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Author: admin | 03.10.2013 | Category: Treatment For Ear Ringing

Causes may include noise induced hearing loss, excess wax in the ear canal, ear infections, side effects from medications or injury to the head.
My name is Stephen Geller Katz and I have and over the last 10 years I have developed a highly successful therapy for tinnitus which I have named Tinnitus Cognitive Retraining Therapy or TCRT. This blog’s mission is to provide you with hope.  Maybe you have been told there is nothing you can do or that you just have to get used to it. I am telling you right now that there is plenty you can do and you don’t have to just get used to it. Many people who come to me are desperate for hope and are even more stressed by the “doom and gloom” they encounter on the internet and from many of their doctors.  It’s this type of negative information that makes people feel helpless and even increases the tinnitus symptoms. The mechanisms of hearing are complex and our understanding of them is continually evolving. After air vibrations reach the eardrum, delicate bones transcribe them to the fluid-filled chambers of the inner ear. These afferent (to the brain) nerves carry impulses through the brainstem to the “auditory belt” which decides which signals are important. Considering this elaborate chain of events, it’s easy to see how a hiccup at any point could create noise. A dietary deficiency is, by definition, when a specific nutrient is consistently low enough that it leads to a disease process.
Individuals supplemented immediately after an event that could cause hearing loss did show improvement.
As with any idiopathic disorder, it’s unclear as to what effect nutrients play in its development and treatment. Idiopathic means “unknown” and for most of us this also implies, “It could be anything!” – which is not entirely accurate. Some research has shown that people clinically deficient in some nutrients (like B12 or Zinc) may be more prone to develop tinnitus when exposed to acoustic trauma. When tinnitus cannot be associated with a diagnosable disorder, the general recommendation leans toward improvement in overall health, especially inner ear health. Many of the same dietary recommendations for cardiovascular disease are recommended for tinnitus.
It’s always best to consult a doctor before embarking on any major lifestyle change involving diet or exercise. Researchers at Berkeley recently published an article in the Proceedings of the National Academy of Sciences offering insight and new hope into the phenomena that is hearing loss induced tinnitus. Co-author Shaowen Bao and his team support the idea that neural cells of the auditory cortex strive to maintain a constant rate of firing regardless of the level of sound.
The idea is that the overactive neurons can be convinced to “calm down” by offering them input from alternative sources.
In recent years much discussion has surrounded micro-nutrients’ and the essential fatty acids’ role in reducing degenerative disease.
Free radicals (reactive oxygen species or ROS) have also been implicated in damage to the sound producing hair cells of the inner ear, and use of radical scavengers such as Pycnogenol and other antioxidants may be beneficial. In addition to the herbal supplements, vitamin deficiency may also potentially lead to tinnitus – with reduced B-vitamins being particularly suspect. While vitamin supplementation is likely only valuable in cases of medically identifiable deficiencies, there is no evidence that an excess of B-vitamins have harmful effects and some argue the recommended levels may be too low.
When an underlying medical cause cannot be found the approach of improving general ear health is usually taken, although “healthy” can become an area of debate as different researchers come to different conclusions. There has been research into many supplements and non-traditional therapies for tinnitus, each showing varying levels of effectiveness.
Nutrition and dietary deficiencies can play a very real role in heath and the progression of disease. It’s actually hard to define a “vitamin” as they’re classified by what they do in the body vs. Vitamin deficiency is when the levels of available vitamin, as measured in the blood, are below a standard set by the medical and biochemistry community. One point of debate is whether the current markers for high and low are really sufficient for preventing disease. Vitamin deficiencies can arise from diet, metabolic problems or a failure to absorb a nutrient properly. The majority of dietary Cobalamin is found in meat, egg and fish products – and a diet low in these can make it difficult to keep B-12 levels normal. These proteins carry it through to the small intestine where the haptocorrins are degraded and the B-12 binds to “intrinsic factor”.
A failure of any of these proteins or receptor complexes can result in a failure to absorb or transport B-12. To date, there has been one formalized study showing that individuals already deficient in B-12 are more likely to suffer noise induced hearing loss with tinnitus after exposure to loud noise. If the deficiency is an absorptive problem (which can be confirmed by your doctor), B-12 shots are a well recognized therapy.
It’s important to note that the liver stores enough B-12 to supply all the body’s need for 2 to 3 years.
If you suffer from tinnitus, call our office today to schedule a consultation with the best tinnitus treatment center in NYC. Tinnitus affects an estimated 50,000 Americans and can be a very real source of frustration and stress in their lives. Many people have had the experience of ringing ears and dizziness when fasting for long periods of time. One of the most common findings was a correlation between hyperinsulinemia (chronically high blood insulin) and inner ear disorders. Second, the correlation between insulinemia and inner ear problems is most strongly indicated in metabolic disorders that affect both hearing (auditory) and balance (vestibular). Pro-Fono Revista de Atualizacao Cientifica did a direct study on the relationship of diet to tinnitus symptoms. What effect blood levels of glucose, insulin, triglycerides and cholesterol will have on tinnitus is still unknown, however there’s a rising body of evidence that they may have an effect on hearing and balance.
The Vagus nerve (also known as the 10th cranial nerve) supplies parasympathetic information to and from the medulla. Vagus nerve stimulation has long been used for the treatment of epilepsy and depression, however new studies have shown that it may also reduce symptoms of tinnitus. Four of the patients in the study experienced a clinically significant reduction in tinnitus by as much as 26 decibels.
The team is already working on a larger study where they hope to use more convenient implanted pulse generators so subjects need not come to the clinic for treatments. Hearing loss is often, but not always accompanied by tinnitus and in most cases the ringing is an independent issue caused by the factors that led to the hearing loss itself. Things such as the repetitive pounding of a jackhammer or constant hum of an engine create a sort of blunt trauma within the inner ear, damaging the delicate hair cells that transcribe sound waves into neural signals.
The pathology of tinnitus can stem from any point in the hearing chain starting with the ear canal and ending centrally with the brain. Illnesses of the inner like Meniere’s disease, perilymphatic fistula and infection often also result in tinnitus.
Less well understood causes of tinnitus may include blood supply and blood pressure, dysfunction of the brain’s hearing centers, allergy, diet and exogenous chemicals like drugs or alcohol. Tinnitus Cognitive Retraining Therapy supports the latest research pointing to the role of neuroplasticity in helping to lower tinnitus level and intensity. If you suffer from tinnitus call today for a free phone consultation to find the best tinnitus treatment that is right for you. Call at 646-213-2321 to schedule a FREE 15 Min phone consultation with Stephen Geller Katz LCSW-R. Tinnitus (TIN-ni-tus) is a sound that a person hears inside their head that no one else hears. By having someone else voice their view on what you may be missing, we can help pinpoint where we can help the most. Due to each patient’s individual needs, we need to take time to truly understand their situation before making any recommendations. Shropshire Tinnitus Support Group hosted a coffee morning at Signal: The Hub in the Riverside shopping centre in Shrewsbury during Tinnitus Awareness Week 2015 this week. It was lovely to see a number of regular group members from both the Shropshire and the Telford support groups, many of whom had travelled from far flung parts of the county on a cold and chilly day!
The morning was also supported by Signal staff members and trustees who were able to introduce themselves to people and talk about their roles in the organisation. In conclusion, I thoroughly enjoyed the morning, both appreciating the support of existing group members and meeting some lovely new potential members, who I am hoping will come along to our regular meetings! Serenade is a complete, FDA cleared sound therapy solution based on acoustic research conducted by leading university researchers. The Serenade tinnitus treatment system consists of a handheld device, earphones, and proprietary, customized treatment sounds that research has suggested may address the underlying neurological cause of tinnitus. Clinically proven – Shown to be effective for 90% of suitable tinnitus cases as demonstrated by 15 years of clinical studies and in general clinical practice.
The Neuromonics Sanctuary works on the same principles as the Neuromonics Oasis, the gold standard for long-term reduction of tinnitus disturbance and awareness.
Comes with a comprehensive tinnitus handbook and access to a designated patient website to guide you through treatment and to the best results. Choice of three pre-programmed music profiles that mimic the most common profiles found in mild tinnitus patients. That little opening in the side of your head has a surprisingly significant impact on how you hear. Similar to tapping the skin of a water balloon, the sound ripples through the perilymph to a second fluid-filled chamber containing endolymph where things get really interesting.
These marvels of evolution translate fluid vibrations into nerve impulses that get carried to the brain. The “important” signals continue on to the cortices of the brain and our conscious hearing while others – don’t. The constant ringing and buzzing sound can be maddening, and research continues to search for causes and resolutions.


A study published in the American Journal of Otolaryngololgy found a correlation between an existing deficiency in B12 and the tendency to develop hearing loss and tinnitus after exposure to loud noise.
Zinc is related to neurotransmission and is found in very high concentrations in the inner ear.
Most of these were directed at magnesium administration immediately following an acoustic trauma (loud noise) or sudden sensorineural hearing loss (when the hearing goes away suddenly for no known reason). This implies magnesium may play a role in inner ear function; or at least in those healing processes of the ear after an acoustic trauma. It’s clear that nutrient deficiencies play a role in the development of disease including tinnitus.
The cause is frequently unknown, which makes treatment a struggle to separate what works from what doesn’t. With the exception of autoimmune or allergic inner ear disorders (which do exist) the answer to “Can foods cause tinnitus?” is maybe…but it’s pretty unlikely. Hyperinsulemia and unhealthy fluctuations in blood glucose have also been implicated in some inner ear disorders which can result in tinnitus. In almost all circumstances, an improvement in one’s general health will have a positive effect on reducing symptoms. The inner ear and the stria vascularis are big energy users; needing a constant heavy supply of oxygen and nutrients to generate ATP. Fewer caffeinated beverages, increasing essential fatty acids (EFAs), and supplements which have been shown to increase vasodilatation (such as Ginko Biloba and Niacin) may also have positive effects. It increases oxygenation to all tissues including the inner ear, creates a more flexible vasculature and an improved circulation overall. With your doctor’s guidance you can improve your diet and health, which will likely improve everything else including your tinnitus symptoms. A constant ringing in the ears, it can vary from little more than an irritation to a debilitating condition.
In their paper they claim tinnitus is the result of acoustic cortex neurons attempting to “fill in the gap” of missing sound. The balance between this constant rate and the actual input from the inner ear is part of hearing homeostasis. However, this new information has created a paradigm shift in the way hearing specialists view the process.
Michael Merzenich, professor emeritus of otolaryngology at UCSF and chief scientific officer at Posit Science. This is similar to treatments for phantom limb syndrome where the brain is convinced to substitute different input (such as from a finger next to the missing finger) to correct its sensory gap.
Neurotransmitters are chemicals in the brain which both excite and dampen neuron signaling. Arguments can be made that foods with less processing and a more organic lifecycle may be richer in these.
N-acetylcysteine has received quite a bit of attention for its protective capacity from sound induced hearing loss which can lead to tinnitus. B12 is critical for maintaining the nerve’s protective myelin sheath as well as for the production of Epinephrine, Creatine, Methylated Nucleotides and Phosphatidylcholine for cell walls. There is a rising body of research into the efficacy, and potential hazards, of supplementation for tinnitus. Contact us, the top tinnitus treatment center in the New York area, for answers and treatment options to quiet the ringing. Some of the suspected causes of tinnitus include blood flow disorders, inflammation, mechanical disruptions (such as in the neck, jaw or ear), chemical contact and prolonged exposure to noise.
Weight loss, a more nutritious and balanced diet, and exercise will reduce inflammation, increase blood flow and improve overall functioning of the whole body. It can be related to a diagnosed medical condition or be completely idiopathic; and when the cause is unknown finding solutions is an exhausting process. The herbal and vitamin market abounds with claims, both supported and anecdotal, for the benefits of supplementation.
The aforementioned problems certainly arise when levels of B-12 are significantly low, for a long time. B-12 can’t be manufactured by either plants or animals, and is actually formed by bacteria. Vegans must pay special attention to ensure their diets have a full complement of nutrients including B-12. Pancreatic insufficiency or a high (basic) intestinal pH can lead to problems with this step. It’s common for the production of intrinsic factor to diminish with age, which is why we hear so much about B-12 shots for the elderly. It is known that deficiencies in B-12 can cause neurological symptoms due to hypomethylation within the nervous system (resulting from an inability to recycle homocysteine to methionine and ultimately to S-adenosylmethionine). While one study does not a scientific truth make, this is a good place to start the investigation.
If the failure is with B-12 usage from the blood stream, there are lifestyle changes that can maximize the value of the vitamin that is being absorbed such as maintaining adequate cysteine in the diet. This is why symptoms of B-12 deficiency are slow to develop, and a single low blood test is not necessarily time to panic.
When a medical treatment cannot be found, many turn to holistic and other lifestyle changes to help control the ringing. Because the inner ear (especially the stria vascularis) is so heavily energy dependent, the assumption is that any reductions in blood flow, oxygen or glucose can result in disturbances to homeostasis resulting in tinnitus.
Metabolic disorders have long been suspect in diseases of the inner ear, and some recent studies indicate that high levels of insulin may have a strong correlating factor. There is speculation amongst investigators as to whether high insulin is a direct cause of disease processes or just an indicator. In one study, up to 25% of participants with insulinemia were also diagnosed with Meniere’s disease. Their suspicion was that triglycerides and cholesterol, as well as glucose and insulin, may have an impact on tinnitus and hearing. The study also reported a statistically significant number of patients taking the cholesterol drug Atorvastatin showed improvements in tinnitus, although not an improvement in overall hearing levels. The initial research indicates that having healthier serum levels may improve symptoms of tinnitus. It communicates in one way or another with nearly every part of the neck, face and torso including portions of the Glossopharyngeal nerve (throat and swallowing) and the seventh facial nerve which carries impulses of facial sensation. In VNS, small electrical pulses are delivered to the Vagus nerve via a pulse generator implanted in the neck. Three of these sufferers had a 44% reduction in the impact the illness was having on their daily lives. This study is one of many showing that nerve stimulation, when used in conjunction with cognitive and behavioral retraining, may be the golden ticket for new treatments to relieve the symptoms of tinnitus. Sound is ultimately a neurological process stimulated by the mechanical movements in the middle and inner ear. While a single sound event has been known to cause tinnitus, it most commonly results from long-term exposure to loud noises, especially “impact sounds”. It is not clear whether the resulting ringing comes from a malfunction of the hair cell itself, damage to the underlying nerve or both, but the results are the same; a constant, potentially maddening buzz. The eardrum and bones of the middle ear translate the air vibrations into movements of the inner ear membranes. In some cases it arises from interference of the mechanical movement of the inner ear, while in others it directly affects the hair cells or nerves. Aspirin and other non-steroidal anti-inflammatories (NSAIDs) have a long standing reputation for causing transient tinnitus, as do sedatives, anti-depressants, quinines and over 200 other medications.
In other words, changing your thought patterns over time actually has the effect of rearranging neurons.
For severe cases that are accompanied by severe sensitivity to loud sounds, it might also be beneficial to visit a more specialized center specifically suited for tinnitus. We also welcomed a number of people who experience tinnitus but had not known about the support groups previously. The Links Cafe, based at The Hub, did a fabulous job in providing much needed warming drinks and, of course, cake! This occasion was no exception with lots of conversation and sharing of thoughts about individual experiences of tinnitus and coping strategies. Many of us concluded that we were of the opinion that our tinnitus did not result so much from any problems with our hearing, but was rather more to do with ‘brain function’. Simple to use and customized to each patient, Serenade’s digital signal processing system is based on the relationship between specific tonal algorithms and their effects. Like the Oasis, Sanctuary is engineered to deliver relief while listening to calming, relaxing music.
With more than 15 years of research, Neuromonics, Inc., consistently delivers relief to tinnitus sufferers worldwide. He discovered that by helping people to retrain and reinterpret the thoughts around their Tinnitus, anxiety and depression symptoms began to improve.
These impulses are then further processed based on things like location to the listener, volume and quality to determine what’s “important” and what can be ignored.
Like a subwoofer, the canal itself creates resonances which amplify or reduce specific frequencies. This is one reason we can locate sound and “tune-out” background noise like ignoring someone else’s conversation at a party. When an obvious link in the chain is disrupted, for example with acoustic neuroma, the targeting of treatment is relatively straightforward. Much study has gone into whether vitamins, minerals and other dietary issues can lead to tinnitus. Research has looked into nutrient levels as they relate to tinnitus and into supplementation as a solution to its frustrating symptoms. While the evidence for supplementation to improve tinnitus was not examined in this particular study, maintaining healthy levels of B12 may be helpful for avoiding the illness and preventing it from worsening.
The studies however have not been able to come to a consensus as to a relationship between zinc and tinnitus.


The goal was to investigate hearing loss prevention and the subsequent development of tinnitus.
Studies regarding magnesium as a treatment for existing tinnitus have not shown much benefit to date but research continues. Certainly, a healthier lifestyle including improved diet and exercise is always beneficial to those suffering chronic illness. Whether or not diet is the source, the good news is that what you eat may help improve your symptoms.
Some suspect tinnitus results from restrictions to blood flow, whether from blockage or genetically small blood vessels.
Reductions in salt are a common recommendation for some illnesses such as Meniere’s disease, and may have benefits for peripheral blood flow as well. The hormones triggered by exercise have growth and healing effects for tissues that have been or are being damaged. Tinnitus is caused from a variety of problems ranging from hearing loss to injury, and has been the subject of extensive research into both its causes and potential treatments.
In hearing loss induced tinnitus, the sound transcribing hair cells of the ear are destroyed and stop sending their signal to the brain. Serotonin and glutamate are well known excitatory neurotransmitters, with GABA (gamma-aminobutyric acid) being one of the common inhibitory neurotransmitters.
Some of these include enhancing GABA receptor function in the auditory cortex, increasing GABA synthesis, and slowing re-uptake or enzymatic degradation of the neurotransmitter. While the effect on chronic illness of the steroids, antibacterials and artificial feeds often found in factory farming is still unclear, choosing to avoid these can be a healthy precaution. Other anti-inflammatory nutrients under investigation include turmeric, ginger, dandelion, oregano, garlic and green tea.
B12 is also a cog in the creation of Melatonin, which may improve tinnitus symptoms and provide better sleep. It’s important when beginning any regime of holistic medicine to do your research and investigate both the good and the bad.
As with most idiopathic nerve problems, the cause of one person’s tinnitus may differ completely from another’s. Treatments directed at each of these causes can be found in traditional and holistic medicine – the benefits of which are subjective to the sufferer. As an example (and to our great fortune) aspirin (salicylic acid) was discovered in the home remedy brews made from willow bark.
Vitamin B-12 has been getting a lot of press lately regarding tinnitus and it’s hard to make sense of all the new information. But some argue that more mild insufficiencies may contribute subtly to degenerative illnesses.
Cobalamin must be bound to protein during digestion, absorption and transportation through the blood. It should also be noted that the study did not address whether supplementing with B-12 is protective or restorative, or if deficient B-12 simply left the hearing more vulnerable. While the journals report no evidence that taking excessive B-12 is hazardous, a person is concerned about B-12 should work with their doctor and a nutritional specialist to determine the concern, cause and the need to take action. Recent research has identified some of the potential relationships between tinnitus and diet.
Research has been progressing on this subject and has been coming to some surprising and some not-so-surprising conclusions.
It’s difficult to say if insulinemia is related in the same way to hearing loss and tinnitus alone.
Improving one’s diet will certainly have a positive effect on blood flow and energy which is always a positive in any chronic health condition. Researchers have been investigating the possibility that tinnitus may be related to a disparity in the brain’s processing of hearing and tactile (touch) nerve impulses. During one study conducted by the University Hospital Antwerp, Belgium, tinnitus patients received two and a half hours of VNS every day for 20 days. By definition tinnitus is a false signal sent to the brain, and as with any complicated biological mechanism there are multiple points of failure that can create the phantom noise.
Problems such as infections, cholestomas (growths in the middle ear) and eustachian tube dysfunction can all lead to tinnitus. The nerves leading from the inner ear to the brain may also be directly influenced by things such as acoustic neuroma, a small benign tumor that presses against them. This might seem surprising; however, this is the very same mechanism through which all learning occurs. Tinnitus is often caused by sensorineural hearing loss (“nerve deafness”), noise exposure, medications, ear infections, wax buildup, or some inner ear disorders such as Meniere’s Disease.  Causes cannot always be determined, but it is important to know when to be concerned about your tinnitus. She is a long time resident of the Quad Cities and has provided hearing aid services to people of all ages. The topic of anti-depressant use was discussed with many of the conversation participants observing that they had been prescribed medication to assist in the management of their tinnitus. The vibration causes change in the intracellular (inside the cell) potassium and calcium levels, releasing neurotransmitters that stimulate electro-chemical impulses down the hearing nerves. As a part of this process, the brain also sends impulses back to the ear (efferent impulses) which change how the hair cells respond to sound by physically changing their shape and how they respond to ions. While the jury is still out, there is a growing body of evidence that maintaining a healthy diet with a full complement of nutrients is beneficial. It’s rare that supplementing is harmful and many doctors recommend daily supplementation for improved general health. For idiopathic (unknown) tinnitus, lifestyle changes including exercise and diet are often effective.
In the brain’s attempt to reconcile this loss the cortex neurons become hyperactive – creating the sensation of constant sound (tinnitus). Blood flow restriction and inflammation are common suspects in tinnitus and a number of vitamins and lifestyle recommendations address this. B6 is well known for its role in energy production, while the other B-vitamins are needed to assemble proteins and nucleic acids. With this said, many non-traditional treatments are showing solid potential for relief of your ringing ears. For this reason therapy plans are usually dictated by the underlying medical condition leading to tinnitus – whether from injury, an inner ear disorder or any of dozens of other pathologies. Enzymes and their co-factors are not destroyed when they do their work, nor are they added to the final product, so they can be reused until they break down. Being below this level for long-term can lead to symptoms including megaloblastic anemia and neurological symptoms like numbness in the hands and feet, gait disturbances (problems walking) and even changes to taste and vision. A transcobalamin II receptor is used by peripheral cells to take it from the bloodstream, with about 50% of B-12 ending up in the liver for storage. Some believe the real culprit is chronic high or low glucose levels with insulinemia either leading to the fluctuations or resulting from it.
Volunteers were placed on a diet plan tailored for them individually which was intended to reduce serum cholesterol, triglycerides and maintain more consistent glucose levels. Treatments based on external stimulation of these nerves have shown promise for a return to silence. The electrical stimulation was paired with audible tones that excluded the hearing frequencies where the tinnitus was active. Otosclerosis for example is an illness affecting as many as 1% of the people in the United States. This interference leads to specific frequency of tinnitus that is often helpful in its diagnosis. And Tinnitus Cognitive Retraining Therapy harnesses your brain’s learning power by directing it to follow new adaptive pathways that in turn lead to significant relief from tinnitus symptoms over the course of treatment. This is a useful additional source of income for the group and goes towards the costs of communicating with members through the post, venue hire and fees for guest speakers. Tinnitus can originate in the middle ear (behind the eardrum) or in the sensorineural auditory system. Voice communications average around the 2000Hz range and the ear canal amplifies this peak.
In these cases, it will take time to eliminate the factors leading to such strongly differing results. Bao describes this phenomenon as similar to “phantom limb syndrome” where amputees continue to feel sensation from the missing limb. Avoiding vasoconstrictors (which make blood vessels contract) such as caffeine is common, as are supplements such as the bioflavinoids and ginko biloba which both have a vasodilating effect.
Others think insulin may be the cause and better blood insulin control will be an effective treatment. In otosclerosis, the bones of the middle ear grow over time to become misshapen and interfere with normal hearing function. Changes in the shape of this acoustic chamber (as well as changes to the external ear) can alter the location of this peak, causing a distortion in sound. Every day new and amazing discoveries are made although it will be some time before the mysteries of the ear, hearing and balance fully unravel. However, the trend in zinc studies so far is that (again) an existing deficiency in zinc may leave one susceptible to tinnitus (especially in the elderly) and supplementation in these cases may lead to improvement. It’s this last observation that leads to the first of two exciting new possibilities for treatment. The analogy here is a balance scale, where sand is constantly being added and subtracted from both sides and the overall activity of the neuron being the weight at any given moment. Research continues to determine exactly how insulin, glucose and inner ear function are related.



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