ISSUE: VAC refused to cover physiotherapy treatment for a Veteran suffering from service-related pulsatile tinnitus - which is tinnitus with a rhythmic, pulsing or whooshing sound that aligns with one’s heartbeat. It is often caused by issues with blood vessels in the head and neck.
The Veteran had intense ear and neck pain that often interrupted their sleep. Both the specialist and the audiologist believed the condition was linked to jaw and neck issues and recommended physiotherapy, which VAC would not cover, so the Veteran chose to pursue it at their own expense.
After nine sessions, the Veteran had significant improvements in posture, mobility and tinnitus symptoms. VAC continued to deny the request for coverage, saying that physiotherapy was not a recognized treatment for pulsatile tinnitus.
ACTION: The Veteran reached out to us for assistance. Upon review, we found the denial of coverage to be unfair. Health professionals had prescribed the treatment, and the Veteran had made real, documented progress. We pointed out the unfairness to VAC and asked for reconsideration of the decision.
RESULT: VAC reviewed the case and changed its decision. The Veteran now receives full coverage for physiotherapy to help manage their pulsatile tinnitus.