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Dr. Centeno explains that tinnitus, or ringing in the ears, can present in various forms—constant, pulsatile, or triggered by movements like head turning. In patients with craniocervical instability (CCI), tinnitus is often due to intermittent compression of the internal jugular vein, typically caused by instability at the C1-C2 level. The transverse process of C1 can compress the vein against the styloid bone, disrupting normal venous drainage. Rather than surgically removing bone structures, the preferred treatment is to stabilize the upper cervical spine, which usually resolves the tinnitus symptoms. Dr. Centeno practices at the Centeno-Schultz clinic, which is one of the founders of a new field of medicine called interventional orthobiologics., These are precise image-guided injections of PRP, stem cells, and other natural substances to help ligaments, tendons, and joints heal. The clinic is involved in many clinical research studies, runs a university level pure research lab in orthobiologics, and uses advanced clean room processing on-site of cellular therapies. See https://centenoschultz.com/ To schedule a telemedicine or an in-person visit, please reach out to the clinic at +1-303-429-6448 or contact Isis at [email protected]. Dr. Centeno also actively answers questions on his Reddit thread at / picl You can also download his book on craniocervical instability at https://centenoschultz.com/craniocerv... Finally, he does weekly FB Lives at / centenoschultzclinic These Facebook Lives are also available in podcast format on Apple at https://podcasts.apple.com/us/podcast... or on Amazon at https://music.amazon.com/podcasts/35d... .