The conscious perception of sound—such as ringing, buzzing, clicking, or hissing—in one or both ears in the absence of an external acoustic stimulus.
The conscious perception of sound—such as ringing, buzzing, clicking, or hissing—in one or both ears in the absence of an external acoustic stimulus.
Clinical Context: Audiological evaluation rules out acoustic neuroma, noise-induced sensorineural hearing loss, or ototoxic medication side effects.
Diagnostic Consideration: Somatosensory (cervicogenic) tinnitus occurs when the dorsal cochlear nucleus receives aberrant somatosensory signals from the upper cervical spine or TMJ.
C1 and C2 spinal nerves project directly into the auditory pathway. Releasing upper neck compression often quietens or modulates somatosensory tinnitus.
The cranio-cervical junction (where the skull meets the Atlas and Axis vertebrae) is the primary structural crossroads of the central nervous system. When misalignment occurs here, it can create mechanical traction on the brainstem, impede venous drainage, and disturb autonomic balance. Hope Southlake uses calculated 3D digital imaging to gently reposition these vertebrae without any twisting, popping, or cracking.
Your headaches almost always begin as tightness or an ache at the base of your neck. Over the next hour, that ache creeps up the back of your head, over your crown, and lodges behind one of your eyes.
Read Symptom Guide →Related SymptomYour ENT, neurologist, and MRI results all came back "completely normal," yet you live every day feeling foggy, disoriented, and as if you could tip over at any moment.
Read Symptom Guide →Related SymptomOne of your ears feels constantly plugged, muffled, or full of pressure, like you just stepped off an airplane. Popping your ears doesn’t help, and a persistent ringing sound fills the silence.
Read Symptom Guide →
After suffering from multiple concussions, a serious back injury, and finding no answers in the traditional medical system, Dr. Kramer discovered upper cervical care. This personal journey fueled his passion for bringing precise, individualized care to the Southlake community.
"We understand how discouraging it is to keep searching for answers and still not feel like yourself. You deserve clarity and a precise path forward."
Advanced testing and examination help determine if upper cervical care is right for you.
Start restoring nervous system function and getting your life back.
What does life look like when your nervous system is finally in balance and your symptoms no longer control your calendar?
Wake up without debilitating head pressure or dizziness
Keep commitments to work, family, and social plans
Achieve deep, restorative sleep that recharges your energy
Reduce dependency on endless prescription rescue medications
Don't just take our word for it.
"Dr Kramer was my answer to constant, severe headaches which were caused by my neck. He identified the issue, and got things working properly again. The relief has been incredible. I'm so grateful."
- Stephanie Kabat
"I came in to this office very afraid for my future, because the symptoms I was having were debilitating. After completing my recommended course of initial treatment, I am excited about the future again. Dr Kramer is incredibly knowledgeable."
- Jessica Gilbert
"Dr. Kramer is wonderful. Takes time to listen to your story and comes up with a treatment plan just for you. Patient specialized care that is evidence based. His treatment has helped me tremendously with symptoms others could not change or even bothered to address. Highly recommend his skilled approach."
- Elizabeth Rose

Hope Upper Cervical Spine Center
500 N Carroll Ave Suite 110
Southlake, TX 76092
Phone: (972) 638-0994
This indicates somatosensory tinnitus, where the nerves in your neck share pathways with auditory processing centers in the brainstem.
Take the first step toward lasting relief and neurological stability. Schedule your consultation with Hope Southlake today.