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04.04.2014

Does anything help tinnitus, mild depression symptoms and treatment - Try Out

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Tinnitus has no cure, and treatments range from relaxation techniques to cope with the associated anxiety, to sound therapy where sufferers are taught to ‘tune out’ the noise. Common ailment: Around five million people in Britain alone suffer with tinnitus at some pint in their livesHe turned to alternative therapies, and even considered surgery to cut his auditory nerve. In older people, tinnitus is often caused by natural hearing loss, which makes the nerves less sensitive. If you find daily tasks difficult to do because you suffer from stiffness, swelling, or pain in your hands, the right exercises can help get you back in motion. 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. Sound waves travel through the ear canal to the middle and inner ear, where hair cells in part of the cochlea help transform sound waves into electrical signals that then travel to the brain's auditory cortex via the auditory nerve. 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. Musculoskeletal factors — jaw clenching, tooth grinding, prior injury, or muscle tension in the neck — sometimes make tinnitus more noticeable, so your clinician may ask you to tighten muscles or move the jaw or neck in certain ways to see if the sound changes. 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.
Exactly how it works is unclear, but developers believe the energy waves stimulate the auditory nerve, which is responsible for detecting sound, and the signals from this nerve ‘distract’ the brain from the tinnitus noises.The hope is that this device will prevent people from suffering in the same way as Robert McIndoe. The survey also found just 35 per cent of GPs provided information leaflets or referred patients to charity websites or self-help groups.‘Thousands of tinnitus patients are being short-changed by their GPs,’ says David Stockdale of the British Tinnitus Association.
You can help ease the symptoms by educating yourself about the condition — for example, understanding that it's not dangerous.


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). 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.
In about 10% of cases, the condition interferes with everyday life so much that medical help and psychotherapy are needed.
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. Biofeedback is a relaxation technique that helps control stress by changing bodily responses. He visited his GP three times and was referred to King’s College Hospital, London, only to be told they had no tinnitus specialist.
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.


In many cases we can help.’Alex Warn has not been back to see a health professional about his tinnitus for nine years, learning instead to manage his condition using the radio to block out the noise at night, avoiding places with loud background noises such as pubs and parties and wearing ear plugs. 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).
Although the word tinnitus comes from the Latin for ‘ringing’, the noise can be a buzz, hum or even a whistle — heard in one ear, both ears or in the middle of the head. Despite his efforts he still struggles socially.He had no idea that sound therapy existed or that relaxation techniques can help to reduce the impact of the tinnitus. 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. He was desperate it would never change, and he didn’t know if he could live.’ Tinnitus is caused by damage to the complex auditory pathways in the ears and brain.
But far too many people are being told that there is no cure without being told that we can still help them.‘This approach can be actively harmful. Not only does it bring an instant feeling of defeatism, if your patient has depressive tendencies it can exacerbate feelings of despair.’ This is a situation that Alexander Warn, 30, an actor and stage technician from Plymouth, knows only too well. He was diagnosed with tinnitus when he was 21 although he’d actually experienced ringing in both ears since he was 16. As the condition grew worse, he was diagnosed with depression and put on antidepressants.‘I don’t think that the tinnitus caused my depression,’ he explains.



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