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18.01.2015

Acupuncture treat tinnitus, ringing sound in ear voices - .

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Although acupuncture originated in China, there are two different theories as to how it works.
After 3-4 sessions, I did start to notice improvements in my tinnitus, as well as in my mood – the sound became thinner and quieter, and I felt a boost in my sense of well-being and confidence. Erectile dysfunction (ED) becomes more common in men in middle age, but the range of treatments means most men can find something that works for them.
Tinnitus (pronounced tih-NITE-us or TIN-ih-tus) is sound in the head with no external source.
Almost everyone has had tinnitus for a short time after being exposed to extremely loud noise. While there's no cure for chronic tinnitus, it often becomes less noticeable and more manageable over time. Most people who seek medical help for tinnitus experience it as subjective, constant sound, and most have some degree of hearing loss. Tinnitus can arise anywhere along the auditory pathway, from the outer ear through the middle and inner ear to the brain's auditory cortex, where it's thought to be encoded (in a sense, imprinted). Most tinnitus is "sensorineural," meaning that it's due to hearing loss at the cochlea or cochlear nerve level.
Tinnitus that's continuous, steady, and high-pitched (the most common type) generally indicates a problem in the auditory system and requires hearing tests conducted by an audiologist. Your general health can affect the severity and impact of tinnitus, so this is also a good time to take stock of your diet, physical activity, sleep, and stress level — and take steps to improve them. In addition to treating associated problems (such as depression or insomnia), there are several strategies that can help make tinnitus less bothersome. There is no FDA-approved drug treatment for tinnitus, and controlled trials have not found any drug, supplement, or herb to be any more effective than a placebo.
Not all insurance companies cover tinnitus treatments in the same way, so be sure to check your coverage. What basically happens is that you lay on your stomach, and the acupuncturist inserts needles into your skin in the area around your neck and lower skull. Things that cause hearing loss (and tinnitus) include loud noise, medications that damage the nerves in the ear (ototoxic drugs), impacted earwax, middle ear problems (such as infections and vascular tumors), and aging. One of the most common causes of tinnitus is damage to the hair cells in the cochlea (see "Auditory pathways and tinnitus").
Pulsatile tinnitus calls for a thorough evaluation by an otolaryngologist (commonly called an ear, nose, and throat specialist, or ENT) or neurotologist, especially if the noise is frequent or constant. You may also be able to reduce the impact of tinnitus by treating depression, anxiety, insomnia, and pain with medications or psychotherapy. CBT uses techniques such as cognitive restructuring and relaxation to change the way patients think about and respond to tinnitus. Masking devices, worn like hearing aids, generate low-level white noise (a high-pitched hiss, for example) that can reduce the perception of tinnitus and sometimes also produce residual inhibition — less noticeable tinnitus for a short time after the masker is turned off. Other treatments that have been studied for tinnitus include transcutaneous electrical stimulation of parts of the inner ear by way of electrodes placed on the skin or acupuncture needles, and stimulation of the brain using a powerful magnetic field (a technique called repetitive transcranial magnetic stimulation, or rTMS). If you're willing to enroll in a research study, you may be able to receive a cutting-edge treatment free. IntroductionIn the nineteen sixties, the Japanese physician and scientist Toshikatsu Yamamoto discovered an independent acupuncture system. Some medications (especially aspirin and other nonsteroidal anti-inflammatory drugs taken in high doses) can cause tinnitus that goes away when the drug is discontinued. This stimulates abnormal activity in the neurons, which results in the illusion of sound, or tinnitus. Tinnitus can also be a symptom of Mnire's disease, a disorder of the balance mechanism in the inner ear. If you have age-related hearing loss, a hearing aid can often make tinnitus less noticeable by amplifying outside sounds. Some patients believe that acupuncture helps, but it too has been found to be no better than a placebo.
The aim is to habituate the auditory system to the tinnitus signals, making them less noticeable or less bothersome.
Needles are applied ipsilaterally for the treatment of pain and contralaterally for the treatment of paralysis. Many people can hear their heartbeat — a phenomenon called pulsatile tinnitus — especially as they grow older, because blood flow tends to be more turbulent in arteries whose walls have stiffened with age.


The main components of TRT are individual counseling (to explain the auditory system, how tinnitus develops, and how TRT can help) and sound therapy. Individual studies have reported improvements in as many as 80% of patients with high-pitched tinnitus.
In two small trials, rTMS compared with a sham procedure helped improve the perception of tinnitus in a few patients.
Pulsatile tinnitus may be more noticeable at night, when you're lying in bed, because more blood is reaching your head, and there are fewer external sounds to mask the tinnitus. The resulting electrical noise takes the form of tinnitus — a sound that is high-pitched if hearing loss is in the high-frequency range and low-pitched if it's in the low-frequency range. Tinnitus can be a side effect of many medications, especially when taken at higher doses (see "Some drugs that can cause or worsen tinnitus"). A device is inserted in the ear to generate low-level noise and environmental sounds that match the pitch, volume, and quality of the patient's tinnitus. In a Cochrane review of the one randomized trial that followed Jastreboff's protocol and met the organization's standards, TRT was much more effective in reducing tinnitus severity and disability than a technique called masking (see below). For twelve years, using these highly effective points, which he termed basic points, he successfully treated stroke patients suffering from pain and paralysis. Many people worry that tinnitus is a sign that they are going deaf or have another serious medical problem, but it rarely is. If you notice any new pulsatile tinnitus, you should consult a clinician, because in rare cases it is a sign of a tumor or blood vessel damage. This kind of tinnitus resembles phantom limb pain in an amputee — the brain is producing abnormal nerve signals to compensate for missing input.
Taking second place only to ear acupuncture, YNSA (Yamamoto et al., 2010) is today the most widely and frequently used form of acupuncture and is gaining increasing significance.
Since 1973, in addition to the basic points, several other points have been discovered namely sensory point, brain points, Y points, extra points, treatment points on the thorax and in the region of the pubic bone, dorsal treatment points and additional peripheral points as well as various diagnostic points.
Kastrau, Cortical Activation by Yamamoto New Scalp Acupuncture (YNSA) in the Treatment of Stroke Patients- A Sham-controlled Study Using Functional Magnetic Resonance Imaging (fMRI). Yamamoto is untiring in his search for new methods of treatment, points and somatopes in his daily work.
In Japan, acupuncture was largely practised by masseurs, which meant that it was not highly regarded in classical medicine nor, in particular, at university medical schools.
Interest in and receptiveness to acupuncture is gradually increasing, also at some Japanese universities. YNSA is also used very successfully in veterinary medicine, for example to treat cats and dogs. Acupuncture needles are applied ipsilaterally at these basic points for pain therapy while for the treatment of central paresis they are applied contralaterally to the paretic side.YNSA is a special form of traditional acupuncture.
In the same way as with ear or mouth acupuncture, the entire organism is projected here on a defined area of the scalp. Scalp acupuncture distinguishes a yin somatotope at the front of the scalp and a yang somatotope at the back of the scalp. As a representative of each meridian, there is a pressure point on the neck and an associated treatment point in the region of the temples.
Abdominal or neck diagnosis leads to the selection of the Ypsilon points in a treatment sessionFigure 3.The abdominal diagnosis leads to the Ypsilon or cranial nerve pointsIn contrast to the pulse and tongue diagnosis of traditional Chinese medicine, Yamamoto New Scalp Acupuncture (YNSA) is characterized by the special feature abdominal wall and neck diagnostics. These diagnostic procedures enable the acupuncture points to be identified individually in each treatment situation indicating where the needles are to be applied for each individual person in the respective treatment situation. Relevance of the YNSA cranial nerve points The cranial nerve points are highly active acupuncture points on the frontal scalp. Using these points, disorders of the corresponding meridians and the cranial nerves can be treated. For example, the lung cranial nerve point, the glossopharyngeal point is used for the treatment of the swallowing disorders after stroke as well as pulmonary disorders of different origin. After correct acupuncture of the relevant cranial nerve points, the pain intensity of the abdominal or neck sites should be reduced, similar to the Ypsylon points. Similar to the other YNSA points, the cranial nerve points display small treatment areas, which are identified using careful palpitation. The cranial nerve points have shown to be very suitable for treatment of motor and other neurological symptoms. On the safety of acupuncture in the Thoracic regionNumerous references to side effects caused by acupuncture treatment can be found in medline.


The investigation presented here was motivated in particular by reports of pneumothorax after acupuncture. After an autopsy on a corpse, the depth of various acupuncture needles penetrated into the thorax was investigated. Observations: Acupuncture in the thoracic region involves a greater or lesser degree of risk depending on the thickness of the subcutaneous fatty tissue. In view of the fact that in some places the intercostals muscles are only 2 to 3 mm thick, the ribs themselves in the present case are 3 to 4 mm thick and the skin is 1 to 2 mm thick, in the case of a slim or cachectic person an acupuncture needle 1 cm in length can potentially lead to pneumothorax if applied intercostally. In order to ensure the greatest possible safety in acupuncture, it is necessary to choose needles that are as short and thin as possible and to apply them tangentially at the flattest possible angle. If, as for example in the case of thoracic Yamamoto New Chest Acupuncture, the needles are to remain in position in the patient so that further physiotherapy measures can be applied, then they must be secured by a good adhesive plaster. A new acupuncture needle for magnetic resonance imaging developed by Schockert was used in this study. Patients were treated lying down and were instructed via video goggles to open or close their left hand. The sham acupuncture consisted of a single application of pressure by a finger nail in the centre of an imaginary line between TE23 and GB14. Generally, in contrast to the sham acupuncture, genuine acupuncture was accompanied by significant cortical activation in the motor, premotor and supplemental motor cortex.
The 5 patients from whom the data were evaluated all showed subjectively clinical benefit after the YNSA treatment.
Without acupuncture: Cortical activation was shown in the motor cortex, cingulate gyrus and occipital lobe.
Without acupuncture or with sham acupuncture cortical activation was observed close to the region of the vertex of the scalp, where GV20 is situated. In addition, it is conceivable that patients had major concentration problems during the third block (genuine acupuncture). In view of the fact that eight patients felt subjectively better after the treatment and in view of the changes in the cortical activations in the motor, premotor and supplemental motor cortex we assume that this benefit justifies the hypothesis that the YNSA treatment itself had this positive influence and is the cause of the positive effects described by the patients. YNSA activates cortical nociceptive and motor centers in patients with chronic pain of the locomotory systemThe clinical application of Yamamoto New Scalp Acupuncture (YNSA) often shows immediate and long lasting effects in patients with locomotor disturbances such as pain syndromes, chronic stroke and Parkinson's disease.
However, little is known about the underlying mechanisms of YNSA.The aim of the study was to investigate potential areas of the central nervous system influenced by YNSA in the treatment of such patients. We measured three subjects that were treated with YNSA for chronic pain syndromes in their lower extremities.
The second measurement was acquired four to five days later, and the patient was treated with YNSA shortly before the beginning of the scan. The average reduction in pain scale score and corresponding change in nociception system activation can be considered a direct effect of acupuncture. YNSA in emergency medicineDue to the good effectiveness of YNSA, especially since YNSA takes effect very rapidly, I would like to propose that YNSA and other acupuncture methods could be applied as supportive measures both in emergency medicine and by the emergency services.
The neck diagnosis led to the identification of the correct acupuncture points for this patient. The patient had already been treated by acupuncture on previous occasions and also experienced rapid relief of her symptoms by the scalp acupuncture applied under emergency conditions.
Upon arrival in hospital, the patient had a complete relief from her symptoms.In his book on acupuncture in emergency medicine that appeared in 1994, Richard Umlauf describes the points for body acupuncture and the points of various microsystems for their use in difficult and life-threatening illnesses. Acupuncture could be of great benefit in emergency medicine, especially for analgesic purposes since acupuncture may also be regarded as evidence-based medicine. Although acupuncture research is under way throughout the world and acupuncture is also used in the emergency services, acupuncture cannot yet be described as evidence-based emergency medicine (EBEM). Like many other measures in complementary medicine, acupuncture offers a valuable, efficient and reliable adjuvant therapy option for all existing orthodox emergency treatments. Both for ethical and quite particularly for cost-saving reasons, the application of acupuncture and complementary medicine could also establish a permanent place in emergency medicine.
I would like to encourage a discussion on increasingly including YNSA and other acupuncture methods in emergency public health services and also in emergency medical services as a complement to and in support of orthodox medicine. This will require extensive studies on the application of acupuncture by the emergency services.



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