Why Tinnitus Gets Worse on Headache Days

Why Tinnitus Gets Worse on Headache Days

Most tinnitus patients who also have migraines have never been told the two are related — let alone that one may be driving the other. In this episode, Dr. Layne Garrett, Au.D., FAAA, CH-TM explains the central sensitization framework and why so many patients cycle through specialists without answers.

Published research places the co-occurrence of tinnitus and migraine at 26-47%. Vestibular migraine — which can present without headache — is among the strongest predictors of tinnitus distress. A 2026 literature review from UC Irvine proposed that this triad be formally recognized as otologic central sensitivity syndrome. These may not be three diagnoses. They may be three symptoms of one overreactive nervous system.

Dr. Garrett breaks down the trigeminal nerve's role in connecting migraine biology to inner ear excitability, walks through a patient case that illustrates how the right question changed the clinical picture entirely, and explains what a tinnitus evaluation that includes this framework actually looks like.

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Episoder(121)

I've used Lenire for Tinnitus Patients for 2 Years.- Here's What I've Learned

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Sound Preference Testing: What It Reveals

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A 2026 study published in the Proceedings of the National Academy of Sciences identified a direct neural pathway from serotonin-producing brainstem neurons to a key auditory relay station. Activating ...

8 Sep 9min

Treating Hearing Loss Before 70: Why Timing Matters

Treating Hearing Loss Before 70: Why Timing Matters

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