ear cavity with the nasopharynx. Normal opening of the Eustachian tube equalizes atmospheric pressure in the middle ear and clears mucus from the middle ear into the nasopharynx. The Eustachian tube needs to be open during normal swallowing, as just that noise could damage the sensitive nerve endings and structures in the inner ear. The vagus nerve innervates the levator veli palatini one of the key muscles that open the Eustachian tube. The other muscle that opens the Eustachian tube is the tensor veli palatine innervated by the trigeminal nerve. If the Eustachian tube on one side of the head were unable to open and close properly then secretions would build up in the middle ear, causing a pressure gradient between the middle ear, atmosphere, and the other middle ear cavity. When the pressure inside one middle ear cavity is different than the other side it can cause many symptoms including dizziness, hearing loss, ear discomfort, ear fullness, pressure in the ears (as if submerged in water), as well as pain in the ears.

. (2) Here the researchers sought to make a connection between cervical spine disorders and hearing problems that would eventually result in tinnitus and Ménière’s disease. Here are the summary learning points:

I want to briefly touch on Meniere’s disease here. For more extensive research on this problem, please see my articles: Meniere’s Disease and Fluid build up in the ears – Chronic cerebrospinal venous insufficiency and Ear pain, ear fullness, sound sensitivity, tinnitus, Meniere’s Disease and hearing problems caused by neck instability.

What You Should Know About Sinus Disease And Disorders

Meniere’s disease is a disorder of the inner ear that causes spontaneous episodes of vertigo – a sensation of a spinning motion – along with fluctuating hearing loss, ringing in the ear (tinnitus), and sometimes a feeling of fullness or pressure in the ear. In many patients, low-frequency hearing loss is seen. Meniere’s disease comprises symptoms related to the Eustachian tube, the upper cervical spine, the temporomandibular joints, and the autonomic nervous system. The cervical spine, temporomandibular joint, and Eustachian tube all are connected through the autonomic nervous system as well as peripheral nerves such as the trigeminal