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Firstly, targeted impulses are used to disrupt the highly synchronous neuronal network, whereby the impulses have to be offset both spatially and chronologically. The spatially and chronologically offset impulses are transmitted in multiple short bursts (sequences 1 to 3) to split the synchronous, heavily networked cell assembly fully into its sub-groups.
It is important to note that both the spatial and chronological control of the impulses is critical to the success of the treatment.
The chronological cycle a€“ the duration of the pause a€“ is once again decisive for the therapeutic effect and is calculated exactly on the basis of the CR® algorithm to reflect neuronal activity.
In the long term the treatment affects the brain's natural synaptic plasticity: disrupting the cycle over and over again weakens the pathologically enhanced connections in the highly synchronous, hyperactive nerve cell assembly. Our video explains the neurological causes of tonal tinnitus and how audiologists at The Tinnitus Clinic are able to treat it with a pioneering therapy known as Acoustic CR® Neuromodulation.
The Tinnitus Clinic is the leading provider of the latest evidence-based tinnitus treatments in the UK. A new patient study on Acoustic CR® Neuromodulation, conducted by our Chief Audiologist Mark Williams and colleagues from the UK and Germany, has been published in the international peer reviewed journal, Frontiers in Neurology.
The study focused on 66 patients, aged between 31 and 76 years, who were receiving Acoustic CR® Neuromodulation therapy for the treatment of tinnitus.
Studies in Germany and in-clinic experience at The Tinnitus Clinic in the UK have also revealed further and sustainable improvements in tinnitus annoyance and loudness after 26 weeks. If you are interested in finding out more about this innovative treatment for tinnitus, see the Acoustic CR® Neuromodulation section of our website, or call the Clinic on 0203 597 4988.
Available only at The Tinnitus Clinic in the UK, the treatment works over a number of months, to reduce the loudness and annoyance of your tinnitus sounds.
Acoustic CR® Neuromodulation treatments are being carried out in all of The Tinnitus Clinics in the UK.
Twenty-five year old Nathan Bushay a€“ a green grocer and market trader from High Wycombe - experienced debilitating tinnitus following a whiplash injury. Developed by the German medical technology company, Neurotherapies Reset, the NTR Neurostimulator is a match-box sized acoustic generator accompanied by a set of medical headphones.
During the Acoustic CR® Neuromodulation treatment process, your device is programmed with a neurostimulation sequence that has been designed specifically to treat your tinnitus. The Neurostimulator has won a number of innovation awards and has achieved the CE marking and European registration.
This small device plays four gentle tones which are specially programmed around your tinnitus. Every appointment is important as we re-programme the device to your changing tinnitus tone and provide support for associated symptoms such as sleeplessness and anxiety. For further information on the Acoustic Neuromodulation treatment process please click here or please take a look at our FAQs. Acoustic CRA® Neuromodulation costs between A?3155 and A?4495 depending on the package selected. For further information you can request an information pack about all of our treatments and book an appointment by calling us on the number below or completing our booking form.
If you have further questions about the Acoustic CR® Neuromodulation treatment process, please take a look at our FAQs, Patient Stories or contact The Tinnitus Clinic. Mark Williams the Principal Scientific Audiologist at The Tinnitus Clinic presented the results from a 66 patient study at the British Academy of Audiology Conference in Bournemouth. The majority of patients taking part in this study had already undergone unsuccessful structured tinnitus therapy elsewhere.
Studies in Germany and in-clinic experience at The Tinnitus Clinic in the UK have revealed further and sustainable improvements in tinnitus annoyance and loudness after 26 weeks.


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. The impulses address different spatial areas and split the synchronous nerve cell assembly into four spatially separated sub-groups.
The spatial application of CR® impulses for tinnitus patients is calculated using the appropriate stimulation frequencies.
We offer a highly personalised service and a commitment to audiological best practices to significantly reduce your tinnitus symptoms and hearing loss. Mark also provided an academic poster presentation of this study, at the end of last year, for the British Academy of Audiology Conference in Bournemouth.
The degree of discomfort caused by tinnitus was evaluated using an internationally recognised (Visual Analogue Scale - VAS) method of determining the loudness of a patient's tinnitus and the level of annoyance that it causes.
Another measure of the effect of tinnitus is the Tinnitus Handicap Questionnaire (THQ) which serves to assess the social, emotional and behavioral consequences of experiencing tinnitus and how this state may change over time. If you can hear the gentle tones, and have had tonal tinnitus for more than 4 months, then this treatment could be suitable for you. Within days of starting the pioneering new treatment a€“ called Acoustic CRA® Neuromodulation a€“ he noticed his tinnitus was less intrusive. The CE marking certifies that the NTR Neurostimulator has met the consumer safety, health and environmental requirements of the European Union. Over the 6 months which this treatment takes, your audiologist will guide you through the programme while still helping you to cope with the day-to-day symptoms of your tinnitus.
If you are a self-pay patient and like flexibility when paying, we are regulated to provide consumer finance for Acoustic CRA® Neuromodulation.


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. Targeted impulses based on a complex mathematical algorithm interrupt pathological synchronicity, causing the neurons to "unlearn" how to fall back into the synchronous, pathological state in the long term. Each sub-group is synchronous within itself a€“ however, their cycles are different due to the chronological offset of the CR® impulses transmitted to the different areas. The chronological cycle is not simply "guesstimated" but rather calculated on the basis of a complex mathematical algorithm (CR® algorithm) in alignment with neuronal activity. You can try using the image of singing a canon to imagine what happens: first of all, each group sings their allocated verse. This means: pathologically synchronous cells "unlearn" synchronicity a€“ and, as a result, how to produce the tinnitus tone. 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 transmission of targeted CR® impulses to the appropriate areas of the brain can be invasive (via electrodes) or nona€“invasive (via acoustic signals).
It is therefore the natural synaptic plasticity of the brain itself that supports the sustainable success of treatment using Acoustic CR® Neuromodulation.
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. All of the singers will sing happily along, albeit in a state of disarrangement a€“ until, after a while, they harmonise their singing.



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