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Author: admin, 08.06.2014
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. Treatment options should be discussed with your audiologist to determine which method is right for you. 1 in 5 people in Northern Ireland suffer from tinnitus – a ringing, buzzing, humming or whistling sound in the ear.
Around 9,000 are affected by the condition so badly that many have said that it made their life unbearable and had significant impact on their mental health.
Statistics suggest that at least 178,900 people in Northern Ireland have tinnitus of varying severity. For many, tinnitus is a condition that they learn to live with but for others, it can have a significant impact on day-to-day life including concentration problems, sleep problems and depression. Tinnitus can improve over time and although there is currently no single treatment that works in the same way for everyone, if an underlying cause can be established it can often be effectively treated. Some people find their tinnitus is worse when they're stressed or anxious and improves when they're calm and relaxed.
Optique Eye and Ear Care offer a speedy service to help improve the quality of hearing with audiology tests and access to the latest hearing aids on the market.
At the moment there's no single treatment for tinnitus that works in the same way for everyone. If a specific cause can't be established, the focus will be on helping you manage the condition on a daily basis. Tinnitus is most noticeable in quiet environments, background noise such as music or the television can help distract you from the sound of tinnitus. Listening to natural relaxing sounds, such as the sound of rain or the ocean, can also help. Tinnitus is the perception of an insistent, unpleasant ringing, buzzing or other consistent noise, located in or near the skull but without a definable external source. Tinnitus is often perceived as a ringing or persistent high tone very close to or within the ear. Tinnitus is often regarded as a symptom of auditory conditions, such as damage to the tissues in the ear that control the perception of tones and frequencies. An increasing number of researchers argue that tinnitus is a disorder of the connections between the inner ear and certain areas of the brain.
Some scientists had developed a theory that tinnitus was associated with deficiencies in vitamin B12. Chronic inflammation of the middle ear (otitis media) may also be associated with some cases of tinnitus. Tinnitus related to otitis media may be improved by surgery to correct damage caused by this inflammation.
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. Tinnitus is a perceived sensation of a ringing, roaring, buzzing, chirping, or humming sound without any actual acoustical stimulation.  It is estimated that over 15 million Americans experience this very disturbing condition on a regular basis. Research has shown that the many cases of chronic tinnitus are part of a degenerative process characterized by chronic inflammation (1).  Lifestyle based solutions can reverse this inflammatory damage before it is too late.
Pulsatile Tinnitus – The Tinnitus sounds are intermittent, continuous, or pulsating in time with the heartbeat. Whisling Tinnitus:  Tinnitus in which the sound is a ringing, buzzing, roaring, whistling or a hissing noise. Beeping Tinnitus:  Tinnitus, in which the sounds are described as beeping such as a Morse code type of signal, or even musical notes. Multiple Noise Tinnitus:  Tinnitus that is described as hearing several different types of noises at the same time.
This means that the ears become more sensitive in order to compensate for the hearing loss. From a survival perspective, it would be more important to maintain sensitive hearing in order to be aware of danger quickly and live with tinnitus symptoms than to be insensitive to sounds and unable to respond to danger quickly.
One of the most common causes of tinnitus is due to inflammation and poor circulation within the inner ear. The presence of inflammatory based tinnitus may be a warning sign that the entire body is inflamed and disease processes are forming rapidly.  Most inflammatory conditions can be reversed through diet and lifestyle modifications and the use of beneficial supplementation. A 2000 study showed that tinnitus is very often caused by instability of the craniocervical junction (9). Chiropractic care specific to the upper cervical spine and TMJ can reduce stress on the region and improve function.


Several supplements have been shown to be highly beneficial for reducing inflammation and enhancing circulation throughout the body and in particular the inner ear. Omega 3’s along with GLA are particularly key for influencing the balance between pro-inflammatory and anti-inflammatory prostaglandin formation (13). Vitamin B12 is a critical player in the formation of the myelin sheaths that surround and insulate nerve fibers.   A vitamin B12 deficiency makes nerves more susceptible to the inflammatory damage that causes tinnitus (14). Reactive oxygen species (ROS) play an enormous role in many disease processes because they damage various structural and functional cellular components.
A 2007 study demonstrated that oral antioxidant therapy in patients with idiopathic tinnitus seems to reduce the subjective discomfort and tinnitus intensity (17).
1)  Good Sleep:  It is absolutely critical to sleep well in order to reduce inflammation and heal.
3)  Intermittent Fasting:  Going 16 hours between dinner and breakfast is one of the best ways to reduce inflammation and improve tissue healing. 6)  Chiropractic Care:  Chiropractic care works with the upper cervical spine and the connection processes between the brain and the body. 8)  Power up the Nrf2-ARE Pathway:  The anti-oxidant defense amplifier of the genome is the Keap1-Nrf2-ARE pathway (20). Certain nutrients power this up including curcumin, resveratrol, sulfuraphane and catechin anti-oxidants. Neri S, Signorelli S, Pulvirenti D, Mauceri B, Cilio D, Bordonaro F, Abate G, Interlandi D, Misseri M, Ignaccolo L, Savastano M, Azzolina R, Grillo C, Messina A, Serra A, Tsami A. Neri S, Mauceri B, Cilio D, Bordonaro F, Messina A, Malaguarnera M, Savastano M, Brescia G, Manci S, Celadini M. It is awesome info on tinitus which is a very common problem without much solution but by acquiring knowledge with articles like this on can really help himself. Could you please let me know for what maximum period one can use apple cider vinegar and – break – reuse again?
These resources incorporate both ancient healing practices and new, cutting-edge strategies to supercharge energy and flow of life! Please note: If you have a promotional code you'll be prompted to enter it prior to confirming your order. If you subscribe to any of our print newsletters and have never activated your online account, please activate your account below for online access. Various herbs and other supplements have been touted for their ability to improve cholesterol levels. As you've gotten older, have you noticed that you often find yourself marching around the house in a huff, searching for misplaced car keys or eyeglasses, or you just cannot remember the name of that new neighbor you met when walking the dog? The way you live, what you eat and drink, and how you treat your body can affect your memory just as much as your physical health and well-being.
Hip and knee pain can keep you from the activities you love, as well as make routine tasks difficult. Watching the sugar in your diet can help you control your weight and potentially avoid serious chronic health problems — for example, heart disease and diabetes. The body systems responsible for balance can be affected by gradual changes due to aging or side effects of medications. If a growth or mole looks like a melanoma, the doctor will take a biopsy to confirm the diagnosis.
Alzheimer's disease is characterized by progressive damage to nerve cells and their connections. It might seem like retirement is a time to take it easy and devote yourself to gardening, golfing, and napping. What if men approached their health at midlife the same way that financial experts advise them to plan for retirement? Sleep shortfalls can lead to a range of health problems, from being more likely to catch a cold or gain weight to increased risk of developing heart disease or diabetes.
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.
Identification and Treatment of an Underlying Contributor–if impacted earwax, medications, or underlying inflammation or disease are contributing and can be treated effectively, tinnitus symptoms may be significantly reduced.
Drug Therapies–although there are currently no drugs approved specifically to treat tinnitus, research on anti-anxiety, antidepressant, and antihistamine medications have shown positive results in some cases. At Optique we can provide ear wax management which can sometimes be the cause of tinnitus and also offer hearing aids which are known to reduce the condition in suitable people.
They'll also look at your medical history and ask about the type and severity of the noises you hear. It is not considered to be a condition in its own right, but a syndrome or symptom related to many forms of auditory damage or disorder.
Age-related hearing impairments, or disorders of the circulatory system around the ear, may also be related to this complaint. Some scientists conclude that tinnitus is in fact related to damage of the nervous tissue in or around the auditory cortex of the brain. A recent study including 100 patients with tinnitus found that 63 of these had low vitamin B12 levels. As the natural molecule histamine is associated with the regulation of both inflammation and some auditory nervous tissue, drugs that block its receptors in the brain are currently proposed as treatments for tinnitus.
Darius Kohan is renowned for his otology expertise and has been highlighted on several outlets such as a CBS spotlight on tinnitus and is often cited in WEB MD and other medical outlets. 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. When the body is chronically inflamed certain inflammatory mediating prostaglandins are secreted in high amounts (5). Development of tinnitus-related neuronal hyperactivity through homeostatic plasticity after hearing loss: a computational model. Inflammation, pain, and chronic disease: an integrative approach to treatment and prevention. Secondary tinnitus as a symptom of instability of the upper cervical spine: operative management. Differential effects of prostaglandin derived from omega-6 and omega-3 polyunsaturated fatty acids on COX-2 expression and IL-6 secretion. The Nrf2-Antioxidant Response Element Signaling Pathway and Its Activation by Oxidative Stress. 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. Other cases may be related to exposure to very loud or destructive levels of noise, such as from an explosion, industrial equipment or farming equipment.
Others have found associations between increased activity in further brain regions, age of tinnitus onset and distress caused by the syndrome. However, treating this deficiency had no significant effects on the complaint in these patients. Other new and emerging treatments for tinnitus focus on the potential indicated by the studies into its links with abnormal brain activity, as mentioned earlier. 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. 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).
Tinnitus may have a significant negative impact on the life quality of those affected by it. Different research groups have concluded that chronic tinnitus may be associated with an impaired connection between the cerebral cortex, which controls advanced functions such as memory, perception of the environment and cognition, and the thalamus, which supplies the cortex with sensory information. A recent study, including 974 patients, indicated that hearing aids were preferable and more effective in treating blast-related tinnitus compared to noise generators.
Presuming further research confirms the findings of these studies, deep brain stimulation (a form of implant placed in the brain to correct this activity) may be a viable option for severe treatment-resistant tinnitus. A possible reason for the null results in this group, suggested by the authors, is that the music contained little high frequency energy. Additionally, make green drinks or use super green powders and consume healthy organic meat products. 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. This syndrome may also have deleterious effects on the emotional, psychological and functional status of the patient. 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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