Understanding tinnitus and treatment options available to silence your pain

FEATURE — It is estimated that nearly 50,000,000 American adults live with tinnitus.

Tinnitus is simply described as the experience of hearing a sound in your ears, sometimes in your head. Tinnitus is also experienced by approximately 80% of people living with hearing loss.

Some only notice their tinnitus in a quiet room, whereas many others experience the sound all day long and it can interfere with daily life. The sound can cause depression, anxiety and affect concentration.

Nearly every patient with tinnitus is seeking the answers to why they have the ringing and how they can get rid of it. Those are not the easiest questions to answer. However, in the vast majority of cases, tinnitus is the result of hearing loss (that causes a breakdown in neural connections within the brain) and yes there are very effective treatments available.

The initial cause of the hearing loss can vary – aging, noise exposure, certain medications, virus and other reasons – but the result is nearly the same: ringing in the ears and head that can be treated in most patients. 

A smaller percentage of tinnitus cases are the result of other medical conditions that include:  

  • Hypertension (high blood pressure).
  • Thyroid disease.
  • Vascular disorder. 
  • Temporomandibular joint disorder. 

In some patients, prescription and over-the-counter drugs can result in damage to the auditory system and cause or exacerbate tinnitus. Several hundred drugs listed in the Physician’s Desk Reference cite tinnitus as a side effect. In some, but very few of these cases, the tinnitus may reduce or disappear when the prescribed medication is discontinued.

The theory of tinnitus

Tinnitus is most often the result of a “central gain” in neural activity that occurs when there is a loss of proper neural stimulation from the ear – for example, after there is damage to the hair cells and nerves connecting the ear to the brain. More simply, when the brain is not properly stimulated in individuals with hearing loss, even a mild hearing loss, the brain will increase activity to make up for the missing input.

That central gain is neurologically analogous to “phantom limb” phenomenon studied in neurology. In cases where damage occurs to the peripheral nervous system, like when a solider loses a limb in battle, the central nervous system – that is, the brain – will undergo adaptive changes that can often result in the perception of pain.

Our ears do not have traditional pain receptors, rather the perception of pain that results from damage to the ear is perceived as a phantom sound, like tinnitus. As the brain tries to adapt to the lack of proper stimulation from the ears, it will begin to experience a gain of activity that results in our perception of sound.

Unfortunately, too many patients think there is nothing that can be done about the ringing. Frankly, in most cases, that just isn’t true. Below are some of the most effective treatment options available for managing tinnitus. 

Tinnitus and neurotechnology 

The most effective treatment option available for patients suffering with tinnitus is technology capable of stimulating the auditory system. That technology is an FDA-approved treatment for individuals with tinnitus.

Many studies have indicated that patients who use tinnitus support technology have a significant reduction in their daily tinnitus experience, with some even reporting that the ringing is gone all day.

Tinnitus and brain training

Tinnitus can plague patients and a limited number may not perceive a significant difference with the use of neurotechnology to restore stimulation to the auditory system and brain. Fortunately, exciting new research was recently published in the Journal of American Medical Association pointing to a new BrainHQ game that can significantly reduce a patient’s perception of tinnitus. 

“Researchers found that patients with tinnitus, in the group with tinnitus, had improvements in tinnitus perception, memory attention, and concentration as compared with patients in the control group,” said Dr. Jay Piccirillo, an otolaryngologist.

There is still significant research to be done in this area. There needs to be new exercises and improvements to the existing set but seeing brain plasticity in patients with tinnitus is a great start.

Click here to learn more with a free tinnitus report.

Written by KEITH N. DARROW, Ph.D., Harvard Medical and M.I.T. trained neuroscientist, director of audiology research at Intermountain Audiology.

Resources

St. George Clinic | Address: 161 W. 200 North, Suite No. 100, St. George | Telephone: 435-228-5568Website

Cedar City Clinic | Address: 1277 N. Northfield Road, No. A220, Cedar City  | Telephone: 435-633-4684Website

Richfield Clinic | Address: 1090 Cove View Road, Richfield | Telephone: 435-681-9491Website

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