What Is Tinnitus?

Though the common misconception about tinnitus is that it’s a disease, tinnitus is actually a medical condition characterized by persistent ringing in one or both ears that can only be heard by the affected individual.

Many who suffer from tinnitus describe the annoying sound as ringing in the ear, but some people hear hissing, roaring, whistling, chirping or clicking rather than ringing. For some, these sounds come and go. But most are not that lucky, and will experience symptoms 24 hours a day, seven days a week.

These phantom sounds may cause only a slight annoyance, or they may severely disrupt everyday life. The American Tinnitus Association estimates more than 50 million Americans suffer from at least occasional bouts of tinnitus.

How Can We Help?

The Tinnitus & Sound Sensitivity Treatment Center of Philadelphia, PC was established in 1993, by Dr. Brenner due to the growing need for the evaluation and management of Tinnitus (ear/head noises) and for issues related to decreased tolerance to sound (DST).

Dr. Gail B. Brenner is a nationally and internationally recognized clinical professional in her field. She completed specialized training for Tinnitus Retraining Therapy (TRT) at the University of Maryland in Baltimore under the instruction of Dr. Pawel Jastreboff. She is the only specialist in the Philadelphia region offering the TRT protocol. In addition, she offers other modalities, as needed. Dr. Brenner has made a long-term commitment to the treatment of tinnitus and decreased sound tolerance by establishing the Tinnitus & Sound Sensitivity Treatment Center of Philadelphia, PC.

What Causes Tinnitus?

There are a number of causes, with the most common being exposure to loud noise for a prolonged period of time. In this case, your hearing may be temporarily or permanently damaged, depending upon the severity of the sound.

We can’t always tell whether your temporary damage will become permanent, but tinnitus is usually representative of an inner-ear problem. Tinnitus research is ongoing, and the mechanisms that cause tinnitus in the brain and inner ear are being more closely studied. Some possible causes are:

Loud noises can be a cause of tinnitus

Exposure to loud noise

Some medications can be a cause of tinnitus

Certain medications

Diet can be a cause of tinnitus

Diet

Head Trauma can be a cause of tinnitus

Head Trauma

Stress can be a cause of tinnitus

Stress

Blockage can be a cause of tinnitus

Eardrum blockage

Jaw joint disorders can be a cause of tinnitus

Jaw joint disorders

Hearing Loss can be a cause of tinnitus

Hearing loss

In rare cases, tinnitus may be caused by a blood vessel disorder, resulting in pulsatile tinnitus. This type of tinnitus may be caused by a head or neck tumor, a buildup of cholesterol in the circulatory system, high blood pressure, turbulent blood flow, or malformation of the capillaries surrounding the ear. The result is a tinnitus that sends out pulsing signals in conjunction with the flow of your heartbeat.

What Are the Treatment Options for Tinnitus?

Diagnostic testing and an evaluation by an otologist will rule out possible medical factors that could be causing or contributing to your tinnitus. Because your tinnitus symptoms are personal and unique in nature, an in-depth evaluation will help us create a specialized treatment plan for you.

Although there isn’t a single cure for tinnitus, our audiologists have the knowledge and experience to provide you with treatment methods that can help lessen the impact that tinnitus has on your life. In many cases, the distressing combination of tinnitus and hearing loss can be relieved with AGX® hearing technology.

The number-one treatment for tinnitus for those who also experience hearing loss is the use of a personal hearing system, which can improve your hearing and often reduce or eliminate your perception of tinnitus. There are a number of treatment options, including:

AGX Hearing TechnologyAGX hearing technology: The top treatment for those who experience hearing loss, which can both improve overall hearing ability and eliminate the perception of ringing.

MaskingMasking: An electronic device called a masker may be worn to distract from the ringing sensation. Maskers fit in the ear similarly to hearing aids and produce low-level sounds. In addition, bedside sound generators and other devices can also help remove the perception of ringing.

Tinnitus retraining therapyTinnitus Retraining Therapy: A therapeutic process in which we specialize, and has given relief to many of our patients. Our process is a combination of sound therapy and counseling, which alters the brain’s neural signals and weakens the perception of tinnitus, allowing you to live your daily life far more peacefully.

Cognitive behavioral therapyCognitive Behavioral Therapy: A type of counseling that helps to change the body’s emotional reaction to tinnitus by altering negative thought patterns and helping to relieve stress.

Frequently Asked Questions

Are there medications for tinnitus?
Almost all of the “surefire” remedies for tinnitus found on the Internet are based on junk science, case studies, or no real evidence at all. But there are some things you can try to help lessen symptoms, including: limiting exposure to loud noises, lowering your blood pressure, ingesting less salt, and limiting exposure to alcohol
Can tinnitus be cured?
Current research by neurologists suggests that altering certain areas of the brain that respond to sound — or a lack thereof — may provide relief. Experiments to regrow broken hair cells have also been performed. Regrowth of hair cells means that hearing is restored, which prevents the brain from attempting to fill the void left by a lack of hair cells, ultimately ending tinnitus. Both theories are likely years away from clinical trials, which means a greater period of time until any possible cure hits the market. Curing tinnitus may be possible, but likely not in the near future.
Can tinnitus be directly measured?
Rarely. There is a form of tinnitus referred to as “objective tinnitus” that your doctor can hear. This is typically the result of a blood vessel problem, an inner ear bone condition, or muscle contractions.
Does tinnitus cause hearing loss?
No. Tinnitus is a symptom of any number of conditions, including hearing loss.
Why is tinnitus worse at night?
In our daily lives, sounds around us typically mask tinnitus to some degree. At night, when things are quiet, there’s less noise and fewer mental distractions. If your tinnitus is stress-related, it’s also possible that the cumulative stress of your day has made your symptoms worse.