Tinnitus, Hyperacousis, Concussion, and the Brain. Practical Strategies for Recovery.

In this episode of What’s In Your Head: Tools for Pain & Dizziness, Dr. Pete Schultz explores tinnitus, hyperacusis, phonophobia, and misophonia—and why these symptoms can become especially challenging after concussion or migraine.We discuss the difference between these conditions, how the brain filters and interprets sound, and how attention, fear, hypervigilance, stress, and nervous system sensitization can amplify persistent symptoms.You’ll also learn when hearing protection is truly necessary, including practical examples involving concerts, power tools, firearms, industrial noise, airplane cabins, and jet engines. We break down decibel levels, the 3-decibel “half-time” rule, and why excessive earplug use in otherwise safe environments may sometimes reinforce sound sensitivity and fear.The episode also covers concussion-related tinnitus and sound sensitivity, the role of the cervical spine, vestibular system, migraine, and TMJ, and how a multidisciplinary treatment approach may help.Treatment strategies discussed include:Medical and audiological evaluationNeck physical therapyVestibular rehabilitationSomatic tracking and Pain Reprocessing TherapyNervous system regulationBiofeedbackMindfulnessGraded exposure to soundGradual return to meaningful activitiesThe goal is not to ignore symptoms or push through dangerous noise. It is to protect your hearing when sound is truly hazardous while helping the nervous system relearn that normal everyday sound can be safe.Disclaimer: This podcast is for educational and informational purposes only and is not intended to provide individualized medical advice, diagnosis, or treatment. Tinnitus and sound sensitivity can have many potential causes and should be evaluated by an appropriate healthcare professional. New or sudden tinnitus, sudden or one-sided hearing loss, pulsatile tinnitus, severe vertigo, significant ear pain, or new neurological symptoms warrant prompt medical evaluation. Always consult a qualified healthcare provider regarding your individual symptoms and treatment.Learn more at PainAndDizzy.com and DynamicSportsPT.com.