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, instead 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 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 as well by problems with the part of the brain where 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 of 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 less 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, and also 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:
It's worth mentioning here that Dr. Rohe is currently the only audiologist in the US that is trained and experienced in both audiology 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, call Tinnitus & Hearing Center of Arizona at (480) 831-6159, or use their online scheduler here.
Dr. Rohe is a nationally-recognized audiologist specializing in Tinnitus Therapy and other hearing conditions.