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If you have any questions, need additional information, or would like to schedule an appointment, call Toll Free 1-888-418-9200. Tinnitus is a condition characterized by constant hissing, ringing or buzzing sensation in the ears. Not many people know that feet have a direct connection to the ears, nose, throat and even head. In case of tinnitus, you can get great relief by soaking your feet, first in hot water and then in cold water.
When you chew dry fruits (like apricot, dates and raisins), it improves the blood circulation in the areas surrounding your ears, which helps in relieving the discomforts caused by tinnitus. Wearing earplugs puts your ears at rest, which can be very beneficial in relieving the buzzing or hissing sounds in the ears.
Lie down in bed and put it in each ear while facing the ear upward, one by one, with a gap of 5 minutes. Since most people already have a great sound system that has a set of tone controls and large speakers, our noise generators were designed to be connected to those very sound systems. Please Note: The noise signals produced by this device must be patched to an audio amplification system such as a home stereo system (RCA cables included) or a set of amplified speakers (such as a pair of computer speakers), to produce a pink or white noise sound.
Extremely accurate noise signals are nice and straight across the octaves as depicted by a spectrum analyzer (see pics below). Unit comes with an AC adapter and RCA cables (for hook-up to external audio equipment) as shown in picture gallery.
White noise can be highly effective at creating a sound curtain to help prevent eavesdropping on private conversations, masking noise in busy offices, providing a true random noise source for computer applications such as cryptography, and even for paranormal research.
Although white noise is important for some applications, most people agree that pink noise is more soothing to listen to. John, a sixty-seven-year-old man, recently retired from teaching high school, then went back to work as a security guard at the school gate.
I determined that John probably had tinnitus, the symptoms of which are hearing phantom sounds in the ear, including buzzing, clicking, hissing, ringing, or whistling, when there is no external noise.
Subjective tinnitus is the most common form, and only the person can hear or feel it in this type. Objective tinnitus is the type where both the patient and the doctor doing the examination can feel the sound.
The above depicts the organ of corti of inner ear, there are about 15,000 micorscopic sensory hair cells, which are very fragile and easily damaged. For this type of tinnitus, the treatment might be lidocaine injections to the inner ear, and benzodiazepine to calm the person and decrease his or her anxiety, tricyclic antidepressants to decrease depression, or carbamazepine and melatonin to help decrease the tinnitus. John underwent TCM treatment for reducing excessive heat with SI 19 Ting Gong and GB 2 Ting Hui points on both sides, and Liv 3 Tai Chong and St 36 Zu San Li, all of which were utilized to decrease excessive heat in the kidney and to improve his kidney and stomach function. In my personal experience, the Ting Gong, Ting Hui, and Er Meng are the most important points, and by using this acupuncture treatment plus electrical stimulation each session for 30 minutes three times a week for one to two months, the tinnitus symptoms will most likely greatly decrease. Always massage points SJ 21, SI 19, and GB 2 for 30 minutes each session, 2 sessions per day.
While a PubMed search for the terms "intratympanic" or "transtympanic" produces just a few "hits" for any given year back in the 1990s, [1] for 2011 already more than 40 publications on the topic are listed - and this only counting those which deal with drug injections into the human middle ear. Clinical aspects of round window membrane permeability under normal and pathological conditions. Intratympanic dexamethasone for sudden sensorineural hearing loss after failure of systemic therapy. Oral vs intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: A randomized trial.
Injection of the tympanum for chronic conductive deafness and associated tinnitus aurium: A preliminary report on the use of ethylmorphine hydrochloride.
Treatment of cochlear tinnitus with transtympanic infusion of 4% lidocaine into the tympanic cavity. Dexamethasone inner ear perfusion for the treatment of Meniere's disease: A prospective, randomized, double-blind, crossover trial.
Intratympanic dexamethasone injections as a treatment for severe, disabling tinnitus: Does it work? Treatment of subjective tinnitus: A comparative clinical study of intratympanic steroid injection versus oral carbamazepine. Topical administration of Caroverine in somatic tinnitus treatment: Proof-of-concept study. Round-window anatomical considerations in intratympanic drug therapy for inner-ear diseases. Individual differences in the permeability of the round window: Evaluating the movement of intratympanic gadolinium into the inner ear. Analysis of gentamicin kinetics in fluids of the inner ear with round window administration. The biology of intratympanic drug administration and pharmacodynamics of round window drug absorption. Intratympanic versus intravenous delivery of dexamethasone and dexamethasone sodium phosphate to cochlear perilymph. Dexamethasone concentration gradients along scala tympani after application to the round window membrane. Hyaluronic acid hydrogel sustains the delivery of dexamethasone across the round window membrane. Cochlear protection by local insulin-like growth factor-1 application using biodegradable hydrogel.
Direct round window application of gentamicin with varying delivery vehicles: A comparison of ototoxicity. Distribution of dexamethasone and preservation of inner ear function following intratympanic delivery of a gel-based formulation. Dexamethasone pharmacokinetics in the inner ear: Comparison of route of administration and use of facilitating agents.
Permeability of the round window membrane is influenced by the composition of applied drug solutions and by common surgical procedures. Morphologic changes in round window membrane after topical hydrocortisone and dexamethasone treatment. This causes the middle ear mechanism (ossicles) to vibrate and send those waves on to the inner ear and brain. Though it is not itself an ailment, but a symptom that can be caused by an array of health conditions, such as Meniere’s disease, inner ear problems, high blood pressure, excessive air travel, hearing disorder that comes with ageing, build up of wax in ears, sinus infections, nasal allergies or ear infections.
But, there are certain natural remedies that can minimize the effects of tinnitus to a great extent. That’s why massaging feet is an important part of treatment for many diseases connected to those parts.
When you take cold and hot water foot baths alternatively, it relieves the ringing sensation in the ears. It soothes the ear passages, which provides you relief from the whistling, beeping or buzzing sensation in the ears.
Eating fresh pineapples everyday also helps, as it reduces inflammation in the ears that causes hissing or ringing sounds. You accept that you are following any advice at your own risk and will properly research or consult healthcare professional.


It is the very nature of this "randomness" that produces that distinct white noise sound - just like the random spattering of rain drops.
The problem is that almost all other white noise generators or electronic sound conditioners found on the market are pseudo-random digital devices. The noise produced by our noise generators consist of true random impulses based on the chaotic motion of electrons and "holes" at the quantum level. All noise CDs, whether they were recorded from analog, digital, or natural sources (rain shower or waterfall), consist of a string bits that has been already determined (no randomness whatsoever) from the very act of recording, and therefore considered pseudo-random noise. Most sound conditioners have only a tiny speaker to produce a sound blanket, limiting both the sound quality and the volume (we all know what a small transistor radio sounds like). That way, you can have full encompassing sound piped through dual speakers, and you can easily adjust the tone and the volume as needed. Even if a noise CD was well cared for, the longevity & usefulness would still be questionable if the CD was produced simply by burning the noise signal on a writable CD instead of using the more reliable "stamped aluminum" process so widly used by the music industry.
We spend a little extra for top quality components even though this raises manufacturing costs. To connect to computer speakers, simply insert the phone plug running from your computer speakers (which would normally plug into your computer) into the RNG-100. This well-designed product is more accurate than many higher priced "professional" noise generators. The soothing sound of pink noise can help promote a state of relaxation & sleep for both babies and those suffering from insomnia. Whenever he begins to read, he starts to experiences sound within his ear, though there is no corresponding external sound. The sounds may vary in pitch from a low roar to a high squeal, and the person may hear it in one or both ears. About one fifth of the population complains of this kind of tinnitus, which can be caused by ear problems in the outer, middle, or inner ear.
As people age, they lose hearing because of tremors to the ear through noise, drugs, or chemicals, which damage the portion of the ear that allows them to hear. The hair cells detect any tiny movement of the body in any direction,  after activation of the hair cells by the wave of the body movement,  the hair cells send signals to the underlining tectorial membrane generating an electrical impulse which the brian interprets as sound.  If the hair cells  constant send out the signals after damage,  the patients usually feel contant noise, called tinnutis. If there is an acoustic tumor or an infection, the tumor should be removed, or the infection alleviated. The gallbladder meridians go up to the top of the head and around the ear; if there is excessive heat, this will go through the ear and cause blockage of energy, so the meridians cannot transmit normal sound to the inner ear.
The person feels weak and has a pale face, and the tinnitus is slow and low in pitch; sometimes it is off and on, with the pitch sound decreasing when the person holds her or his breath. After one month, John reported that he began to experience a decrease in the pitch of the tinnitus, and after two months, he reported that he heard no sounds about 70 percent of the time.
Acupressure the points with your thumb or knuckle, pressing with comfortable pressure on the points. The rise in interest in this local drug delivery approach may be explained by our increased knowledge and understanding of inner-ear pharmacology and pharmacokinetics from animal studies. Effects from medications, drugs or alcohol also play an important part in causing tinnitus. It’s a chain reaction. The electrical impulses in the cochlea are transmitted through the cochlear nerve to the auditory portion of the brain. However, the above natural remedies for tinnitus work in almost all cases, regardless of the factors that cause it. If rain droplets fell in an orderly fashion, it would sound more like clapping than rainfall.
What is really going on is that this seemingly random train of impulses is just a pre-determined sequence of bits that eventually repeats. Listening to pseudo-random noise would be like listening to a recording of a river or waterfall on loop mode, which can be irritating to the mind.
They do not even have tone controls to let you adjust the bass or treble to suite your needs. The off-and-on sound can be a strong ringing noise in his right ear, a high-pitched whining noise, buzzing, or hissing. The sound is sometimes continuous, sometimes intermittent, and it may interfere with the ability to concentrate.
It can also be caused by problems with the auditory nerves or the brain stem, which can interrupt the nerve signals as sound. It can be a muscular issue, or it can be caused by blood vessel or inner-ear bone problems. Examples include acoustic shock, external ear infection, ear-wax impaction, lead or mercury poisoning, Meniere’s disease, or such toxic medications as aspirin, erythromycin, or tetracycline. This triggers ear cells to release an electrical signal through a nerve from your ear (auditory nerve) to your brain. Other methods include electrical stimulation, such as transcranial direct current stimulation, or direct stimulation to the auditory cortex by implanting electrodes. This type of tinnitus is high pitched, usually accompanied by anxiety, headaches, and sometimes fear, dry mouth, constipation, yellowish urine, and red face; sometimes the chest feels uncomfortable and painful, with red tongue body and yellow tongue coating. This form of tinnitus is often accompanied by dizziness, faintness, shortness of breath, tiredness, and weakness of the legs; sometimes there is a low-grade fever, the palms are hot, there is no taste in the mouth, with a very thin coating on the tongue and a weak pulse. He was advised to do some exercises and learn to deal with stress, and after three months of treatment his condition was much improved. However, it probably also reflects a growing awareness among otolaryngologists of the advantages of local therapy for inner-ear disorders, and the increasing comfort level associated with its use. It is just a simulation of true-random noise created by mathematical algorithms - a product of digital technology.
I have found that it is highly effective at masking distracting noises (like your neighbor's barking dog), which can help improve focus and concentration. If he pays attention to something else, he does not experience the tinnitus, but if he is idle or preparing to go to sleep, the sound recurs and can interfere with his ability to either concentrate or hear, which is very frustrating. There are also neurological disorders, such as head injuries, psychiatric disorders, such as depression and anxiety, sclerosis, or metabolic disorders, such as thyroid problems, hyperlipidemia, and vitamin B12 deficiency. While there are many different treatments for tinnitus, none has proven to be entirely reliable. The treatments mostly used are SJ 5 Wai Guan, SJ 17 Yi Feng, SI 19 Ting Gong, SJ 21 Er Meng, UB 18 Gan Shu, and Liv 3 Tai Chong. This type belongs to a yin deficiency and the treatment should be to tonify the yin and enhance the kidney. Western medicine treats this condition with gamma knife radiosurgery, cochlear implants, Botox, or medications, such as propanol and clonazepam.
The acupuncture points are UB 23 Sheng Shu, Kid 4 Tai Xi, SJ 17 Yi Feng, SJ 21 Er Meng, SI 19 Ting Gong, GB 2 Ting Hui, SJ 5 Wai Guan, and UB 18 Gan Shu.
Regular exercises, especially early in the morning, are also very helpful in curing tinnitus faster. The ENT doctor checked his outer, middle, and inner ears, and found no infection or allergies, and no edema in the ear. Last, but not the least, adequate amount of sleep is also important, at least 7-9 hours every night.
The neurologist ordered a CT scan and an MRI, which did not show a tumor or any problem with the brain.


He was prescribed such medications as Xanax and tricyclic antidepressants, as well as niacin, all to no avail. Diffusion occurs across the semi-permeable round window membrane (RWM), driven by the concentration gradient between the middle ear and the perilymph-filled scala tympani on the opposite side of the RWM. Medication is injected through the tympanic membrane into the middle ear cavity in a quantity that is sufficient to fill the round window niche.
The active substance is diffusing across the round window membrane into the basal turn of the perilymph filled scala tympani of the cochlea from where it is spreading furtherClick here to viewThe RWM consists of three layers: An outer epithelium facing the middle ear, a core of connective tissue, and an inner-ear epithelium bordering the inner ear. As sound waves enter the cochlea via the oval window and travel through the liquid-filled turns of the cochlea, their energy has to be dissipated somehow because a liquid is not compressible. The inner ear is an end organ with regards to its blood supply, and it is protected by a blood-labyrinth barrier similar to the blood-brain barrier, [5] thus requiring considerable systemic doses. It has been demonstrated, for example, that cortisol levels in the perilymph do not increase following intravenous administration of a high dose of prednisolone (125 mg) in comparison with a placebo. They can be performed under a microscope with the patient sitting reclined on the examination chair or lying on a stretcher. For the procedure, the patient's head is usually placed in a position tilted 45° towards the unaffected ear.
Patients are asked to remain in this position for about 30 min, allowing the active substance to diffuse into the inner ear.
The xylocaine pump spray has a very short induction time of about 1-3 min, while EMLA cream requires 1 h. Once the anaesthesia has taken effect, any remaining anaesthetic needs to be suctioned off prior to the injection to avoid spillage into the middle ear, and avoid vertigo or dizziness. During all these preparations, the drug can be warmed up to about body temperature to prevent caloric vertigo.For the injection, various techniques and different materials are used. Typically, 1 ml syringes are used - preferably with a luer lock to prevent uncontrolled release of the needle while injecting. Frequently, a spinal needle is used, which may be slightly bent by hand, or a microsuction cannula.
Alternatively, a small paracentesis (myringotomy) is made first, and then the needle penetrates through that incision. This other version allows the RWM patency to be verified by otoendoscopy prior to the injection, and allows air to escape during the injection, thus preventing the build-up of pressure in the middle ear; the Eustachian tube may not always be "open" for air displacement. Some flexibility in the quantity of administered drug makes sense, as the volume of the middle ear is highly variable between normal hearing ears, measuring between 0.5 ml and 1 ml. Trowbridge had observed that tinnitus and otalgia often appeared together, and ascribed this to inflammation of the tympanic plexus. With ethylmorphine hydrochloride, an analgesic and vasoactive substance, which at that time had already been used in ophthalmology for removing inflammation products from the eyes, he sought to "calm" the tympanic plexus, thus suppressing tinnitus, and rehabilitate middle-ear tissues. Mitchell from the Royal Infirmary in Edinburgh, UK, failed to replicate Trowbridge's results shortly after their publication, reporting no improvement in the majority of subjects (seven out of 11), and only a slight and transient improvement in the others. Firstly, lidocaine, another local anaesthetic which acts as a sodium-channel blocker, was tested by several groups in the treatment of Menière's disease by way of systemic administration. Starting in the 1990s, steroid drugs were evaluated in an increasing number of clinical studies for Menière's disease and sudden deafness, although in most cases not specifically for tinnitus control. A clinically relevant improvement (reduction of at least 2 points on a 10-point numerical rating scale for tinnitus severity) was claimed in 57% of cases.
Probably, the most important source of variability arises from the fact that the RWM is anything but a standardized "drug delivery port". Its thickness (on average 70 μm) and, especially, its size varies widely in humans [3] and in some cases, it is also covered or obstructed by an extraneous "false" membrane stretching across the opening of the niche in front of the RWM, or by fibrous or fatty plugs within the niche itself. Temporal bone studies have revealed the presence of false membranes in more than 20% of cases, and a lower prevalence of fibrous and especially fatty plugs; overall, the prevalence of RWM obstructions is thought to be up to 32%.
False membranes are sometimes perforated or reticular, [38] thus merely impeding diffusion of a drug rather than blocking it entirely.
Distribution of drugs within the perilymph-filled scala tympani of the cochlea is dominated by passive diffusion, with slow substance movement and increasing loss through distribution into adjacent fluid spaces and tissue compartments, and elimination along the length of the cochlea.
While direct determination of the gradient in a human cochlea is usually not feasible, it has been estimated in a computer-based simulation for i.t.
Three studies with patients undergoing cochlear implantation, labyrinthectomy or translabyrinthine surgery found that perilymph concentrations varied significantly following i.t. Thirdly, if the target site of action is located in the middle or apical turns of the cochlea, continuous perfusion or repeated i.t. Formulations or devices that ensure retention and facilitate physical contact with the RWM are preferable to solution-based formulations, which can easily get lost through the Eustachian tube. This may be achieved by injecting viscous gel formulations, or by placing wicks, microcatheters or drug-eluting implants (stabilizing matrices) [45] into, or close to, the round window niche.
They include hyaluronates [13],[46] collagens, [47] chitosans, [48] fibrins, [49] starch, celluloses, gelatines, [50] poloxamers, [51] and many others. Some of them, like hyaluronates and gelatine, are natural products frequently used in otolaryngology for other clinical purposes, and whose safety has been extensively studied. Viscosity that is too high may also result in the formation of an air bubble on the RWM [Figure 3], thus preventing effective diffusion, or temporarily impact the free movement of the ossicular chain, resulting in transient conductive hearing loss, as observed, for example, with a poloxamer gel. Suckfuell, Munich (Germany)Click here to view It seems tempting, of course, to enhance RWM diffusion of a drug by incorporating excipients into the formulation that are known to enhance permeability, such as histamine or dimethylsulfoxide (DMSO), [53] prostaglandins or leukotrienes, [3] or to use microsphere or nanoparticle formulations. The results are not directly comparable due to differences in treatment protocols (number of injections, inclusion of placebo, etc.), data collection and size. Usually, they are of a transient nature, and their risk of occurrence can be reduced in most cases through simple measures. Sufficient warming of the drug, the use of fine needles and appropriate local anaesthesia, a gentle rate of injection, and avoidance of excessive injection volumes seem to be key factors for good local tolerance. From discussions with otolaryngologists, it would seem that closure can be expected in the majority of cases in between 2 and 5 days. In a small study involving single-dose injection through a paracentesis (and following otoendoscopy), the tympanic membrane was found to be closed 7 days later in 21 out of 24 patients.
Where there has been repeated drug administration, subsequent injections are preferably performed at the site of the initial tympanopunction, respectively paracentesis. As long as the tympanic membrane is open, the patient should avoid exposing the treated ear to water.Following the treatment administration, the otolaryngologist should remind the patient that once he or she gets up small quantities of the study drug may drain down the Eustachian tube and the nasopharynx, and that the perception of sound, including pre-existing tinnitus, may change while the eardrum remains open. Systemic exposure is minimal, the procedure is simple and straightforward to carry out, and usually well tolerated in patients. Appropriate information prior to the procedure, the use of fine needles and adequate local anaesthetics with short induction times, a gentle flow rate and moderate injection volumes, as well as a sufficiently warmed drug, reduce the likelihood of adverse events, and enhance patient acceptance. The lack of specific effective drugs must be considered the first and foremost obstacle for a more widespread use of the i.t.
Most of the studies carried out so far also suffer from important shortcomings such as a lack of statistical power, double-blinding or placebo control: The absence of the latter is of particular importance given that tinnitus treatments may elicit substantial placebo responses. The numerous lidocaine experiments have proved that tinnitus can indeed be modulated pharmacologically, although the mechanism of action through which tinnitus suppression is achieved still remains a mystery.



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