At the onset of writing this blog post, I came across this interesting article in the Washington Post, mentioning that loss of hearing is an inevitable cost of war. Soldiers think that it is a small price to pay when compared with the loss of appendages, PTSD or death.
Well, this is not true!
Military hearing loss is debilitating and severely affects the quality of life of both the sufferer and the people around them. Furthermore, veterans may also suffer from tinnitus (ringing in the ears). Hearing loss due to military service can induce a lifetime of suffering, whether tinnitus or hearing damage. Hearing loss as a military disability is even considered in lawsuits brought by several veterans.
It takes 7 years to seek help
Incredibly, the average time between someone noticing hearing damage and getting help for it is 7 years. Soldiers do not seek help for various reasons and choose to live with the problem, rather than getting help.
Exposure to blasts affects central auditory processing
Studies (Theodoroff et al 2015) show that the nature of auditory complaints by blast-exposed military personnel appears to be different from those not affected by blasts. This is because blasts damage neural structures (including the auditory cortex, corpus callosum, and other neuronal pathways) causing CAPD (central auditory processing deficits) without necessarily damaging the eardrum.
Doctors know that an individual with traumatic brain injuries would have very complex issues. More often, a comprehensive audiological evaluation is delayed or not carried out because the life-threatening concerns are addressed first. This leads to treatment delay.
Assessment is difficult because, in case of a traumatic brain injury, there are other issues such as motivation, attention, cooperation, cognition, neuronal loss, noise toxicity, metabolic and circulatory changes.
Treatment options for military personnel are multidisciplinary and any solution mentioned here in this article would sound very simplistic and straightforward. Military personnel, are not only affected physically but also mentally. They undergo various tests and therapies depending on the trauma they were exposed to.
In situations where hearing loss and tinnitus both exist, amplification using hearing aids are beneficial. It would help with improved communication as well as reduce tinnitus-related problems.
Personalized tinnitus management programs are very useful and should be considered. Scientists believe there is a correlation between depression, anxiety, and insomnia and the severity of tinnitus. Tinnitus therapies combined with antidepressants have helped some veterans who are chronic sufferers of tinnitus.
Hearing damage for military veterans is more common than you might think. If you've served in the military, know that we appreciate your service, and would be honored to serve you in treating your hearing loss and/or tinnitus.
Please contact us at the Tinnitus & Hearing Center of Arizona and set up an appointment either online via Skype or in our Tempe, Arizona clinic to discuss your treatment options. (480) 831-6159.
Our patient, Lt. Colonel Ralph "Slick" Aguirre, USAF (Retired) started his career in aviation flying Huey helicopters in Vietnam at the age of eighteen. He went on to fly F-15 fighter jets in the US Air Force. From there he transitioned into a civilian career in aviation flying for Southwest Airlines. The years he spent in aviation started to seriously affect his ears. The situation reached the point where he grounded himself from flying any longer, for fear it was no longer possible without causing further damage to his ears. Slick arrived at our clinic looking for any possible help. We're happy to report that we have Slick flying again and he couldn't be happier. Slick graciously offered Dr. Rohe the opportunity of a lifetime to fly in this plane as a way of saying thanks for treating his tinnitus and keeping him up in the air. He recently told Dr. Rohe that all the time he spent flying was the equivalent of three full years in the air. That is quite an accomplishment.
The plane pictured below is a Pilatu PC-7, a turboprop with 750hp. If you are a pilot or a frequent flier that suffers from tinnitus, know that with the right guidance, you can absolutely keep flying! Thank you Slick.
Tinnitus, also known as "ringing in the ears" can be a frustrating and sometimes debilitating hearing condition. The good news is that there are experts who can help you manage your symptoms and lead a good quality life. There is no medication proven to help, and no surgical option that works, so treatment is focused on dealing with your emotions.
There are a few effective standalone treatments for tinnitus like TRT, CBT and Desyncra.
Tinnitus Retraining Therapy (TRT) is a neuromodulation technique, where an external sound is added to mask the ringing sound. This can bring relief to the person. In the long term, the sound therapy convinces the brain that the tinnitus sound is unimportant and therefore learns to ignore it.
CBT or Cognitive Behavioral Therapy as the name suggests looks at your emotional response to tinnitus. It identifies any distorted thinking, beliefs and reactions to the ringing sound and encourages a change of behavior. Very few clinics offer CBT for tinnitus. Dr. Rohe and his team are trained to utilize the CBT tools to address your concerns and relieve your tinnitus.
Desyncra™ is a sound therapy where the doctor first conducts pitch-matching tests to establish the frequency of the tinnitus tone that you are experiencing. This information is then fed to the software that tailors a pattern of therapeutic tones complementing that frequency. You can listen to your tailored therapeutic music which is quite soothing, through the Desyncra app. This therapy can be easily integrated into your daily routine and the instructions are simple. Over time, the nerve patterns would alter and the tinnitus sound would diminish.
In our clinic, Dr. Rohe has devised a highly effective practical program to treat tinnitus. It is personalized to the needs of his patients.
The Rohe Method®
Dr. Allen Rohe of Tinnitus & Hearing Center of Arizona has developed a treatment program called the Rohe Method® that has successfully improved the quality of life of many sufferers like you. It is based on mindfulness and has integrated the principles of cognitive behavior therapy.
It is quite an intensive eight-week program that uses a comprehensive step by step approach. The main focus of the Rohe Method is to understand your specific symptoms first. Your symptoms are due to a combination of the nerve connections and the psychology behind it. This program is specifically designed to desensitize your nervous system through a series of therapy sessions. The program targets specific areas of your brain and promotes rewiring and retraining through a systematic approach.
Retraining your brain is like learning a new language and also being emotionally detached to that irritating sound. For example, if your daily commute involves a train ride, or if you live near train tracks, you hardly ever ‘hear’ the noise of the train. This is because your ears have acclimatized to the entire railway commotion. Similarly, the Rohe Method helps you to get used to the tinnitus noise and allows you to emotionally get detached from it. As a result, you will feel much better. You would be able to sleep better and perform your daily activities better.
Despite no psychology sessions, the audiology team is aware that trauma may have caused your tinnitus like an accident, whiplash or bereavement. Treatment sessions are carried out with these sensitivities and patients can discuss their symptoms in detail. The team also specializes in dealing with musicians who have tinnitus, as well as people exposed to loud sounds. People with hereditary factors or accident victims may also suffer from tinnitus.
By the end of the program, you will have tools and strategies that will help you to manage your symptoms so effectively, that you will feel significantly relieved from the constant ringing sound. So far, the patient satisfaction of those who have completed the Rohe Method® has been very high. (Read testimonials here)
Dr. Rohe says, “The bottom line is that there is hope, and I’ve been very successful in helping patients regain control and enjoy their lives again.”
Read More about The Rohe Method® here.
Dr. Rohe conducts Tinnitus treatments both in his Tempe, Arizona clinic, as well as globally via Skype internet teleconference.
Contact Tinnitus & Hearing Center of Arizona at (480) 831-6159, or use our Contact Form here.
Last week, we talked about reducing your exposure to loud sounds by using custom earplugs that are more comfortable and perform far superior in terms of frequency response than the cheap foam earplugs. Any hearing protection is designed to reduce two things: hearing loss, and a hearing condition called tinnitus - also known as "ringing in the ears."
Tinnitus is often described as a phantom sound sensation where you hear ringing noises which are not caused by an outside source. It is a very common condition in which one in about every seven people experiences ringing sounds in their lifetime. This means millions are affected worldwide.
The exact cause of tinnitus is not known. Various conditions like exposure to very loud noise, certain strong medications, head or ear injuries, ear infection, bereavement or extreme stress are few of the factors that may cause tinnitus. It affects many musicians and those who work and live in noisy environments.
You are not alone
About 19% of Americans experience tinnitus in their lifetime and more than half do not seek help. Majority of sufferers are over 60 years of age. That said, tinnitus can affect people of all ages. Many tinnitus sufferers also suffer from severe depression, which is worrying. People describe the noises as ringing, roaring, hissing, whistling or whizzing. Daily life is severely affected and is often very distressing. Tinnitus can be an all-consuming phenomenon for the person. Constant ringing in your ears would naturally be an irritant that would consequently lead to a lack of concentration, lack of sleep, fatigue, and anger.
Surprisingly, most people resign to the fact that nothing can be done and learn to live with it. There is a feeling of hopelessness and wish that one day it will disappear on its own.
This is not true.
What can you do?
There are many effective ways in which experts can resolve your problem. These are easily available in a specialized audiology clinic like ourselves. Since we perform Tinnitus Treatment in our Tempe office, as well as online remotely from any location via Skype, there are several options to choose from. You can read more about those options here.
Tinnitus cannot be treated using medicine or surgical intervention, but there are effective ways to manage this condition. Expert audiologists can provide effective tools and self-control techniques that can modify the way you react to the ringing sensation.
There are standalone techniques available like Cognitive Behavior Therapy (CBT) and Tinnitus Retraining Therapy (TRT). These techniques either modify the persons’ behavior or mask the sound, which in turn provides relief.
In our clinic, we are in the enviable position to offer another technique which is a unique treatment method called the Rohe Method. This trademarked method, designed by our own Dr. Allen Rohe, combines the main principals of these standalone therapies and personalizes it for you to get maximum benefit.
Essentially, it is a method used to retrain the brain, desensitize the nervous system and emotionally separate the patient from the ringing sound. Regardless of what’s causing your tinnitus, and the nature and extent of the tinnitus, we would be able to address your individual concerns with the help of this program.
Tinnitus is the sensation of noise or "ringing" in the ears - a common problem that affects approximately 15 to 20 percent of individuals, so roughly 1 out of 6 people suffer from it. With those kinds of numbers, we feel it's a topic worth exploring, and in fact, it's an important part of our practice at Tinnitus & Hearing Center of Arizona. The Rohe Method® of Tinnitus Treatment was created as a unique blend of Cognitive Behavior Therapy (CBT) and Tinnitus Retraining Therapy to facilitate retraining the brain. Retraining activates plasticity in the brain, which allows the nervous system to change its function in various ways, typically for learning or self-repair.
Tinnitus is not an actual condition; it is a symptom of some type of underlying condition, such as an ear injury, circulatory system disorder or age-related hearing loss.
Although tinnitus is annoying and can be incredibly frustrating, in the majority of cases it is not normally a sign of anything physically serious. It may worsen with age, for some individuals; if treated, tinnitus may improve. Sometimes it helps to treat an identified underlying cause such as a hearing loss or TMJ disorder, which a trained audiologist can help identify. Other treatments mask or reduce the noise, which can make tinnitus less intrusive and bothersome.
The Two Types of Tinnitus
There are two types of tinnitus: One type is called subjective tinnitus, which is the type of tinnitus that only can be heard by you. It is the most common form of tinnitus. This may be caused by problems in the inner, middle or outer ear. It may be caused by problems with the part of the brain where the nerve signals are interpreted in the form of sound (auditory pathways) or with the hearing (auditory) nerves themselves.
Objective tinnitus is the type of tinnitus that your doctor is able to hear when she or he performs an examination. It is a non-ringing sound - more typically rushing, clicking, thumping, or other atonal sounds. It is a less common type of tinnitus that might be caused by vascular issues such as turbulent blood flow through blood vessels in the neck or abnormal muscle contractions (activated by grinding your teeth for instance) that compresses some part of the auditory system. This type of tinnitus more often has an identifiable cause and may be treatable.
When you should visit your Audiologist about your Tinnitus
What Causes Tinnitus?
Cell damage within the inner ear hair is one of the most common causes of tinnitus. Delicate, tiny hairs within the inner ear known as the cilia move in relation to sound wave pressure. That triggers cells to release an electrical signal via a nerve in the ear (auditory nerve) over to the brain. Those signals are interpreted by the brain as sound. If the hairs inside of the inner ear are broken or bent, random electrical impulses may be leaked to the brain and cause tinnitus.
Other issues that cause tinnitus include chronic health conditions, other ear problems and conditions or injuries that affect the hearing center inside the brain or the nerves inside the ear. Many health conditions may cause or even worsen tinnitus. An exact cause, in many cases, is never found.
Other Tinnitus Causes
Some other common causes of tinnitus include the following:
Pulsatile Tinnitus and the Link with Blood Vessel Disorders
A blood vessel disorder may cause tinnitus in rare cases. The type of tinnitus is referred to as pulsatile tinnitus. The causes may include the following:
Medications that may cause tinnitus
There are a number of different medications that may worsen or cause tinnitus. In general, the higher the dose of the medication, the worse the tinnitus will become. Frequently, the unwanted noise will disappear once you stop using the drug. Some of the medications that are known to cause or make tinnitus worse include the following:
Also, some herbal supplements may cause tinnitus, as well as caffeine and nicotine.
Anybody may develop tinnitus. However, the following factors can increase your risk:
The Impact of Tinnitus
Tinnitus may have a significant impact on your quality of life. Although it can affect various people in different ways, if you develop tinnitus, you might experience any of the following as well:
Treating those linked conditions might not directly affect tinnitus, but can improve how you feel.
Tinnitus in many cases is caused by something that cannot be prevented. However, there are still precautions that may be taken to help prevent certain types of tinnitus from developing.
What To Do About Your Tinnitus
Tinnitus can be successfully managed and thankfully there are a variety of therapies and tinnitus treatments that you can read about in detail here. These include:
The good news is that there is hope and relief for tinnitus, and research continues to progress. Some exciting research to watch is going on in Ireland at this time, https://www.neuromoddevices.com/.
It's worth mentioning here that Dr. Rohe is currently the only audiologist in the US that is trained and experienced in audiology, Tinnitus Retraining Therapy and Cognitive Behavior Therapy, making him uniquely qualified to address all aspects and options for your tinnitus treatment, whether in his Tempe AZ clinic, or online via Skype conference.
To schedule a consultation, please call the Tinnitus & Hearing Center of Arizona at (480) 831-6159, or use their online scheduler here.
This link between developing hearing loss and being a practicing professional musician held up after the statistics were adjusted by researchers so they were not skewed by gender or age.
It was noted by researchers that earlier studies had suggested that individuals exposed to music long-term had developed increased hearing sensitivity, like being able to hear an entire range of sound.
In a news release, the authors wrote that their data suggested that the risks of hearing loss induced by music in professional musicians outweighed their potential hearing ability benefits. They added that given the high number of practicing professional musicians and the outcome's severity, that can lead to occupational disability and a serious loss in quality of life, this group's hearing loss is of high importance to public health.
So what steps can be taken to help to prevent hearing loss in musicians? The research of the study suggested that hearing protection should be more widely used and concert hall designs should be developed to shield musicians away from the sounds they are producing.
Chris Martin of Coldplay Speaks Out
Have you experienced any ringing in your ears after you have gone to a loud concert? Chris Martin, pianist and singer from the band Coldplay had some good advice: Make sure to wear hearing protection. He has tinnitus, which is a feeling of buzzing, hissing, clicking, roaring, or ringing inside your hears. Frequently this is caused by your ears being exposed to an excessive amount of loud noise.
Were you aware that listening to music on personal players for extended amounts of time, at an excessive volume, may damage your hearing? Over time that damage can add up, and it is permanent damage. Protect your hearing today in order to continue to enjoy the music that you love.
Decibels are used for measuring sound. Your hearing may be damaged by any sounds at 85 decibels or higher. On mobile devices, the volume can sometimes go up to 105 decibels!
Use the following smart listening tips and protect your hearing:
Here at the Tinnitus and Hearing Center of Arizona, located in Tempe, we offer custom fit musician earplugs. These are specially deigned earplugs to seal out the maximum level of sound, yet still have a flat frequency perception. It's like turning down the volume on everything! It's especially great for concerts, sports events, movie theaters, restaurants, band rehearsal, and more.
We also are considered the "Musician's Clinic" since we cater to so many musicians and their unique hearing needs. We are distributors for JH Audio and Sensaphonic in-ear monitors for stage use.
Read more about both at our website here: https://www.tinnitusaz.com/musicians-clinic.html
Contact us for a consultation, hearing tests, tinnitus treatment, hearing conditions, and much more. (480) 831-6159.
Dr. Rohe is a nationally-recognized audiologist specializing in Tinnitus Therapy and other hearing conditions.