For addressing tinnitus through a Siddha-Ayurvedic lens, particularly with your low pitched ringing and existing TMJ, it’s important to focus on balancing your Vata dosha. Tinnitus is often linked to Vata disturbance, and since you already manage stress and maintain a healthy diet, let’s refine and focus your approach.
Firstly, consider enhancing your diet with Vata-pacifying foods: warm, cooked, and seasoned with mild spices. Ginger and cumin in moderation could be beneficial. You might want to introduce sesame oil into your routine; a few drops warmed and applied gently in and around the ear can soothe Vata imbalances. Make sure it is not too hot to avoid any irritation.
You could also practice a daily routine of nasya, where a few drops of warm, medicated oil such as Anu Tailam are gently inhaled into each nostril. This can help in balancing the upper body Vata.
Breathing exercises like Nadi Shodhana Pranayama (Alternate Nostril Breathing) can aid in reducing stress levels further and balancing the energy pathways. Do this daily for about 10 minutes. Given your TMJ, gentle jaw exercises, done mindfully, can provide additional support to your ear health, reducing tension build-up.
However, given that ringing could sometimes indicate underlying conditions beyond dosha imbalance, it’s wise to keep in touch with a medical professional if the symptoms persist or worsen. Any sudden changes or accompanying symptoms, like hearing loss or dizziness, should prompt a more immediate consultation to ensure all other potential causes are thoroughly assessed and addressed.