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24.07.2014

What can help tinnitus, ring ears causes - PDF Review

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Constant stress — whether from a traffic-choked daily commute, unhappy marriage, or heavy workload — can have real physical effects on the body. 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. When you are caring for someone who is ill, elderly, or disabled, it's important to consider how you'll handle those times when you can't be with your loved one in person. 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. Constant noise in the head -- such as ringing in the ears -- rarely indicates a serious health problem, but it sure can be annoying.
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.
The British Tinnitus Association (BTA) is a world leader, with a trained team of friendly and experienced advisers for anyone who experiences tinnitus or those simply seeking guidance or information about the condition. The aim of this article is to describe what maskers are and how they might or might not help with tinnitus. The term masking describes a sense of relief from tension or stress caused by tinnitus through the use of broadband sound.
Environmental sounds have been noted to cause masking naturally and can be recommended (Henry et al., 2008). Masking tinnitus using a generated sound was noted by Vernon (1977) who used an electronic ear level device (masker) to provide white noise or broadband noise to the ear. Tinnitus Retraining Therapy (TRT) as advocated by Jastreboff and Hazell (2004) makes use of the same instruments as described above, but the devices have been given the new name of sound generators and are used in a different way. The psychological model of tinnitus as suggested by Hallam (Hallam, Rachman and Hinchcliffe, 1984) suggests that altering a patients reaction to tinnitus is key to providing relief. Combination instruments (hearing aids that provide amplification for hearing loss and sound generation for tinnitus) have been around for some time and are now available in some NHS audiology departments.
One of the more interesting combination devices is the Widex 440 which can generate fractal sound.
Used appropriately, maskers or sound generators may provide some relief for some patients, but as is always the case, take the advice of your local tinnitus professional in the audiology clinic, who will be able to provide you with the best help after diagnostic testing and taking a history of your symptoms. Peter Byrom leads the Tinnitus Clinic at Rotherham NHS Audiology Department and is also registered with the Health Professions Council as a hearing aid dispenser.
Chronic tinnitus can be caused by a variety of things, from impacted ear wax to medications that damage nerves in the ear, middle ear infection, and even aging.
When chronic tinnitus is caused by a definable problem, like ear wax or grinding your teeth at night or taking aspirin, addressing that problem will often turn down the volume. Tinnitus is very much an individual condition; each person will describe different sounds heard and perceive it in a dissimilar manner.


Another inadvertent health condition associated with the misconception that tinnitus cannot be treated is hearing loss. Hearing impairment, like tinnitus, can also cause psychological and social difficulties because it interferes with a person’s ability to communicate effectively.
At present, there is no medication available to cure tinnitus, although a lot of research is currently in process. If you are experiencing troublesome tinnitus and would like an evaluation, the first step is to visit your GP. There is evidence to suggest hearing aids can mask tinnitus sounds to help improve communication and reduce stress and anxiety levels, which normally exacerbate tinnitus.
Studies have shown robust evidence promoting hearing aid fitting as an effective treatment option of tinnitus control.
One of the main reasons why open-fit hearing aids have been successful in tinnitus patients is because they do not significantly occlude the ear canal, which can aggravate tinnitus symptoms and, therefore, do not interfere with external sound transmission. 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. No single approach works for everyone, and you may need to try various combinations of techniques before you find what works for you. 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). Often the term has been misunderstood to mean purely the drowning out or masking of tinnitus by the use of another noise.
Where patients had some relief from tinnitus by using maskers, this benefit tended to carry on for a short time following the removal of the masker, but then the relief would wear off.
Their neurophysiological theory suggests that the brain needs to habituate to the sound of tinnitus and the use of a sound generator at a volume just below the perceived loudness of the tinnitus helps with this. Although there is little good quality research to provide clinical guidance for these devices, they are likely to be well used by tinnitus clinics. You can do this by listening to music or having a radio, fan, or white-noise machine going in the background.
Tinnitus is commonly accompanied by hearing loss, yet people will often neglect their disability and continue with everyday life. The treatment plan is tailored to meet the individual’s requirements with the aim of aiding habituation of tinnitus rather than eliminating noises completely. Hearing aids are signal processors; they alter the signal input to improve it for the wearer by making sounds louder, which can help with hearing and speech comprehension. The loudness and prominence of tinnitus is decreased by activating the auditory system and amplifying background sound. 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. For example, if you have a heart murmur, you may hear a whooshing sound with every heartbeat; your clinician can also hear that sound through a stethoscope. 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. For some people the greatest benefit may come from drowning out the tinnitus, for others, the best relief may be when there is some partial or even no drowning out of the perceived tinnitus at all. But as many as 50 million Americans have chronic tinnitus (pronounced tih-NITE-us or TIN-ih-tus)—a constant ringing, whistling, buzzing, chirping, hissing, humming, roaring, or even shrieking. If money is no issue, you can buy devices worn like hearing aids that generate low-level white noise.
They respond by generating abnormal activity, which results in the illusion of sound, which is tinnitus.
Because I found compassion and money was there when I had a major Surgery in past,I gave for free the cure for Tinnitus to all the Ear ENT Clinics at hospitals in San Francisco.
This may be due to the common notion that if a specific cause of tinnitus is not found, effective treatment is unavailable; the patient will therefore, have to live with their symptoms.
The knowledge that you can mask tinnitus with a hearing aid is not an innovative concept, but previous hearing aids occluded the ear canal with a tight fitting ear mould. In conclusion, the combination of using a hearing aid and employing counselling techniques will equip the patient with tinnitus and a mild-moderate hearing loss in the 2- 6 kHz region to habituate to their tinnitus and learn how to manage symptoms better.
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. Although there isn’t enough evidence from randomized trials to draw any conclusions about the effectiveness of masking, hearing experts often recommend it before turning to more expensive options such as cognitive behavioral therapy, tinnitus retraining therapy, biofeedback and stress management, and transcutaneous electrical stimulation of parts of the inner ear. However, research has shown that tinnitus does gradually get better, and tolerance of tinnitus increases with time with the help of a tinnitus management program. Patients reported a hollow reverberation amplifying chewing sounds and the sensation of tinnitus.
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). The ENT specialist will make a referral to an Audiologist for other audiological measurements of tinnitus including pitch masking, loudness matching, and minimum masking level. A new type of hearing aid called the open-fit has been designed to successfully alleviate tinnitus symptoms by introducing a noise-reduction control. In conjunction with hearing aid fitting, all patients had tinnitus retraining therapy, which proved to be effective at habituating sound perception, allowing the patient to ignore the presence of tinnitus over a period of six months. 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. In addition, you will receive tinnitus counselling and methods for treating tinnitus including hearing aid fitting if appropriate. They can no longer do things they enjoy; they feel vulnerable, insecure, a decreased self-esteem, and do not successfully adjust to their new circumstances.




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