Tinnitus Management

Tinnitus, a common auditory issue, often manifests as a constant ringing or buzzing sound in the ear without an external source.

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Tinnitus, a common auditory issue, often manifests as a constant ringing or buzzing sound in the ear without an external source. This condition affects a significant portion of the population, posing a challenge for both healthcare professionals and patients alike.

Understanding Tinnitus

Tinnitus is a perception of sound that doesn't have an external source. It is commonly described as a ringing sound, but people report hearing various types of sounds including roaring, buzzing, or even whistling. The prevalence of tinnitus in adults is estimated to be between 10 to 25%.

Tinnitus can affect one ear, both ears, or even be perceived in the head. It can be continuous or intermittent, and its volume and pitch may also vary. In some rare cases, the perceived sound pulsates rhythmically in time with the heartbeat, a condition known as objective tinnitus.

Tinnitus and Hearing Loss

The causes of tinnitus are diverse and not entirely understood. However, it is strongly associated with some degree of hearing loss. In fact, many people who have tinnitus have some form of hearing impairment. Yet, it's worth noting that not everyone with hearing loss develops tinnitus.

Diagnosing Tinnitus

The diagnosis of tinnitus typically begins with a general physical examination that includes a thorough inspection of the ears. A hearing test, known as an audiogram, might also be part of the examination. In some cases, imaging techniques such as MRI or CT scans may be recommended to reveal any structural issues.

Tinnitus and Medication

Interestingly, tinnitus can be a side effect of certain medications. Therefore, it's crucial to inform the healthcare provider of all medications being taken during the diagnosis process. If the medication is identified as the culprit, a suitable alternative may be prescribed.

Tinnitus and Ear Health

Excessive earwax or an ear infection can trigger tinnitus. If this is the root cause, your doctor will clean your ears either by suctioning with a small curved instrument known as a curette or by gently flushing it out with warm water. If an infection is present, prescription ear drops containing hydrocortisone to relieve itching and an antibiotic to combat the infection may be provided.

Tinnitus and Temporomandibular Disorders (TMD)

Temporomandibular disorders, often abbreviated as TMD, can also result in tinnitus. In such cases, the patients may be referred to an orthodontist or other dental specialists for appropriate treatment.

Treatment Options

While there's currently no definitive cure for tinnitus, there are a myriad of ways to alleviate the symptoms and manage the condition effectively. These include sound therapy devices, behavioral therapies, and certain medications.

Sound Therapy

Sound therapy is a major treatment option for people with tinnitus. This approach utilizes devices that emit soft, pleasant sounds to help the patient get accustomed to the tinnitus.

Behavioral Therapy

Behavioral therapies such as cognitive behavioral therapy (CBT) and tinnitus retraining therapy (TRT) can significantly improve the well-being of people with tinnitus. These therapies aim to modify the patient's reaction to the tinnitus and help the brain filter out the tinnitus sound subconsciously.


While no specific medication is approved for treating tinnitus, certain drugs like low-dose anti-anxiety drugs and antidepressants have been shown to help reduce tinnitus. However, it's important to remember that these medications should only be taken under the supervision of a healthcare professional.

Tinnitus and Stress Management

Stress can exacerbate tinnitus symptoms. Therefore, adopting techniques to manage stress, such as deep breathing exercises, physical activity, and biofeedback, can be helpful in reducing tinnitus.

Tinnitus and Dental Treatment

Some professionals believe that tinnitus can be caused by problems with the temporomandibular joint (TMJ). Thus, dental treatment may relieve symptoms of tinnitus since the muscles and nerves in the jaw are closely connected to those in the ear.

Cochlear Implants

Cochlear implants, devices implanted in the ear to treat severe deafness, can also help some people with tinnitus-related hearing loss. However, this surgery is not performed exclusively for tinnitus and is only used for severe hearing challenges.

Alternative Treatments

Although no vitamin supplements or alternative therapies have been proven effective in treating tinnitus, some patients have reported relief with acupuncture, magnets, and hypnosis. It's crucial to consult with your healthcare provider before trying any of these treatments.

Tinnitus Research and Advances

Research is ongoing to better understand tinnitus and to develop new treatment strategies. Current research topics include electric stimulation, bimodal stimulation, repetitive transcranial magnetic stimulation (rTMS), deep brain stimulation (DBS), and the development of new medications.

Tinnitus management can be a complex process, requiring a tailored approach for each individual. At Family Audiology and Hearing Centers, we're committed to empowering our patients through education, comprehensive care, and efficient solutions to their hearing problems. Whether you're dealing with tinnitus or other hearing-related conditions, our team of experts is here to guide you every step of the way.

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