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Spasm of tensor tympani muscle
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JanDob posted:
Hello,

I have been diagnosed by my ENT with intermittent spasm of tensor tympani muscle in my right ear and I know it is a right diagnose because I have been through a great deal of stress lately and it somewhat "damaged" my nerves. I can feel and see for example also a fasciculation on my calfs (but sometimes even on other parts of my body). The Eustachian Tube is ok, ENT said.

The spasm feels like a "clicking" sound in my ear and it it the worst during speaking when conversation is somewhat stressful for me. It occurs then mainly during swallowing but generally it occurs virtually whenever (but in less intensity). Maybe it is worse in the morning after getting up. I feel that my ear is then sometimes "tired".

I had noticed this problem about one month ago and now it has devoloped in chronic nature.

I' ve been taking Lexaurin (Bromazepamum) (according to my ENT advice) (so far 2x1,5 mg a day, and now I'm starting to take 3x1,5 MG a day, 1 tbl in the morning and 2 tbls in the evening) along with magnesium, b-complex vitamins and other balanced vitamins and minerals (calcium and magnesium 2:1). So far with no significant effect. I am maybe a less anxious but the spasm in my right ear still continues. I know that I should rid off stress as much as possible but trouble is that spasm anxious me, it isn't accompanied with pain but it is annoying anyway so it's some kind of "vicious circle".

I'm considering to change Lexaurin for Myolastan (Tetrazepamum) which should have larger myorelaxant effect.

But in general, I want to take these psychofarmacs only for a necessary period of time.

Than I have question. Do you think that repeated politzeration could help? To somewhat "loose" the muscle? I'm aware of autopolitzerating my ear and I do it sometimes and seems to help a bit but without any long lasting effect.

I'm thinking also about some muscle relaxation psysical exercise but when the muscle is in my ear I don't know how. Then I'm considering some massage or other "alternative" methods like acupunctury.

What are your treatment suggestions or advice? Do you think it will, itself, go away in time if i try to be stress free as much as possible?

Thank you in advance. I very much appreciate it.

Jan Dob. Czech Republic. The Old Continent ).

P.S. I have felt these muscle contractions in my ear already about twice in my lifetime, so I have probably more sensitive nerves here, but it has been only a momentary matter and then it went away immediately. But now the stress I've been through, was so great and long lasting, that it has developed to this chronic matter.

I don't have any other problems with my ears and I have never have them in my life time (except for those stated above).

Again. Thank you. I'm 28 years old.
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Rod_Moser_PA_PhD responded:
This clicking is called MYOCLONUS...

Those three tiny ear bones in your middle ear (the area on the other side of your eardrum) have muscles (the stapedial and tensor tympani muscle) that are attached to them. Like any muscle, they can go into spasm and rapidly twitch (myoclonus). When this happens in the ear, it will cause the eardrum to vibrate like a drum, resulting in a clicking or even a machine-like sound. The muscles in the throat and palate (the tensor veli palatini muscle) can also be contributory.

This is not an easy problem to fix. Surgery is sometimes performed to cut those muscles, or the muscle-paralyzing botulism toxin (Botox) is injected into them in an effort to correct more serious cases. An ENT sub-specialist (a neurotologist) is the best person to evaluate and manage this difficult-to-treat disorder.

Give your muscle relaxants a good trial...perhaps a month if you can. I am not sure what you mean by politzeration, but if you are speaking about pressure equalization by holding your nose and blowing, this will not likely help.

I am not a big fan of massage or acupunture for this particular problem since it has not been scientifically proven to help. It may help your stress, however.
 
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Sarah_LMTandAcupx responded:
As a licensed massage therapist and acupuncture intern, I am happy to politely disagree with Rod Moser's opinion of holistic medicine. It is absolutely possible that your spasms may be related to any TMJ symptoms, in which circumstance it may be appropriate to seek therapists who offer myofascial release, unwinding techniques, craniosacral, or trigger point therapy of the neck and jaw.
It may be also associated to the Chinese diagnosis of "internal wind" or "liver wind". Internal wind can be diagnosed as symptomatic twitching, shaking, convulsions, and spasms in one location or shifting locations throughout the body. The liver is in charge of the smooth movement of qi and blood in the body as well as harmonious movement within the body. An imbalance in the liver impairs this function, producing abnormal movement, and the influence of wind stirs this movement at unpredictable times.
Please search for a holistic healthcare provider in your area before getting surgery that potentiates irreversible damage. Good luck!
 
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Rod Moser, PA, PhD replied to Sarah_LMTandAcupx's response:
I respect your opinion. It is just that I do not agree with it. There is absolutely no scientific evidence to back up what you are saying, or that an inner ear muscle spasm is somehow related to a TMJ disorder (it is not).
 
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bloofer responded:
Take magnesium supplements for this. If it's a spasm, tic, twitch, cramp, or fidgit, magnesium is usually the cure.
 
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Rod Moser, PA, PhD replied to bloofer's response:
I do not agree. Please follow your doctor's instructions. If he/she feels that you would benefit from a magnesium supplement, then okay, but this type of muscle spasm is not the result of a magnesium deficiency.
 
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ClevelandApril replied to Rod Moser, PA, PhD's response:
I have been trying to find a diagnosis for my left ear purring. I have had it ever since I can remember...so for at least 40 years now. I am reading about Tensor Tympani Myoclonus and other spasms of the inner ear and those are at least getting close. IT feels like a vibration and sounds like a cat purring or a butterfly trying to get out. It is constant 24 hours a day and only pauses for a moment periodically. It seems to get worse with any pain in my body. I get pinpoint pains...like nerve endings throughout my body and the sound will pulse right with it. I am at my wits end. Any suggestions or idea of the type of doctor I should see would be greatly appreciated...ENT's have been of no help!
Thanks!
 
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Rod Moser, PA, PhD replied to ClevelandApril's response:
ENTs so far....but an ENT is really the person you should see. If you can find an OTOLOGIST (just an ear specialist) or NEUROTOLOGIST, this may be more appropriate.
 
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Mephiuz responded:
I went through a lot of muscle tightness and pain that seemed to start with the sciatic nerve and lower back area, but ended up in a lot of my muscles. I have been performing my own myofascial release on my muscles and taking magnesium, like 'Natural Vitality Natural Calm'. I believe that I do not uptake the magnesium well due to aged organs, but orally does help some. I have been trying to cleanse my organs by whipping up cilantro or parsley in the vitamix blender with some water and a little fruit and drinking that. You can take baths with epsom salts or some magnesium bath salts, I believe it absorbs fairly well through the skin. That being said, I am still having trouble getting rid of the tapping in my ear because I am not able to massage the muscle. Finding the sore muscles around the ear and massaging helps, and maybe stretching by pressing around the base of the ear help sometimes. I still plan to take the bath with the epsom salts which is supposed to detox heavy metals also. I have mixed some calm bath salts in water and applied them to my skin, I believe you can buy magnesium oil and put that on your skin.

Potassium should also be important to digest, from a banana or maybe add some moringa powder to your food.

Love and Light!
 
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JSulp replied to Sarah_LMTandAcupx's response:
I have suffered with myoclonus beginning in my mid twenties and occasionally in my life during the last twenty years. Stress plays a part. Western medicine gave it all they had to no avail, however acupuncture and a natural anti inflammatory treatment has repeatedly help the symptoms of this. It is worth a try.
 
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msintros replied to JSulp's response:
I believe I have been suffering from this for years now, starting in my late 20s and now into my early 30s. It affects only my left ear. I have PET in my right ear, but I don't believe it to be related. As bad as the PET is, this problem in the left is worse. The worst part about it is that I have seen numerous doctors, ENT, otolaryngologists, and they can't objectively verify that I have this. My hearing tests turn up great and they can't find any abnormality in my acoustic response through testing, but so many sounds, even fairly quiet ones, in everyday life cause my left ear to have a spasm at the onset of each transient. It is not extremely painful but it is incredibly annoying and has begun to erode my general sense of sanity. Even earplugs aren't enough to keep it from happening. I have a feeling that it is somehow related to either my jaw or neck, but I can't be sure. If I actuate my jaw and push on the cartilage of my ear, it clicks uncomfortably inside my ear, as though part of my inner ear structure were an elastic band that were being pulled and then snapped. It happens if I am wearing headphones or lying on my left side on a pillow. But I have seen a TMJ specialist and he didn't seem to think it would cause this problem. I remain unconvinced. I really want to know if there is a chance that any kind of surgery could solve this problem because it seems like it's ruining my life.
 
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claudia111 responded:

Hi Jan,


First I hope this post finds you well. Please let us know how you are doing after 4 years.


I have to tell you that you are a very lucky person, because you ENT was a GOOD one.


I had the same symptoms you had, I visit an ENT he had "no clue "so he suggested and MRI of the brain, and after reviewing the results he said that my brain was good and I should be OK.


So I trusted his opinion and I was never treated and a year later on a very stressful day I suddenly lose my hearing on my left ear.

I personally visited about 15 ENTS - including 3 TOP ENTS from NYC New York Eye and Ear Infirmary.
(Otology and Neuro-otology) specialists.


NONE of them were good; none of them realized I had spasm of tensor tympani muscle so I was never ever treated. The best advice they had for me was "hearing aids" for my hearing lost.


To this day the best and only treatment I had was the craniofacial , magnesium chloride , cleaning of my blood the natural way and now I discover I have a huge TMJ problem and I'm going to treat it .


After much research I found out that the** tensor tympani muscle ** connects to the Jaw and Ears ** so it does makes lots of sense and I know that this is going to work.


I visit 4 TMJ specialist for opinions, they all say I have really bad TMJ .


The Dentist TMJ (NEURO MUSCULAR specialist) I choose has HUNDREDS of hand writing letters from many patients THANKING him for all the help and for bringing their lives back after terrible EAR problems. Right of the back on my first visit he immediately say you have an spasm of muscle big time. Currently I'm working toward getting a treatment.


Please note: that I found out about TMJ from a meniere's disease group.


Some Members of this group were wrongly diagnose and treated for over 25 years for menieres, however, after being treated for TMJ their ears problems went away.


So yes your dentist can be the solution to your ear problems.


To everyone on this forum , please look for many opinions from different doctors ,do your own research and don't give up.
All the best ! Claudia
 
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iowahill replied to claudia111's response:
Still waiting for some advice on what I can try at home Drops? Ear flush? Anything? this is driving me nuts...


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