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Author: admin | 27.08.2014 | Category: Ringing Of The Ears Treatment

At Tinnitus Treatment Solutions, we understand how moderate to severe tinnitus can truly disrupt one's life. Our patient-centred telehealth approach allows you to remain connected to your clinician, anywhere and anytime, without having to schedule face-to-face appointments. Sound therapy includes different types of treatment sounds, and therapies differ by the volume of the treatment sound relative to the tinnitus. If you are experiencing a medical emergency, please call 999 or go to an accident and emergency services facility to seek immediate care. 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. Depending on the cause of your tinnitus, you may be able to stop mild ringing with various home remedies. El Segundo, Manhattan Beach, Hermosa Beach, West Hollywood, Mar Vista, Venice CA, Rancho Palos Verdes and the surrounding area. Previously, I’ve written a Guest Article on The Hearing Blog on the subject of Notched Sound Therapy as a treatment for tinnitus.
Mark Bennett, a master’s student at the University of Western Ontario has written an excellent thesis on this very subject.1 Although the paper was unpublished, Bennett provided some great analysis on the subject.
This critical review examines the effects of notched-sound therapy on the human auditory system and its’ potential as a novel and effective treatment option for tinnitus. The final absolute tinnitus loudness decreased significantly by roughly 12dB from baseline in the WWN group upon completion of the treatment the perception of tinnitus was entirely eliminated in four of the twenty participants in the WWN group. For the low frequency group, significant reductions were found in at least one outcome measure at all intervals post-treatment.
MEG measurements represent large areas of the nervous system and should be interpreted with caution. The studies under review differed in many ways including: forms of notched sound (noise vs. Overall, I felt that Bennett’s paper represented a fair appraisal of the limitations of the evidence for Notched Sound Therapy. It’s been brought to our attention from several of our readers that they were having their comments rejected by the Akismet plug-in for WordPress as spam.
Can be effective in many defined pathologies: when treatment of tinnitus is given to a medical conditions that have a known diagnostic procedure by objective means (such as audiograms, imaging and blood tests) and may respond to Surgery tinnitus treatment, Antibiotic medications or removal of medications that may cause tinnitus as side effect.
More details about treatment for tinnitus by the metabolic approach (that is my contribution to the severely affected sufferers) will be discussed at the end of this page. Tinnitus is a sensation of sound when such ambient sound does not exist outside the head of the sufferer or may come from a structure near the ear of the patient, inside the head or neck.
Possible origins are: (1) contraction of a muscle, (2) turbulent blood flow inside a blood vessel. The subjective type of tinnitus is heard only by the sufferer, while the objective tinnitus can be heard also by others. Such tinnitus is typically a pulsating sound that can have the same counts per minute as the heart rate (when a blood vessel disease is the origin), or a different number then the heart rate of the sufferer (when involuntary muscle contraction makes the noise).
When the intensity of the tinnitus becomes louder and annoying, it is called "acute on chronic". When a sufferer is experiencing disturbance to his sleep-waking cycle (irregular biological clock), anxiety, irritability, hyperacusis (noise intolerance), Depression, less productivity at work, inability to derive pleasure from social life, sport, movies and family life – it is a severe medical condition. Treatment for tinnitus (with the metabolic approach) is very effective for severe tinnitus patients.
When the patient have a severe tinnitus (called also: intractable tinnitus or intolerable tinnitus), he is seeking for help. When the patient have plans to start in legal processes against any medical insurance, the probability that effective tinnitus treatment will help him is very low. Types of tinnitus that are considered as resistant to treatments, but may be cured by the metabolic approach are: 1) Chronic tinnitus without any known disease. In patients with tinnitus that is considered treatable, but did not respond to the medical treatment: It means that if a sufferer has one of the above medical conditions and the medical treatment (with western approach) does not help him, he or she should be referred to a treatment with the metabolic approach (which is also a western medicine).
The expert should do re-assessment of the general health of the patient and his intra-cranial auditory pathways. Even in a group of people who are exposed to phonal trauma (such as high energy explosion, shooting of cannons, loud sound of speakers in rock concert) only few of them remain with chronic tinnitus.
Tinnitus patients often suffer from depression, with this fact anti-depressants have been formulated for treatment. When starting to use the above, small dosage is advised, dosage will then be increased gradually according to the body response. This class of medication is used when anti-depressant fails to bring about suppression of Tinnitus.


Tinnitus has been known to cause anxiety,  to help in reducing the effects of anxiety, anti-anxiety drugs such as benzodiazepines is now available. Serax and Klonopin-  clinical trials has concluded that, it relieves symptoms in 52% to 72% in the total number of patients who try it. This type of medication is just a supplement that helps in improving the levels of melatonin in the body, a natural occurring component of Amino acids.
This class of medicine was originally used to treat seizure attacks but has since been applied in treating Tinnitus also.
Another medication that is increasingly being used is one that has the effect of controlling Glumate.  Glumate is a naturally occurring neurotransmitter, usually if there is over imbalance in the body, it is known to impede the functioning of the brain the side effects of this imbalance can result in Tinnitus, Medication will aid to counter the effects of Glumate. Our approach is to evaluate patients' tinnitus and potential hearing loss, and then work with the patient to find the best solution to meet his or her needs. No longer is there a need to drive in - just pick up the phone, or send a quick email message to ask questions and discuss treatment options in near real time.
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. The persistent ringing makes it difficult to hear things in your surroundings which can make holding a conversation incredibly difficult and can keep you up for hours as you try to fall asleep.
Chronic acoustic trauma via continual exposure to loud noises such as machinery, music, or busy workplaces, can slowly degrade a nerve’s ability to pick up sound and relay it accurately to the brain, inducing tinnitus. There are several lifestyle changes that can help, such as decreasing your blood pressure, exercising more, or decreasing your aspirin intake.
This device is essentially a hearing aid worn at all times, producing a noise able to cancel out or mask the ringing. Transcranial Magnetic Stimulation (TMS) continues to show exceptional promise in reducing severe and disabling tinnitus within patients who are unable to function. Today, I’m interested in taking a look at some of the criticism of the existing literature around Notched Sound Therapy, in order for the reader to gain a better assessment of where the research is at.
Studies evaluated consisted of one mixed groups randomized clinical trial, two mixed groups pseudorandomized clinical trials, and two mixed groups non-randomized clinical trials.
At this time, the scientific evidence is provisional, and strong claims about its efficacy cannot be made. Critical Review: Efficacy of notched-sound therapy for neural plasticity mediated tinnitus treatment.
The objective tinnitus can be detected by a mini-high quality treatment for tinnitusmicrophone and amplified, transferred to a speaker in real time or recorded, and transferred to an amplifier and a speaker after the recording.
Mild or moderate levels of this condition are not known enough in the out patient clinics of hospitals and audiological clinics because most of those who have it are non-help seekers. After the litigation process is over, there is a chance that the treatment will help, or even will become a "cure tinnitus treatment". When the interpretation of the objective tests is that there is no evidence for pathology that may cause tinnitus, it is possible to apply the metabolic approach.
In many mild traumas such as small cut-wounds, miniature burns, or even obstruction of small vessels in the heart – the curative mechanisms of the body can cure the damage. After the beginning of the tinnitus, the curative mechanisms of the individual start to repair the damage.
The principle of applying the metabolic approach is to identify the systems that failed to take part in the repair of the damage and enable them to take part in the healing process. This symptom can be very irritating, and to reduce suffering science has offered some medication that helps to reduce suffering associated with Tinnitus. With proper diagnosis, the type of Tinnitus affecting you will be identified and hence proper medication advised. Studies have shown that a small dosage has the effect of improving on the quality of sleep but not significant anti-depressing effect.
This class of medication is meant for short term usage as long term use has been linked with the ability of nerve cells to become unresponsive to this type of medicine, if this occurs, suspending use can help in improving on its effectiveness. They achieve the purpose of reducing anxiety by decreasing high excitement levels in the brain.
Clinical trials have shown that this drug has been successful in clearing Tinnitus by 40% in more than 75% of patients in the study. Melatonin is known to reduce when someone cross over to different time zones, irregular sleeping patterns, and seasonal changes, such drastic sudden changes are likely to trigger Tinnitus. But it is important to remember that  treatment of Tinnitus is not achieved instantaneously, it is a process, although some literature may advocate for self medication, this is not the best way if you want to achieve total liberation from the condition, seek the advice of a medical doctor when you experience any symptoms of Tinnitus, if you do this you will have accomplished two goals first correct diagnosis of the condiin will be done then the best medication to treat your condition will be suggested. If you answered "YES", then I suggest you use the step-by-step system recommended in the Tinnitus Miracle Program.
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.
The problem with this treatment is that not only is the noise used to mask the tinnitus sometimes more bothersome than the tinnitus itself, but it also does not solve the root cause of the tinnitus. TMS works by activating specific areas of the brain to change patterns of neuronal activity over time. Dr Phua is also the developer of AudioNotch, an on-line provider of custom Notched Sound Therapy for tinnitus patients. Analyses of these studies revealed moderate evidence for notched-sound’s ability to induce changes in the auditory cortices and reduce tinnitus-related symptoms. For the high frequency group, there was not a significant change in tinnitus related distress or tinnitus loudness at any of the four points measured compared to baseline. Larger scale randomized controlled are indicated for further investigation of Notched Sound Therapy’s efficacy, along with the incorporation of neurophysiological correlates to the tinnitus percept.
The windowed sound therapy: A new empirical approach for an effective personalizes treatment of tinnitus.
Listening to tailor-made notched music reduces tinnitus loudness and tinnitus-related auditory cortex activity. Short and intense tailor-made notched music training against tinnitus: The tinnitus frequency matters. Unfortunately, we have to use something to screen for spam, as we were receiving over 100 spam comments per day at its’ peak.
The duration of the tinnitus is not related to the tinnitus treatment when the metabolic approach is used (see later in this article: more about metabolic approach). If the sufferer experienced disappearance of his tinnitus for prolonged duration, and then a new onset of tinnitus started, it is a "relapse of tinnitus". Examples are: frustration from ineffective tinnitus treatment that he had before, fear of the tinnitus treatment, the patient is in the middle of a process of litigation and he does not want to loose the opportunity to sue his insurance company, the sufferer has inability to finance the treatment or low expectations from the outcome. In most of the patients with sever tinnitus the expert is taking the anamnesis (medical history), examining the patient (ear nose & throat and Neurological examination) and referring him to objective tests (audiogram, ABR or BERA, MRI of the temporal bone and brain or fMRI). Soldiers who are exposed to the noise of shells report of having tinnitus that lasts few seconds to several hours. The down side of this class of medicine is that they are relatively expensive compared to other medication used in the Treatment of Tinnitus. Suitable sound therapy candidates may take advantage of a free, 30 day device trial, including personal patient education and follow-up. 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). After a complete treatment cycle, the region responsible for the ringing in the ears can be altered to reduce the constant firing causing the loud ringing sound.
A possible reason for the null results in this group, suggested by the authors, is that the music contained little high frequency energy. In order to start treatment for tinnitus, the expert should start the medical evaluation from the beginning in the two types of patients. A help seeker can be a victim with acute onset, or someone who was non help seeker for long time, and recently became a sufferer of severe tinnitus.
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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