Shop 10, 38-40 Croydon Street
Cronulla. NSW 2230
(02) 9544 4466
Shop 6 Waratah Arcade
1067 Old Princess Hwy
(02) 9520 4774
Level 1, Menai Marketplace,
Menai NSW 2234
(02) 9520 4774
Kirrawee Family Medical Practice
455 President Avenue
Kirrawee NSW 2232
(02) 9544 4466
(By appointment only)
*Thursday night by appointment, Cronulla.
Tinnitus is the sensation of sound when no other sound is present. Can occur in one ear or in both ears.
Tinnitus can be constant or intermittent and the volume can range from subtle to shattering.
Tinnitus is not a disease, it is a symptom common to many problems. The first thing one should do is try to find out the underlying cause.
Medical examination with special attention given to conditions associated with tinnitus and a full hearing evaluation to see if hearing loss may be causing your tinnitus should be done. Roughly 90 percent of tinnitus cases occur with an underlying hearing loss. The hearing (audiologic) evaluation can help provide information about the cause and treatment options for you.
Can sound like ringing in the ears, hissing, pulsing, whooshing, whistling or clicking.
16 million of people worldwide seek medical attention for tinnitus.
Often the result of acute or chronic noise exposure, tinnitus can also be the result of other underlying pathologies or be associated with a variety of illness:
There are simple things patients can do that may alleviate some of the problem. It doesn’t have a direct impact on the causes or biology of tinnitus, but it can provide strong peripheral benefits that make living with tinnitus feel much easier.
If you have hearing loss, there is a good chance that a hearing aid will both relieve your tinnitus and help you hear. This is not to suggest that the tinnitus is removed by the amplification or even suppressed (although it is in some cases). Augmenting the reception and perception of external noise can often provide relief from the internal sound of tinnitus.
Focus on the patient’s emotional reaction to tinnitus. These approaches have consistently been shown to reduce tinnitus-related distress, anxiety and depression, and to improve the overall quality of life for patients.
The goal of behavioural therapies is to help patients control their behavioural reactions to tinnitus, and thereby reduce the perceived impact of the condition.
Patients who place high attention on their tinnitus and who lack emotional coping techniques are generally more depressed, more distressed, and have higher perceived handicaps related to their condition. Behavioural techniques provide skills to reduce internal attention to tinnitus, improve copping, and devise alternative thinking and behaviour patterns that distract patients from their tinnitus. The plan for therapy is to increase pleasant activity, learn relaxation techniques, and add cognitive skills to replace negative (or unhelpful thinking).
Some people suffering from tinnitus use wearable devices that emit either a broad-band noise or a narrowband noise centred around the perceived pitch of the tinnitus.
Because it is well accepted that the distress related to tinnitus is highly correlated with hearing loss, negative emotions, fear, and stress, it is important to address these issues.
Most people who experience tinnitus go through a natural process of habituation. Habituation can be thought of as the process of “ignoring” (or becoming accustomed to) a stimulus without exerting any conscious effort. From a psychological perspective, it is defined as the adaptation, or decline of a conditioned response, to a stimulus following repeated exposure to that stimulus.
To achieve habituation, most therapies utilize a combination of acoustic stimulation and counselling.
Available treatments, and a brief description of their characteristics follow. The treatments are divides into: acoustic stimulation; counselling and stress management and combination approaches.
Other helpful websites: Australian Tinnitus Association.