Tuesday, July 16, 2024

What’s The Treatment For Tinnitus

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Improving Tinnitus With The Treatment Of The Cervical Spine And Jaw

Whats that ringing in your ears? – Marc Fagelson

A case study published in the Journal of the American Academy of Audiology wrote: Musculature and joint pathologies of the head and neck are frequently associated with tinnitus and have been hypothesized to play a contributing role in its etiology.

To demonstrate the role of muscles and cervical spine pathology, the doctors of this case study offered the case of a 42-yr-old male experiencing intermittent bilateral tinnitus, headaches, blurred vision, and neck tightness. His occupation required long-term positioning into neck protraction. The examination found limitations in cervical extension, bilateral rotation, and side bending. Asymmetry was also noted with temporomandibular joint movements. Upon initial evaluation, the patient demonstrated functional, physical, and emotional deficits per neck, headache, and dizziness self-report scales and a score on the Tinnitus Handicap Inventory of 62 . Resisted muscle contractions of the cervical spine in flexion, extension, and rotation increased his tinnitus.

  • Treatment focused on normalizing cervical spine mobility through repetitive movements, joint mobilization, and soft tissue massage.

Perceptual Characteristics Of Tinnitus

A little over half of tinnitus patients perceive the phantom sound as coming from inside the ear , suggesting that tinnitus might originate in the inner ear. Others report that the phantom sound is located inside the head , raising the possibility of a central origin , while a few patients perceive the phantom sound as coming from outside the head. Approximately 60% of patients experience bilateral tinnitus, while the remainder hear the sound in just one ear .

The pitch and spectral qualities of tinnitus vary from one individual to the next, but the most common descriptors used are those of ringing, buzzing, hissing or whistling . Because the auditory system is organized tonotopically such that different frequencies activate different anatomical locations in the auditory pathway , the pitch and spectral qualities of the tinnitus may provide clues regarding the neurons that trigger the phantom sensation. The pitch or spectral qualities of tinnitus are often located in the region of maximum hearing loss or at the boundary between normal and abnormal hearing . These results suggest that the neurons responsible for the perception of tinnitus may be located at the edge or boundary of maximum hearing loss .

What Is The Most Effective Tinnitus Treatment

August 17, 2021 By Hearing Associates of Las Vegas

Tinnitus is one the most common ailments in the United States, affecting about one in ten of the adult population. Often described as a subjective condition, it is sometimes difficult for those without it to imagine how it affects those who suffer.

Tinnitus is usually described as a ringing in the ears, but it can also sound like clicking, hissing, roaring, or buzzing. Tinnitus involves perceiving sound when no external noise is present. The sound can be very soft or loud and high-pitched or low-pitched.

It varies from person to person, as some people hear it in one ear and others hear it in both. People with severe tinnitus may have problems hearing, working, or even sleeping.

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Tinnitus Measures And Biomarkers

One factor that hampers work into finding biomarkers is that we do not yet have a large database of the non-audiological phenotypes of tinnitus patients: collecting data such as the biochemical, radiological and genetic characteristics of large numbers of tinnitus patients has not been undertaken. Ideally a biobank dedicated to tinnitus patients should be created .

Whilst work using genetics to identify pharmacological targets is in its infancy , it is reasonable to expect that further knowledge regarding the genetic contribution to clinically significant tinnitus would be of considerable value.

Without suitable objective markers or biomarkers, tinnitus research in humans currently uses a range of audiometric and self-report questionnaire measures to assess tinnitus severity and treatment effect. Multiple such tools are available and there is no consensus regarding optimum datasets for clinical research. This makes subsequent comparison of trials and meta-analysis of data problematic. A recent multinational working group has tried to address this and has proposed a basic portfolio of tinnitus domains that should constitute a core outcome set for different types of tinnitus research . Whilst this suggestion is laudable, it remains to be seen if the tinnitus research community adopts these recommendations and it does not provide the unequivocal objective measure that the pharmaceutical industry desires.

Auditory Pathways And Tinnitus


Sound waves travel through the ear canal to the middle and inner ear, where hair cells in part of the cochlea help transform sound waves into electrical signals that then travel to the brain’s auditory cortex via the auditory nerve. When hair cells are damaged by loud noise or ototoxic drugs, for example the circuits in the brain don’t receive the signals they’re expecting. This stimulates abnormal activity in the neurons, which results in the illusion of sound, or tinnitus.

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Cognitive Behavioral Therapy Approaches Can Help With The Most Debilitating Cases Of Tinnitus

For patients who are especially troubled or debilitated by their tinnitus, a handful of cognitive behavioral therapies can help. They are designed to help individuals learn to control their emotional reaction to tinnitus and uncouple the symptom from the distressful response they have to it rather than trying to cover it up or avoid it.

CBT has proved effective in helping people overcome phobias and pain-related conditions, and a meta-analysis published in January 2014 the Journal of the American Academy of Audiology found that theres significant and consistent evidence that such strategies help with tinnitus management, too .

How Is Tinnitus Treated

There is no cure for tinnitus. While treatment depends, in part, on the underlying cause, a doctor or audiologist can help people with tinnitus learn to live with the problem and achieve a good quality of life. Some helpful approaches include the following:

Hearing aids, including cochlear implants: If you have a hearing problem, treating it can make tinnitus less noticeable. Specialists often recommend a cochlear implant hearing aid for people with tinnitus who have serious hearing loss. These small devices are surgically implanted inside the ear, where they can use electrical signals to send external sounds directly to the auditory nerve.

Sound generators: This solution can be as simple as keeping a machine on your night table that produces relaxing sounds such as waterfalls or white noise. There are also wearable sound generators, or masking devices, that fit in your ear that can play soft sounds or music just loud enough to mask the tinnitus noise.

Acoustic neural stimulation: A device the size of your palm works through a pair of headphones to deliver a broadband acoustic signal embedded in music. This relatively new treatment can stimulate change in the neural circuits and make you less sensitive to tinnitus.

Medications for anxiety and depression: These medications can help with such tinnitus-related problems as distress, irritability, mood and the loss of sleep that can make it difficult to function.

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Something At C2 The Dorsal Root Ganglion

That researchers and clinicians are making a connection between what is happening in the cervical spine in tinnitus patients is expressed by a study concerning Pulsed Radiofrequency Treatment. This is a treatment that we do not use. We have been offering cervical spine therapies for almost three decades and based on our experiences and that of our patients, we have not found these treatments to be more effective than our current treatments of regenerative medicine injections. So lets look at this research, it is not so much about the treatment but an observation of the C2 vertebrae.

Many of you may have already tried or are at least familiar with Pulsed Radiofrequency Treatment. An electrode is applied to the impacted nerves and electrical stimulation is offered. The hope is that the treatment will provide pain relief by altering the nerves currents and transmissions.

In this September 2019 study in The International Tinnitus Journal researchers wrote:

The second cervical nerve ganglion bar appears to be beneficial in patients with treatment safe tinnitus The point of this investigation was to decide the adequacy of beat radiofrequency of C2 dorsal root ganglion for treating patients with tinnitus, and all the more explicitly, to survey the parameters related to a long haul advantage so as to improve understanding determination.

Treating Cervical Spine Disorders Can Result In A Reduction Of Tinnitus

Advanced Tinnitus treatment with hearing loss

The idea that treating cervical spine instability as a method of treating tinnitus, is an idea that we, as well as many researchers and clinicians, have had for a long time. Yet recent research still has to present this idea as novel or new. Henk M Koning, MD, Ph.D., whose research is presented in this article published a paper in The International Tinnitus Journal in November 2020 where he stated at the very onset Treating cervical spine disorders can result in a reduction of tinnitus.

Here are the summary learning points:

  • The object of the study was to determine the benefit of therapy of the third and fourth cervical nerves in reducing tinnitus
  • There were 37 tinnitus patients who were treated with injection into the third and fourth cervical nerves
  • In a group of tinnitus patients, 19% of the patients reported less tinnitus after therapy of the third and fourth cervical nerves. Most of the patients had a moderate reduction of 25% to 50%.
  • At 3.8 months, 50% of the successfully treated patients still had a positive effect. No adverse events of the procedure were observed.

Dr. Konings further research is presented throughout this article.

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Doctors Find Something Is Missing In A Tinnitus Examination It Is A Look At The Neck

In December 2018, Israeli doctors summed up a big problem in tinnitus examinations in one simple sentence. In their study published in The Journal of International Advanced Otology, this is what they said:

  • Physicians routinely perform an otoscopic examination, whereas other relevant possible physical findings, such as temporomandibular joint disorders or neck trauma, are less frequently examined.

For many people with tinnitus, a simple look in the ear for ear wax buildup or infection can be an effective way to handle problems of tinnitus by handling the problems of ear wax and ear infection. But what about persistent tinnitus? How many times can we look inside a patients ear looking for an answer that may not be in the ear?

Doctors do look at the neck, but what they may be looking for is a neck mass or a neck tumor, an obvious anatomical deformity that may lead them towards neurological disorders. But what if there is an anatomical deformity that is not so obvious? Cervical neck ligament damage causes hypermobility in the cervical spine and pressure on the nerves that run through the vertebrae and the nearby circulatory system into the neck and head?

What Are The Symptoms Of Tinnitus

Tinnitus is the perception of a sound in the ear, like ringing, hissing, roaring, pulsing, whooshing, chirping, whistling, static, buzzing or clicking. Some people describe it as sounding like crickets. Tinnitus can be constant or intermittent, in one or both ears and can vary in loudness. It can also be quite bothersome, interrupting your sleep or being so loud it interferes with concentration or hearing. For the luckier ones, it can be easy to ignore and is mostly noticed at night when its quiet.

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What S Tinnitus: Causes Treatments And More

What is tinnitus ? Hello there :). If you came to read this article, you probably have tinnitus. But dont worry, I have it too :). I have been suffering from tinnitus for a long time. Like you, I have been searching for answers to questions such as how to stop tinnitus, how to treat tinnitus, what medications cause tinnitus for a long time.

I did a lot of research on the internet. I have been to many doctors. I used many drugs. I applied home treatment methods and exercises for tinnitus. So did it pass? No. But I finally found the solution. And Im fine now. My tinnitus is completely gone.

I opened this page to help those who suffer from tinnitus like me. Every day, hundreds or even thousands of people seek the answer to the question of how to cure tinnitus. I also searched a lot for the answer to the question of what is the most effective treatment for tinnitus. Unfortunately, there is no correct information on the internet about how to fix tinnitus.

Therefore, in this article, I will give you the answer to the question of how to help tinnitus in detail. I will give you information about how to stop tinnitus instantly in our article about what you need to do step by step. I will also write how I got over this disease at the end of the article. I hope this page will be useful to you and you will get over the tinnitus as soon as possible.

Prevention To Keep Tinnitus From Getting Worse


Minimize exposure to loud noise. This will protect your current levels of hearing while also reducing the risk of your tinnitus getting worse. This and other smart prevention strategies can help protect your hearing in the long run. Treating hearing loss is an important first step to better overall hearing health, both for hearing loss and tinnitus.

Avoiding damaging levels of noise is an important part of any tinnitus treatment plan.

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Is There Treatment For Tinnitus

What makes a person focus on tinnitus is fear, Gans explains. Fear or anxiety has to be a part of the picture.

Gans likens the brain to an orchestra, working with many different sections contributing. In treating tinnitus, she helps patients re-tune their brains so they can start perceiving body sensations accurately. Gans does not claim to cure or get rid of tinnitus rather, she helps patients shift their tinnitus from bothersome to non-bothersome.

Its not just about stress reduction. Gans sites three important components to help patients.

  • Working to help patients feel less anxious about tinnitus
  • Educating patients so they can be an expert on what tinnitus is and also what it isnt
  • Taking a patients lifestyle into consideration.

Gans is confident that she can take it from bothersome to non-bothersome by re-training the brain on how to deal with it, whether through an online course or in-person treatments. Education about the condition alleviates patients fears and empowers them to manage their tinnitus. She also recommends meditation or focused awareness practice that enables patients to create space between whats happening to them physically and how they react to it.

This allows patients to shift from being reactive to tinnitus. Through treatment, patients learn how to respond to tinnitus and begin to view tinnitus in a more appropriate way. Tinnitus is a paper tiger, she says. It looks scary, but its actually made of paper.

Why Is There No Cure For Tinnitus

  • 1Colchester General Hospital, East Suffolk and North Essex NHS Foundation Trust, Colchester, United Kingdom
  • 2British Tinnitus Association, Sheffield, United Kingdom
  • 3Action on Hearing Loss, London, United Kingdom
  • 4Autifony Therapeutics Limited, Stevenage Bioscience Catalyst, Stevenage, United Kingdom
  • 5National Institute for Health Research Nottingham Biomedical Research Centre, Nottingham, United Kingdom
  • 6Hearing Sciences, Division of Clinical Neurosciences, School of Medicine, University of Nottingham, Nottingham, United Kingdom
  • 7Nottingham Audiology Services, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom

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What High Blood Pressure Meds Cause Tinnitus

Tinnitus has many causes. One of these reasons is the side effects of some drugs. If you have high blood pressure or low blood pressure, this is among the possible causes of tinnitus. High blood pressure medications do not usually cause tinnitus. If you think that tinnitus has occurred due to the medication you are using, you can consult your doctor immediately.

Key Question 2 And Picots

How Do You Pronounce Tinnitus? Explained in 2 Minutes

In adults with subjective idiopathic tinnitus, what is the comparative effectiveness of medical/surgical, sound treatment/technological, or psychological/behavioral intervention ?


Adult patients with a diagnosis of subjective idiopathic tinnitus

Note: For KQs 2 and 3, adults diagnosed with unilateral and/or pulsatile tinnitus need to be evaluated for other medical conditions . Our review will include only those cases in which a medically serious underlying pathology as the source of the tinnitus has already been ruled out.


Any treatment/therapy used to reduce/help cope with tinnitus including but not limited to:

  • Medical/Surgical
  • Tricyclic antidepressants
  • Selective serotonin-reuptake inhibitors: fluoxetine and paroxetine
  • Other: trazodone anxiolytics vasodilators and vasoactive substances intravenous lidocaine gabapentin Botox and pramipexole)
  • Laser treatments
  • TMJ treatment: dental orthotics and self-care surgery
  • Transcranial magnetic stimulation
  • Complementary and alternative medicine therapies: G. biloba extracts acupuncture hyperbaric oxygen therapy and diet, lifestyle, and sleep modifications
  • Sound Treatments/Technologies
  • Primary care specialty care

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    Does Biontech Cause Tinnitus

    Biontech vaccine is among the most important vaccines developed against Covid-19. Although the side effects have not been fully determined yet, this vaccine has many side effects. However, there is no scientific data that can cause tinnitus.

    If your tinnitus occurred right after vaccination, it was either a coincidence or it was actually due to vaccination. It is impossible to say that it is one hundred percent vaccine. As we said, there is no scientific study on the subject yet.

    Some Lifestyle And Behavioral Modifications Can Help With Tinnitus

    Stress tends to make tinnitus worse, explains Michael Kilgard, PhD, a professor of neuroscience at the University of Texas at Dallas. Research has helped solidify this connection, and it also suggests that some hormones and neurotransmitters that peak when a person is tired or stressed may affect the brain in ways that heighten tinnitus symptoms, according to work published in July 2016 in the journal Frontiers in Neuroscience.

    For all these reasons, getting a good night’s sleep and keeping stress in check both much easier said than done may help some people rein in the severity of their tinnitus. Theres some evidence linking mindfulness practices to lower stress and better sleep, and that suggests mindfulness may also help people with tinnitus, too. The same is true of relaxation techniques including exercise and yoga.

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