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10.09.2014

Tinnitus is it real, tinnitus or ringing in ears cure - How to DIY

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There is considerable evidence that many forms of tinnitus are caused by central changes that may occur after peripheral lesions. Auditory stimulation is one of the most employed therapeutic methods for tinnitus, and one of the most beneficial. Hearing aids designed for people with tinnitus and hearing loss provide amplification that facilitates auditory stimulation to ameliorate tinnitus. Implantable hearing aids are now used by many people, which made it possible to assess their efficacy in tinnitus treatment.
Other devices can be used for tinnitus management for immediate relief before a more complete sound therapy can be initiated. Sound stimulation has its beneficial effect on most forms of tinnitus by activating neural plasticity, which requires time to develop.
The specific guidelines on hearing aid device adaptation are crucial for an effective auditory stimulation of tinnitus-affected patients.
The most frequent causes of tinnitus seem to be cochlear damage, as almost all individuals with tinnitus have hearing loss. Auditory stimulation is one of the most employed therapeutic methods and one of the most beneficial for patients suffering from tinnitus [32]. Besides sound generators and acoustic prostheses, other devices that are not specifically designed for treatment of tinnitus can be used for tinnitus management. Clinical studies [29, 34, 35] have shown that not only do hearing aids improve hearing ability, but they can also reduce or suppress tinnitus. For instance, in a study carried out in 1999 [44], 50% of hearing aid wearers experienced relief from tinnitus, with a median improvement of 10% after only 6 weeks from the first application. Favoring the ability to listen to tinnitus according to Jastreboff’s neurophysiologic hypothesis.
Improving communication and reducing the discomfort often reported by patients as sounds and voices covered by tinnitus. Stimulating the auditory nervous system in a normal way and not only with tinnitus (phantom sounds).
The introduction of the so-called open-ear hearing aids helped overcome some of these problems, allowing application of hearing aids to individuals with mild hearing loss, such as many individuals with tinnitus have.
Optimal results in management of tinnitus are not only obtained with the application of technologically advanced hearing aid devices but, most of all, with their adjustment to the individual person’s needs and through patient counselling. That fear, and the realization that DJing was making things worse, triggered me to change my lifestyle and significantly reduce noise. Image from the Washington Post – click to enlarge and read some awesome details about tinnitus and hearing! Yes, excessive exposure to noise through DJing can (and does) cause tinnitus, however there are many things you can do that will significantly reduce, if not eliminate most of the risk. Tinnitus is a real condition, not just imagined, and can be quite disturbing and depressing to the sufferer.
Since it is often caused by damage to the microscopic nerve endings in the inner ear, it is no wonder that hearing loss often accompanies tinnitus. Sufferers of both tinnitus and hearing loss, no matter how slight, should avoid being around loud noises such as airplane engines, heavy machinery, extremely loud music (rock concerts), or blaring IPods. After evaluating the tinnitus by determining the frequency and loudness of one’s tinnitus and the amount of hearing loss, the specialist will know which masker is right for the patient.
If you are suffering from both tinnitus and hearing loss, do see an ear and auditory specialist to determine the cause of your tinnitus and the extent (if any) of your hearing problem. If the tinnitus is both loud and persistent and hearing is also poor, the hearing aid may take care of both issues.
Tinnitus cure answer staff is dedicated to helping you find the cause of your type of tinnitus.
In some cases, a hearing aid can alleviate tinnitus: as more natural sounds reach the ear, they compete with the rushing and ringing noises. We speak with the head of Berlin's ENT and Hearing Center about acute and chronic tinnitus. The time it takes for sound stimulation to reduce an individual’s tinnitus varies and may require a 6- to 8-month time frame.
Especially regarding treatment with sound, it is important to know if tinnitus is caused by pathology of the ear or the auditory nervous system. These central changes could ultimately result in the emergence of an aberrant neural activity that could induce tinnitus.


Unfortunately, hearing aids currently available are not able to amplify sounds with a frequency above 6–7 kHz, a range of hearing that is often impaired in individuals with tinnitus; for this reason, ordinary hearing aids may be less efficient in compensating for lost auditory stimulation.
These results were confirmed by subsequent studies, which extended the investigation to individuals who had tinnitus and mild hearing loss [34, 45].
For example, sound environment generators are mostly indicated during night rest in patients affected by mild tinnitus.
The parameters are crucial for auditory stimulation achieving maximal benefits on tinnitus.
In fact, even partial occlusion of the auditory canal may cause unease of use and may even increase tinnitus perception. Open-ear hearing aids also provide a stimulation mainly in the frequency region of the tinnitus pitch.
In fact, many tinnitus patients are sensitive to amplification, which sometimes requires less gain and maximum output than in patients who do not have tinnitus. Patients are generally able to fully understand the volume regulation procedure and to safely carry it out, but often more than one round of counselling is necessary and analog scales should be used to track the intensity of both tinnitus and therapeutic sound. Tonndorf J (1987) The analogy between tinnitus and pain: a suggestion for a physiological basis of chronic tinnitus. Norena AJ and JJ Eggermont (2003) Changes in spontaneous neural activity immediately after an acoustic trauma: implications for neural correlates of tinnitus.
Norena A, C Micheyl, S Chery-Croze et al (2002) Psychoacoustic characterization of the tinnitus spectrum: implications for the underlying mechanisms of tinnitus.
Moffat G, K Adjout, S Gallego et al (2009) Effects of hearing aid fitting on the perceptual characteristics of tinnitus. Norena AJ and JJ Eggermont (2006) Enriched acoustic environment after noise trauma abolishes neural signs of tinnitus. Han BI, HW Lee, TY Kim et al (2009) Tinnitus: characteristics, causes, mechanisms, and treatments. Jastreboff PJ and JWP Hazell (2004) Tinnitus retraining therapy: implementing the neurophysicological model. Del Bo L, U Ambrosetti, M Bettinelli et al (2006) Using open-ear hearing aids in tinnitus therapy. Lantz J, OD Jensen, A Haastrup et al (2007) Real-ear measurement verification for open, non-occluding hearing instruments. Van de Heyning P, K Vermeire, M Diebl et al (2008) Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation.
Holgers KM and BE Hakansson (2002) Sound stimulation via bone conduction for tinnitus relief: a pilot study. Surr RK, JA Kolb, MT Cord et al (1999) Tinnitus Handicap Inventory (THI) as a hearing aid outcome measure.
Henry JA, TL Zaugg and MA Schechter (2005) Clinical guide for audiologic tinnitus management II: treatment. Molini E, M Faralli, C Calenti et al (2009) Personal experience with tinnitus retraining therapy. Sheldrake JB, JWP Hazell and RL Graham, (1999) Results of tinnitus retraining therapy, in Proceedings of the sixth International Tinnitus Seminar, Cambridge UK September 5th-9th 1999, J Hazell, Editor. Ito M, K Soma and R Ando (2009) Association between tinnitus retraining therapy and a tinnitus control instrument. These factors mean very high SPLs and DBs in mid to high frequencies, which can cause real problems if not managed properly.
Instead of gigging full time, my focus turned to this site and today, I feel significantly more fulfilled helping others DJ but for many, tinnitus may mean the end of a career completely. Although tinnitus does not cause hearing loss, many people with hearing loss do suffer from it. It is estimated that about 9 out of 10 sufferers of tinnitus also suffer from some loss of their hearing. There is now an absence of the outside noises which are no longer covering up the tinnitus. Its job is not to amplify sound but to produce a steady sound that is more palatable to the person than the incessant noise one hears from his tinnitus. Your tinnitus may not even be related to your hearing loss and can be resolved on it’s on.
Those suffering from tinnitus - from the Latin “ringing” - are often unable to satisfactorily describe their symptoms.


As people are no longer able to distinguish surrounding noises, tinnitus takes center stage.
There is now considerable evidence that most forms of tinnitus are caused by changes in the central nervous system after peripheral lesions [3, 4].
The increase in use of implantable hearing aids during recent years has made it possible to assess their efficacy for treatment of tinnitus. However, patients with disturbing tinnitus and without subjective hearing impairments benefit from custom sound generators, which should be worn at least 8 h during the daytime, in combination with an environment generator during night rest. The open-ear hearing aids, thus, provide important advantages, such as sound enrichment, that reduce tinnitus by activating the neural plasticity.
Tinnitus can be intermittent or constant-with single or multiple tones-and its perceived volume can range from subtle to shattering.
A hearing test is a must to find the actual cause of the tinnitus and the extent, if any, of the hearing loss. In other situations, it does continue or seem worse with the improved hearing, and the tinnitus sounding louder. The brain will usually block out the sounds produced by the tinnitus and hear the more pleasant and natural sounds produced by the masker. And no one's really able to help: For they are the only ones who can hear the sound in their ears. For treatment of tinnitus, it is important to distinguish between these two models, as they imply different therapeutic strategies.
This strongly argues against a peripheral origin of tinnitus encountered in human subjects (related to peripheral damages). In case sound enrichment should be required all day long (and tinnitus is not associated to hearing loss), “custom” ear level sound generators may be suitable. Custom sound generators are both useful for total masking therapy [36] and for partial masking therapy, according to tinnitus retraining therapy (TRT) [37] (Picture 2). The Combi devices represent the most innovative and efficient therapeutic tools for tinnitus and hearing loss, because they can combine auditory stimulation in impaired hearing areas with either partial or total tinnitus masking [40, 41].
Implantable middle-ear prostheses provide better sound therapy for some patients with tinnitus than traditional hearing aids [42], probably because they provide amplification in a wider frequency range and because of the “naturalness of the amplification”.
Sound generators should be adjusted to the frequency of the tinnitus in order to activate the auditory nerve close to tinnitus frequency. The large variability of the requirements for tinnitus patients regarding amplification has prevented adaptation of an uniform formula that is suitable for all tinnitus patients. In fact, the peripheral model suggests that the aberrant neural activity is responsible for tinnitus perception. Audiometric test results do not usually reflect variations in tinnitus and thus, are not valid measures of relief [48]; tests, therefore, do not need to be periodically repeated. It is also important not to underestimate the hearing of one’s own voice which often causes difficulties in the understanding of speech, as well as being unpleasant for the individual and may cause a sensation of “closure” that can worsen tinnitus.
Individuals with tinnitus often benefit from having the option of noise reduction switched off or turned down.
This condition is called tinnitus, and can range from barely noticeable low tones to disturbing high frequencies that end careers. Finally, changes in the pattern of spontaneous discharge (increase in firing rate and synchrony), consistent with the psychoacoustic properties of tinnitus [4], have been observed after acoustic trauma [3, 27]. For individuals with hearing loss, open-ear hearing aids are suitable [34, 35], as well as tinnitus control combination instruments (Combi), which combine a prosthesis and a sound generator. Cochlear implants can provide input to the auditory nervous system that can reduce tinnitus in many individuals, both in those with severe hearing loss and in individuals with good hearing on one ear who have severe tinnitus referred to that side [43].
In the selection of hearing aids, all elements that can cause a patient’s discomfort and increase the perception of tinnitus must be taken into account, including cosmetic aspects.
A recent study [6] has shown that salicylate-induced tinnitus may be caused by activation of NMDA receptors expressed in the synapses of cochlear hair cells and dendrites of spiral ganglion neurons. Optimal relief from tinnitus may require a 6- to 8-month therapy using hearing aids and sound generators [50, 51].
If tinnitus was normally caused by increased activation of NMDA receptors, a possible therapeutic approach that could suppress such “peripheral tinnitus” would be inactivating NMDA receptors [6, 7].



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