Many people assume tinnitus is limited to the perception of a ringing noise in the ears. However, tinnitus can be so many other sounds, such as whistling, buzzing, humming, whirring, cicadas, crickets, and even musical phrases. Tinnitus is the name given to the perception of any noises in the ear(s) and in the head with no external source. In the past it was often thought that ‘nothing can be done for tinnitus’, but in recent years a lot of scientific research has shown that several approaches can help treat tinnitus, albeit gradually.
All of us experience tinnitus occasionally. However, it can become a problem when this noise persists and/or increases. Several factors can cause the severity of tinnitus to range anywhere from being very disturbing to a state that is not at all intrusive.
People with problematic tinnitus may experience:
• Sleeping problems and resultant fatigue
• Stress, annoyance, irritation, anxiety
• Despair, frustration, depression
These factors resulting from tinnitus can in turn aggravate tinnitus and so a ‘tinnitus cycle’ can be created.
Tinnitus is not a specific disease or an illness. It is a symptom generated within a person's auditory pathways. Recent brain imaging studies have found that tinnitus can be caused by any type of damage to the auditory system that causes hearing loss. This hearing loss can sometimes be very mild or outside the speech range, but it can be enough to ‘uncover’ the brain’s normal ‘static’ noise. When people have normal hearing, the outside sounds are loud enough to mask the brain’s static. With hearing loss, the outside sounds are no longer loud enough to mask this static, so it becomes more apparent, especially at quiet times. This is like the static heard on FM radio when there is no reception.
Research has found that hearing loss can trigger an auditory deprivation effect, whereby the brain is essentially ‘staving for sound’, so it automatically tries to compensate for that lack of input by turning up the sensitivity to the ear. Unfortunately, it also turns up the perception of tinnitus, and this can often also produce decreased sound tolerance. Tinnitus treatments are most effective when they directly reverse that process.
Factors that may result in or contribute to tinnitus include (but not limited to):
• Hearing loss – particularly noise-induced, but also age-related or other
• Certain medications (such as large doses of aspirin, arthritis medication etc.)
• Head, neck, or ear injuries
• Conditions of the ear such as infections, Meniere’s disease or acoustic neuroma (rare)
• Compacted ear wax
• Jaw joint (temporomandibular joint) dysfunction (rare)e.
Lifestyle factors that may aggravate tinnitus include loud noise exposure, excessive caffeine, stress, depression, and fatigue.
However, as it is the adaptiveness of the brain that can cause tinnitus to be disturbing, this process can also now be reversed to help reduce the intrusiveness, and so ‘treat’ the condition.
There is no ‘magical cure’ for tinnitus yet unless it is related to an easily reversed cause such as ear wax build-up or middle ear pathology. The TGA (Therapeutic Goods Administration) has never approved a medication for tinnitus. However, there are several ways to treat it effectively or to at least minimise the impact that tinnitus has on your life.
Tinnitus treatment strategies include Hearing Aids (specially programmed), Neuromonics, BrainWave Tinnitus Treatment, Counselling, Auditory Distractions, Stress Management, Hearing Protection, etc. Occasionally, a referral to an Ear, Nose, and Throat Surgeon is indicated when there is potential for a surgical or pharmaceutical treatment.
Evidence from research shows that the most effective treatments tend to simultaneously address the audiological, emotional and neurological components of tinnitus distress. Just focusing on one of those three aspects tends to be less consistently effective.
Tinnitus Telecare has long championed the cause of evidence-based tinnitus treatments. We have campaigned for journal articles to publish effect size calculations, demonstrating how consistently effective the technique was. We have conducted several meta-analyses that compare the effect sizes of various techniques. We will publish regular videos on our YouTube channel outlining the pros/cons of the various tinnitus management or treatment techniques.
At Tinnitus TeleCare, our mission is to improve the lives of those with Tinnitus, Hearing Loss & Hyperacusis
Dr Paul Davis has specialised in tinnitus for more than thirty years. Bio is here;
https://www.linkedin.com/in/paul-b-davis-phd-8944a85a
Please contact us for in-person clinical care in Perth, Sydney, Brisbane and Melbourne
We offer both TeleHealth and in-person consultations at our clinic in Bangalow.
We have a rare (but essential) ultra-high-frequency audiometer and so measure hearing up to 20,000 Hz. We do tinnitus tests of pitch match, loudness balance, minimum masking level, and loudness discomfort levels, right across the full range of human hearing.
We offer Tinnitus Assessments, Counselling (incl CBT), & Hearing Aids. We provide all the regular Audiology services too, such as middle ear testing, workover, musicians earplugs/monitors etc.
We also can dispense the FDA-approved and DVA-contracted Neuromonics Tinnitus Treatment, and its new successor called Brainwave TRx.
How We Assess, Triage, and Treat Tinnitus
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Tinnitus TeleCare is at The Bangalow Wellness Hub on Mondays and Wednesdays.
Telehealth sessions (including overseas) are also available on other days by appointment
96 Byron Street, Bangalow New South Wales 2479, Australia
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