Szumy uszne
Leczenie

Szumy uszne (tinnitus) to percepcja dźwięku bez zewnętrznego źródła, często związana z utratą słuchu, ekspozycją na hałas, zaburzeniami naczyniowymi czy schorzeniami stawu skroniowo-żuchwowego. Szacuje się, że dotykają około 11% dorosłych, z czego 41% doświadcza ich stale. Diagnostyka opiera się na wywiadzie, badaniu audiologicznym oraz ocenie nasilenia objawów za pomocą kwestionariuszy takich jak Tinnitus Handicap Inventory. Leczenie jest wieloaspektowe i obejmuje terapie dźwiękowe (maskowanie, habituacja/TRT, bimodalna neuromodulacja), aparaty słuchowe (skuteczne u 60-80% pacjentów), terapię poznawczo-behawioralną (CBT) oraz interwencje medyczne i chirurgiczne, np. usuwanie woskowiny, leczenie TMD czy iniekcje deksametazonu. CBT wykazuje umiarkowaną do wysokiej jakości dowody skuteczności w redukcji dystresu związanego z tinnitus, koncentrując się na adaptacji poznawczej, a TRT może przynieść poprawę u 74-84% pacjentów.

Szumy uszne – wprowadzenie

Szumy uszne (tinnitus) definiuje się jako percepcję dźwięku bez obecności zewnętrznego źródła dźwięku. Doświadczenie to może przybierać formę dzwonienia, brzęczenia, syczenia, szumu lub innych dźwięków w jednym lub obu uszach. Szacuje się, że około 11% dorosłych Amerykanów doświadcza szumów usznych, a 41% z nich słyszy dźwięki stale, a nie sporadycznie1. Szumy uszne mogą znacząco wpływać na jakość życia, powodując problemy ze snem, koncentracją, a także wywoływać stany lękowe i depresyjne2.

Aktualnie nie istnieje lek na szumy uszne, ale dostępne są różne metody terapeutyczne, które mogą pomóc w zmniejszeniu nasilenia objawów i ich wpływu na codzienne funkcjonowanie34. Leczenie szumów usznych zależy od przyczyny ich wystąpienia. W niektórych przypadkach może być możliwe zidentyfikowanie i leczenie schorzenia podstawowego, które wywołuje szumy uszne, ale często przyczyna pozostaje nieznana5.

Przyczyny szumów usznych

Szumy uszne najczęściej związane są z utratą słuchu, choć mogą być objawem różnych schorzeń naczyniowych lub neurologicznych6. Do najczęstszych przyczyn szumów usznych zalicza się:

  • Utratę słuchu związaną z wiekiem7
  • Ekspozycję na hałas8
  • Czynniki genetyczne8
  • Uraz ucha lub głowy9
  • Zaburzenia układu krążenia9
  • Nagromadzenie woskowiny usznej10
  • Zaburzenia stawu skroniowo-żuchwowego (TMD)11
  • Skutki uboczne niektórych leków9

Diagnostyka szumów usznych

Diagnoza szumów usznych opiera się głównie na objawach zgłaszanych przez pacjenta, ale lekarz będzie również próbował zidentyfikować ewentualną przyczynę leżącą u podstaw tego problemu5. Kompleksowa ocena diagnostyczna powinna obejmować:

  • Dokładny wywiad medyczny i badanie fizykalne12
  • Badanie audiologiczne przeprowadzone przez audiologa13
  • Ocenę nasilenia szumów usznych przy użyciu standaryzowanych kwestionariuszy (np. Tinnitus Handicap Inventory)12
  • W niektórych przypadkach – badania obrazowe lub inne badania diagnostyczne w celu wykluczenia konkretnych przyczyn14

Podejścia terapeutyczne do szumów usznych

Celem wszystkich dostępnych obecnie opcji leczenia szumów usznych jest zmniejszenie postrzeganego obciążenia szumami usznymi, co pozwala pacjentowi prowadzić bardziej komfortowe i satysfakcjonujące życie15. Dostępne metody leczenia nie są „lekami” – nie usuwają one podstawowych przyczyn szumów usznych ani nie eliminują sygnału szumu w mózgu. Zamiast tego odnoszą się do uwagowych, emocjonalnych i poznawczych skutków szumów usznych15.

Terapia dźwiękowa

Terapie dźwiękowe opierają się częściowo na poglądzie, że szumy uszne wynikają ze zmian w obwodach neuronalnych w mózgu spowodowanych utratą słuchu. Pewne dowody sugerują, że ekspozycja na dźwięk może odwrócić niektóre z tych zmian neuronalnych i pomóc uciszyć szumy uszne3. Do najczęstszych form terapii dźwiękowej należą:

  • Maskowanie – polega na eksponowaniu osoby na dźwięki tła, takie jak biały szum, dźwięki natury lub dźwięki otoczenia, aby zamaskować szumy uszne lub odwrócić od nich uwagę16. Masker szumów usznych to urządzenie elektroniczne, które wygląda podobnie do aparatu słuchowego i generuje dźwięki o niskim poziomie17.
  • Habituacja (znana również jako terapia przekształcania szumów usznych – Tinnitus Retraining Therapy, TRT) – proces, który trenuje mózg, aby przyzwyczaił się do szumów usznych16. TRT łączy wykorzystanie tradycyjnego poradnictwa CBT z uzupełniającym maskowaniem dźwięku, aby przyzwyczaić pacjentów do szumów usznych18.
  • Bimodalna neuromodulacja – nowatorskie podejście, które łączy stymulację dwóch dróg sensorycznych w celu zmiany aktywności mózgu i zmniejszenia wpływu szumów usznych19. Przykładem jest urządzenie Lenire, które łączy terapię dźwiękową z elektryczną stymulacją języka20.

Aparaty słuchowe i urządzenia maskujące

Dla wielu osób cierpiących na szumy uszne z towarzyszącą utratą słuchu, aparaty słuchowe mogą być skuteczną metodą leczenia10:

  • Aparaty słuchowe wzmacniają dźwięki zewnętrzne, co może pomóc zamaskować lub zmniejszyć percepcję szumów usznych21.
  • Niektóre aparaty słuchowe posiadają wbudowane funkcje terapii szumów usznych, takie jak generatory dźwięków22.
  • Badania wykazują, że około 60-80% osób z szumami usznymi doświadcza zmniejszenia objawów podczas noszenia odpowiednio zaprogramowanych aparatów słuchowych19.

Urządzenia maskujące to specjalne generatory dźwięków, które można nosić w uchu lub umieścić przy łóżku, aby zagłuszyć szumy uszne23. Dostępne są także inne urządzenia generujące dźwięki, takie jak:

  • Stołowe generatory szumów22
  • Domowi asystenci głosowi22
  • Głośniki do poduszek22
  • Słuchawki opaskowe22
  • Słuchawki kostne22
  • Bezprzewodowe słuchawki douszne22
  • Aplikacje dźwiękowe na urządzeniach mobilnych22

Terapia poznawczo-behawioralna (CBT)

Terapia poznawczo-behawioralna (CBT) jest jedyną metodą leczenia, która w oparciu o dowody naukowe o umiarkowanej do wysokiej jakości wykazała korzyści w leczeniu szumów usznych, często określanych jako dystres związany z szumami usznymi, mierzony za pomocą kwestionariuszy samooceny pacjenta, takich jak Tinnitus Handicap Inventory lub Tinnitus Questionnaire12.

CBT dla szumów usznych koncentruje się na zmniejszeniu stresu i niepełnosprawności wywołanej przez szumy uszne. Celem CBT nie jest zmniejszenie akustycznych cech schorzenia, takich jak głośność czy wysokość dźwięku, ale pomoc pacjentom, którzy napotykają konkretne trudności w codziennych sytuacjach, poprzez konstruowanie bardziej pozytywnych i realistycznych myśli na temat ich sytuacji24.

Wyniki przeglądów meta-analitycznych wykazały, że CBT jest skuteczna w łagodzeniu irytacji spowodowanej szumami usznymi i ma pewne pozytywne efekty na inne objawy emocjonalne24. W trakcie sesji CBT pacjent i terapeuta współpracują, aby zidentyfikować automatyczne dysfunkcyjne myśli i rozwinąć bardziej adaptacyjne sposoby myślenia i reagowania na szumy uszne25.

Terapia przekształcania szumów usznych (TRT)

Terapia przekształcania szumów usznych (TRT) to forma terapii habituacyjnej zaprojektowana, aby pomóc osobom z szumami usznymi26. TRT łączy poradnictwo z terapią dźwiękową, aby pomóc pacjentom stopniowo stać się mniej świadomymi swoich szumów usznych27.

TRT opiera się na założeniu, że szumy uszne wynikają z nieprawidłowej aktywności neuronalnej4. Dwa kluczowe komponenty TRT bezpośrednio wynikają z neurofizjologicznego modelu szumów usznych:

  • Ukierunkowane poradnictwo – ma na celu pomóc osobie cierpiącej przeklasyfikować szumy uszne do kategorii neutralnych sygnałów26.
  • Terapia dźwiękowa – osłabia aktywność neuronalną związaną z szumami usznymi26.

Celem TRT jest umożliwienie osobie zarządzania swoją reakcją na szumy uszne: przyzwyczajenie się do nich i przywrócenie nienaruszonej percepcji26. Przegląd badań nad TRT wskazuje, że może ona być bardziej skuteczna niż maskowanie szumów usznych26.

TRT może skutkować zauważalną poprawą dla każdego rodzaju szumów usznych w 74-84% przypadków, gdy osoby ukończą terapię28. Według badania z 2019 roku, TRT może być najbardziej skuteczna dla osoby z ciężkimi szumami usznymi, a kontynuacja leczenia za pomocą TRT może zapewnić najlepsze wyniki28.

Inne metody terapeutyczne

Oprócz głównych metod leczenia szumów usznych, istnieją także inne podejścia terapeutyczne:

  • Progresywne zarządzanie szumami usznymi (PTM) – stopniowe podejście do leczenia szumów usznych, które obejmuje kompleksową edukację pacjenta, terapię behawioralną i, w stosownych przypadkach, uzupełniającą terapię dźwiękową18. Program ten został przyjęty w całym kraju zarówno w klinikach VA, jak i Departamentu Obrony, aby leczyć szumy uszne29.
  • Mindfulness-Based Stress Reduction (MBSR) – uczy pacjentów pełnego akceptowania, obejmowania i kontrolowania swojego doświadczenia18. MBSR okazało się skuteczne dla wielu osób30.
  • Terapia Akceptacji i Zaangażowania (ACT) – podkreśla potrzebę zmniejszenia doświadczeniowego unikania szumów usznych18.
  • Terapia Aktywności dla Szumów Usznych (TAT) – podejście oparte na uczeniu się przyrostowym, które bada cztery obszary wpływu szumów usznych: myśli i emocje, słuch i komunikację, sen i koncentrację18.

Farmakoterapia

Nie istnieją obecnie leki specjalnie zatwierdzone do leczenia szumów usznych, ale lekarz może przepisać leki przeciwdepresyjne lub przeciwlękowe, aby poprawić nastrój lub pomóc w zasypianiu3. Leki mogą nie wyleczyć szumów usznych, ale w niektórych przypadkach mogą pomóc zmniejszyć nasilenie objawów lub powikłań5.

Benzodiazepiny nie są zalecane w leczeniu szumów usznych12. Leki przeciwdrgawkowe, w tym gabapentyna (Neurontin), karbamazepina (Tegretol), lamotrygina (Lamictal) i akamprozat (Campral), zostały przebadane na małą skalę i okazały się nieskuteczne w leczeniu szumów usznych, przy wysokim wskaźniku działań niepożądanych12.

Zabiegi medyczne i chirurgiczne

W niektórych przypadkach szumów usznych mogą być stosowane zabiegi medyczne lub chirurgiczne:

  • Usuwanie woskowiny usznej – jeśli szumy uszne są spowodowane nadmiernym nagromadzeniem woskowiny, jej usunięcie może złagodzić objawy9.
  • Leczenie zaburzeń naczyniowych – niektóre zaburzenia naczyniowe mogą powodować, że ludzie słyszą wewnętrzne dźwięki, więc może być konieczne leczenie, takie jak leki lub operacja9.
  • Iniekcje deksametazonu – wahania słuchu i wynikające z nich szumy uszne mogą być leczone serią iniekcji Deksametazonu (silnego steroidu) z 85-procentową szansą na zmniejszenie objawów szumów usznych31.
  • Leczenie zaburzeń stawu skroniowo-żuchwowego (TMD) – leczenie TMD wykazało poprawę objawów związanych z szumami usznymi. Średnio 69% pacjentów zgłosiło poprawę lub ustąpienie szumów usznych po leczeniu zaburzeń stawu skroniowo-żuchwowego30.
  • Implanty ślimakowe – te urządzenia, wszczepiane do ucha, są głównie stosowane w leczeniu ciężkiej głuchoty, ale mogą również pomóc w leczeniu szumów usznych1732.

Obiecujące nowe podejścia

Badacze ciągle poszukują nowych metod leczenia szumów usznych. Oto kilka obiecujących kierunków badań:

  • Bimodalna neuromodulacja – urządzenie Lenire, zatwierdzone przez FDA w marcu 2023 roku, łączy stymulację dźwiękową z elektryczną stymulacją języka. Badanie kliniczne wykazało, że 84% osób, które używały urządzenia, doświadczyło znacznego zmniejszenia objawów20.
  • Stymulacja magnetyczna lub elektryczna mózgu – badacze sprawdzają, czy stymulacja magnetyczna lub elektryczna mózgu może pomóc złagodzić objawy szumów usznych5.
  • Terapia regeneracyjna – firma biotechnologiczna Frequency Therapeutics pracuje nad odwróceniem utraty słuchu (i potencjalnie szumów usznych) za pomocą nowego rodzaju terapii regeneracyjnej, wykorzystującej małe cząsteczki do programowania komórek progenitorowych w uchu wewnętrznym, aby tworzyły małe komórki włosowe, które umożliwiają nam słyszenie33.

Kompleksowe podejście do leczenia

Skuteczne leczenie szumów usznych często wymaga podejścia wielodyscyplinarnego, obejmującego różnych specjalistów i łączącego różne metody terapeutyczne32. Zespół specjalistów może obejmować:

  • Audiologów34
  • Otolaryngologów (lekarzy specjalizujących się w chorobach uszu, nosa i gardła)14
  • Neurologów14
  • Psychiatrów lub psychologów32
  • Dentystów (w przypadku problemów z TMD)35
  • Fizjoterapeutów35

Kompleksowe programy leczenia szumów usznych mogą obejmować:

  • Szczegółową ocenę audiologiczną i medyczną34
  • Indywidualnie dobrane aparaty słuchowe lub urządzenia maskujące35
  • Terapię poznawczo-behawioralną36
  • Trening uważności i techniki relaksacyjne35
  • Modyfikacje stylu życia i diety17
  • Regularne wizyty kontrolne w celu monitorowania postępów i dostosowywania planu leczenia34

Praktyczne wskazówki dla pacjentów

Poza profesjonalnymi metodami leczenia, osoby z szumami usznymi mogą podjąć pewne kroki w celu złagodzenia objawów:

  • Unikaj ekspozycji na głośne dźwięki – używaj ochronników słuchu w hałaśliwym środowisku37.
  • Zarządzaj stresem – stres może nasilić szumy uszne, dlatego techniki relaksacyjne mogą pomóc17.
  • Ogranicz spożycie soli – niektórzy pacjenci zauważają poprawę po zredukowaniu ilości soli w diecie37.
  • Ogranicz alkohol, kofeinę i nikotynę – te substancje mogą pogorszyć objawy38.
  • Zadbaj o zdrowy sen – problemy ze snem mogą nasilić percepcję szumów usznych39.
  • Regularna aktywność fizyczna – ćwiczenia to kluczowy sposób na radzenie sobie ze stresem i są dobre zarówno dla mózgu, jak i ciała37.

Szumy uszne – perspektywy leczenia

Chociaż nie ma obecnie lekarstwa na szumy uszne, istnieje wiele metod leczenia, które mogą pomóc w zarządzaniu objawami i poprawie jakości życia40. Skuteczne leczenie często wymaga indywidualnego podejścia, ponieważ żadne dwa przypadki szumów usznych nie są takie same15.

Osoby cierpiące na szumy uszne powinny współpracować ze swoimi lekarzami w celu określenia najbardziej odpowiedniej strategii leczenia dla ich konkretnego przypadku15. Z odpowiednim leczeniem i wsparciem, wiele osób z szumami usznymi może nauczyć się skutecznie zarządzać swoimi objawami i prowadzić pełne, aktywne życie15.

Badania nad nowymi metodami leczenia szumów usznych są kontynuowane, a zrozumienie podstawowych mechanizmów tego schorzenia ciągle się rozwija, dając nadzieję na bardziej skuteczne terapie w przyszłości20.

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 What Can You Do About Tinnitus? – The New York Times
    https://www.nytimes.com/2025/04/29/well/live/tinnitus-treatment-options.html
    Tinnitus is the experience of hearing phantom noises, typically in the form of ringing, buzzing or roaring sounds. It is a common and usually harmless condition. According to a 2024 analysis, about 11 percent of American adults experience tinnitus, and 41 percent of them hear noises constantly rather than intermittently. […] It’s rare for tinnitus to be cured, but a person’s prognosis depends on what is causing the symptoms. Even if it’s not curable, “there are a lot of good ways to manage it,” said Dr. Mohamed Elrakhawy, an ear, nose and throat (or E.N.T.) doctor at Rush University Medical Center in Chicago. […] Typically, tinnitus treatments for people with hearing loss are aimed at reducing the impact on their daily lives, particularly on sleep and their ability to work, Dr. Lin said. One popular approach, he said, involves listening to masking sounds such as white noise, ocean or rain sounds, music and the sounds of fans or humidifiers, which can make tinnitus less noticeable.
  • #2 Lenire ® – Tinnitus Treatment Using Bimodal Neuromodulation
    https://www.lenire.com/
    Tinnitus can be distressing and cause sleep, social and concentration issues. Lenire soothes tinnitus so you can live life your way. […] Lenires dual mode stimulation has been proven safe and more effective than sound-only therapy for moderate or worse tinnitus. […] Lenire is first and only dual mode technology for the treatment of tinnitus granted US FDA approval. Large scale clinical trial results show the device to be a safe and effective tinnitus treatment. […] 80% of Lenires first clinical trial patients had a reduction in tinnitus severity that sustained for at least 12 months after treatment. […] 91% of Lenires second clinical trial patients had a reduction in tinnitus severity that sustained for at least 12 months after treatment. […] Majority of patients with moderate or worse tinnitus had significant relief using Lenire when sound-only had no meaningful impact.
  • #3 What Is Tinnitus? — Causes and Treatment | NIDCD
    https://www.nidcd.nih.gov/health/tinnitus
    Currently, there is no cure for tinnitus, but there are ways to reduce symptoms. Common approaches include the use of sound therapy devices (including hearing aids), behavioral therapies, and medications. […] When tinnitus has an underlying physiological cause, such as earwax or jaw joint problems, addressing the cause can eliminate or greatly reduce symptoms. But for many people, symptoms can persist for months or even years. There are several ways to lessen the impact of tinnitus. Below are some of the treatments that your doctor may recommend. […] Sound therapies are based partly on the view that tinnitus stems from changes in neural circuits in the brain brought on by hearing loss. Some evidence suggests that exposure to sound can reverse some of these neural changes and help silence tinnitus.
  • #3 What Is Tinnitus? — Causes and Treatment | NIDCD
    https://www.nidcd.nih.gov/health/tinnitus
    Counseling can improve your well-being by helping you reduce the impact of tinnitus on your life. […] Tinnitus retraining therapy uses counseling and sound therapy to retrain the brain, both emotionally and physiologically, so that you no longer notice your tinnitus. […] There are no medications specifically for treating tinnitus, but your doctor may prescribe antidepressants or anti-anxiety medications to improve your mood or help you sleep.
  • #4 Tinnitus: Ringing in the ears and what to do about it – Harvard Health
    https://www.health.harvard.edu/newsletter_article/tinnitus-ringing-in-the-ears-and-what-to-do-about-it
    Tinnitus (pronounced tih-NITE-us or TIN-ih-tus) is sound in the head with no external source. […] While there’s no cure for chronic tinnitus, it often becomes less noticeable and more manageable over time. […] The course of chronic tinnitus is unpredictable. Sometimes the symptoms remain the same, and sometimes they get worse. In about 10% of cases, the condition interferes with everyday life so much that professional help is needed. […] If you develop tinnitus, it’s important to see your clinician. […] Tinnitus that’s continuous, steady, and high-pitched (the most common type) generally indicates a problem in the auditory system and requires hearing tests conducted by an audiologist. […] In addition to treating associated problems (such as depression or insomnia), there are several strategies that can help make tinnitus less bothersome.
  • #4 Tinnitus: Ringing in the ears and what to do about it – Harvard Health
    https://www.health.harvard.edu/newsletter_article/tinnitus-ringing-in-the-ears-and-what-to-do-about-it
    There is no FDA-approved drug treatment for tinnitus, and controlled trials have not found any drug, supplement, or herb to be any more effective than a placebo. […] The most effective approaches are behavioral strategies and sound-generating devices, often used in combination. […] Cognitive behavioral therapy (CBT) uses techniques such as cognitive restructuring and relaxation to change the way patients think about and respond to tinnitus. […] Tinnitus retraining therapy (TRT) is based on the assumption that tinnitus results from abnormal neuronal activity. […] Masking devices, worn like hearing aids, generate low-level white noise that can reduce the perception of tinnitus. […] Biofeedback is a relaxation technique that helps control stress by changing bodily responses.
  • #5 Tinnitus – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tinnitus/diagnosis-treatment/drc-20350162
    Your doctor will typically diagnose you with tinnitus based on your symptoms alone. But in order to treat your symptoms, your doctor will also try to identify whether your tinnitus is caused by another, underlying condition. Sometimes a cause can’t be found. […] Treatment for tinnitus depends on whether your tinnitus is caused by an underlying health condition. If so, your doctor may be able to reduce your symptoms by treating the underlying cause. Examples include: […] Many times, tinnitus can’t be cured. But there are treatments that can help make your symptoms less noticeable. Your doctor may suggest using an electronic device to suppress the noise. […] Behavioral treatment options aim to help you live with tinnitus by helping you change the way you think and feel about your symptoms. Over time, your tinnitus may bother you less. […] Drugs can’t cure tinnitus, but in some cases they may help reduce the severity of symptoms or complications. […] Researchers are investigating whether magnetic or electrical stimulation of the brain can help relieve symptoms of tinnitus.
  • #6 Treatment of tinnitus – UpToDate
    https://www.uptodate.com/contents/treatment-of-tinnitus
    Treatment of tinnitus […] Tinnitus is most commonly associated with hearing loss, though it may be a presenting symptom of vascular or neurologic abnormalities. […] Treatment should be directed at the symptom itself, which severely interferes with the quality of life in approximately 10 percent of patients with tinnitus. […] Treatment for tinnitus includes correcting identified causes and comorbidities as well as directly addressing the effects of tinnitus on quality of life. For many patients, tinnitus is a chronic condition; goals of treatment are to lessen its impact and any associated disability, rather than to achieve absolute cure. Several treatment modalities have been studied, including behavioral treatments and medications, but the benefit for most of these interventions has not been conclusively demonstrated in randomized trials. High-quality treatment trials are lacking. […] Patients may be concerned that tinnitus is a symptom of something worrisome. If, after an appropriate evaluation, the cause is determined not to be worrisome, patients benefit from reassurance and education.
  • #7 Tinnitus – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tinnitus/symptoms-causes/syc-20350156
    Tinnitus is usually caused by an underlying condition, such as age-related hearing loss, an ear injury or a problem with the circulatory system. For many people, tinnitus improves with treatment of the underlying cause or with other treatments that reduce or mask the noise, making tinnitus less noticeable. […] Dr. Poling says there’s no scientifically proven cure for tinnitus, but there are treatment and management options. […] „Something as simple as getting a hearing aid to really treat the hearing loss.” Other options include using a sound generator or using a fan at night. […] „There’s something called 'tinnitus retraining therapy.'” There are more ear-level masking devices where you can hear sounds throughout the day, too, that are more distracting. […] Treating these linked conditions may not affect tinnitus directly, but it can help you feel better.
  • #8 Tinnitus Retraining Therapy (TRT) | Sound Relief
    https://www.soundrelief.com/tinnitus/tinnitus-retraining-therapy-trt/
    The most common causes include noise exposure, genetic factors, and the inevitable decline of hearing caused by aging. […] we are committed to helping our patients through Tinnitus Retraining Therapy (TRT) and other comprehensive tinnitus solutions. Over time, Tinnitus Retraining Therapy can help lower tinnitus’s perceived intensity and make managing tinnitus much easier. […] Tinnitus Retraining Therapy was developed in the late 1990s. Over the course of the past two decades, TRT has proven to be very effective with individuals living with clinically significant tinnitus. […] Tinnitus Retraining Therapy will be slightly different for each patient, but it always incorporates prescriptive sound therapy coupled with educational counseling for a minimum of 12 months. […] This is where a comprehensive assessment and a holistic approach like TRT can be highly effective.
  • #9
    https://umiamihealth.org/en/treatments-and-services/ear,-nose,-and-throat-(ent)/audiology-(hearing)/tinnitus
    Tinnitus occurs when you have a ringing in your ears that no one else can hear. It can be bothersome, but it is not usually the sign of anything serious. Nearly 50 million Americans experience some degree of this audiological and neurological condition (Source: American Tinnitus Association). The ear, nose, and throat (ENT) experts at University of Miami Health System are leaders in treating conditions and disorders of the ear, nose, and throat, including tinnitus. […] Tinnitus is not truly its own condition, but rather, a symptom of another underlying condition. Conditions that can cause tinnitus include: Age-related hearing loss, Injury to the ear or head, Circulatory system disorder. […] Removing Earwax: By removing earwax, tinnitus symptoms may lessen. Managing a Blood Vessel Condition: Certain blood vessel conditions may cause people to hear internal noises, so treatment like medication or surgery may be needed. Adjusting Your Medication: Some medications can cause ringing in the ears in some people, so your doctor may recommend switching or adjusting your dose. Noise Suppression: Another tactic that your ENT doctor may recommend is noise suppression, which involves purchasing a white noise machine to use at home to help block out the tinnitus-related ringing. Hearing Aids: Your doctor may recommend hearing aids if you have hearing loss in addition to the tinnitus.
  • #10 Tinnitus: Remedies to Treat Ringing in Your Ears
    https://www.healthline.com/health/tinnitus-remedies
    Tinnitus can also be a sign of excess earwax. Removal of an earwax blockage may be enough to make mild cases of tinnitus disappear. […] Mindfulness-based stress reduction (MBSR) courses help people develop skills to control their attention and draw focus away from uncomfortable feelings. It may be useful in treating tinnitus. […] There are several alternative or complementary tinnitus treatment options, including nutritional supplements, homeopathic remedies, acupuncture, and hypnosis. […] None of these treatment options are supported by scientific studies. […] A proper diagnosis can help your doctor guide your treatment for tinnitus, although testing may be needed if another underlying condition is causing the symptom. […] Talk with a doctor to make sure there are no underlying conditions causing your tinnitus and to discuss treatment options that might relieve your symptoms.
  • #10 Tinnitus: Remedies to Treat Ringing in Your Ears
    https://www.healthline.com/health/tinnitus-remedies
    Finding out whats causing your tinnitus is the first step in treating it. […] A large percentage of people wont have an identifiable cause. This is referred to as idiopathic tinnitus. While theres no cure for idiopathic tinnitus, there are remedies that can help reduce its intensity. […] This article will explore a variety of remedies from sound-based therapies to lifestyle changes that can help you manage tinnitus and improve your quality of life. […] One way to tackle tinnitus is to treat the underlying cause, primarily when that cause is hearing loss. When hearing loss isnt the issue, sounds-based therapies can still help by distracting you from the symptom itself. […] Most people develop tinnitus as a symptom of hearing loss. […] If you have tinnitus, you may find that the better you hear, the less you notice your tinnitus.
  • #11 Tinnitus (Ringing in Ears): Causes & Treatment
    https://my.clevelandclinic.org/health/symptoms/14164-tinnitus
    Tinnitus treatment depends on the cause. […] Because tinnitus is a symptom of many conditions, providers may be able to treat it by addressing the underlying cause. […] For many people, tinnitus sound therapy can be very effective in decreasing how noticeable or bothersome your tinnitus is over time. […] You may also need an evaluation with a dentist to determine if tinnitus is a symptom of temporomandibular joint disorder (TMD). […] Left untreated, ringing in your ears could lead to: Anxiety. […] Audiologists can fit custom hearing protection. Consider seeing an audiologist for this service if you participate in one or more of these activities frequently. […] Theres no standard tinnitus cure. But providers can often treat underlying conditions and help you manage your symptoms. […] The experts at Cleveland Clinic can make a treatment plan to help manage your tinnitus.
  • #12 Tinnitus: Diagnosis and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2021/0601/p663.html
    Tinnitus is the sensation of hearing a sound in the absence of an internal or external source and is a common problem encountered in primary care. […] A standard workup begins with a targeted history and physical examination to identify treatable causes and associated symptoms that may improve with treatment. […] Cognitive behavior therapy is the only treatment that has been shown to improve quality of life in patients with tinnitus. […] Sound therapy and tinnitus retraining therapy are treatment options, but evidence is inconclusive. […] Treatment of tinnitus should focus on an underlying cause when identified, as in the case of secondary tinnitus. […] Cognitive behavior therapy (CBT) is the only treatment with moderate- to high-quality evidence to suggest benefit on the primary tinnitus outcome, often referred to as tinnitus distress, per measurement by a patient self-reporting survey such as the Tinnitus Handicap Inventory or Tinnitus Questionnaire.
  • #12 Tinnitus: Diagnosis and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2021/0601/p663.html
    Sound therapy is recommended by the AAO-HNS for the treatment of tinnitus by masking the sound through acoustic stimulation, hearing aids, or sound generators, thereby allowing the auditory system to adapt. […] Tinnitus retraining therapy, a combination of sound therapy and directed counseling, is recommended by otolaryngologists but lacks supportive evidence. […] There are effective treatments for several conditions associated with tinnitus, including depression, anxiety, sleep disturbance, cognition, and general disability. […] Benzodiazepines are not recommended for the treatment of tinnitus. […] Anticonvulsants, including gabapentin (Neurontin), carbamazepine (Tegretol), lamotrigine (Lamictal), and acamprosate (Campral), have been studied on a small scale and found to be ineffective in the treatment of tinnitus with a high rate of adverse effects.
  • #13 Tinnitus
    https://www.asha.org/public/hearing/tinnitus/?srsltid=AfmBOoryZ-Ux9wbNiGXXGhJpxx2rOpzYJ_V72IV9KpkyYKtZAgOT7Tjz
    If you have tinnitus, your doctor can check for some of the medical issues that may cause tinnitus. […] You should also have your hearing tested by an audiologist. Some types of hearing loss and hearing problems can cause tinnitus. A hearing test by an audiologist can help you learn about potential causes and treatment options. […] One way to treat tinnitus is to address the cause. For example, you may be able to treat the illness or disease resulting in your tinnitus. However, the cause is often unknown. You can learn ways to manage your tinnitus, even if it will not go away. […] A hearing aid can be helpful for tinnitus in some cases. An audiologist can help you find and use the best hearing aid for you. […] You might find it helpful to use a device called a tinnitus masker. They look like hearing aids. They make a sound that masks, or covers up, the tinnitus. The masking distracts you from the tinnitus sounds in your ears. You may be able to use a hearing aid that has a built-in tinnitus masker.
  • #14 Northwestern Medicine Pulsatile Tinnitus Clinic | Northwestern Medicine
    https://www.nm.org/conditions-and-care-areas/neurosciences/northwestern-medicine-pulsatile-tinnitus-clinic
    Many benign causes of pulsatile tinnitus can be treated with minimally invasive methods. […] Dangerous vascular conditions (such as abnormal short circuit connections of arteries and veins close to the base of skull) must be treated to reduce the risk of brain injury due to hemorrhage or stroke. […] There are many possible causes of pulsatile tinnitus. They vary in nature and severity. If you have symptoms, do not delay medical care. See your healthcare provider so they can evaluate you. […] The multidisciplinary care team at the Northwestern Medicine Pulsatile Tinnitus Clinic includes specialists in diagnostic and interventional neuroradiology (neurointerventional surgery), neurology, neuro-otology, and otolaryngology (ear, nose and throat). […] Very few clinics in the U.S. have a multidisciplinary team of pulsatile tinnitus specialists. Our team is dedicated to the diagnosis and treatment of the condition. At Northwestern Medicine, you will receive expert care at an academic medical center. Our treatment decisions are informed by the latest research.
  • #15 Therapy and Treatment Options | American Tinnitus Association
    https://www.ata.org/about-tinnitus/therapy-and-treatment-options/
    There are several well-established therapies for patients struggling with severe, chronic tinnitus. ATA encourages patients to embrace these tools, which can minimize the impact and burden of tinnitus. […] The primary objective for all currently-available tinnitus treatment options is to lower the perceived burden of tinnitus, allowing the patient to live a more comfortable, unencumbered, and content life. […] There are, however, excellent tools to help patients manage their condition; treatments that reduce the perceived intensity, omnipresence, and burden of tinnitus. These currently available treatments are not “cures” — they neither repair the underlying causes of tinnitus, nor eliminate the tinnitus signal in the brain. Instead, they address the attentional, emotional, and cognitive impact of tinnitus. They help patients live better, more fulfilling, and more productive lives, even if the perception of tinnitus remains.
  • #15 Therapy and Treatment Options | American Tinnitus Association
    https://www.ata.org/about-tinnitus/therapy-and-treatment-options/
    An appropriate analogy may be the use of ibuprofen for a headache. Ibuprofen itself does not cure the underlying cause of most headaches, but it does reduce the pain that makes headaches feel so awful. Likewise, the most effective tinnitus treatment tools address the aspects of tinnitus that so often make the condition feel burdensome: anxiety, stress, social isolation, sound sensitivity, hearing difficulties, and perceived volume. […] No two patients and no two tinnitus cases are alike. As such, the “best” treatment option is often contingent on an array of factors unique to each patient. Moreover, successful management of tinnitus may require overlapping layers of treatment. ATA recommends that patients work with their healthcare provider(s) to identify and implement the treatment strategy that is best suited to their particular needs.
  • #16 Tinnitus: Ringing or humming in your ears? Sound therapy is one option – Harvard Health
    https://www.health.harvard.edu/blog/tinnitus-ringing-or-humming-in-your-ears-sound-therapy-is-one-option-202112082654
    That recurring sound that you hear but nobody else does? It’s not all in your head. Well, not exactly. […] One approach to managing this condition is different forms of sound therapy intended to help people tune out the internal soundtrack of tinnitus. […] There is no cure for tinnitus, but it can become less noticeable over time. Still, there are ways to ease symptoms and help tune out the noise and minimize its impact. Treatments are a trial-and-error approach, as they work for some people but not others. […] One often-suggested strategy is sound therapy. It uses external noise to alter your perception of or reaction to tinnitus. Research suggests sound therapy can effectively suppress tinnitus in some people. Two common types of sound therapy are masking and habituation. […] Masking. This exposes a person to background noise, like white noise, nature sounds, or ambient sounds, to mask tinnitus noise or distract attention away from it. […] Habituation. Also known as tinnitus retraining therapy, this process trains your brain to become more accustomed to tinnitus.
  • #17 Tinnitus (Ringing in the Ears) Treatment and Diagnosis
    https://www.webmd.com/a-to-z-guides/understanding-tinnitus-treatment
    What Are the Treatments for Tinnitus? […] If your tinnitus is a symptom of an underlying medical condition, the first step is to treat that condition. But if the tinnitus remains after treatment, or if it results from exposure to loud noise, health professionals recommend various non-medical options that may help reduce or mask the unwanted noise. […] If you are having difficulty coping with your tinnitus, you may find counseling and support groups helpful. Ask your doctor for a referral. […] Many drugs have been studied for treating tinnitus. For some, treatment with low doses of anti-anxiety drugs — such as Valium or antidepressants such as Elavil — help reduce tinnitus. […] If your tinnitus is accompanied by some hearing loss, a hearing aid may be helpful. […] Many people have also benefited from tinnitus maskers, devices resembling hearing aids that play a sound more pleasant than the internal noise produced by the tinnitus.
  • #17 Tinnitus (Ringing in the Ears) Treatment and Diagnosis
    https://www.webmd.com/a-to-z-guides/understanding-tinnitus-treatment
    These devices, implanted in the ear, are mostly used to treat severe deafness. […] Although no vitamin supplements or other alternative therapies have been proven beneficial to treat tinnitus, some people try herbal preparations such as ginkgo biloba or minerals such as zinc or magnesium with varying results. […] Talk to your doctor before trying any of these treatments. […] Tinnitus is unique to each person, so getting the right treatment may mean trying different options and combinations to find what’s right for you. […] Successful combined treatment also takes commitment. Many forms of therapy — including behavioral therapy and tinnitus retraining therapy — may take several sessions over a few months, depending on your specific circumstances and the types of treatment.
  • #17 Tinnitus (Ringing in the Ears) Treatment and Diagnosis
    https://www.webmd.com/a-to-z-guides/understanding-tinnitus-treatment
    TRT has two parts: The person with tinnitus will play some source of neutral sound everywhere they go, including wearing in-the-ear sound generators. […] This form of tinnitus treatment takes 12 to 24 months and is highly successful in experienced hands. […] This is a form of counseling that helps a person to modify their reaction to the tinnitus. […] Sometimes called acoustic therapy, this can make the ringing or buzzing in your ears less noticeable. […] As the name implies, bimodal therapy treats tinnitus by training the brain to think differently about sound using two forms of sensory stimulation sound and touch. […] Stress can make tinnitus worse. […] Some professionals believe tinnitus can be caused by a problem with the temporomandibular joint (TMJ), the area where the jaw bone attaches to the head, just in front of the ear.
  • #18 Behavioral Therapies | American Tinnitus Association
    https://www.ata.org/about-tinnitus/therapy-and-treatment-options/behavioral-therapies/
    Tinnitus Activities Treatment (TAT) follows an incremental learning-based approach to explore four impact areas of tinnitus: thoughts and emotions, hearing and communication, sleep, and concentration. […] Tinnitus Retraining Therapy (TRT) combines the use of traditional CBT counseling with supplemental sound masking to habituate patients to tinnitus. […] Progressive Tinnitus Management (PTM) is an incremental approach to tinnitus treatment that involves comprehensive patient education, behavioral therapy, and when appropriate, supplemental sound therapy. […] Behavioral therapies for tinnitus typically require patients to see a behavioral health specialist in addition to a hearing health professional. […] Behavioral therapies also tend to involve multiple clinical sessions over the course of several months to several years, depending on the patient. […] All tinnitus management programs require that the patient embraces the treatment protocol with an open mind and positive expectations.
  • #18 Behavioral Therapies | American Tinnitus Association
    https://www.ata.org/about-tinnitus/therapy-and-treatment-options/behavioral-therapies/
    Therapy can be delivered individually, in group-settings, online, or through teletherapy sessions. […] The outcomes evidence for behavioral tinnitus therapies are robust. […] A 2014 review of research literature showed that these treatments consistently and significantly decreased tinnitus severity and impairment, reduced tinnitus-related fear, and lowered general depression and anxiety. […] On this page, we are using “behavioral therapy” as an umbrella term for a variety of different tinnitus treatments. […] Cognitive Behavioral Therapy (CBT) has been shown to significantly help many patients struggling with tinnitus. […] Mindfulness-Based Stress Reduction (MBSR) teaches patients to wholly accept, embrace, and control their experience. […] Acceptance and Commitment Therapy (ACT) emphasizes the need to reduce experiential avoidance of tinnitus.
  • #19 The 4 Best Tinnitus Treatments
    https://hearingup.com/blog/best-tinnitus-treatments
    Studies show TRT is effective for about 60-80% of tinnitus sufferers within 6-12 months. […] Approximately 60-80% of individuals with tinnitus experience symptom reduction when wearing properly programmed hearing aids. […] For best results, hearing aids should be fitted by an audiologist who specializes in tinnitus management and follows best practices like real ear measurement to ensure proper programming. […] Bimodal neuromodulation is an advanced therapeutic approach that combines stimulation of two sensory pathways to change brain activity and reduce tinnitus impact. […] Clinical trials show impressive results: 70.5% of participants experienced clinically meaningful tinnitus reduction when sound therapy alone provided no meaningful reduction. […] While all four treatment options have proven effective for tinnitus, what works best varies from person to person.
  • #20 An FDA approved device offers a new treatment for ringing in the ears : Shots – Health News : NPR
    https://www.npr.org/sections/health-shots/2024/04/15/1244501055/tinnitus-hearing-loss-ringing-ear-noise
    After using the Lenire device for an hour each day for 12 weeks, Victoria Banks says her tinnitus is „barely noticeable.” […] There’s no cure, but there are a range of strategies to reduce the symptoms and make it less bothersome, including hearing aids, mindfulness therapy, and one newer option a device approved by the FDA to treat tinnitus using electrical stimulation of the tongue. […] Banks tried taking dietary supplements, but those didn’t help. […] Then she read about a device called Lenire, which was approved by the FDA in March 2023. It includes a plastic mouthpiece with stainless steel electrodes that electrically stimulate the tongue. It is the first device of its kind to be approved for tinnitus. […] A clinical trial found 84% of people who used the device experienced a significant reduction in symptoms.
  • #20 An FDA approved device offers a new treatment for ringing in the ears : Shots – Health News : NPR
    https://www.npr.org/sections/health-shots/2024/04/15/1244501055/tinnitus-hearing-loss-ringing-ear-noise
    „It unsticks your spotlight” and helps desensitize people to the perceived noise that their tinnitus creates, he says. […] Banks says the ringing in her ears did not completely disappear, but now it’s barely noticeable on most days. […] A clinical trial found that 84% of people who tried Lenire, saw significant improvements in their condition. […] „Where this device fits into the big picture, is that it’s not a cure-all, but it’s quickly become my go-to,” for people who do not respond to other ways of managing tinnitus, Fligor says. […] Despite the cost, more than 80% of participants in the clinical trial said they would recommend the device to a friend with tinnitus. […] He says research is promising but there’s still more to learn. […] Research shows that hearing aids can be an effective treatment for tinnitus among people who have both tinnitus and hearing loss, which is much more common among older adults.
  • #21 What Can You Do About Tinnitus? – The New York Times
    https://www.nytimes.com/2025/04/29/well/live/tinnitus-treatment-options.html
    A hearing aid may also help if a person’s hearing loss is significant enough to warrant one. “Hearing aids amplify sounds that you no longer hear well, so it is essentially a masking device that you wear throughout the day,” Dr. Lin said. […] Some patients benefit from cognitive behavioral therapy, a form of psychotherapy that can help people better manage their symptoms, or from tinnitus retraining therapy, which involves counseling along with sound therapy. […] If you’re experiencing tinnitus, talk to your primary care provider or ask for a referral to an E.N.T. or audiologist who treats tinnitus, Dr. Elrakhawy said. Although there are many over-the-counter supplements and eardrops marketed as tinnitus treatments, he doesn’t know of any that are shown to work.
  • #22 Tinnitus (Ringing in the Ears) | Froedtert & MCW
    https://www.froedtert.com/tinnitus
    Although there are no cures for tinnitus, there are several options to use sounds that can produce relief. This can be done through a variety of sound-generating devices you may already have, such as: table-top sound machines, home virtual assistants, pillow speakers, headband headphones, bone conduction headphones, wireless earbuds, sound apps on smart devices, wearable/custom fit devices such as hearing aids or sound generators. […] Other management options include: tinnitus coaching, counseling, stress management, relaxation therapy, habituation therapies, TMJD treatment, acupuncture, physical therapy. […] Although tinnitus cant be cured, with therapy and management techniques, its impact can be reduced.
  • #23 Treatment for Tinnitus | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/tinnitus/treatments.html
    Specific treatment for tinnitus will be determined by your physician based on: […] Currently, there is no known cure for tinnitus. However, experts suggest trying one of the following to find relief: […] Hearing aids – may benefit some people with tinnitus who have hearing loss. Using a hearing aid may help some people with tinnitus by making some sounds louder. […] Maskers – provide help for some individuals by making tinnitus less noticeable. This small electronic device creates sound that may make the ringing or roaring seem softer. […] Medications – may ease tinnitus by addressing a problem related to the condition. […] Tinnitus retraining therapy – uses a combination of counseling and maskers. Otolaryngologists and audiologists can help a person learn how to deal with the tinnitus. […] Counseling – offers a person with tinnitus the opportunity to meet with a counselor or support group. […] Relaxing – provides relief for some people as stress may make tinnitus worse.
  • #24 Cognitive Behavioral Therapy for Tinnitus: Evidence and Efficacy
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3936550/
    CBT for tinnitus focuses on reducing the distress and handicap induced by tinnitus. The goal of CBT is not to reduce the acoustic features of the condition, such as loudness or pitch, but to help patients who face specific difficulties in everyday situations by constructing more positive and realistic thoughts about their situation. […] Although cognitive therapy was developed as a psychological treatment for pain, depression, anxiety, and other psychological conditions, it also can apply to tinnitus. […] Results of meta-analytic reviews have demonstrated that CBT is effective for alleviating the annoyance caused by tinnitus and has some positive effects on other emotional symptoms. […] CBT can be applied to tinnitus treatment. It does not have an effect on improving the acoustic characteristic of tinnitus, but it improves the response to tinnitus. Thus, CBT is a good treatment option for tinnitus.
  • #25 Cognitive Behavioral Therapy for Tinnitus – American Academy of Audiology
    https://www.audiology.org/news-and-publications/audiology-today/articles/cognitive-behavioral-therapy-for-tinnitus/
    Cognitive behavioral therapy (CBT) repeatedly has been shown to be an effective approach to help patients manage their tinnitus distress. […] CBT for tinnitus has been endorsed by the American Academy of Audiology, American Academy of OtolaryngologyHead and Neck Surgery Foundation, and American Speech-Language-Hearing Association as an effective treatment approach for tinnitus supported by strong evidence. […] CBT for tinnitus is intended to help patients cope with tinnitus and is not intended as a cure or an approach to make the tinnitus quieter. […] During CBT sessions, the patient and health-care provider work together to identify automatic dysfunctional thoughts that arise in scenarios like this. […] At its core, CBT focuses on problem-solving and developing coping skills for the situations in which you find your tinnitus to be bothersome. I think seeing a therapist who specializes in CBT would benefit you. […] CBT is not a cure. It will not make your tinnitus go away, but it can help you find ways to pay less attention to it.
  • #26 Tinnitus retraining therapy – Wikipedia
    https://en.wikipedia.org/wiki/Tinnitus_retraining_therapy
    Tinnitus retraining therapy (TRT) is a form of habituation therapy designed to help people who experience tinnitus—a ringing, buzzing, hissing, or other sound heard when no external sound source is present. Two key components of TRT directly follow from the neurophysiological model of tinnitus: Directive counseling aims to help the sufferer reclassify tinnitus to a category of neutral signals, and sound therapy weakens tinnitus-related neuronal activity. […] The goal of TRT is to allow a person to manage their reaction to their tinnitus: habituating themselves to it, and restoring unaffected perception. Neither Tinnitus Retraining Therapy or any other therapy reduces or eliminates tinnitus. […] A review of tinnitus retraining therapy trials indicates that it may be more effective than tinnitus masking.
  • #27 Comprehensive Guide to Tinnitus Treatment and Relief from Tinnitus | Harley Street ENT Clinic
    https://www.harleystreetent.com/blog/comprehensive-guide-to-tinnitus-treatment-and-relief-from-tinnitus
    For individuals experiencing tinnitus as a result of hearing loss, hearing aids can be particularly beneficial. […] Cognitive behavioural therapy is a psychological approach that helps patients manage the emotional impact of tinnitus. […] Tinnitus retraining therapy combines sound therapy with counselling to help patients gradually become less aware of their tinnitus. […] Although there is no specific medication designed to cure tinnitus, certain drugs can help manage the symptoms. […] If your tinnitus is affecting your quality of life or if the symptoms persist despite trying home remedies, its essential to seek help from a professional. […] Tinnitus may be a frustrating and sometimes overwhelming condition, but with the right support and treatment, relief is possible.
  • #28 Tinnitus retraining therapy: Procedure, effectiveness, and risks
    https://www.medicalnewstoday.com/articles/tinnitus-retraining-therapy
    Tinnitus retraining therapy (TRT) uses counseling and sound therapy to alter a negative response to tinnitus. It can help people become used to tinnitus and no longer notice the sounds it causes. […] Although TRT cannot cure tinnitus, it aims to reduce the negative effect tinnitus symptoms may have on a persons life. […] TRT uses a combination of counseling and sound therapy to help people become accustomed to tinnitus and develop a neutral response to the conditions sounds. […] TRT is a treatment method that aims to retrain the brain so that people are less aware of their tinnitus and have a less negative emotional response to it. These changes may reduce the effect of tinnitus on a persons life. […] TRT may result in noticeable improvements to any type of tinnitus in 7484% of cases when individuals complete therapy.
  • #28 Tinnitus retraining therapy: Procedure, effectiveness, and risks
    https://www.medicalnewstoday.com/articles/tinnitus-retraining-therapy
    According to a 2019 study, TRT may be most effective for a person with severe tinnitus. Continued treatment with TRT may provide the best results. […] A 2021 systematic review of 13 studies involving 1,345 people found that TRT was an effective treatment for tinnitus, although the evidence was low quality with a high risk of bias. […] Tinnitus retraining therapy is a treatment option for tinnitus that aims to get people used to the tinnitus sounds so that they are no longer aware or bothered by the sounds. […] TRT uses a combination of counseling and sound therapy to help retrain a persons response to tinnitus. Over time, TRT may help individuals stop noticing tinnitus sounds and develop a neutral response to it.
  • #29 Progressive Tinnitus Management
    https://www.research.va.gov/research_in_action/Progressive-Tinnitus-Management.cfm
    Progressive Tinnitus Management is an audiology program that has been adopted nationwide in both VA and Department of Defense clinics to treat tinnitus. […] The program approaches tinnitus care with five different levels of treatment. Most patients need only basic education on how to manage the condition. As the levels progress, therapy gets more intensive and long-term. Patients needing higher levels of care might use sound generators or other approaches such as tinnitus masking or cognitive behavioral therapy. […] NCRAR has developed clinical handbooks and other educational material on tinnitus care. A manual called How to Manage Your Tinnitus: A Step-by-Step Workbook is now used widely in VA clinics and patients. […] VA researchers recently developed a telehealth version of progressive tinnitus management. A controlled trial showed that the program can improve tinnitus outcomes when delivered remotely.
  • #30 Tinnitus Treatment Options – Eye & Ear Foundation of Pittsburgh
    https://eyeandear.org/2023/06/tinnitus-treatment-options/
    The goals of educating a tinnitus sufferer are to promote a persons capacity for self-growth and move them toward acceptance, Dr. Zitelli said. […] There are many ways to provide sound therapy to someone with tinnitus. […] Cognitive Behavioral Therapy (CBT) is one well-established treatment option for tinnitus. […] CBT treatment helps people focus on identifying thought patterns that are not productive, replacing automatic negative thoughts with more realistic, less harmful, and more productive thoughts and associations. […] Mindfulness Based Stress Reduction (MBSR) is effective for many individuals. […] Treating TMD has been shown to improve symptoms associated with tinnitus. […] An average of 69% of patients reported improvement or resolution of their tinnitus after treating their TMJ disorder!
  • #31 Tinnitus Treatments – Lakelands ENT
    https://lakelandsent.com/hearing-balance/tinnitus/tinnitus-treatments/
    There is no universal cure for tinnitus, but there are treatments that make it less of a distraction. […] However, symptoms can often be managed successfully through a number of different strategies. […] Acoustic therapy. Sounds are used to cover up, or mask, the tinnitus. […] Tinnitus retraining therapy utilizes a portable sound generator that produces soft patterned tones to help desensitize the brain to the sounds of tinnitus. […] Fluctuation of hearing and resulting tinnitus can be treated with a series of injections of Dexamethasone (a potent steroid) with an 85 percent chance of reduction in tinnitus symptoms. […] If you have an acoustic neuroma and suffer from tinnitus, the tinnitus may be resolved through a surgical removal of the acoustic neuroma. […] Hearing aids are used to stimulate the auditory pathways received by the brain. […] Counseling, sleep and cognitive behavioral or relaxation methods can be practical in helping you manage your tinnitus symptoms by reducing the stress, anxiety and sleeplessness that are often associated with tinnitus.
  • #32 Tinnitus and Hyperacusis
    https://www.asha.org/practice-portal/clinical-topics/tinnitus-and-hyperacusis/?srsltid=AfmBOopmkztJTXmUAklKJBcwHwZqA0zIp-QFb1wVCM6Pp6Th1O31pTyw
    Use of a properly fitted and objectively verified hearing aid has been shown to alleviate bothersome tinnitus in some individuals. […] Sound therapy refers to the use of sound to relieve bothersome tinnitus. […] Tinnitus retraining therapy (TRT) is a habituation-based intervention that includes a combination of directive counseling and sound therapy. […] Cochlear implants, while restoring binaural hearing, may also be an effective tinnitus treatment for patients with severely debilitating tinnitus who do not benefit from traditional management approaches. […] Hyperacusis can be debilitating for some individuals, causing emotional distress and negatively impacting quality of life. […] Sound therapy for hyperacusis requires the patient to listen to low-level sounds for long periods of time to encourage habituation. […] The general principles of tinnitus retraining therapy (TRT) may also be used successfully in the management of a patient with hyperacusis.
  • #32 Tinnitus and Hyperacusis
    https://www.asha.org/practice-portal/clinical-topics/tinnitus-and-hyperacusis/?srsltid=AfmBOopmkztJTXmUAklKJBcwHwZqA0zIp-QFb1wVCM6Pp6Th1O31pTyw
    Audiologists play a central role in the assessment, diagnosis, and management/treatment of individuals with tinnitus and/or hyperacusis. […] The following roles and responsibilities are appropriate for audiologists: […] Make recommendations for sound therapy and/or tinnitus maskers. […] Management of tinnitus and/or hyperacusis is often an interdisciplinary endeavor (e.g., audiologist, otolaryngologist, psychiatrist, psychologist, primary care physician). […] In general, there is no cure for tinnitus. […] Tinnitus management may include one or more of the following options. […] Patients presenting with tinnitus that is bothersome and persistent may benefit from educational and informational counseling. […] Cognitive behavioral therapy (CBT) is a specific type of therapy that focuses on modifying problem emotions, thoughts, and behaviors.
  • #33 Reversing hearing loss with regenerative therapy | MIT News | Massachusetts Institute of Technology
    https://news.mit.edu/2022/frequency-therapeutics-hearing-regeneration-0329
    Most of us know someone affected by hearing loss, but we may not fully appreciate how difficult the condition can be. Hearing loss can lead not only to frustration but also social isolation and tinnitus, a debilitating ringing in the ears. It is also closely correlated with dementia. […] The biotechnology company Frequency Therapeutics is seeking to reverse hearing loss not with hearing aids or implants, but with a new kind of regenerative therapy. The company uses small molecules to program progenitor cells, a descendant of stem cells in the inner ear, to create the tiny hair cells that allow us to hear. […] Frequencys drug candidate is designed to be injected into the ear to regenerate these cells within the cochlea. In clinical trials, the company has already improved peoples hearing as measured by tests of speech perception the ability to understand speech and recognize words.
  • #34 Tinnitus Treatment Program | UPMC Center for Audiology
    https://www.upmc.com/services/ear-nose-throat/services/hearing-and-balance/audiology/tinnitus-treatment
    People with tinnitus (noise in the ears) and decreased sound tolerance have access to an innovative treatment program at the UPMC Center for Audiology and Hearing Aids. […] Our goal is to evaluate, diagnose, and treat tinnitus and decreased sound tolerance so effectively that it will no longer be a problem. […] Our center employs a multidisciplinary approach to diagnosing and treating tinnitus and decreased sound tolerance. […] The first step to treatment is a medical and audiological evaluation. […] The audiologist will perform an array of tests that will provide information about your tinnitus, hearing, and decreased sound tolerance. […] The doctor and audiologist will discuss these results and you and your audiologist will formulate a treatment plan designed specifically for you.
  • #34 Tinnitus Treatment Program | UPMC Center for Audiology
    https://www.upmc.com/services/ear-nose-throat/services/hearing-and-balance/audiology/tinnitus-treatment
    After your evaluation at UPMC’s Center for Audiology and Hearing Aids, the next step is a counseling session. […] Typically, treatment plans involve the use of low level sounds provided by noise generating devices, hearing aids, or environmental sounds. […] Continuity of care is essential for achieving our goal. […] Tinnitus and decreased sound tolerance treatment generally takes between 12 and 18 months, however we will continue scheduling follow-up visits as long as necessary.
  • #35 Get Tinnitus Treatment | Cleveland Clinic
    https://my.clevelandclinic.org/services/tinnitus-treatment
    We teach you strategies to cope with anxiety. We also offer mindfulness training to help distract you from tinnitus. […] We help you manage how tinnitus affects your life. […] Our audiologists may recommend a device worn in the ear to help you listen to sounds other than tinnitus. […] Cleveland Clinic dental experts may recommend oral appliances like nightguards to ease muscle pain in your jaw and neck. […] Our experts may suggest adjusting certain medications or supplements when tinnitus is a side effect. […] We may recommend you see a physical therapist who will design exercises to strengthen your jaw, neck and back. […] At Cleveland Clinic, we use a team to treat your tinnitus. Working together, we’ll work through each part of the issue to help you enjoy your daily life.
  • #36 Tinnitus | Durham, Raleigh, North Carolina | Duke Health
    https://www.dukehealth.org/treatments/speech-pathology-and-audiology/tinnitus
    Duke audiologists provide comprehensive evaluation and management options to people who experience tinnitus. Our goal is to reduce your tinnitus awareness and disturbance and improve your quality of life. […] Our audiologists conduct a thorough evaluation of your tinnitus and recommend the most appropriate treatment for your tinnitus. […] While there is currently no cure for tinnitus, there are several treatment approaches that provide relief. […] We discuss what causes tinnitus and lifestyle factors that affect it, as well as strategies for minimizing its disturbance. […] Sound therapy uses different types of sound to divert your attention away from tinnitus symptoms and reduce your emotional reaction to them. Sound therapy may include trying hearing aids that have a tinnitus feature to improve hearing and reduce your perception of tinnitus. […] We may recommend that you see a specialist, pursue psychological management like cognitive behavioral therapy, or take advantage of services offered by Duke Integrative Medicine to help you manage your tinnitus.
  • #37 Tinnitus relief: Top treatments and remedies for ear ringing
    https://www.healthyhearing.com/help/tinnitus/treatment
    Relaxation is important in two ways: First, it helps ward off tinnitus. For many people, stress is a trigger for their tinnitus, so learning some relaxation techniques can help prevent it before it starts. […] Similar to habituation, tinnitus sound therapy helps you get used to the sound, with the goal of learning to ignore it. […] Mental health care is an important part of tinnitus treatment. Tinnitus can impact your mental health and your relationships. Many people find cognitive-behavioral therapy useful for managing the emotional impact of tinnitus. […] If you’re working around loud machinery, going hunting or dancing near speakers at a live concert, don’t forget to wear foam earplugs or earmuffs so your tinnitus doesn’t get worse. […] Exercise is a key way to manage stress, and is good for both your brain and body.
  • #37 Tinnitus relief: Top treatments and remedies for ear ringing
    https://www.healthyhearing.com/help/tinnitus/treatment
    For some people, their tinnitus is helped by reducing the amount of salt they consume and incorporating healthy eating habits, including a hearing-friendly diet full of these vitamins and minerals and low on caffeine. […] If you are experiencing ringing in your ears it is important to get a thorough hearing evaluation from a hearing care professional.
  • #38 Comprehensive Tinnitus Treatment Solutions for Ear Ringing Relief — Adirondack Audiology
    https://adirondackaudiology.com/services/tinnitus-treatment
    While there is no definitive cure for tinnitus, there are various treatment options to help patients manage their symptoms and improve their quality of life. The goal of treatment is to reduce the perception of tinnitus and minimize its impact on daily activities. […] Many individuals with tinnitus benefit from hearing aids for people with tinnitus, as they amplify external sounds and make tinnitus less noticeable. Some tinnitus hearing aids also feature built-in masking sounds to provide relief. […] Another option is using the tinnitus masking devices, it is one that generates white noise or other calming sounds to distract from tinnitus. They can be worn in the ear or used in a quiet environment to provide relief. […] These treatments aim to reduce the impact of tinnitus, making it more manageable and less disruptive to daily life. With the right care and support, individuals with tinnitus can find effective ways to cope and improve their overall well-being.
  • #39 Tinnitus Treatment: A Comprehensive Approach – American Academy of Audiology
    https://www.audiology.org/news-and-publications/audiology-today/articles/tinnitus-treatment-a-comprehensive-approach/
    Given that optimal bodily function correlates with feelings of calmness, safety, and grounding, audiologists are advised to familiarize themselves with mind-body techniques, such as breathwork, meditation, movement, and mindfulness. […] After audiological and tinnitus assessments, Michael received counseling on his results, recommendations, the mind-body response to tinnitus, and its prevalence and impacts. […] Michael was fit bilaterally with combination devices, addressing his hearing loss while providing ear-level sound therapy options. […] Follow-up appointments were provided in two-week intervals and consisted of Michaels self-report regarding his adherence to the treatment plan, Dr. Downs reinforcement of concepts regarding the mechanisms of tinnitus, review of sleep hygiene tips, and answering any of his questions about the protocol.
  • #40 Tinnitus Retraining Therapy: How it Works, Alternatives, More
    https://www.healthline.com/health/tinnitus-retraining-therapy
    Evidence remains inconclusive on the question of whether TRT is superior to other treatments, according to 2021 research. […] A 2016 study found no evidence of a difference between tinnitus masking, TRT, and tinnitus education and counseling in reducing tinnitus severity. […] TRT is considered a safe treatment that doesn’t have any known side effects. […] TRT is a promising form of tinnitus treatment that involves counseling and sound therapy to help reduce symptoms. Research suggests that TRT can lead to a significant improvement in about 80 percent of people, but there still isn’t significant evidence to show that it’s more effective than other treatment options.