• Tinnitus
  • Neuromonics Tinnitus Treatment
  • Neuromonics FAQs

Tinnitus

Tinnitus is pronounced either ti-NIGHT-us or TIN-i-tus. The word is of Latin origin, meaning "to tinkle or to ring like a bell." Put simply, tinnitus is the perception of sound in the ears or head where no external source is present.

Tinnitus can be perceived in one or both ears or in the head. It is usually described as a ringing noise, but in some patients it takes the form of a high pitched whining, buzzing, hissing, humming, or whistling sound, or as ticking, clicking, roaring, "crickets" or "tree frogs" or "locusts", tunes, songs, or beeping. It has also been described as a "whooshing" sound, as of wind or waves. The sound can also be a combination of sounds. Tinnitus can be intermittent or it can be continuous.

Pulsatile tinnitus is a form of tinnitus whereby the noise has a pulsing quality. The rhythm of the pulsatile tinnitus may correspond exactly with the person's heartbeat or the rhythm may be much faster than the person's heartbeat.

The exact physiological cause (or causes) of tinnitus is (are) not known. There are, however, several likely sources, all of which are known to trigger or worsen tinnitus. The following is a short list of these sources:

• Noise-induced hearing loss – When someone is exposed to a sudden, loud sound this may cause acoustic trauma. Acoustic trauma may cause destruction of the hair cells, called cilia, in the inner ear. Once damaged, these hair cells cannot be renewed or replaced. Noise-induced hearing loss may also be the result of chronic or repeated noise exposure. Coincidentally, up to 90 percent of all tinnitus patients have some level of hearing loss.

• Wax build-up in the ear canal - The amount of wax ears produce varies by individual. Sometimes, people produce enough wax to completely block the outer ear canal. If so, hearing may be compromised and a person's existing tinnitus may seem louder. Removal of the wax by an ear doctor (otologist or otolaryngologist) may reduce the loudness of the tinnitus.

• Certain medications - Some medications are ototoxic-that is, the medications permanently damage the hearing and/or balance portion of the ear. There are also medications that are not ototoxic, but produce tinnitus as a side effect without damaging the inner ear. Effects, which can depend on the dosage of the medication, can be temporary or permanent.

• Ear or sinus infections - Many people, including children, experience tinnitus along with an ear or sinus infection. Generally, the tinnitus will lessen and gradually go away once the infection is healed.

• Certain types of tumors - Very rarely, people have a benign and slow-growing tumor in the middle ear, or on their auditory, vestibular, or facial nerves. These tumors can cause tinnitus, deafness, facial paralysis, and loss of balance.

• Head and neck trauma - Physical trauma to the head and neck can induce tinnitus. Other symptoms include headaches, vertigo, and memory loss.

Certain disorders, such as hypo- or hyperthroidism, Lyme disease and fibromyalgia may have tinnitus as a symptom. When tinnitus is a symptom of another disorder, treating the disorder may help alleviate the tinnitus.

The Neuromonics Tinnitus Treatment

The Neuromonics Tinnitus Treatment is a program to treat moderate-to-severe tinnitus that may be present in either one or both ears. The following is information that summarizes the Neuromonics Tinnitus Treatment program.

Neuromonics Oasis Device

How It Works

A small, lightweight Oasis™ device (shown to the left) with headphones delivers precisely designed music embedded with a pleasant, acoustic neural stimulus. These sounds, customized for each user's tinnitus/hearing profile, stimulate the hearing pathway to promote new, neural connections in the brain. Over time, these new connections help the brain to filter out tinnitus.

Six-Month Treatment Process

The user is asked to listen to the music on the Oasis™ device on a daily basis over approximately 6 months. Many users of the device report some relief in the first few weeks of starting the treatment program. Throughout the treatment process, education and support are provided by audiologists from the Hearing Aid Center of Hinsdale.

Personal Assessment and Fitting

Before any treatment begins, an audiologist from the Hearing Aid Center of Hinsdale will meet with a potential candidate to evaluate the person's tinnitus and hearing. After assessing the candidate's tinnitus/hearing profile, the audiologist will then discuss which treatment options are most appropriate, and whether the Neuromonics treatment can help.

 

 

In summary, the Neuromonics Tinnitus Treatment:

• Is designed for moderate-to-severe tinnitus

• May help unilateral (one-sided) or bilateral (both sides) tinnitus

• Reduces symptoms quickly - Many patients enjoy some relief within the first few weeks of the treatment

• Treats the cause - Addresses underlying neurological causes of tinnitus

• Provides significant long-term relief - Relief lasts, long after the treatment ends

• Convenient and non-invasive - No medication or surgery required. It supports a person's own natural mechanisms to block out tinnitus symptoms.

Frequently Asked Questions Regarding the Neuromonics Tinnitus Treatment

(click on the question to show the answer; click on the question again to close the answer)

+ What is new in the understanding of tinnitus?

Over the last decade or so, understanding of the various causes and factors that contribute to tinnitus perception and disturbance has improved tremendously. It is now understood that tinnitus is not a hearing problem, but it is a neurologically-based condition. Utilizing neuroplasticity, the Neuromonics Tinnitus Treatment stimulates the auditory pathway with the intention of promoting new neural connections that allow the brain to help filter out the tinnitus perception, thus reducing the disturbance and impact of tinnitus. Neuroplasticity involves the brain's ability to modify or make new neural connections when necessary.

 

+ What is different about the Neuromonics treatment?
The Neuromonics Tinnitus Treatment is not Tinnitus Retraining Therapy (TRT) and does not involve the use of medication. It is not a hearing aid or a tinnitus masker. The Neuromonics device is a patented, customized and clinically proven treatment for long-term relief of tinnitus. With research and development beginning in the early 1990's, the Neuromonics Tinnitus Treatment has treated thousands of tinnitus sufferers worldwide. 90% of people involved in the most recent clinical trial for Neuromonics achieved a significant reduction in their disturbance from their tinnitus.

 

+ What type of treatment is the Neuromonics program?
Neuromonics Tinnitus Treatment is an acoustic-based treatment complemented by assessment, monitoring, support and education from the audiology staff of the Ear Institute of Chicago over a six-month period. The Neuromonics Tinnitus Treatment is comprehensive, non-invasive and effective – offering proven and significant long-term reduction of tinnitus disturbance.

 

+ Can I fit the treatment around my active lifestyle?
Since the Neuromonics device is lightweight and compact and can be used while conducting most other activities, it is easy to complete treatment requirements without disruption to daily life.

 

+ Can I wear a hearing aid with the Neuromonics treatment?
Yes. It is possible to use the Neuromonics device independently of your hearing aid during quiet times, for example, when you are reading or trying to sleep. The audiologists of the Ear Institute of Chicago will be able to coordinate the most appropriate timing with you. You may have an improved ability to use your hearing aid after completing the Neuromonics Tinnitus Treatment, as your loudness sensitivity is likely to improve. Please note that hearing aids are designed to amplify sound that may improve specific kinds of hearing loss. Because hearing aids amplify sound, the amplification may mask, or cover-up, tinnitus; however, the masking is not a long-term improvement for tinnitus disturbance.

 

+ Can I just purchase the Neuromonics device?
No. The Neuromonics device is a Class II medical device, regulated by the FDA and requires a prescription from a trained clinician. In addition, through research and clinical trials, it has been shown that in order to get the full benefits of the Neuromonics Tinnitus Treatment, a program of support, monitoring, and education is required. The Neuromonics Tinnitus Treatment is designed specifically to target the neurological processes of tinnitus, specifically its auditory, attentional and emotional aspects. The Neuromonics Treatment regimen is customized to each patient's unique hearing/tinnitus profile and scheduled appointments are required to complete the treatment.

 

+ What if the Treatment does not meet my expectations?
The results from your initial assessment visit will allow the staff of the Ear Insitute of Chicago to determine if you are a suitable candidate for the Neuromonics Tinnitus Treatment. A sense of relief while using the treatment may be achieved within 1-30 days of your fitting appointment. If the Treatment does not meet your expectations, the audiologists of the Ear Institute of Chicago will take a multi-stepped approach to troubleshoot your situation and try to adjust. Your clinician will analyze your usage data report to monitor how, and when, you are using the device. The audiology staff will also monitor the function of the device. If it is determined that this is not the best treatment for you, Neuromonics does offer a return option.

 

+ Why does the treatment take 6 months?
The treatment involves an acoustic signal, which targets the neural pathways in the brain to reprogram the pathways. The new pathways are designed to filter out the sound of your tinnitus. The process occurs gradually over a number of months.

 

+ Why cannot I just use my MP3 player?
Although normal music may provide a distraction from tinnitus, it is not a treatment with long-term benefits. With the Neuromonics Tinnitus Treatment, the music is spectrally modified and customized with an embedded neural stimulus based upon the patient's audiological and tinnitus profile. Through research, we are aware of the importance of auditory stimulation at high frequencies; this stimulation is not possible with MP3 Players because the sound files stored in MP3s are clipped. Additionally, music on an MP3 Player is not customized for the individual's hearing profile. Due to the customization of the Neuromonics device, the treatment is able to provide acoustic stimulation to a wide range of auditory pathways at comfortable and safe listening volumes.