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Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Written By
Reviewed By
Stefan Fosco, Au.D.
July 31, 2024
8
min read
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At Audiologic Solutions, we acknowledge the prevalence and frequent misunderstanding of tinnitus, a condition that affects millions globally. Patients often describe persistent sounds like ringing, buzzing, or whistling in their ears without any apparent external source. While often referred to as a condition, tinnitus is more accurately understood as a symptom, often indicative of an underlying issue within the auditory system or elsewhere in the body.

Throughout our extensive years of experience, we have encountered a diverse range of factors contributing to tinnitus. These factors can vary from straightforward issues such as earwax accumulation to more intricate challenges like age-related hearing loss, exposure to loud noises, cardiovascular concerns, or even adverse reactions to certain medications. The prevalence of tinnitus is astonishing - global studies suggest that 15-20% of individuals experience some degree of tinnitus. Within the United States alone, over 50 million adults report experiencing tinnitus symptoms. For approximately 20 million of these individuals, tinnitus becomes a chronic and bothersome presence, while around 2 million suffer from severe, debilitating tinnitus that significantly disrupts their daily lives.

Our unwavering commitment is to guide each patient in understanding their tinnitus and providing effective management strategies, irrespective of its severity or underlying cause.

What is Tinnitus?

Tinnitus, a complex auditory phenomenon, involves the perception of sound without an external source. Patients describe their tinnitus in diverse ways: some hear a high-pitched ringing akin to a distant bell, others experience a low, persistent buzzing reminiscent of electrical equipment, while some describe rhythmic clicking, tapping, hissing, or even a deep, rumbling roar. The nature of tinnitus is as unique as the individual experiencing it.

Our patients exhibit a spectrum of tinnitus patterns, ranging from intermittent episodes interspersed with periods of silence to continuous, persistent noise. The impact on daily life varies greatly as well. For some, tinnitus is a minor inconvenience that can be ignored or masked with ambient noise. However, for others, it's a significant disturbance that profoundly affects their quality of life, interfering with sleep, concentration, and overall well-being. At Audiologic Solutions, we're dedicated to understanding each patient's unique tinnitus experience and developing individualized management strategies to enhance their quality of life.

Causes of Tinnitus

Tinnitus can stem from a wide variety of causes, ranging from simple earwax blockages to more complex issues like hearing loss or cardiovascular problems. Our experienced audiologists are dedicated to identifying the unique underlying factors contributing to each patient's tinnitus. By understanding these root causes, we're able to develop the most effective, personalized treatment approach for each individual, ensuring the best possible outcomes for our patients. Some common causes include:

  1. Exposure to Loud Noises: Prolonged exposure to loud sounds, whether from work environments, concerts, or personal audio devices, can damage the delicate hair cells in the inner ear, leading to tinnitus.
  2. Age-Related Hearing Loss: As we age, the natural deterioration of hair cells in the inner ear can result in both hearing loss and tinnitus.
  3. Earwax Blockage: Sometimes, a simple buildup of earwax can cause tinnitus by irritating the eardrum and altering how sound is perceived.
  4. Cardiovascular Issues: High blood pressure or narrowed arteries can sometimes contribute to tinnitus.
  5. Head or Neck Injuries: Trauma to the head or neck can affect the inner ear or the nerves connecting the brain to the ear, potentially causing tinnitus.
  6. Medications: Certain medications, particularly aspirin in high doses, antibiotics, and some antidepressants, can cause or worsen tinnitus as a side effect.
  7. Stress and Anxiety: While not a direct cause, stress and anxiety can exacerbate tinnitus symptoms.
  8. Meniere's Disease: This inner ear disorder can cause tinnitus along with vertigo and hearing loss.

Symptoms of Tinnitus

Tinnitus frequently extends beyond the main symptom of imaginary sounds. Numerous patients experience a variety of secondary symptoms that have a significant impact on their daily lives. These secondary symptoms can include difficulty concentrating, disturbed sleep, heightened anxiety or irritability, and in severe cases, depression. Additionally, some patients have reported headaches and challenges in hearing external sounds over their tinnitus, leading to potential communication difficulties.

The severity and impact of tinnitus symptoms greatly vary among individuals. Factors such as sound intensity, individual coping mechanisms, and overall health influence how tinnitus affects each person. While some find their tinnitus to be a minor inconvenience, others experience it as a debilitating condition that significantly impacts their quality of life, affecting aspects from work performance to overall well-being.

At Audiologic Solutions, our dedication to personalized assessment and treatment strategies stems from the diverse spectrum of experiences individuals face with tinnitus. We recognize that each patient's journey with this condition is unique. Our unwavering commitment is to deliver individualized care that not only targets tinnitus itself but also encompasses its profound impact on their lives. Our ultimate goal is to assist each patient in discovering the most effective strategies to manage their tinnitus effectively, ultimately enhancing their overall quality of life.

Diagnosing Tinnitus

Our diagnostic process starts with an in-depth discussion of your symptoms, medical history, and lifestyle elements that may contribute to your tinnitus. We delve into the nature of the sounds you hear, the onset of these symptoms, and their impact on your daily life. This information allows us to grasp the full extent of your experience with tinnitus.

Next, we conduct a thorough physical examination of your ears. This step aims to detect any visible abnormalities or obstructions that might cause or aggravate your tinnitus. We also perform a battery of hearing tests to assess your auditory function accurately. These tests help us determine if there is any associated hearing loss, often present with tinnitus.

In some cases, we may recommend further tests, such as tinnitus pitch and loudness matching or minimum masking level tests. These examinations yield valuable insights into your tinnitus characteristics and its response to external sounds.

If we suspect that your tinnitus may be linked to a structural issue or other medical condition, we may refer you for imaging tests like CT or MRI scans. These can rule out potential causes such as acoustic neuroma or other abnormalities within the auditory system.

Treatment Options for Tinnitus

While there's no single cure for tinnitus, there are many treatment options available that can help manage symptoms and improve quality of life. The most effective treatment often depends on the underlying cause and the severity of symptoms. Tinnitus treatment options include:

1. Hearing Aids

For individuals experiencing tinnitus, particularly those with concurrent hearing loss, hearing aids offer a potentially effective treatment approach. Contemporary hearing aids possess the capability not only to amplify external sounds but also to incorporate built-in sound generators. These generators produce white noise or other calming sounds, aiming to mask the perception of tinnitus. By redirecting attention away from the tinnitus, hearing aids can alleviate the discomfort and provide significant relief.

2. Sound Therapy

Sound therapy involves using external noise to alter your perception of or reaction to tinnitus. This can be achieved through various methods:

  • White Noise Machines: These devices produce a constant, soothing background noise that can help mask tinnitus.
  • Notched-Music Therapy: This involves listening to music with the frequencies of your tinnitus removed, which may help reduce neural activity associated with tinnitus.
  • Tinnitus Retraining Therapy (TRT): This combines sound therapy with counseling to help you habituate to the tinnitus, making it less noticeable over time.

3. Therapy & Relaxation Techniques

Cognitive Behavioral Therapy (CBT) and relaxation methods can be powerful allies in tinnitus management. While CBT doesn't lower tinnitus volume, it helps reshape how you perceive and react to the condition. This approach builds coping skills and challenges unhelpful thought patterns, making tinnitus more manageable.

Complementing CBT, relaxation practices like deep breathing exercises, meditation, or yoga can ease stress - a known tinnitus amplifier. By combining these strategies, many find they can better handle their tinnitus, improving their overall well-being even if the sound itself remains.

These techniques offer hope for living well despite tinnitus, focusing on changing your relationship with the condition rather than eliminating it entirely.

4. Lenire Tinnitus Treatment

We're thrilled to introduce a groundbreaking tinnitus treatment at Audiologic Solutions - the Lenire device. This innovative technology has demonstrated remarkable results in extensive clinical studies.

Lenire employs a cutting-edge technique known as bimodal neuromodulation. This approach combines auditory stimulation via headphones with gentle electrical pulses to the tongue, targeting the somatosensory system.

The effectiveness of Lenire is backed by impressive clinical data:

  • After 12 weeks of recommended use, 95% of study participants reported improvements in their tinnitus symptoms.
  • Even more encouraging, 91% of users experienced lasting relief, with benefits persisting 12 months post-treatment.

This new offering represents a significant advancement in tinnitus management, potentially providing hope and relief to many of our patients struggling with this condition.

When to Seek Help

Experiencing tinnitus symptoms? Seeking professional assistance is vital. Our skilled audiologists offer comprehensive evaluations to diagnose tinnitus and determine any underlying causes. This assessment forms the foundation for creating a personalized management strategy that caters to your specific requirements. We recognize the emotional toll it takes and are dedicated to providing you with a comprehensive understanding of your situation.

With the understanding that everyone's experience with tinnitus is unique, remember that what works for one person may not work for another. With tinnitus, as with hearing loss, treatment is not one-size-fits-all. That's why we take a personalized approach to tinnitus treatment, working closely with each patient to find the most effective solution. Contact us today for effective tinnitus solutions.

Written By
Reviewed By
Stefan Fosco, Au.D.
Audiologist

Stefan Fosco Au.D., is a graduate of Ithaca College where he received his master’s of science in 2000. He obtained his Doctorate in Audiology from Salus University in 2009. He began his career in the capital district at a rehabilitation hospital in Schenectady, New York.

Our Locations

We have 3 hearing care clinics in Rensselaer, Hudson and Queensbury.

Rensselaer

2 Empire Dr #204, Rensselaer, NY 12144

518-283-6111

Hudson

351 Fairview Ave #350, Hudson, NY 12534

518-828-7700

Queensbury

118 Quaker Rd, Queensbury, NY 12804

518-798-6428