Tinnitus

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Tinnitus Consultations & Management

Get the Buzz on Tinnitus

Each year about 1 in 10 adults nationwide has an episode of tinnitus that lasts longer than 3 months. There are over 50 million people in the United States that suffer from some form/degree of tinnitus. Tinnitus is defined by the American Academy of Audiology as follows: “Tinnitus is the perception of noises within the ears or head (e.g., ringing, buzzing, whooshing, roaring, crickets, etc.) in the absence of an external sound”.

Often times, people are told by their primary care physicians to “live with it” which can be very discouraging. Only the person with the tinnitus can hear it, and only the person with the tinnitus can experience the stress and anxiety that can come from having tinnitus. The discomfort level associated with tinnitus can range anywhere from mildly to severely debilitating. Tinnitus is not something that you have to “live with” or “just get used to.” We understand the debilitating effects that tinnitus can have on someone’s quality of live. While there is no known cure, there are ways to manage tinnitus and provide some relief to those who suffer with it.

We offer a comprehensive evaluation for tinnitus. During this 2-hour appointment, we perform a complete hearing test, inner and middle ear testing, tinnitus testing, a complete case history, education and counseling. Together, we work with patients to determine the best course of action. Management can include hearing devices, sound therapies, online tinnitus retraining programs, habituation training programs or just education. We will listen to you and learn about you and determine the most appropriate treatment for your individual and unique needs. Insurance companies will sometimes pick up some of the cost for a tinnitus consultation. Each individual plan of coverage is different so it is best if you contact your insurance company to find out what/if they cover.

Tinnitus FAQ

What is tinnitus?

Tinnitus is commonly described as a ringing in the ears, but it also can sound like roaring, clicking, hissing, or buzzing. It may be soft or loud, high pitched or low pitched. You might hear it in either one or both ears. Roughly 10 percent of the adult population of the United States has experienced tinnitus lasting at least five minutes in the past year. This amounts to nearly 25 million Americans.

What causes tinnitus?

Tinnitus (pronounced tin-NY-tus or TIN-u-tus) is not a disease. It is a symptom that something is wrong in the auditory system, which includes the ear, the auditory nerve that connects the inner ear to the brain, and the parts of the brain that process sound. Something as simple as a piece of earwax blocking the ear canal can cause tinnitus. But it can also be the result of a number of health conditions, such as:

  • Noise-induced hearing loss
  • Ear and sinus infections
  • Diseases of the heart or blood vessels
  • Ménière’s disease
  • Brain tumors
  • Hormonal changes in women
  • Thyroid abnormalities
Does having tinnitus mean I have hearing loss?

Tinnitus is sometimes the first sign of hearing loss. It also can be a side effect of medications. More than 200 drugs are known to cause tinnitus when you start or stop taking them.

People who work in noisy environments—such as factory or construction workers, road crews, or even musicians—can develop tinnitus over time when ongoing exposure to noise damages tiny sensory hair cells in the inner ear that help transmit sound to the brain. This is called noise-induced hearing loss.

Service members exposed to bomb blasts can develop tinnitus if the shock wave of the explosion squeezes the skull and damages brain tissue in areas that help process sound. In fact, tinnitus is one of the most common service-related disabilities among veterans returning from Iraq and Afghanistan.

Pulsatile tinnitus is a rare type of tinnitus that sounds like a rhythmic pulsing in the ear, usually in time with your heartbeat. A doctor may be able to hear it by pressing a stethoscope against your neck or by placing a tiny microphone inside the ear canal. This kind of tinnitus is most often caused by problems with blood flow in the head or neck. Pulsatile tinnitus also may be caused by brain tumors or abnormalities in brain structure.

What is the source of the sounds in my head?

Although we hear tinnitus in our ears, its source is really in the networks of brain cells (what scientists call neural circuits) that make sense of the sounds our ears hear. A way to think about tinnitus is that it often begins in the ear, but it continues in the brain.

Scientists still haven’t agreed upon what happens in the brain to create the illusion of sound when there is none. Some think that tinnitus is similar to chronic pain syndrome, in which the pain persists even after a wound or broken bone has healed.

Tinnitus could be the result of the brain’s neural circuits trying to adapt to the loss of sensory hair cells by turning up the sensitivity to sound. This would explain why some people with tinnitus are oversensitive to loud noise.

Tinnitus also could be the result of neural circuits thrown out of balance when damage in the inner ear changes signaling activity in the auditory cortex, the part of the brain that processes sound. Or it could be the result of abnormal interactions between neural circuits. The neural circuits involved in hearing aren’t solely dedicated to processing sound. They also communicate with other parts of the brain, such as the limbic region, which regulates mood and emotion.

Can I prevent tinnitus?

Noise-induced hearing loss, the result of damage to the sensory hair cells of the inner ear, is one of the most common causes of tinnitus. Anything you can do to limit your exposure to loud noise—by moving away from the sound, turning down the volume, or wearing earplugs or earmuffs—will help to lessen the likelihood that you will experience tinnitus.

Treatment

Treatments for Tinnitus

Hearing Aids

Approximately 90% of people who have tinnitus also have some degree of hearing loss. Tinnitus could involve the disruption of auditory input (e.g., hearing loss) and resultant increased activity within the central auditory system. Any time there is a disruption in the auditory channels, the central nervous system increases its activity to try to compensate for what it expects to be receiving. The result could be the perception of tinnitus. Hearing aids often are helpful for people who have hearing loss along with tinnitus. Using a hearing aid adjusted to carefully control outside sound levels may make it easier for you to hear. The better you hear, the less you may notice your tinnitus.

Counseling

Counseling helps you learn how to live with your tinnitus. Most counseling programs have an educational component to help you understand what goes on in the brain to cause tinnitus. Some counseling programs also will help you change the way you think about and react to your tinnitus. You might learn some things to do on your own to make the noise less noticeable, to help you relax during the day, or to fall asleep at night.

Tinnitus Activities Treatment

This is an educational program designed to help people learn about tinnitus, its negative effects on their quality of life, and the emotions and thoughts that we associate with the presence of tinnitus.

Tabletop Sound Generators

Used as an aid for relaxation or sleep. Placed near your bed, you can program a generator to play pleasant sounds such as waves, waterfalls, rain, or the sounds of a summer night. If your tinnitus is mild, this might be all you need to help you fall asleep.

Wearable Sound Generators

These are small electronic devices that fit in the ear and use a soft, pleasant sound to help mask the tinnitus. Some people want the masking sound to totally cover up their tinnitus, but most prefer a masking level that is just a bit louder than their tinnitus. The masking sound can be a soft “shhhhhhhhhhh,” random tones, or music.

iCBT

This on-lineTinnitus program is an internet-based cognitive behavioural therapy program which is designed for those who experience bothersome tinnitus and wish to learn how to manage the distress caused by their tinnitus using the techniques of CBT.

Designed by an Audiologist, Hashir Aazh, this program has met with great success in helping people to manage some of the negative effects of their tinnitus on their daily lives.

What’s Next in tinnitus treatment?

Levo Tinnitus Program

Finally, a Sensible Approach to Tinnitus Management

Purpose-built to leverage the brain’s natural ability to learn and heal, the Levo System is an interactive and easy-to-use tool that empowers you to take charge of your tinnitus. Find out if the Levo system is right for you.

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Noise-Induced Hearing Loss

What is Noise-Induced Hearing Loss?

Every day, we experience sound in our environment. Normally, these sounds are at safe levels that don’t damage our hearing. But sounds can be harmful when they are too loud, even for a brief time. These sounds can damage sensitive structures in the inner ear and cause noise-induced hearing loss (NIHL).

NIHL can be immediate, take a long time to be noticeable, temporary or permanent, and it can affect one ear or both ears. Even if you can’t tell that you are damaging your hearing, you could have trouble hearing in the future. Regardless of how it might affect you, noise-induced hearing loss is something you can prevent.

Noise Induced Hearing Loss (NIHL)

What are the Signs of NIHL?

When you are exposed to loud noises you may slowly start to lose your hearing. Over time, sounds may become distorted or muffled, and you might find it difficult to understand other people when they talk or have to turn up the volume on the television. Extremely loud bursts of sound can rupture the eardrum or damage the bones in the middle ear. 

Loud noise exposure can also cause tinnitus, a ringing, buzzing, or roaring in the ears or head. Tinnitus may subside over time, but can continue constantly or occasionally throughout a person’s life. Hearing loss and tinnitus can occur in one or both ears.

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