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Introduction: The Neuromonics Tinnitus Treatment is based on individually customized acoustic stimulation and structured counseling.
The pathophysiological mechanisms involved in the generation, progress and effects of tinnitus are under intensive research. Although knowledge and understanding of tinnitus are developing, the neural basis for tinnitus remains still a hypothesis8. A number of tinnitus management approaches are available for use in clinical settings including counseling5, cognitive behavioral therapy9, hearing aids10, Tinnitus Retraining Therapy11 12 and, more recently, the Neuromonics Tinnitus Treatment (NTT)13-15. NTT is a structured tinnitus rehabilitation program, based on customized acoustic stimulation and collaborative counseling14-17. NTT was designed to address the multi-factorial nature of tinnitus: auditory, attentional and emotional17. NTT is delivered through an FDA-approved Class 2 medical device, which is fully programmed to match each patient's hearing profile.
Clinical results of NTT at 12 months post-start of treatment have been reported previously14-15 showing that the outcome are stable up to 6 months after concluding the program.
This study recruited 70 patients who had completed the NTT program in six private tinnitus clinics around Australia (Western Australia and Queensland) and United States (Minnesota, Illinois and New York). Patients underwent the tinnitus assessment as per the guidelines recommended by Neuromonics. The treatment followed the standard protocol for NTT16 which suggests approximately six months of treatment, including follow-up appointments at approximately two, four and six months.
This study used TRQ scores, tinnitus awareness and disturbance as measurement of clinical outcomes of NTT to allow comparison to the previous published clinical trials.
In this report, appointments will be referred to as "transition" (two month review appointment), "follow up" (four months review appointment), "final" (six months review appointment), and "long-term review" (six to 36 months after termination of the treatment). TRQ scores, tinnitus awareness and tinnitus disturbance were recorded and plotted in Microsoft Excel. The plot of average scores for all subjects (Figure 1) shows a progressive decrease in TRQ scores, overall and for each group, with the largest reduction in score apparent from baseline to the transition appointment (mean duration 11 weeks). The success rate (40% reduction in TRQ score) at the conclusion of the program was 75.7% of all patients (Table 3), with the best outcomes for patients from Tier 1, followed by those from Tier 2. Tinnitus awareness and tinnitus disturbance were available for 69 patients at pre-treatment and long-term appointments, and for 49 patients at the end of the treatment period, with no data available at the transition or follow up periods. Analysis using Paired-sample T-test confirmed this, showing that there was a significant decrease in both scores at the end of the treatment and at the long-term appointment, relative to the scores before treatment started. The results of this study are in agreement with those in previous reports for NTT (summarized in table 4).
Another clinical trial of NTT14 indicated that the overall success rate according to the 40% improvement criterion was 91%, with a mean improvement of 65% in TRQ scores. This study showed that the mean percentage of awareness tended to decrease to approximately half of the time from the baseline to the final appointment, agreeing with the findings reported by Davis et al.14. Hanley et al.24 presented the clinical outcomes for the first 470 patients to undertake the NTT in general private practice. These outcomes also compare favorably with earlier published data from other treatment methods. This study is the first reported independent study on the clinical benefits of NTT beyond six months of treatment. To date the longest follow up evaluations have reported a 12 month review (6 month post-treatment). It is good to note that the majority of subjects who achieved significant improvement during the treatment retained the outcome in the long term.
Our patient population was diverse, displaying heterogeneous hearing profile, health history, tinnitus triggers, tinnitus characteristics and complicating factors, which were not considered in this analysis. Neuromonics Tinnitus Treatment has proved through clinical trials and independent studies to be a simple, well-structured, time-efficient, effective and reliable management program for tinnitus. Ignacio Gonzalez and Vesna Maric for their contributions on earlier versions of this paper; Patrick Fitz- Gerald for his input.
Tinnitus masking is carried out by providing an external sound that reduces the annoyance of the tinnitus through either disguising it, suppressing it, or making it more pleasant.
Controlled studies of maskers have shown small effects (Dobie, 1999), and a recent Cochran review (Hobson et al, 2012), suggested that there was limited data, poor studies, and lack of strong evidence of an effect. The purpose of testing for tinnitus is to assess hearing, and tinnitus matching -- to quantify the tinnitus.
The most effective way to do masking is to find out what type of noise suppresses your tinnitus (if any), and then make arrangements to expose yourself to this noise. One may also go about this in a formal way -- measure your tinnitus, determine if a hearing aid is needed, determine the masking sound that works, and implement a masking stimulus using some sort of personal sound playback system. Hearing aids can be bought with masking stimuli built in, or with blue-tooth that allows one to broadcast masking to one's hearing aid.
The main way that this approach differs from conventional masking is that the sound is filtered, and customized to the tinnitus frequency. Strauss et al (2015) reported another type of masking, using a notch filter that removes sound at the tinnitus frequency from hearing aids might be helpful. Tinnitus is very often caused by stress so acupuncture may be the ideal treatment since it relieves many of the symptoms associated with stress, not just pain. In order to treat and cure tinnitus using acupuncture, the practitioner will need to insert needles into your body. You’ve got to ask yourself if you are willing and able to continue treatment plus make changes in your lifestyle. You’ve got to seriously consider these questions before you make the decision to go ahead with acupuncture to cure your tinnitus. In thinking all of this over and making the decision to go forward with acupuncture to treat your tinnitus, the next hurdle is to find someone specializing in acupuncture to provide your treatments. Despite pulsatile tinnitus not being one of the most encountered forms of the tinnitus condition, more often than not, it can be eliminated permanently.
Irregular blood flow in arteries and veins is one of the primary pulsatile tinnitus causes. At times, the veins that supply blood to ears may not have enough supply of blood, which may lead to the need of extra blood supply in case of its sister vessels, causing overload. Pulsatile tinnitus does not have one single tinnitus treatment option due to its versatility. Read This Aspects of Timothy Seaton’s Tinnitus Terminator Program Review, before you Create any mistake and spend your hard earned in Worth. Tinnitus Terminator guide is a program featured with; a manual with a detailed description of the root causes of tinnitus. This simple technique recently discovered by scientists at leading medical universities is the best way to permanently silence the noise blaring inside your ears.
Turtle Beach Corporation's directed audio system, HyperSound Clear™ 500P, may have the potential to help people with tinnitus.
The University of Iowa will hold its 24th Annual Conference on the Management of the Tinnitus Patient June 16-17, 2016.
A multi-centre study on the long-term benefits of tinnitus management using Neuromonics Tinnitus Treatment. Objectives: To assess the long-term clinical outcomes of the Neuromonics Tinnitus Treatment, specifically, to determine whether benefits achieved at the conclusion of the prescribed treatment program were retained over the longer term. It is estimated that tinnitus affects 10-14.5% of the population worldwide1, and that about 25% of the tinnitus population is sufficiently disturbed to seek treatment2.
Jastreboff's neurophysiological model postulates that, in clinically significant tinnitus, the autonomic and limbic nervous system are the main systems to account for tinnitus severity, while the auditory system plays a secondary role3.
Accordingly, access to a tinnitus treatment that is efficient and reliable remains a challenge for researchers and clinicians. The standard protocol uses acoustic stimulus created by combining broad-frequency noise and music at a specific signal-to-noise ratio14 17.
The customization of the stimulus allows patients with a diverse hearing profile to use the treatment at a comfortable listening level16. However, there is a lack of independent published studies reporting the long-term results for patients in private practice. The assessment comprised of completion of a comprehensive tinnitus history questionnaire -the TRQ- and an interview with the audiologist.

This schedule varied somewhat according to the individual's needs and clinicians' discretion.
The threshold of 40% improvement in the TRQ score was considered the minimum criterion for clinical success of the treatment. Outcome of NTT: mean of TRQ scores at the various review appointments for all subjects and by Tier. There was a progressive increase in the number of subjects who achieved the 40% improvement over time, except that one patient in Tier 3 reported an increase in tinnitus distress after concluding the treatment.
There was a decrease in the mean percentage of the time that participants, as a group, were aware of their tinnitus and were disturbed by it (Figure 2). Davis et al.15 stated that 86% of all patients treated with NTT reported improvement in their tinnitus distress, as assessed by the TRQ of 40% or more after six months of treatment. This current study shows a more modest clinical success rate (75.7%) and a reduction in TRQ scores of 60% at the conclusion of the treatment. It is relevant to note that the measurement of tinnitus awareness has not been validated, and included only to allow comparison with published reports. The clinical outcomes for the most suitable patients (Tier 1) were somewhat better than the earlier published data, with a success rate of 92%, and mean improvement in tinnitus distress of 72%. The results reveal that the treatment outcome was stable beyond the conclusion of the NTT treatment program, since there was no statistically significant change in mean TRQ scores from the time of the conclusion of the treatment to the long-term review (up to 36 months post-treatment).
One study14 showed that the majority of patients sustained or further improved the treatment benefit; 89% of the patients in the standard protocol retained the benchmark of 40% improvement in TRQ score at 12 months review. Those with more modest outcomes during treatment maintained the same modest results at the long-term review. It is known that it is likely that the tinnitus clinicians' diagnostic and counseling skills will influence the outcome of the treatment, and those aspects were not accounted for either. The results of this study confirmed the original hypothesis that clinical outcomes provided by NTT are stable beyond the termination of the treatment. For the invaluable contributions of Neurosensory Unit - Queensland, Audiology Concepts & Tinnitus and Hyperacusis Clinic, Minnesota, North Shore Audio-Vestibular Lab, Illinois, and New York University School of Medicine, New York. Georgiewa P, Klapp BF, Fisher F, Reisshauer A, Juckel G, Frommer J, Mazurek B.An integrative model of developing tinnitus based on recent neurobiological findings. Tavora-Vieira D, Davis PB.Rehabilitation of Tinnitus patients using the Neuromonics Tinnitus Treatment. Nevertheless, from our own clinical experience with treating tinnitus, we think that masking is the most effective treatment of tinnitus. The stimulus is raised in 5 db steps and patients are asked whether their tinnitus is still audible. This is a collection of 6 CD's found by Mike Petroff, an individual with tinnitus, to be helpful for him, and marketed for this purpose. This can be expensive, as they provide the same function as an app on your smartphone, but cost more than 5 smartphones put together (but of course no contract !). It is difficult to see how this approach is technically superior to the smartphone app approach.
This makes the masking sound less disturbing as it does not contain useless frequencies (Paglialonga et al, 2011). We are dubious - -it is of course impossible to placebo control two different audible interventions. The needles will be placed into the appropriate pressure points and although the needles are extremely thin, there will be a pinch of pain.
For those who have had their tinnitus gradually become more severe, your treatments must continue on a consistent basis for acupuncture to be effective. Just having the tinnitus acupuncture treatment is not enough to cure tinnitus on it’s own. If you hate the thought of needles, or just cannot make the time for repeated sessions, this isn’t going to work for you. Blood flow irregularity is influenced by a number of factors, including strenuous exercises and lack of sufficient blood in the body. At times, severe trauma associated with head may result in carotid artery-cavernous sinus fistula, which is a connection between venous pool and large artery. The unusual vein or artery group called Arteriovenous Malformations or AVMS may also lead to this kind of tinnitus.
Long-term middle ear infections or inflammations sometimes cause tinnitus too, since such infections cause blood flow increase to the tissues, resulting in increased tissue pressure. At times, Eustachian tube malfunction may cause the middle part of ear to accumulate fluid, even though that part of ear generally remains filled with only air. Presence of vascular tumor having globe shape in middle ear, popularly called glomus or paragangliomas, is among the major pulsatile tinnitus causes.
One of the pulsatile tinnitus causes is atheroma, which is fatty deposit found in inner artery lining. While pulsatile tinnitus caused by high level of blood pressure is treated by lowering pressure, surgery is required in case the real cause is a growth in the ear. Tinnitus Terminator offers you a selection of Tinnitus cures or remedies, to terminate, abolish, eliminate, or bring an end to ringing ear syndrome. This book was written by Timothy Seaton Click below if you are searching for Tinnitus Tea€¦. Tinnitus Terminator helps people learn coping techniques to make their tinnitus symptoms remote. The webinar will take place at 8pm Eastern, 7pm Central, 6pm Mountain and 5pm Pacific (Arizona).What is Hyperacusis?
Materials and Methods: This study involved 70 subjects who had previously undergone the treatment across six clinics located in Australia and United States. It is thought that tinnitus may be related to changes in the auditory and neural systems that are linked to perception, attention and emotion4-7.
The complexity of the tinnitus mechanism and the heterogeneity of the tinnitus patient population exacerbate the challenge for clinicians in deciding which tinnitus treatment to administer to a patient.
The first clinical study18 showed that customized music facilitated relaxation and fast decrease in tinnitus disturbance. For customization of the device, the manufacturer is informed of the audiological measures, including puretone hearing thresholds from 250Hz to 12.5kHz, tinnitus pitch, tinnitus loudness and minimum masking level. This study aimed to review the long-term clinical benefits achieved by patients treated with NTT in private practice to determine if the clinical outcomes experienced during the initial minimum six months of the program were sustained in the longer term (at least six months after concluding the treatment).
Data were included from all patients from these clinics with the following inclusion criteria: (i) presented with unilateral or bilateral tinnitus, (ii) completed the full NTT program following the protocol recommended by the Neuromonics' guidelines, (iii) reached the maintenance stage of the treatment at least six months prior to the commencement of this study, and (iv) had TRQ scores recorded pre-treatment and at least six-months post-treatment.
During the course of their treatment, patients were asked to complete the TRQ based on their tinnitus experience for the previous week.
Tinnitus awareness and tinnitus disturbance were assessed by asking the patients to answer the following questions: "Over the past week, what percentage of the time while awake were you aware of your tinnitus?"and "What percentage of the time were you disturbed by your tinnitus?" Features of tinnitus such as loudness, pitch, cause or trigger factors were not analyzed in this study. Tinnitus awareness and tinnitus disturbance were not available for some patients at each time point, but these patients were not excluded. However, it is relevant to note that our cohort includes patients from all the three suitability categories, whilst the latter study reported only on the most suitable candidates for NTT. Herraiz et al.27 reported that 82% of tinnitus patients who underwent TRT achieved an improvement of their tinnitus according to a self-evaluation tool after 12 months of treatment, with a decrease to 68% after 18 months of therapy. This is a subject of further investigation; however, this may be related to numerous factors such as specific suitability criteria, and the positive impact that an early improvement may have on further decrease in tinnitus annoyance during the treatment (clinical benefits seem to occur slower for Tier 3 candidates). It was found that there was a statistically significant improvement in tinnitus distress from pre- to post-treatment, but no further significant difference between treatment completion and a long-term follow up at least six months, and up to 36 months after the commencement of treatment. The dorsal cochlear nucleus as a participant in the auditory, attentional and emotional components in tinnitus.
Treatment of tinnitus with a customized acoustic neural stimulus: A controlled clinical study. Treatment of Tinnitus with a Customized, Dynamic Acoustic Neural Stimulus: Underlying Principles and Clinical Efficacy. Tinnitus reaction questionnaire: Psychometric properties of a measure of distress associated with tinnitus.
Neuromonics Tinnitus Treatment for patients with Significant Level of Hearing loss - an adaptation of the protocol. Treatment of Tinnitus with a Customized, Dynamic Acoustic Neural Stimulus: Clinical Outcomes in General Private Practice.

Effect of Tinnitus Retraining Therapy on the Loudness and Annoyance of Tinnitus: A Controlled Trial.
Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia.
If you need a hearing aid or have one already with bluetooth, this is a cheap way to go about it. Traditional Western medical treatments have been unsuccessful treating tinnitus, so the answer may very well lie in the cure provided by Eastern medicine for tinnitus. You may need to take herbal supplements and make specific changes in your lifestyle in addition to continuing your acupuncture sessions to really get the cure you’re looking for. Furthermore, if you are not committed to following all the recommendations regarding lifestyle changes and the entire course of tinnitus treatment, then the cure you’re looking for with acupuncture just might not work. For instance, heart murmur, blood pressure, globe tumor, artery or vein disorder, are just few of the known causes behind pulsatile tinnitus. Certain tests associated with pulsatile tinnitus are CT scan, MRI scan, ultrasound and MRA.
Such fluid accumulation may lead to inflammation or infection, causing vascular tinnitus in the long run. On this review of Tinnitus Terminator by Timothy Seaton you will learn all you should really know about this natural solution for tinnitus. Patients had concluded the treatment at least six, and up to 36 months, before the commencement of this study.
Animal studies have indicated that tinnitus perception following peripheral hearing damage may be linked to reorganization of the tonotopic map and changes in neuron responses8.
The second clinical trial13 15 compared NTT to other modalities of tinnitus treatment including counseling alone and counseling plus masking. The noise component of the acoustic stimulus, which is specific to the first stage of the treatment, aims to allow high interaction with the tinnitus perception. The treatment involves the use of this device for a period of approximately six months, in the context of support, education and monitoring from an audiologist16.
Candidacy criteria and other forms of treatment available (such as Tinnitus Retraining Therapy, masker, hearing aids) were discussed with patients. Inclusion of the candidates less suitable for NTT reduced our whole cohort's mean scores as success rate for Tier 3 patients were lower than those in the other two tiers (Table 3). In comparison, this current study also found that Tier 1 candidates presented better clinical outcomes at treatment conclusion.
A recent controlled trial of TRT28 showed that both TRT and general counseling are effective in improving tinnitus symptoms, with TRT providing a larger impact.
Another study15 reported that TRQ scores had significantly improved from baseline to the 12 months follow up, and that the mean improvement in TRQ score increased from 61% at the conclusion of the program to 66% at the 6 months post-treatment review. 76% of the patients reported a clinically significant improvement in tinnitus disturbance at treatment completion (improvement in TRQ score of at least 40%) and this success rate was sustained at long-term follow up. Poster presented at the 3rd Tinnitus Research Initiative Meeting, Stressa, Italy, June 23-26th 2009.
If you’ve answered “yes” to all of the above then you might be ready to try something unconventional, something that can actually work, Acupuncture. You’ve got to be completely confident in your practitioner because after all they are going to be piercing your body with needles.
Tinnitus Terminator Review is a simple sound therapy technique developed after several years of research, consultation and clinical trials. The Tinnitus Terminator Program Review: Are you tired of this continuous ringing and beeping in your ear?
The Tinnitus Reaction Questionnaire was used to assess tinnitus distress, and patients were asked to report on percentage of time of awareness of and disturbance by their tinnitus. The results demonstrated that NTT was more effective in decreasing tinnitus symptoms, with 86% of the patients reporting an improvement in tinnitus disturbance of 40% or greater, as measured by the Tinnitus Reaction Questionnaire (TRQ)19, compared with 47% of patients in the counseling plus masking group and 23% in the counseling group. During the second stage of the treatment, the noise component is removed from the customized acoustic stimulus allowing intermittent interaction with the tinnitus. The standard protocol of NTT suggests that the first stage of the treatment lasts for approximately two months followed by approximately four months in the second stage14 16.
Patients were referred to an ear specialist, orthodontist, physiotherapist, psychiatrist or psychologist when appropriate. However, it is important to note that direct comparison is complicated by the difference in measurement tools and criteria for treatment success. Although direct comparison is constrained, the results of our study seem in line with Davis et al.14 15. Just make sure you find someone you are totally comfortable with so that you can relax during the treatments, free your mind of worries and stressful thoughts and focus on getting rid of your tinnitus through acupuncture. Following up on these studies, the third clinical trial14 evaluated the efficacy of NTT and trialed two variations of the treatment protocol.
The patient is able to cover up their tinnitus during the peaks of intensity and perceive it during the intensity troughs.
However, as indicated by a number of studies,17 22-23 some tinnitus sufferers may require modification to the standard protocol. Results and conclusions: Patients achieved statistically significant improvement of their tinnitus distress. The findings indicated that both one-stage and two-stage protocols variations were successful in decreasing tinnitus distress, with 91% of the patients across both groups achieving significant improvement in their disturbance.
This approach aims to facilitate habituation to the tinnitus, decreasing patients' attention and reaction to the tinnitus14 17 21. It strongly suggests that NTT provides a clinically significant improvement in tinnitus distress as early as two months and patients sustained the clinical outcomes up to 36 months after commencing the treatment.
It is still rather labor intensive though as it requires tinnitus matching, creating a customized sound file, and mixing in the sound file with background music.
Tinnitus Terminator will make people overcome their irritable condition of ringing, vibrations, roaring in the ears. The success rate (at least 40% reduction in TRQ score) for this cohort of patients was 75.7% at the conclusion of the program and the majority of patients sustained the benefits in the long-term. However, the two-stage protocol achieved more consistent outcomes and therefore this was chosen as the standard protocol to be followed in the clinical setting.
Tinnitus Terminator is a neuromonics-based audio program that’s claimed to reprogram your brain and permanently eliminate your tinnitus in just 30 days. The tinnitus terminator helps to relieve that tension and highlights various relaxation techniques which prove to be fruitful for the treatment. Tinnitus terminator is an ailment program by Timothy Seaton for treating tinnitus in such a manner that the user of the program does not need to make huge amendments in his or her life.
It is believed to naturally relieve symptoms of tinnitus by improving blood flow, therefore minifying high blood pressure and ringing in the inner ear. Because tinnitus can become a symptom of an primary medical condition, individuals should undergo a complete exam by a skilled ear professional. Timothy Seaton, the expert behind Tinnitus Terminator, has broken the limits of tinnitus treatments in the medical field, and has formulated the number one tinnitus remedy for all who are diagnosed with tinnitus. From the Tinnitus Terminator review, patients can find out that this method was created by Timothy Seaton.
Timothy released an insightful guide to present his entire program that exposes the real truth about this disorder and the best ways to overcome it. Timothy Seaton’s Tinnitus Terminator is basically a step by step guide, which covers everything there is to know about this tinnitus reversing method.
People who have tinnitus need not worry as Tinnitus Terminator system program is there for them to get relieved from the disorder once and for. Check out my Tinnitus Terminator Book Review to find out if TinnitusTerminator PDF is Real or a Scam?

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