Patients doing their own research on conditions occationally bring me something that they find interesting to get my opinion. This recently happened with an article on MÉNIÈRE’S DISEASE AND JOINT INJURY. The full title is “The Potential Role of Joint Injury and Eustachian Tube Dysfunction in the Genesis of Secondary Ménière’s Disease” I thought I’d just share that review with you.
Meniere’s Disease is a disorder of the inner ear causing many different symptoms from vertigo to ringing in the ears to hearing loss. The article really seems to be just an idea that the authors have been pondering and sought to find evidence to back up their idea. Not very scientific in my opinion. What they’ve really done is see if there is any validity to their hypothesis so that they can do further studies.
The ear has 3 sections, inner, middle, and outer. The inner ear is sealed off and in your skull and is what does all of the work you might associate with the ear, hearing and balance. The middle ear is simply a cavity with facilities to allow the outer ear to “talk” to the inner ear and is drained by the eustachian tube into the back of your throat. The middle ear is usually where ear “infections” occur. The eustation tube becomes blocked and can’t drain the middle ear so fluid builds up or an infection may grow. If this occurs frequently, medical doctors sometimes, (instead of fixing the tube that your body has) insert additional tubes that drain to your outer ear.
The bones in your neck join the skull right behind your ear. If you put your finger right there you feel a soft spot between the bump of your skull your jaw and your ear. Those are the joints that the article talks about, the upper cervical spine and the TMJ. The close proximity has always caused people to justify a relationship between those joints and the ear. Neurologically there has been no direct connection found that I’m aware of. These authors are proposing an indirect nerve connection in order to explain why TMJ or neck injuries can lead to Menier’s disease.
From a chiropractic perspective their hypothesis also implies the reverse, that patients with Menier’s Disease might benefit from chiropractic management. To be determined…