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27.11.2015
Tinnitus is the perception of sound within the human ear in the absence of corresponding external sound. Tinnitus is not itself a disease but a symptom resulting from a range of underlying causes.
Featured TestimonialI have struggled with hearing loss for many years, and bought hearing aids elsewhere before I went to HearFlorida. Delayed Temporomandibular Joint Pain and Dysfunction, Tinnitus and Facial Pain Induced by Whiplash Trauma.
A study published in The Journal of American Dental Association followed 59 patients for one year after being seen at a hospital emergency department for motor vehicle injuries.
The therapy was focused on restoring normal activity to the C-2 segment (2nd cervical vertebra in the neck). Trigeminal neuralgia is a debilitating condition where the patient can have sharp shooting pain throughout the jaw area. In a search of the US National Library of Medicine’s PubMed database, these authors found one study that reported 88% of the patients suffered frequent jaw or face pain as a consequence of chronic whiplash associated disorder. It has long been know that the jaw, face and upper cervical spine is intimately connected through a series of nerve junctions and feedback systems which insure our ability to function in a gravity or upright position. Tinnitus is the medical term for the perception of sound in one or both ears or in the head when no external sound is present. Although there have been tremendous advances through research, the exact physiological cause or causes of tinnitus are not known.
Noise exposure – Exposure to loud noises can damage and even destroy hair cells, called cilia, in the inner ear. Certain disorders, such as hypo- or hyperthyroidism, Meniere’s disease, Lyme disease, fibromyalgia, and thoracic outlet syndrome, can have tinnitus as a symptom. Ototoxicity – Some medications are ototoxic, that is, the medications are harmful or damaging to the ear.
Although there presently is no cure, in some cases, tinnitus can be managed by treating the underlying cause or by altering reactions to it. The phrase “prevention is the best medicine” could have been coined specifically for tinnitus. When poor physical health is to blame for tinnitus, correct the underlying medical issue(s) are sometimes all it takes to get rid of the ringing in the ears. While it is not clear exactly why they work, certain antidepressant medications can correct or reduce tinnitus. Benzodiazepines (most famously, Valium and Ativan) have been tried in tinnitus with mixed results. When tinnitus is a symptom on Meniere’s disease, surgical therapy might be able to correct the dizziness and ear fullness while at the same time eradicating tinnitus. While they have not yet been perfected, there are various types of electrical and mechanical devices that have been used to treat tinnitus.
A tinnitus masking device is quite similar to a hearing aid in form but not necessarily in function.
My foundation in faith and family has allowed me to face challenges and grow into an expert in hearing health care. Causes include ear infections, foreign objects or wax in the ear, nose allergies that prevent (or induce) fluid drain and cause wax build-up, and injury from loud noises.


But now the Neuromonics Tinnitus Treatment lets you relieve these symptoms and reclaim your life.
I instantly felt comfortable with the staff and audiologist, received more thorough testing than I ever had, am hearing better than I have in years and therefore participating in activities and conversations more.
The incidence of new symptoms or dysfunction in the temporomandibular joint was five times higher in subjects that had been rear-ended. Treatment of these complaints respond favorable to adjusting as reported in the Journal of the American Academy of Audiology. Doing so will lead to poor outcomes and extra expenses at the cost of the patient’s recovery. There are, however, several likely sources, all of which are known to trigger or worsen tinnitus. When tinnitus is a symptom of another disorder, treating the disorder can help alleviate the tinnitus. This kind of tinnitus can be caused by abnormal blood flow in arteries or veins close to the inner ear, brain tumors or irregularities in brain structure. However it is important to note that these options do not work for everyone and do not work to the same degree for each individual patient. Balancing thyroid hormone, correcting anemia, and controlling cholesterol might be all that is required to reverse tinnitus. While some have argued that tinnitus and depression are linked, it is not so simple to think that depression alone leads to tinnitus. These medicines quiet electrical activity in the brain and can be helpful in quieting some of the signals that cause tinnitus.
If there is a physical problem that is causing tinnitus and it can be reached and corrected surgically, surgery becomes the treatment of choice.
In Meniere’s disease there is an excess of endolymph (fluid) in the vestibular system (the inner ear organ that helps us walk upright and maintain balance). Since once of the root causes (or pathways, really) of tinnitus is abnormal electrical activity in the nerves going from the cochlea to the auditory cortex, scientists and doctors have tried to use electrical stimulation to override those signals.
Instead of stimulating the cochlea, a device is applied to the outside of the skull and stimulates brain tissue using strong magnetic oscillations. These tinnitus treatments include hearing aids, masking devices, and tinnitus feedback retraining.
While a hearing aid amplifies sounds that enter the ear, a tinnitus masking device creates noise of its own. Tinnitus is also a side-effect of some oral medications, such as aspirin, and may also result from an abnormally low level of serotonin activity. I am so impressed by the knowledge, care, and willingness to help, and cannot be more thankful for this improvement in my life.
Tinnitus can be intermittent or constant-with single or multiple tones-and its perceived volume can range from subtle to shattering.
Your Elkhart Audiologist, Sharon Hirstein, understands that tinnitus can negatively impact your life, family and work. Sure having tinnitus can be depressing, but only certain types of antidepressants work on tinnitus, specifically tricyclic antidepressants. Sometimes these arteriovenous malformations, as they are called, are present at birth but more often they develop later in life.


In fact, the earliest reports of electrical stimulation of the ears for the treatment of tinnitus date back over a hundred years. The technology has been used to improve drug delivery and reduce auditory hallucinations, but may also be effective in treating tinnitus.
Since hearing and tinnitus are intimately related, it makes sense that treating deafness also helps treat tinnitus.
Before taking any medication, make sure that your prescribing physician is aware of your tinnitus, and discuss alternative medications that may be available. The best way to prevent tinnitus are to avoid those things that assault the ears namely prolonged exposure to loud noise, short exposures to extremely loud noise, and drugs that can hurt the ears. A full medical checkup is a good place to start because a great number of potential causes will be checked and addressed if needed. If depression was the sole cause, one would expect that better depression medicines like selective serotonin reuptake inhibitors (SSRIs) would also be the better tinnitus medicines. Also, this class of drugs can be habit-forming, which is why they are used with caution and weighed against their usefulness. An acoustic neuroma is a benign growth around the nerve that carries electrical signals from the inner ear to the brain.
While directly stimulating the auditory system has been reported to help 4 out of 5 patients, the tinnitus returns soon after the stimulation has stopped. Early research indicates that transcranial magnetic stimulation may reduce the symptom of tinnitus for up to six months at a time.
Improving hearing with a hearing aid does not always correct tinnitus, but it can be quite helpful to a number of patients with both hearing loss and tinnitus (about half).
The area is certainly murky, scientifically, but antidepressant medications may be a tool to treat tinnitus in certain patients. Newer strategies for treating abnormal blood vessels include burning them or injecting them with sclerosing agents which causes the vessel to shrink and to die.
Meniere’s surgery is not 100% effective at treating the primary disease or tinnitus, but it may be an option for some people. It is not practical to use current methods of stimulation constantly—there would be no time for living life. Regular checkups can catch hormonal and metabolic problems in the early stages before they result in tinnitus. If the blood vessel that is causing the problem is an important one (like the jugular vein) destroying it is not a viable option.
Similar tissue growths at various places in and around the ear can cause tinnitus and can be cured surgically.
While these devices are primarily used to give the sense of hearing to the deaf, they do so by directly stimulating the cochlea.
While it would be considered a rather bold clinical move, cochlear implants may be used to treat tinnitus in the future.



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