I'm sorry to hear about the challenges you're facing with your symptoms. To better understand your condition and guide appropriate management, a thorough evaluation is essential. Here’s a suggested approach: Investigations:    MRI of the Cervical Spine and brain to rule out degenerative and pathologies Audiometric Testing: Vestibular Assessment:    If imbalance is significant, a vestibular evaluation can help assess inner ear function. Blood Tests:    Basic blood work to check for any inflammatory markers or metabolic issues that could be contributing to your symptoms. Management: Medications:    Pain Management: Non-steroidal anti-inflammatory drugs (NSAIDs) may help relieve neck pain.    Antidepressants or Anticonvulsants: Sometimes prescribed for tinnitus management. Physical Therapy:    A physical therapist can develop a tailored program to improve neck mobility and strengthen muscles, which may alleviate stiffness and balance issues. Tinnitus Management:    Consider cognitive behavioral therapy (CBT) or sound therapy to help manage the perception of tinnitus. I recommend scheduling these investigations as soon as possible to get a clearer picture of what might be going on. Once we have more information, we can develop a comprehensive treatment plan tailored to your specific needs. Please keep me updated on your progress, and don’t hesitate to reach out if you have further questions or concerns. Dr. K. VAMSHI KRISHNA MBBS, MS, Mch(NIMS) Sr. Consultant Brain & Spine Surgeon Fellowship in Advance Spine Endoscope Surgery(Germany) Regd.No: 66020 Care Hospitals, Hi-Tech City, Hyd-32. Website - https://drvamshineurosurgeon.com/