Holistic and individualised tinnitus treatment
If you’re struggling with tinnitus and feel that you have no treatment options for the condition, contact Harmony Hearing & Audiology. We’re a hearing centre staffed by qualified and certified Audiologists who offer nothing less than comprehensive diagnostics, tests, aids, treatments and a personal touch for complete patient comfort.
Perhaps you’ve had tinnitus for years, or you’ve recently started struggling with a persistent ringing in your ears that you find very distracting and concerning. We’re here to help you with your tinnitus condition, because it’s frustrating to live with and in many cases can be unbearable. Harmony Hearing & Audiology is a family-owned business with reputable Audiologists on staff who have extensive experience in reducing the discomfort of tinnitus.
What is tinnitus?
Tinnitus (pronounced ti-ni-tis) is the perception of hearing sounds such as ringing, buzzing, crickets, and rushing. Pulsatile tinnitus is a heartbeat-like sound of any combination of these. The noise can be intermittent or continuous, and can vary in volume. It is often worse when background noise is low, so you may be most aware of it at night when you’re trying to fall asleep in a quiet room.
The most common form of tinnitus is known as Subjective Tinnitus where only the person perceiving the tinnitus can hear it. It can be localised to one ear more than another, or seem central within the head. In most cases, Tinnitus accompanies hearing loss, and the pitch that the tinnitus is perceived at, is usually around the frequency range that the hearing is most diminished.
A rarer type of tinnitus, Objective Tinnitus, can occur where a sound audible to the individual, could be amplified to also be heard by others. This could occur as a pulsatile tinnitus where blood flow in vessels close to the skin in the ear canal is impeded and the pulsing or rushing sounds can be heard.
What causes tinnitus?
Prolonged exposure to loud sounds is the most common cause of tinnitus. Up to 90% of people with tinnitus have some level of noise-induced hearing loss. The noise causes permanent damage to the sound-sensitive cells of the cochlea, a spiral-shaped organ in the inner ear. The outer hair cells of the inner ear are said to be electro motile. Some people are more susceptible than others due to their jobs.
Carpenters, pilots, rock musicians, street repair workers, and landscapers are among those whose jobs put them at risk, as are people who work with chainsaws, guns, or repeatedly listen to loud music. A single exposure to a sudden extremely loud noise can also cause tinnitus.
There are also a variety of other conditions and illnesses that are considered causes of tinnitus, these include:
- Blockages of the ear due to a build-up of wax, an ear infection, or rarely, a benign tumour of the auditory nerve that allows us to hear.
- Certain drugs — most notably aspirin, several types of antibiotics, anti-inflammatories, sedatives, and antidepressants as well as quinine medications. Tinnitus is cited as a potential side effect for about 200 prescription and non-prescription drugs.
- The natural ageing process can result in a deterioration of the cochlea or other parts of the ear.
- Meniere’s disease, which affects the inner part of the ear.
- Otosclerosis, a disease that results in stiffening of the small bones in the middle ear.
- Other medical conditions such as high blood pressure, cardiovascular disease, circulatory problems, anaemia, allergies, an underactive thyroid gland, and diabetes.
- Neck or jaw problems, such as temporomandibular joint (TMJ) syndrome.
- Injuries to the head and neck.
Tinnitus can worsen in some people if they drink alcohol and caffeinated beverages, smoke cigarettes, or eat certain foods. For reasons not yet entirely clear to researchers, stress and fatigue seem to worsen tinnitus.
How does it start?
Tinnitus is unique to each individual and can arise in any part of the interconnected auditory system, which means the holistic and individualised treatment approach is best. The onset of tinnitus appears with some level of hearing loss, damage or change to the auditory system. If there is hearing loss, usually the pitch of the tinnitus is around the frequency range in which the hearing is most diminished. Putting back the sound around the frequency range that has diminished can often have an inhibiting effect and provide relief from the tinnitus.
How common is tinnitus?
Tinnitus is very common, affecting just about everyone at some stage of their lives. For most people, the condition is merely an annoyance. In severe cases, however, tinnitus can cause people to have difficulty concentrating and sleeping. It may eventually interfere with work and personal relationships resulting in psychological distress. About 12 million people in the United States seek medical help for tinnitus every year.
Although tinnitus is often associated with hearing loss, it does not cause the loss, nor does hearing loss cause tinnitus. In fact, some people with tinnitus experience no difficulty hearing, and in a few cases they even become so acutely sensitive to sound (Hyperacusis) that they must take steps to muffle or mask external noises.
How does sound therapy alleviate tinnitus?
Sound therapy is a major method of helping easing tinnitus symptoms. This overarching term refers to the use of sound in different forms; e.g., the use of hearing aids that amplify environmental sounds can help. The use of sound generators can help inhibit the tinnitus as well as help the individual habituate to the tinnitus. The right hearing aid can alleviate or reduce the persistent ringing.
New generation digital hearing aids are used in tinnitus sound therapy because they can be configured with additional inbuilt sound programs and generators. Hearing aids with inbuilt sound generators reduce the perceived contrast between the natural occurring environmental sound and the perceived tinnitus.
More recent models include sounds of nature such as the sound of the ocean, and other relatively non-invasive, pleasant sounds. Often the amplification alone of naturally occurring ambient sounds is enough for the majority of people to report a noticeable reduction in the perceived volume of their tinnitus. For some the tinnitus vanishes altogether and for a small minority there is little or no reduction in the perception of their tinnitus and other approaches should be considered.
We offer the Neuromics program so people with normal or near normal hearing thresholds may also require tinnitus sound therapy as a method of managing their tinnitus. Our experienced Audiologists are passionate about helping people manage and habituate to their tinnitus. We use only the latest technologies and evidence-based methods available. Tinnitus treatment makes a difference and many of the new hearing instruments incorporate tinnitus inhibiting signals.
Some instances of tinnitus are caused by infections or blockages in the ear, and the tinnitus can disappear once the underlying cause is treated. Frequently, however, tinnitus continues after the underlying condition is treated. In such a case, other tinnitus treatments will include conventional and alternative methods that may bring significant relief by either decreasing or covering up the unwanted sound.
The good news for tinnitus sufferers is that gone are the days where you would be told ‘nothing can be done and you just have to learn to live with it.’ Audiologists use a number of approaches to treat and alleviate tinnitus symptoms. It is usually a holistic multi-disciplinary approach that is the most effective treatments.
Where there is accompanying hearing loss, the use of hearing aids over a period of time can help inhibit the tinnitus. The hearing aids are programmed to put back the sound stimulation around the frequency ranges that have diminished and this usually has an inhibiting effect on the Tinnitus. For many people, the inhibition is immediately noticeable whereas for others the reduction of tinnitus occurs over time.
As part of a holistic approach, appropriate counselling is necessary. Tinnitus treatment techniques include helping you to reduce stress, fatigue and anxiety. Appropriate nutrition, the avoidance of certain foods and Ototoxic medications also form important parts of helping you manage it.
While there is no tinnitus cure, we can help you manage the condition by teaching you to habituate to your tinnitus so that you begin to tune it out so it doesn’t bother you as much. The perception of tinnitus is closely linked to the autonomic and limbic nervous systems, which influence our emotional state. Our arousal levels, anxiety and stress levels are closely linked with our perception of the tinnitus and how invasive we perceive it to be. This can be managed through sound therapy.