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A 54 year old man presented to this clinic in October 2010 complaining of a high pitched ringing sound in his ears. On examination it was found that the tinnitus was aggravated by all movements of his neck and by compression of the cervical spine.

An upper cervical adjustment was performed on the initial consultation and there was an immediate relief of the tinnitus in the right ear. This patient suffered from subjective tinnitus and the most common cause of this disorder in the absence of any ear pathology is inflammation of the upper cervical spine or inflammation of the temporo-mandibular joint.

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