Are you Suffering from any of these symptoms as a result of Tinnitus? Free 15 Min Consultation.

    Mild to severe anxiety
    Insomnia
    Triggered fight or flight

  Depression
  Negative thinking
  Crying spells

  Hopelessness
  Suicidal thoughts
  Ringing in the ears

    Do you feel your family and friends don’t understand?
    Are you growing more isolated?
    Do you feel like life will never be the same?
    Are you refraining from activities that you enjoy?
    Are you fearful of losing your job?
    Do you find that your thoughts tend to be negative?

If you answered yes to 3 or more of these questions or symptoms, then we can help.
You may be a candidate for Tinnitus Cognitive Retraining Therapy, or TCRT.  Stephen Geller Katz, LCSW-R, with over 20 years of clinical experience, a New York University graduate, developed Tinnitus Cognitive Retraining Therapy and founded Tinnitus Cognitive Center in response to the growing number of Tinnitus sufferers coming to his private practice. He discovered that by helping people to retrain and reinterpret the thoughts around their Tinnitus, anxiety and depression symptoms began to improve. But even more important so did the Tinnitus.

Call us at (646) 213-2321 for a FREE consultation.


See our main site: www.tinnituscognitivecenter.com
Blog Posts are Below:


TINNITUS AND HEARING LOSS

What is the relationship between tinnitus and hearing loss? The main reason for Tinnitus isn’t yet fully understood, but the link leads to many different conditions. One of these conditions is hearing loss. Tinnitus is a symptom, and it mostly relates to hearing loss. There are many ways to define Tinnitus, such as the pulsating or constant presence of high- or low-frequency sounds or more complicated sounds. These symptoms can point toward one of the following: High-Frequency Hearing Loss Tinnitus, or Low-Frequency Hearing Loss and Tinnitus.

Tinnitus link with following ear-related conditions:

  • Ear-wax blockage
  • A torn eardrum
  • Ear infections like glue ear
  • Otosclerosis
  • Ménière’s disease
  • Neurological disorders

Tinnitus sometimes also occurs with the following health conditions:

  • Neck and head injuries
  • Metabolic disorders like hyperthyroidism, diabetes, and hypothyroidism
  • Cardiovascular disorders particularly high blood pressure
  • Medications like ototoxic drugs

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The Link Between Tinnitus and Hearing Loss

Almost two-thirds of people suffering from Tinnitus also have hearing loss. The most common cause of Tinnitus is a loss in hearing. Sound waves travel into the cochlea, which is a hearing organ inside the inner ear. Thousands of hair cells in the cochlea change sound waves into electrical signals and these hair cells are sound-sensing cells lined up in cochlea.

If a part of your hearing or ear nerve doesn’t work or gets damaged, it will limit the number of electrical signals transmitted to the brain. According to researchers, when the brain does not receive some indication, it fills the gap of the sounds, which causes Tinnitus.

Sensorineural Hearing Loss

Sensorineural hearing loss or (SNHL) is a hearing loss condition, which is a result of damage to the auditory nerve or cochlea. Your ear consists of three parts: the inner, middle, and outer ear. SNHL affects the inner ear. Soft sounds can be hard to hear, or louder sound can be unclear. SNHL is a common type of loss of hearing. In most cases, surgeries and medicine cannot help; you may need a hearing aid to help you hear.

The following things can cause SNHL hearing loss:

  • Illnesses
  • Certain drugs
  • Hearing loss inheritance
  • Aging
  • Head injury
  • Any problem in the inner ear
  • Loud noises or explosions

Conductive Hearing Loss

Conductive hearing loss is a condition when sounds do not pass through the outer and middle ear. It is hard to hear a soft sound.

Causes of Conductive Hearing Loss

Conductive hearing loss occurs due to the following reasons:

  • Fluid-filled in the middle ear due to allergies or cold.
  • Otitis media or ear infection: Otitis is also known as ear infection, and media means middle, and this occurs due to infection in the middle ear.
  • Poor functioning of the Eustachian tube – the Eustachian tube joins together your nose and your middle ear. This tube drains out fluid in the middle ear. If the tube is not working correctly, the fluid will remain in the middle ear.
  • A hole in the eardrum
  • Benign tumors. These tumors can block the middle or outer ear. These are not cancer.
  • Cerumen, or earwax blockage in your ear canal
  • External otitis is an infection of the ear canal, and this is also called swimmer’s ear.
  • If an object is stuck in the outer ear, for example; which could be a situation where a child inserted a pebble inside his/her ear
  • A problem with the structure of the outer and middle ear – for instance, people born without an external ear, having a deformed ear canal, or having a problem with bones in their middle ear.

Conclusion

Hearing loss and Tinnitus cannot be deadly, but it can affect the way of living. It would be beneficial for you if you treat Tinnitus at earliest. If the condition remains untreated for too long, it can lead to permanent hearing loss. If you need a Tinnitus treatment specialist, you should contact us at (646) 213-2321 or visit our clinic for an appointment. Our specialist, Stephen Katz, can help you manage your Tinnitus.

RINGING IN THE EARS

If you experience ringing in the ears too often, you might want to get medical help as soon as possible. Let’s explain a few things here. The Cochlea is the inner ear portion, which looks like a snail. Any damage to sensory ear cells in the Cochlea can cause ringing. Ringing in the ear or Tinnitus may occur in different ways. You might hear the sound of ringing, whooshing, buzzing, clicking, or hissing. The sound can be soft or loud, occasional or continuous, or in one or both ears. You might hear the noise more clearly and loudly when you are alone or in a quiet place.

Tinnitus is a condition, not a disease. If you do not treat it at the right time, it can cause hearing loss. Continuous sounds in your ears, in some cases, can cause anxiety, depression, and insomnia.

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Causes of Ringing in the Ears (Tinnitus)

Tinnitus can occur anywhere in the auditory pathway. This condition can affect the brain’s auditory cortex, inner, middle, or outer ear. You can find some of the common causes of Tinnitus below:

1.     Age Factor

Tinnitus may arise at any age, but patients above 40 are more likely to experience its severe effects. You need to evaluate risk factors and try to treat this condition before it gets worse. Avoiding common causes like hypertension, smoking, and noise exposure can be helpful.

2.     Noise Exposure

Constant exposure to noisy sounds can damage your ears, affecting hair cells present in the Cochlea. Loud noises can lead to hearing loss. People working in excessively noisy areas like road construction sites, factories, etc., have more chances of suffering from hearing loss.

3.     Head Injury

In some Tinnitus patients, the leading cause for their ear ringing is a head or neck injury. If you are suffering from this condition, you will feel difficulty in relaxing, sleeping, thinking, and remembering clearly. Consult a doctor as soon as you feel any of the Tinnitus symptoms.

4.     Dental Issues

Dental injuries or problems can also cause Tinnitus. Misalignment of the temporomandibular joint or other injuries can be the reason for your hearing loss. The temporomandibular joint attaches your jaw bone with the head in front of your ear.

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5.     Side Effects of Drugs

a)    Antibiotics

One of the side effects of medicines is Tinnitus or ringing sounds. The antibiotics that can cause such side effects include ciprofloxacin, doxycycline, gentamicin, erythromycin, tetracycline, tobramycin, and vancomycin.

b)    Cancer Medications

Some cancer medications, such as  cisplatin and vincristine, can also cause Tinnitus.

c)     Certain Antidepressants

Many antidepressants, such as amitriptyline, clomipramine, and imipramine, can lead to this condition.

d)    Aspirin

Continuous use of aspirin can cause hearing loss. Examples may include ibuprofen and naproxen.

6.     Ear Blockage

Your ear glands produce earwax to protect your ears from debris. Earwax comes out of the ears naturally, but cleaning your ears with earbuds can cause severe damage and pain. Earbuds push the wax back inside, blocking the ear canal. If you recently feel ringing in your ear, visit your doctor for an ear checkup as soon as possible.

7.     Ear Bone Changes

In many cases, abnormal growth of bone in your middle ear can cause symptoms of this condition. Stiffness of the bones can be due to inheritance, and you should consult with the doctor if you experience these symptoms.

8.     Rare Diseases

Many diseases can cause Tinnitus, such as Meniere’s disease, TMJ Disorder, Acoustic Neuroma, Eustachian tube dysfunction, Muscle spasms in the inner ear, etc.

a)    Meniere ’s Disease

Meniere’s disease can cause vertigo, dizziness, and Tinnitus. This disease is an inner ear condition. You might feel hearing loss that comes and goes, feeling of ear pressure, and ringing in the ear. This disease usually infects one ear, and a delay in treatment can lead to permanent disability.

b)    TMJ Disorder

TMJ or temporomandibular joint located near the ear share some nerves and muscles with the middle ear. Any disorder in the functionality of the joint’s ligaments, muscles, or cartilage results in TMJ disorder.

Conclusion

The first thing you should do is to protect your ears from loud sounds if you want to avoid Tinnitus. If you work in a place where there are noisy machines, you should use earplugs. If you feel any hearing problem, visit us to avoid any complications. Stephen Katz is a Tinnitus treatment specialist available at our clinic. You can contact us at (646) 213-2321 to make an appointment.

I Have Tinnitus. What Are My Treatment Options?

What are your tinnitus treatment options?

Diagnosis of Tinnitus

Anyone who has Tinnitus should visit a specialist for evaluation and examination before treating the condition because many conditions, diseases, environmental factors, etc. can cause it. You cannot opt for a specific treatment unless the cause of Tinnitus is clear. The diagnosis may include:

  • Examination of the head, torso, neck, and ear
  • Hearing tests
  • Laboratory blood tests
  • Imaging studies

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Tinnitus Treatment Options

The first step in treating your Tinnitus is to visit a Tinnitus specialist who will diagnose your condition and find out the causes of its occurrence. If your ear problem relates to another health condition, your doctor will treat that problem. In most cases, treating the underlying cause helps overcome Tinnitus as well. Otherwise, the doctor will suggest you other non-medical treatments, such as therapies, or masking the unwanted noise. In some cases, Tinnitus would go away without any specific treatment. In other cases, you might have to go for therapy to get rid of the condition.

For instance, if earwax blockage is the reason for your Tinnitus, the specialist will clean your ears with a suction device. Clearing the wax will relieve you from Tinnitus. If the ear infection is causing you Tinnitus, drops like hydrocortisone and antibiotics will treat your Tinnitus.

1.     Through Habituation Techniques

Our brain subconsciously habituates some sound signals that it considers unimportant, such as the noise of gentle rain, computer fans, air conditioners, etc. TRT therapy works by continuously hearing some pleasant sound and eventually drowning the ringing sounds.

2.     With the Help of Masking

Masking devices are just like hearing aids, but they play a pleasant sound in your ears to help you fight Tinnitus. These devices drown out the ringing of Tinnitus with sounds such as white or pink noise. Some masking devices can mask the condition and act as hearing aids at the same time.

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3.     Through Medications

A variety of medicines can help you take care of the causes of Tinnitus, some low-dose anti-anxiety drugs like Elavil or Valium, for example. In some situations, inserting steroids into the ear along with an anti-anxiety medicine (alprazolam) can be helpful.

4.     With the help of Hearing Aids and Implants

A hearing aid can also be helpful if your Tinnitus is due to the loss of hearing. The hearing device will help you cope with the loss of hearing, which will eventually treat Tinnitus.

If the cause of Tinnitus is a hearing problem due to damage to the cochlea, the specialist will recommend cochlear implants. This surgery helps in treating severe deafness. It works by sending signals to your brain from the ears. Cochlear implants have helped many patients who had Tinnitus due to hearing loss.

5.     Through Dental Treatment

Temporomandibular joint or TMJ disorder can also lead to Tinnitus. A TMJ disorder is the result of the dislocation of the TMJ. This joint is near the inner ear, and some of the sensory nerves passing through this joint reach the brain to perform the hearing function. When this joint is misaligned, it damages your nerves, causing a hearing disorder. A specialist can help you with your condition by aligning your jaw and relieving you from TMJ disorder, and eventually treating Tinnitus.

6.     Through Stress Management

The biofeedback technique can help you with stress management. It can be helpful as your reaction towards Tinnitus is changed.

7.     Through Counseling

To treat Tinnitus, a specialist may also use this counseling method to help you modify your reaction to Tinnitus. This way, you can ignore the sound of Tinnitus. Cognitive therapy can boost the performance of Tinnitus medication and Tinnitus masking techniques.

Conclusion

Visiting a specialist is essential in treating your Tinnitus, as the occurrence of this condition may indicate a severe disease or some other serious medical condition. Tinnitus is an indication that something is not right with your body, and after diagnosis, you can treat that condition to treat Tinnitus as a result.

You can find a Tinnitus treatment specialist by contacting us at (646) 213-2321 or visiting our clinic for an appointment. Our specialist, Stephen Katz, can examine your condition to help you with the best treatment.

What Is Tinnitus?

What is tinnitus? Tinnitus refers to a common condition in which sufferers experience an irritating sensation of hearing ‘ringing’ sounds in their ears. Other sounds that they find extremely bothersome include hissing, buzzing, clicking, whistling and chirping etc. This noise is continuous and may vary in volume.

Sufferers of Tinnitus find it very hard to bear the noise, especially when background noise is low and there is pin-drop silence. In the absence of background noise, the ringing tends to enhance and annoy more because background noise actually helps drown it out to some extent.

What is Tinnitus: Causes

What is Tinnitus - Causes Symptoms TreatmentOne of the most common causes of Tinnitus is prolonged exposure to repetitive noise. Tinnitus can also be the result of old age hearing loss. There are delicate hair cells present in your inner ear that end to damage or wear and tear as you age. This leads to hearing problems and makes tinnitus more noticeable.

The structure of your ear is such that your inner ear translates sounds waves into nerve signals that are then sent to your brain. In this condition, the brain finds it hard to process the constant irritating noise. Individuals who take pills like aspirin, sedatives and anti depressants are more likely to develop this condition, since tinnitus is a side effect of such drugs.

Cardiovascular and circulatory problems may also cause Tinnitus to develop. In addition to that, frequent high blood pressure may also be one of the causes. You can expect high blood pressure if you have recently experienced a head injury, perhaps. Also, if there is ear wax stuck in your ear drums, there are chances that you can suffer from tinnitus, temporarily. You will go back to normal after the removal of wax from your ear.

However, if you notice the sound matching with your heart beat or sounding like it, then this is alarming and needs immediate medical attention. Doctors also believe that taking excessive stress and suffering from anxiety may also lead to Tinnitus.

What is Tinnitus: Symptoms

What is Tinnitus - Causes Symptoms Treatment

Main symptom that leads towards Tinnitus is extreme annoyance towards hissing and ringing sounds. If you simply cannot bear such sounds and feel an intense headache because of them, then you need to get a check-up done. It is very evident and noticeable at night when you are trying to sleep.

Experiencing pain in your jaw or dizziness may also be a symptom of Tinnitus. Other than that, if you have anemia or you have lost a lot of blood from your system due to an accident and you notice tinnitus symptoms in yourself then you need to consult a doctor.

Types of Tinnitus

Subjective Tinnitus is relatively easy to treat because it mainly has to do with auditory pathways and nerve signal problems that result in hearing issues. Objective Tinnitus on the other hand is more severe. It is rare and may be the result of a blood vessel or circulatory problem, making it more serious.

Bottom-Line

To conclude, it is vital to see a specialist if your tinnitus bothers you a lot or you have identified symptoms in yourself that lead towards tinnitus. Do you feel super annoyed at work because of the constant clicking noise that comes out of a colleague’s keyboard? Yes? Well, do not worry. Consult a doctor and address the issue so that you can live a normal and healthy life, and enjoy working in peace.

Schedule your appointment with the best Tinnitus specialist in NYC today!

Stephen Geller Katz, LCSW-R
Call today for a consultation
646-213-2321

What is Cognitive Retraining Therapy for Tinnitus?

Cognitive retraining therapy (CRT) Tinnitus TreatmentWhat is cognitive retraining Therapy for Tinnitus? 30 million Americans experience hearing loss at some point in their life. Tinnitus is one of the prevailing ailments in the country. The condition causes buzzing, whistling, chirping, ringing, hissing, or other sounds. Tinnitus affects around 20% of the population, according to a recent research.

The noise tinnitus causes can be intermittent or incessant, varying by level of loudness. In severe cases, however, the background noise is low than the one in your ear. Moreover, some people may feel that the sound syncs with their heart, leading to pulsatile tinnitus. The symptoms of tinnitus vary, but most patients usually experience difficulty in hearing.

What Are The Symptoms Of Tinnitus?

As mentioned, tinnitus causes certain sounds and sensations in your ear. The symptoms of the condition may include the following:

  • Buzzing
  • Ringing
  • Hissing
  • Humming
  • Clicking
  • Roaring

Depending on the severity of the condition, the pitch of the sound may vary, from a low hissing to high clicking. Moreover, a person with tinnitus may hear the phantom noise in one or both ears. However, the sound is sometimes too loud that it affects the patients’ level of concentration.

Cognitive Retraining Therapy for Tinnitus

Cognitive Behavioral Therapy (CBT)Patients struggling with mild to severe tinnitus can opt for several therapies to treat the condition. The primary objective of all the treatment programs is reducing the discomfort caused by the condition. The patient may eventually help the patient to live a comfortable and content life. Do note that there is no scientifically proven cure for severe cases of tinnitus.

In particular, sensorineural hearing loss leads to a most cases of tinnitus. However, scientists are searching for the definite treatment. That said, there are effective therapies that can help patients to manage their ailment. Not to mention, these treatment options can reduce the intensity, burden, and omnipresence of tinnitus.

Although these therapies do not eliminate the condition, they help address the cognitive and emotional impact. Patients can thus lead a better and more comfortable life.

Cognitive behavioral therapy is an increasing popular treatment for tinnitus. The treatment addresses the patients’ reaction to tinnitus. Furthermore, the therapy does not aim to eliminate the auditory perception but reduce the negative response to tinnitus.

How Does the Cognitive Retraining Therapy Work for Tinnitus?

A large number of medical researchers studied cognitive retraining therapy. Many medical professionals recommend this therapy to improve the condition. Implementing these measures can prove helpful for improving your quality of life.

Well, the main concept of cognitive retraining therapy is improving the unrealistic and negative cognitions, i.e. your beliefs and thoughts, which inflict maladaptive behavior.

Correcting these negative and unrealistic cognitions with the therapy may help a person with tinnitus have more realistic and positive thoughts. Cognitive retraining therapy helps improve your neurological function, retraining your brain to reinterpret the messages it receives.

Not to mention, your brain perceives these messages based on your cognitive interpretations of reality. Furthermore, the therapy helps establish the connection between your thoughts and their effect on tinnitus.

The Bottom Line

Now that you have a clear idea of how cognitive retraining works for treating tinnitus, you can proceed with the treatment. If you have been experiencing the intermittent or chronic tinnitus, you need to get proper treatment for the condition. Therefore, schedule your appointment with the best Tinnitus Treatment Specialist in NY before the condition becoming worse.

Stephen Geller Katz, LCSW
Call today for a consultation:
646-213-2321

The Future of Tinnitus Treatment

What is the future of tinnitus treatment? Tinnitus is a hearing loss or auditory condition that many people suffer from. Sufferer’s feel immense displeasure and irritation due to a constant ringing sensation in their ears that they cannot manage to get rid of. Although, there are immediate solutions like listening to ‘white’ music that exist, they are only temporary. Doctors and researchers are actively looking for permanent and long term treatment options for tinnitus.

In addition to that, current treatment options that most specialists recommend also exist. Therapies likes Cognitive Behavioral Therapy and Tinnitus Retraining therapy have proven to be successful in this regard. However, engineers, scientists, and doctors are researching to find better ways to treat this problem. The existing solutions are good but they need a lot of improvement for the perfect resolution of the problem.

The Future of Tinnitus Treatment

Future of tinnitus treatmentThis condition is a noise induced hearing loss that can result from listening to heavy metal music or working in an extremely loud environment. It is important to know and understand how we hear and process sound. There are tiny hairs present inside our ears, namely cilia. These hairs are responsible for translating sound waves and sending them off to your brain, which then interprets them and you are able to hear.

According to research by the University of Arizona, the target is the brain and not the ears. It suggests that neuro-inflammation is the real cause behind tinnitus. Inflammation is your body’s way of letting you know that there may be an infection trying to develop in your body. This leads us to the conclusion that inflammation in auditory pathways triggers tinnitus. This also means that anti-inflammation drugs can be useful in treating tinnitus in the near future.

The central nervous system of your brain tends to activate its immune cells (microglia) when infectious germs invade. However, in case of hearing damage or auditory loss, pro inflammatory cytokines start working immediately. These cytokines don’t always seem to be helpful. One specific cytokine TNF, tumor necrosis factor tends to trigger tinnitus. Therefore, anti-inflammatory medication will help in future to regulate its activation and to reduce inflammation.

Another future treatment option is, TMS Transcranial Magnetic Stimulation. (Research  by Oregon Health & Science University).This procedure involves producing a cone like magnetic field inside your skull to form a connection with your brain tissues. As a result, they affect the activity of the brain neurons. This procedure is perfect for curing depression. Participants of the study who were tinnitus sufferers stated that TMS worked for them and helped reduce their tinnitus symptoms to a great extent.

Other than that, masking devices and high-quality white sound producing hearing aids in the making that will help tackle tinnitus. These white sounds target the ringing and hissing by drowning out the background noise.

Bottom-Line

To conclude, it is vital to know which type of Tinnitus you are suffering from and what kind of treatment it requires. Treatment options are specific to your condition and the specialists will recommend them after thoroughly investigating your condition. If you have identified tinnitus symptoms in yourself and you want to get rid of them, schedule your appointment with the best Tinnitus specialist in NYC today. We will help you with a solution that meets your needs and helps you live your life like any other normal person.

Stephen Geller Katz, LCSW
646-213-2321

Ringing In The Ears From Tinnitus

Have you been experiencing a nonstop sensation of ringing in the ears lately? The annoyance resulting from these sounds is not ordinary. It is so intense that it turns into a medical condition and needs immediate care. If you feel that way, you may be suffering from Tinnitus. Tinnitus is a disorder in which patients feel a continuous buzzing or ringing noise that makes them extremely annoyed.

Causes of Ringing In The Ears

ringing-in-the-ears-tinnitus-info-01The cause of this condition can be exposure to loud and long-term noise that damages the sensory hair cells present in the cochlea inside your ear.

Other causes of tinnitus include thick wax build-up inside your ear that does not let the hair cells function, head injury or taking aspirin frequently. Another cause may be the consumption of excessive caffeine. Tinnitus is a result of an underlying hearing loss problem.

High blood pressure also leads towards the development of Tinnitus. Stress, alcohol and caffeine all play their role in the hardening of the arteries that do not let the blood flow properly, resulting in increased blood pressure.

In most cases, individuals suffer from subjective tinnitus. In this type, only the sufferer can hear the noise. The triggering noise has no external source, so no one else can hear it. However, in severe cases, your specialist can also hear the noise. This is in the case of objective or Pulsatile tinnitus. Pulsatile tinnitus is an alarming condition in which you hear a noise with every heart-beat. This noise is dangerous because it can mean that your blood vessels have sustained damage or there is a tumor in your system.

Treating Tinnitus

ringing-in-the-ears-sounds-tinnitus-info-02Cognitive Behavioral Therapy is a common treatment to help treat Tinnitus. These therapy sessions help straighten out your thought patterns and make you re-think your reactions towards sounds that trigger your emotions. CBT is a tool that most specialists recommend because it helps patients handle stressful situations better.

Use hearing aids and auditory devices that produce white noise. This special white noise masks the triggering sounds and reduces the symptoms of tinnitus greatly. You can also sign up for a special therapy that is specific to Tinnitus treatment i.e. Tinnitus Retraining Therapy.

These sessions aim to help sufferers manage their reactions. In addition to that, the sessions also include tinnitus-masking techniques. This special therapy attempts to change your perception towards the sounds. After completing your sessions, you will no longer feel irritation towards the triggering sounds. Instead, you will hear them as any other normal sound.

Moreover, you must avoid taking drugs that can enhance your tinnitus symptoms, especially the use of aspirin, anti-biotics and anti-depressants.

Bottom-Line

If you have noticed the buzzing, hissing and ringing symptom in your ears, it means that you have developed Tinnitus. You must consult a clinician or a specialist immediately because it is vital to evaluate and get to know about the underlying problems that may have led to tinnitus. After conducting tests and thoroughly examining your condition, your specialist will recommend you the most suitable treatment options.

Do not feel helpless, especially when professional help is very easily available. For the only mistake you do not want to make is waiting too long to take an action? Schedule your appointment with the best Tinnitus Specialist in NYC today and find out about your condition in detail.

Physiology of Ear

What is physiology of ear? Can you imagine your life without hearing? Bless those souls who are leading their lives wonderfully without the sense of hearing. Your ears are one of the most vital parts of your body. They give you the gift of one of the five senses. Your ears have a perfectly shape to transmit and transduce the sounds to your brain.  Let us have a thorough understanding of the physiology of ear to appreciate its miraculous working.

The Outer Ear

An ear has three main parts: the outer ear, middle ear, and the inner. Let us understand the parts of an outer ear first. The outer inner is mainly the visible part of the ear. The outer ear is the entryway of the sound waves into the ear. Following are the parts of an outer ear.

Pinna

Most of the outer ear comprises of the pinna or an auricle, which is the visible fleshy part. Helix is the curving and outer rim of the pinna. As the curving of the pinna goes inward, the sound waves reach the antihelix, which opens in the ear canal. Pinna consists of single elastic cartilage that helps to hold and support the ear.

Ear Canal

It is the pathway between the outer ear and the middle ear through which the sound waves travel.

Tragus

The tragus is a small protruding opening that partially covers the ear canal. Interestingly tragus is also the name of the hair at the entrance of the ear.  The parallel side of the tragus is the antitragus.

The Middle Ear

The middle ear lies between the outer and inner ear. It has an air-filled cavity, the tympanic cavity and includes the ossicles.

Ossicles

The ossicles are the three bones Anvil, Hammer, and Stirrup present in the middle ear. The bones attach to the ear with their ligaments. These bones are the smallest bones of the human body. Ossicles help to direct and transmit the sound waves to the cochlea (the inner ear).

Eustachian Tube/Auditory Tube

This part of the middle ear connects to the throat and nasopharynx through the pharyngeal opening.

Round and Oval Windows

These two small windows provide openings to the inner ear.

Inner Ear

The inner ear is the area where the action starts. It sits in the bony labyrinth cavity of the ear. The inner ear has inter-connected tubes and chambers. The cochlea is the most important part of the inner ear. The other chambers with the fluid inside are the vestibular tubules or the semi-circular canals. These structures together form the membranous labyrinth of the inner ear.

Cochlea

This snail-shaped chamber receives sound waves from the middle ear. Any damage to the cochlea can partially or completely deafen you. Sound waves reach the brain through vestibulocochlear nerves present in the cochlea. The interpretation of the sounds waves takes place in the brain. The hairs in the cochlea also help in the transmission of the sound waves.

Conclusion

This was a simple and easy understanding of the physiology of the ear, highlighting the important components of the ears. As remarkable and well functioning the human ear is, it is also very delicate. Too much noise exposure can damage the cochlea and other important components of the ear.

If you experience ear-related problems, then contact us at 646-213-2321 to schedule a consultation. We at Tinnitus Cognitive Therapy have the best tinnitus specialist in NYC who offers advanced cognitive therapies for treating your ear-related problems.

Noise Disorders

What are noise disorders? Individuals who suffer from noise disorders and auditory problems often end up isolating themselves in an attempt to avoid the noise that triggers their intense reaction. This condition is immensely problematic, especially because it comes in the way of their personal growth. Social interaction is very important for growth. These triggering sounds mess up with the sufferer’s emotions, and leave them frustrated and annoyed. Let us look at some common noise disorders and their effects.

Noise Induced Hearing Loss

NIHL is usually a result of exposure to loud and repetitive sound. The people who hear such sounds everyday are more likely to develop NIHL than others. For example, people working in an environment where there are extremely noisy machines. The inner ear suffers damage. NIHL can happen to individuals of all ages, in some case it is temporary while in others it is stubborn and does not go away.

Sound waves enter the ear canal, which is a passageway that makes the ear drum vibrate. There are tiny hair cells present in our ear for carrying the signals along with the auditory nerve to our brain, which then interprets the sound and we are able to hear. People who suffer from NIHL experience trouble hearing because these sensory hair cells suffer damage due to continuous exposure to noise. NIHL is preventable if you protect your ears from noise and wear earplugs to work and noisy places.

Tinnitus

Exposure to loud and repetitive noise can also result in a disorder called Tinnitus. In this condition, sufferers feel a loud ringing, buzzing or hissing sensation in their ears non-stop. They feel extremely irritated and often try to mask the noise and distract themselves. The noise may vary in pitch and volume. Sufferers find it hard to concentrate on their routine activities and work because of this bothersome and loud noise.

Hyperacusis

Hyperacusis is a noise disorder in which patients experience intense discomfort towards sounds that others may find normal. These sounds are not necessarily loud. In fact, they can even be normal every-day sounds. Typically, hyperacusis is also a result of nonstop and long-term noise exposure. However, in some cases, it can result from PTSD i.e. post-traumatic stress disorder.

Hyperacusis patients must visit a specialist for a checkup of loudness discomfort level. That way, they will be aware of their level of sensitivity towards specific sounds. Specialists also recommend therapies like hyperacusis retraining, but that depends on your LDL. Therefore, it is best to get a proper check-up done from a professional.

Misophonia

Misophonia is a noise disorder that triggers intense emotional reactions. The sufferers cannot tolerate certain sounds. These sounds mainly include continuous clicking of the keyboard, scratching of nails against the walls or oral sounds like chewing or breathing. Misophoniacs tend to feel extreme rage towards the source of the sound and can go to any lengths to avoid the triggering noise. They fear the noise and isolate themselves.

Bottom-Line

Noise disorders of any sort are very hard to deal with. Sufferers often feel confused and helpless when it comes to looking for solutions. Some feel like giving up. However, losing hope is not the right thing to do. Get a thorough examination by a specialist and get in touch with the best specialist in NYC today. Let us find out effective solutions and treatment options for you.

Can I get Tinnitus Because of my Location

Can you get tinnitus because of your location? A person with tinnitus hears ringing, buzzing, whistling, hissing, or chirping when no physical sound is present. This condition is usually a symptom of either auditory or respiratory-related problems. Tinnitus can cause serious difficulty in sleeping and concentration. The severity of tinnitus can range from mild inconvenience to life-changing condition.

What Causes Tinnitus

Prolonged exposures to noise are the leading cause of tinnitus. Over 90% of tinnitus patients have induced hearing loss. What happens is that the cochlea in the ear gets permanent damage because of noise. The severity of the damage depends on the exposure of noise. Pilots, street repair workers, carpenters, and rock musicians are at high risk of developing tinnitus.

Other conditions and problems can induce tinnitus too. Ear and throat infections cause blockage in the ear and can aggregate the build-up of ear wax.  The build-up of ear wax can easily lead to mild tinnitus, which can grow severe if not treated within time. Other ear and respiratory conditions can be an underlying cause of tinnitus like hyperacusis, bronchitis, and respiratory obstruction.

Natural aging process deteriorates the cochlea and other parts of the ear. Tinnitus is also a potential side effect of certain antibiotics, antidepressants, anti-inflammatories, and quinine medications.

Location: Chances of Tinnitus in Noisy Places

By now, you know how exposing yourself to noise and living in noisy areas can turn out to be very bad for your ears. If you live in a very noisy place, you have fair chances of developing tinnitus. This is one of the reasons people should not live too near to a train stations, construction sites, and airports.

If you frequently go to attend concerts and music shows then you might want to cut down on that a little.  If your work requires you to live most of your day or night in the club where there is loud thudding of music, you are at high risk of developing.

People working in garbage disposals throughout the day are also likely to suffer from tinnitus later on. Similarly, people who live or work at or near jet flyovers are at a huge risk of damaging their cochlea and developing tinnitus.

Most importantly, you should have ear protection such as earplugs and earmuffs. If you work at airport and construction sites, then make sure you use high-quality ear protection. If you already experience hearing loss, then use a hearing aid to restore your hearing.

Use headphones or earphones that provide noise-canceling option when you have to listen to music or other audio content.

Preventive Measures

If you live at or near any of the places mentioned above, then you must change your locality. If your career demands you to live or work in such places, you must take extra care and precautionary measures to prevent ear damage.

Install soundproof windows where you live or work. Heavy curtains on windows can help block some of the noises. Carpets can absorb noises to an appreciable extent. Installing thick carpets is a very good idea to avoid the echo of noise. Fill in the empty spaces with furniture and stuff that can absorb or block noise to a little extent.

Treatment

It is best to get in touch with a proper ENT specialist or an Otologist, so they can examine your ear and help you take preventive measures. If you experience tinnitus then contact us at 646-213-2321 to book a consultation. Treat your tinnitus with best of our cognitive therapies before it gets too late.

Stephen Geller Katz LCSW at the Tinnitus Cognitive Center offers advanced cognitive therapies for treating tinnitus.

TINNITUS AND HEARING LOSS

What is the relationship between tinnitus and hearing loss? The main reason for Tinnitus isn’t yet fully understood, but the link leads to many different conditions. One of these conditions is hearing loss. Tinnitus is a symptom, and it mostly relates to hearing loss. There are many ways to define Tinnitus, such as the pulsating or constant presence of high- or low-frequency sounds or more complicated sounds. These symptoms can point toward one of the following: High-Frequency Hearing Loss Tinnitus, or Low-Frequency Hearing Loss and Tinnitus.

Tinnitus link with following ear-related conditions:

  • Ear-wax blockage
  • A torn eardrum
  • Ear infections like glue ear
  • Otosclerosis
  • Ménière’s disease
  • Neurological disorders

Tinnitus sometimes also occurs with the following health conditions:

  • Neck and head injuries
  • Metabolic disorders like hyperthyroidism, diabetes, and hypothyroidism
  • Cardiovascular disorders particularly high blood pressure
  • Medications like ototoxic drugs

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The Link Between Tinnitus and Hearing Loss

Almost two-thirds of people suffering from Tinnitus also have hearing loss. The most common cause of Tinnitus is a loss in hearing. Sound waves travel into the cochlea, which is a hearing organ inside the inner ear. Thousands of hair cells in the cochlea change sound waves into electrical signals and these hair cells are sound-sensing cells lined up in cochlea.

If a part of your hearing or ear nerve doesn’t work or gets damaged, it will limit the number of electrical signals transmitted to the brain. According to researchers, when the brain does not receive some indication, it fills the gap of the sounds, which causes Tinnitus.

Sensorineural Hearing Loss

Sensorineural hearing loss or (SNHL) is a hearing loss condition, which is a result of damage to the auditory nerve or cochlea. Your ear consists of three parts: the inner, middle, and outer ear. SNHL affects the inner ear. Soft sounds can be hard to hear, or louder sound can be unclear. SNHL is a common type of loss of hearing. In most cases, surgeries and medicine cannot help; you may need a hearing aid to help you hear.

The following things can cause SNHL hearing loss:

  • Illnesses
  • Certain drugs
  • Hearing loss inheritance
  • Aging
  • Head injury
  • Any problem in the inner ear
  • Loud noises or explosions

Conductive Hearing Loss

Conductive hearing loss is a condition when sounds do not pass through the outer and middle ear. It is hard to hear a soft sound.

Causes of Conductive Hearing Loss

Conductive hearing loss occurs due to the following reasons:

  • Fluid-filled in the middle ear due to allergies or cold.
  • Otitis media or ear infection: Otitis is also known as ear infection, and media means middle, and this occurs due to infection in the middle ear.
  • Poor functioning of the Eustachian tube – the Eustachian tube joins together your nose and your middle ear. This tube drains out fluid in the middle ear. If the tube is not working correctly, the fluid will remain in the middle ear.
  • A hole in the eardrum
  • Benign tumors. These tumors can block the middle or outer ear. These are not cancer.
  • Cerumen, or earwax blockage in your ear canal
  • External otitis is an infection of the ear canal, and this is also called swimmer’s ear.
  • If an object is stuck in the outer ear, for example; which could be a situation where a child inserted a pebble inside his/her ear
  • A problem with the structure of the outer and middle ear – for instance, people born without an external ear, having a deformed ear canal, or having a problem with bones in their middle ear.

Conclusion

Hearing loss and Tinnitus cannot be deadly, but it can affect the way of living. It would be beneficial for you if you treat Tinnitus at earliest. If the condition remains untreated for too long, it can lead to permanent hearing loss. If you need a Tinnitus treatment specialist, you should contact us at (646) 213-2321 or visit our clinic for an appointment. Our specialist, Stephen Katz, can help you manage your Tinnitus.

RINGING IN THE EARS

If you experience ringing in the ears too often, you might want to get medical help as soon as possible. Let’s explain a few things here. The Cochlea is the inner ear portion, which looks like a snail. Any damage to sensory ear cells in the Cochlea can cause ringing. Ringing in the ear or Tinnitus may occur in different ways. You might hear the sound of ringing, whooshing, buzzing, clicking, or hissing. The sound can be soft or loud, occasional or continuous, or in one or both ears. You might hear the noise more clearly and loudly when you are alone or in a quiet place.

Tinnitus is a condition, not a disease. If you do not treat it at the right time, it can cause hearing loss. Continuous sounds in your ears, in some cases, can cause anxiety, depression, and insomnia.

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Causes of Ringing in the Ears (Tinnitus)

Tinnitus can occur anywhere in the auditory pathway. This condition can affect the brain’s auditory cortex, inner, middle, or outer ear. You can find some of the common causes of Tinnitus below:

1.     Age Factor

Tinnitus may arise at any age, but patients above 40 are more likely to experience its severe effects. You need to evaluate risk factors and try to treat this condition before it gets worse. Avoiding common causes like hypertension, smoking, and noise exposure can be helpful.

2.     Noise Exposure

Constant exposure to noisy sounds can damage your ears, affecting hair cells present in the Cochlea. Loud noises can lead to hearing loss. People working in excessively noisy areas like road construction sites, factories, etc., have more chances of suffering from hearing loss.

3.     Head Injury

In some Tinnitus patients, the leading cause for their ear ringing is a head or neck injury. If you are suffering from this condition, you will feel difficulty in relaxing, sleeping, thinking, and remembering clearly. Consult a doctor as soon as you feel any of the Tinnitus symptoms.

4.     Dental Issues

Dental injuries or problems can also cause Tinnitus. Misalignment of the temporomandibular joint or other injuries can be the reason for your hearing loss. The temporomandibular joint attaches your jaw bone with the head in front of your ear.

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5.     Side Effects of Drugs

a)    Antibiotics

One of the side effects of medicines is Tinnitus or ringing sounds. The antibiotics that can cause such side effects include ciprofloxacin, doxycycline, gentamicin, erythromycin, tetracycline, tobramycin, and vancomycin.

b)    Cancer Medications

Some cancer medications, such as  cisplatin and vincristine, can also cause Tinnitus.

c)     Certain Antidepressants

Many antidepressants, such as amitriptyline, clomipramine, and imipramine, can lead to this condition.

d)    Aspirin

Continuous use of aspirin can cause hearing loss. Examples may include ibuprofen and naproxen.

6.     Ear Blockage

Your ear glands produce earwax to protect your ears from debris. Earwax comes out of the ears naturally, but cleaning your ears with earbuds can cause severe damage and pain. Earbuds push the wax back inside, blocking the ear canal. If you recently feel ringing in your ear, visit your doctor for an ear checkup as soon as possible.

7.     Ear Bone Changes

In many cases, abnormal growth of bone in your middle ear can cause symptoms of this condition. Stiffness of the bones can be due to inheritance, and you should consult with the doctor if you experience these symptoms.

8.     Rare Diseases

Many diseases can cause Tinnitus, such as Meniere’s disease, TMJ Disorder, Acoustic Neuroma, Eustachian tube dysfunction, Muscle spasms in the inner ear, etc.

a)    Meniere ’s Disease

Meniere’s disease can cause vertigo, dizziness, and Tinnitus. This disease is an inner ear condition. You might feel hearing loss that comes and goes, feeling of ear pressure, and ringing in the ear. This disease usually infects one ear, and a delay in treatment can lead to permanent disability.

b)    TMJ Disorder

TMJ or temporomandibular joint located near the ear share some nerves and muscles with the middle ear. Any disorder in the functionality of the joint’s ligaments, muscles, or cartilage results in TMJ disorder.

Conclusion

The first thing you should do is to protect your ears from loud sounds if you want to avoid Tinnitus. If you work in a place where there are noisy machines, you should use earplugs. If you feel any hearing problem, visit us to avoid any complications. Stephen Katz is a Tinnitus treatment specialist available at our clinic. You can contact us at (646) 213-2321 to make an appointment.

I Have Tinnitus. What Are My Treatment Options?

What are your tinnitus treatment options?

Diagnosis of Tinnitus

Anyone who has Tinnitus should visit a specialist for evaluation and examination before treating the condition because many conditions, diseases, environmental factors, etc. can cause it. You cannot opt for a specific treatment unless the cause of Tinnitus is clear. The diagnosis may include:

  • Examination of the head, torso, neck, and ear
  • Hearing tests
  • Laboratory blood tests
  • Imaging studies

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Tinnitus Treatment Options

The first step in treating your Tinnitus is to visit a Tinnitus specialist who will diagnose your condition and find out the causes of its occurrence. If your ear problem relates to another health condition, your doctor will treat that problem. In most cases, treating the underlying cause helps overcome Tinnitus as well. Otherwise, the doctor will suggest you other non-medical treatments, such as therapies, or masking the unwanted noise. In some cases, Tinnitus would go away without any specific treatment. In other cases, you might have to go for therapy to get rid of the condition.

For instance, if earwax blockage is the reason for your Tinnitus, the specialist will clean your ears with a suction device. Clearing the wax will relieve you from Tinnitus. If the ear infection is causing you Tinnitus, drops like hydrocortisone and antibiotics will treat your Tinnitus.

1.     Through Habituation Techniques

Our brain subconsciously habituates some sound signals that it considers unimportant, such as the noise of gentle rain, computer fans, air conditioners, etc. TRT therapy works by continuously hearing some pleasant sound and eventually drowning the ringing sounds.

2.     With the Help of Masking

Masking devices are just like hearing aids, but they play a pleasant sound in your ears to help you fight Tinnitus. These devices drown out the ringing of Tinnitus with sounds such as white or pink noise. Some masking devices can mask the condition and act as hearing aids at the same time.

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3.     Through Medications

A variety of medicines can help you take care of the causes of Tinnitus, some low-dose anti-anxiety drugs like Elavil or Valium, for example. In some situations, inserting steroids into the ear along with an anti-anxiety medicine (alprazolam) can be helpful.

4.     With the help of Hearing Aids and Implants

A hearing aid can also be helpful if your Tinnitus is due to the loss of hearing. The hearing device will help you cope with the loss of hearing, which will eventually treat Tinnitus.

If the cause of Tinnitus is a hearing problem due to damage to the cochlea, the specialist will recommend cochlear implants. This surgery helps in treating severe deafness. It works by sending signals to your brain from the ears. Cochlear implants have helped many patients who had Tinnitus due to hearing loss.

5.     Through Dental Treatment

Temporomandibular joint or TMJ disorder can also lead to Tinnitus. A TMJ disorder is the result of the dislocation of the TMJ. This joint is near the inner ear, and some of the sensory nerves passing through this joint reach the brain to perform the hearing function. When this joint is misaligned, it damages your nerves, causing a hearing disorder. A specialist can help you with your condition by aligning your jaw and relieving you from TMJ disorder, and eventually treating Tinnitus.

6.     Through Stress Management

The biofeedback technique can help you with stress management. It can be helpful as your reaction towards Tinnitus is changed.

7.     Through Counseling

To treat Tinnitus, a specialist may also use this counseling method to help you modify your reaction to Tinnitus. This way, you can ignore the sound of Tinnitus. Cognitive therapy can boost the performance of Tinnitus medication and Tinnitus masking techniques.

Conclusion

Visiting a specialist is essential in treating your Tinnitus, as the occurrence of this condition may indicate a severe disease or some other serious medical condition. Tinnitus is an indication that something is not right with your body, and after diagnosis, you can treat that condition to treat Tinnitus as a result.

You can find a Tinnitus treatment specialist by contacting us at (646) 213-2321 or visiting our clinic for an appointment. Our specialist, Stephen Katz, can examine your condition to help you with the best treatment.

What Is Tinnitus?

What is tinnitus? Tinnitus refers to a common condition in which sufferers experience an irritating sensation of hearing ‘ringing’ sounds in their ears. Other sounds that they find extremely bothersome include hissing, buzzing, clicking, whistling and chirping etc. This noise is continuous and may vary in volume.

Sufferers of Tinnitus find it very hard to bear the noise, especially when background noise is low and there is pin-drop silence. In the absence of background noise, the ringing tends to enhance and annoy more because background noise actually helps drown it out to some extent.

What is Tinnitus: Causes

What is Tinnitus - Causes Symptoms TreatmentOne of the most common causes of Tinnitus is prolonged exposure to repetitive noise. Tinnitus can also be the result of old age hearing loss. There are delicate hair cells present in your inner ear that end to damage or wear and tear as you age. This leads to hearing problems and makes tinnitus more noticeable.

The structure of your ear is such that your inner ear translates sounds waves into nerve signals that are then sent to your brain. In this condition, the brain finds it hard to process the constant irritating noise. Individuals who take pills like aspirin, sedatives and anti depressants are more likely to develop this condition, since tinnitus is a side effect of such drugs.

Cardiovascular and circulatory problems may also cause Tinnitus to develop. In addition to that, frequent high blood pressure may also be one of the causes. You can expect high blood pressure if you have recently experienced a head injury, perhaps. Also, if there is ear wax stuck in your ear drums, there are chances that you can suffer from tinnitus, temporarily. You will go back to normal after the removal of wax from your ear.

However, if you notice the sound matching with your heart beat or sounding like it, then this is alarming and needs immediate medical attention. Doctors also believe that taking excessive stress and suffering from anxiety may also lead to Tinnitus.

What is Tinnitus: Symptoms

What is Tinnitus - Causes Symptoms Treatment

Main symptom that leads towards Tinnitus is extreme annoyance towards hissing and ringing sounds. If you simply cannot bear such sounds and feel an intense headache because of them, then you need to get a check-up done. It is very evident and noticeable at night when you are trying to sleep.

Experiencing pain in your jaw or dizziness may also be a symptom of Tinnitus. Other than that, if you have anemia or you have lost a lot of blood from your system due to an accident and you notice tinnitus symptoms in yourself then you need to consult a doctor.

Types of Tinnitus

Subjective Tinnitus is relatively easy to treat because it mainly has to do with auditory pathways and nerve signal problems that result in hearing issues. Objective Tinnitus on the other hand is more severe. It is rare and may be the result of a blood vessel or circulatory problem, making it more serious.

Bottom-Line

To conclude, it is vital to see a specialist if your tinnitus bothers you a lot or you have identified symptoms in yourself that lead towards tinnitus. Do you feel super annoyed at work because of the constant clicking noise that comes out of a colleague’s keyboard? Yes? Well, do not worry. Consult a doctor and address the issue so that you can live a normal and healthy life, and enjoy working in peace.

Schedule your appointment with the best Tinnitus specialist in NYC today!

Stephen Geller Katz, LCSW-R
Call today for a consultation
646-213-2321

What is Cognitive Retraining Therapy for Tinnitus?

Cognitive retraining therapy (CRT) Tinnitus TreatmentWhat is cognitive retraining Therapy for Tinnitus? 30 million Americans experience hearing loss at some point in their life. Tinnitus is one of the prevailing ailments in the country. The condition causes buzzing, whistling, chirping, ringing, hissing, or other sounds. Tinnitus affects around 20% of the population, according to a recent research.

The noise tinnitus causes can be intermittent or incessant, varying by level of loudness. In severe cases, however, the background noise is low than the one in your ear. Moreover, some people may feel that the sound syncs with their heart, leading to pulsatile tinnitus. The symptoms of tinnitus vary, but most patients usually experience difficulty in hearing.

What Are The Symptoms Of Tinnitus?

As mentioned, tinnitus causes certain sounds and sensations in your ear. The symptoms of the condition may include the following:

  • Buzzing
  • Ringing
  • Hissing
  • Humming
  • Clicking
  • Roaring

Depending on the severity of the condition, the pitch of the sound may vary, from a low hissing to high clicking. Moreover, a person with tinnitus may hear the phantom noise in one or both ears. However, the sound is sometimes too loud that it affects the patients’ level of concentration.

Cognitive Retraining Therapy for Tinnitus

Cognitive Behavioral Therapy (CBT)Patients struggling with mild to severe tinnitus can opt for several therapies to treat the condition. The primary objective of all the treatment programs is reducing the discomfort caused by the condition. The patient may eventually help the patient to live a comfortable and content life. Do note that there is no scientifically proven cure for severe cases of tinnitus.

In particular, sensorineural hearing loss leads to a most cases of tinnitus. However, scientists are searching for the definite treatment. That said, there are effective therapies that can help patients to manage their ailment. Not to mention, these treatment options can reduce the intensity, burden, and omnipresence of tinnitus.

Although these therapies do not eliminate the condition, they help address the cognitive and emotional impact. Patients can thus lead a better and more comfortable life.

Cognitive behavioral therapy is an increasing popular treatment for tinnitus. The treatment addresses the patients’ reaction to tinnitus. Furthermore, the therapy does not aim to eliminate the auditory perception but reduce the negative response to tinnitus.

How Does the Cognitive Retraining Therapy Work for Tinnitus?

A large number of medical researchers studied cognitive retraining therapy. Many medical professionals recommend this therapy to improve the condition. Implementing these measures can prove helpful for improving your quality of life.

Well, the main concept of cognitive retraining therapy is improving the unrealistic and negative cognitions, i.e. your beliefs and thoughts, which inflict maladaptive behavior.

Correcting these negative and unrealistic cognitions with the therapy may help a person with tinnitus have more realistic and positive thoughts. Cognitive retraining therapy helps improve your neurological function, retraining your brain to reinterpret the messages it receives.

Not to mention, your brain perceives these messages based on your cognitive interpretations of reality. Furthermore, the therapy helps establish the connection between your thoughts and their effect on tinnitus.

The Bottom Line

Now that you have a clear idea of how cognitive retraining works for treating tinnitus, you can proceed with the treatment. If you have been experiencing the intermittent or chronic tinnitus, you need to get proper treatment for the condition. Therefore, schedule your appointment with the best Tinnitus Treatment Specialist in NY before the condition becoming worse.

Stephen Geller Katz, LCSW
Call today for a consultation:
646-213-2321

The Future of Tinnitus Treatment

What is the future of tinnitus treatment? Tinnitus is a hearing loss or auditory condition that many people suffer from. Sufferer’s feel immense displeasure and irritation due to a constant ringing sensation in their ears that they cannot manage to get rid of. Although, there are immediate solutions like listening to ‘white’ music that exist, they are only temporary. Doctors and researchers are actively looking for permanent and long term treatment options for tinnitus.

In addition to that, current treatment options that most specialists recommend also exist. Therapies likes Cognitive Behavioral Therapy and Tinnitus Retraining therapy have proven to be successful in this regard. However, engineers, scientists, and doctors are researching to find better ways to treat this problem. The existing solutions are good but they need a lot of improvement for the perfect resolution of the problem.

The Future of Tinnitus Treatment

Future of tinnitus treatmentThis condition is a noise induced hearing loss that can result from listening to heavy metal music or working in an extremely loud environment. It is important to know and understand how we hear and process sound. There are tiny hairs present inside our ears, namely cilia. These hairs are responsible for translating sound waves and sending them off to your brain, which then interprets them and you are able to hear.

According to research by the University of Arizona, the target is the brain and not the ears. It suggests that neuro-inflammation is the real cause behind tinnitus. Inflammation is your body’s way of letting you know that there may be an infection trying to develop in your body. This leads us to the conclusion that inflammation in auditory pathways triggers tinnitus. This also means that anti-inflammation drugs can be useful in treating tinnitus in the near future.

The central nervous system of your brain tends to activate its immune cells (microglia) when infectious germs invade. However, in case of hearing damage or auditory loss, pro inflammatory cytokines start working immediately. These cytokines don’t always seem to be helpful. One specific cytokine TNF, tumor necrosis factor tends to trigger tinnitus. Therefore, anti-inflammatory medication will help in future to regulate its activation and to reduce inflammation.

Another future treatment option is, TMS Transcranial Magnetic Stimulation. (Research  by Oregon Health & Science University).This procedure involves producing a cone like magnetic field inside your skull to form a connection with your brain tissues. As a result, they affect the activity of the brain neurons. This procedure is perfect for curing depression. Participants of the study who were tinnitus sufferers stated that TMS worked for them and helped reduce their tinnitus symptoms to a great extent.

Other than that, masking devices and high-quality white sound producing hearing aids in the making that will help tackle tinnitus. These white sounds target the ringing and hissing by drowning out the background noise.

Bottom-Line

To conclude, it is vital to know which type of Tinnitus you are suffering from and what kind of treatment it requires. Treatment options are specific to your condition and the specialists will recommend them after thoroughly investigating your condition. If you have identified tinnitus symptoms in yourself and you want to get rid of them, schedule your appointment with the best Tinnitus specialist in NYC today. We will help you with a solution that meets your needs and helps you live your life like any other normal person.

Stephen Geller Katz, LCSW
646-213-2321

Ringing In The Ears From Tinnitus

Have you been experiencing a nonstop sensation of ringing in the ears lately? The annoyance resulting from these sounds is not ordinary. It is so intense that it turns into a medical condition and needs immediate care. If you feel that way, you may be suffering from Tinnitus. Tinnitus is a disorder in which patients feel a continuous buzzing or ringing noise that makes them extremely annoyed.

Causes of Ringing In The Ears

ringing-in-the-ears-tinnitus-info-01The cause of this condition can be exposure to loud and long-term noise that damages the sensory hair cells present in the cochlea inside your ear.

Other causes of tinnitus include thick wax build-up inside your ear that does not let the hair cells function, head injury or taking aspirin frequently. Another cause may be the consumption of excessive caffeine. Tinnitus is a result of an underlying hearing loss problem.

High blood pressure also leads towards the development of Tinnitus. Stress, alcohol and caffeine all play their role in the hardening of the arteries that do not let the blood flow properly, resulting in increased blood pressure.

In most cases, individuals suffer from subjective tinnitus. In this type, only the sufferer can hear the noise. The triggering noise has no external source, so no one else can hear it. However, in severe cases, your specialist can also hear the noise. This is in the case of objective or Pulsatile tinnitus. Pulsatile tinnitus is an alarming condition in which you hear a noise with every heart-beat. This noise is dangerous because it can mean that your blood vessels have sustained damage or there is a tumor in your system.

Treating Tinnitus

ringing-in-the-ears-sounds-tinnitus-info-02Cognitive Behavioral Therapy is a common treatment to help treat Tinnitus. These therapy sessions help straighten out your thought patterns and make you re-think your reactions towards sounds that trigger your emotions. CBT is a tool that most specialists recommend because it helps patients handle stressful situations better.

Use hearing aids and auditory devices that produce white noise. This special white noise masks the triggering sounds and reduces the symptoms of tinnitus greatly. You can also sign up for a special therapy that is specific to Tinnitus treatment i.e. Tinnitus Retraining Therapy.

These sessions aim to help sufferers manage their reactions. In addition to that, the sessions also include tinnitus-masking techniques. This special therapy attempts to change your perception towards the sounds. After completing your sessions, you will no longer feel irritation towards the triggering sounds. Instead, you will hear them as any other normal sound.

Moreover, you must avoid taking drugs that can enhance your tinnitus symptoms, especially the use of aspirin, anti-biotics and anti-depressants.

Bottom-Line

If you have noticed the buzzing, hissing and ringing symptom in your ears, it means that you have developed Tinnitus. You must consult a clinician or a specialist immediately because it is vital to evaluate and get to know about the underlying problems that may have led to tinnitus. After conducting tests and thoroughly examining your condition, your specialist will recommend you the most suitable treatment options.

Do not feel helpless, especially when professional help is very easily available. For the only mistake you do not want to make is waiting too long to take an action? Schedule your appointment with the best Tinnitus Specialist in NYC today and find out about your condition in detail.

Physiology of Ear

What is physiology of ear? Can you imagine your life without hearing? Bless those souls who are leading their lives wonderfully without the sense of hearing. Your ears are one of the most vital parts of your body. They give you the gift of one of the five senses. Your ears have a perfectly shape to transmit and transduce the sounds to your brain.  Let us have a thorough understanding of the physiology of ear to appreciate its miraculous working.

The Outer Ear

An ear has three main parts: the outer ear, middle ear, and the inner. Let us understand the parts of an outer ear first. The outer inner is mainly the visible part of the ear. The outer ear is the entryway of the sound waves into the ear. Following are the parts of an outer ear.

Pinna

Most of the outer ear comprises of the pinna or an auricle, which is the visible fleshy part. Helix is the curving and outer rim of the pinna. As the curving of the pinna goes inward, the sound waves reach the antihelix, which opens in the ear canal. Pinna consists of single elastic cartilage that helps to hold and support the ear.

Ear Canal

It is the pathway between the outer ear and the middle ear through which the sound waves travel.

Tragus

The tragus is a small protruding opening that partially covers the ear canal. Interestingly tragus is also the name of the hair at the entrance of the ear.  The parallel side of the tragus is the antitragus.

The Middle Ear

The middle ear lies between the outer and inner ear. It has an air-filled cavity, the tympanic cavity and includes the ossicles.

Ossicles

The ossicles are the three bones Anvil, Hammer, and Stirrup present in the middle ear. The bones attach to the ear with their ligaments. These bones are the smallest bones of the human body. Ossicles help to direct and transmit the sound waves to the cochlea (the inner ear).

Eustachian Tube/Auditory Tube

This part of the middle ear connects to the throat and nasopharynx through the pharyngeal opening.

Round and Oval Windows

These two small windows provide openings to the inner ear.

Inner Ear

The inner ear is the area where the action starts. It sits in the bony labyrinth cavity of the ear. The inner ear has inter-connected tubes and chambers. The cochlea is the most important part of the inner ear. The other chambers with the fluid inside are the vestibular tubules or the semi-circular canals. These structures together form the membranous labyrinth of the inner ear.

Cochlea

This snail-shaped chamber receives sound waves from the middle ear. Any damage to the cochlea can partially or completely deafen you. Sound waves reach the brain through vestibulocochlear nerves present in the cochlea. The interpretation of the sounds waves takes place in the brain. The hairs in the cochlea also help in the transmission of the sound waves.

Conclusion

This was a simple and easy understanding of the physiology of the ear, highlighting the important components of the ears. As remarkable and well functioning the human ear is, it is also very delicate. Too much noise exposure can damage the cochlea and other important components of the ear.

If you experience ear-related problems, then contact us at 646-213-2321 to schedule a consultation. We at Tinnitus Cognitive Therapy have the best tinnitus specialist in NYC who offers advanced cognitive therapies for treating your ear-related problems.

Noise Disorders

What are noise disorders? Individuals who suffer from noise disorders and auditory problems often end up isolating themselves in an attempt to avoid the noise that triggers their intense reaction. This condition is immensely problematic, especially because it comes in the way of their personal growth. Social interaction is very important for growth. These triggering sounds mess up with the sufferer’s emotions, and leave them frustrated and annoyed. Let us look at some common noise disorders and their effects.

Noise Induced Hearing Loss

NIHL is usually a result of exposure to loud and repetitive sound. The people who hear such sounds everyday are more likely to develop NIHL than others. For example, people working in an environment where there are extremely noisy machines. The inner ear suffers damage. NIHL can happen to individuals of all ages, in some case it is temporary while in others it is stubborn and does not go away.

Sound waves enter the ear canal, which is a passageway that makes the ear drum vibrate. There are tiny hair cells present in our ear for carrying the signals along with the auditory nerve to our brain, which then interprets the sound and we are able to hear. People who suffer from NIHL experience trouble hearing because these sensory hair cells suffer damage due to continuous exposure to noise. NIHL is preventable if you protect your ears from noise and wear earplugs to work and noisy places.

Tinnitus

Exposure to loud and repetitive noise can also result in a disorder called Tinnitus. In this condition, sufferers feel a loud ringing, buzzing or hissing sensation in their ears non-stop. They feel extremely irritated and often try to mask the noise and distract themselves. The noise may vary in pitch and volume. Sufferers find it hard to concentrate on their routine activities and work because of this bothersome and loud noise.

Hyperacusis

Hyperacusis is a noise disorder in which patients experience intense discomfort towards sounds that others may find normal. These sounds are not necessarily loud. In fact, they can even be normal every-day sounds. Typically, hyperacusis is also a result of nonstop and long-term noise exposure. However, in some cases, it can result from PTSD i.e. post-traumatic stress disorder.

Hyperacusis patients must visit a specialist for a checkup of loudness discomfort level. That way, they will be aware of their level of sensitivity towards specific sounds. Specialists also recommend therapies like hyperacusis retraining, but that depends on your LDL. Therefore, it is best to get a proper check-up done from a professional.

Misophonia

Misophonia is a noise disorder that triggers intense emotional reactions. The sufferers cannot tolerate certain sounds. These sounds mainly include continuous clicking of the keyboard, scratching of nails against the walls or oral sounds like chewing or breathing. Misophoniacs tend to feel extreme rage towards the source of the sound and can go to any lengths to avoid the triggering noise. They fear the noise and isolate themselves.

Bottom-Line

Noise disorders of any sort are very hard to deal with. Sufferers often feel confused and helpless when it comes to looking for solutions. Some feel like giving up. However, losing hope is not the right thing to do. Get a thorough examination by a specialist and get in touch with the best specialist in NYC today. Let us find out effective solutions and treatment options for you.

Can I get Tinnitus Because of my Location

Can you get tinnitus because of your location? A person with tinnitus hears ringing, buzzing, whistling, hissing, or chirping when no physical sound is present. This condition is usually a symptom of either auditory or respiratory-related problems. Tinnitus can cause serious difficulty in sleeping and concentration. The severity of tinnitus can range from mild inconvenience to life-changing condition.

What Causes Tinnitus

Prolonged exposures to noise are the leading cause of tinnitus. Over 90% of tinnitus patients have induced hearing loss. What happens is that the cochlea in the ear gets permanent damage because of noise. The severity of the damage depends on the exposure of noise. Pilots, street repair workers, carpenters, and rock musicians are at high risk of developing tinnitus.

Other conditions and problems can induce tinnitus too. Ear and throat infections cause blockage in the ear and can aggregate the build-up of ear wax.  The build-up of ear wax can easily lead to mild tinnitus, which can grow severe if not treated within time. Other ear and respiratory conditions can be an underlying cause of tinnitus like hyperacusis, bronchitis, and respiratory obstruction.

Natural aging process deteriorates the cochlea and other parts of the ear. Tinnitus is also a potential side effect of certain antibiotics, antidepressants, anti-inflammatories, and quinine medications.

Location: Chances of Tinnitus in Noisy Places

By now, you know how exposing yourself to noise and living in noisy areas can turn out to be very bad for your ears. If you live in a very noisy place, you have fair chances of developing tinnitus. This is one of the reasons people should not live too near to a train stations, construction sites, and airports.

If you frequently go to attend concerts and music shows then you might want to cut down on that a little.  If your work requires you to live most of your day or night in the club where there is loud thudding of music, you are at high risk of developing.

People working in garbage disposals throughout the day are also likely to suffer from tinnitus later on. Similarly, people who live or work at or near jet flyovers are at a huge risk of damaging their cochlea and developing tinnitus.

Most importantly, you should have ear protection such as earplugs and earmuffs. If you work at airport and construction sites, then make sure you use high-quality ear protection. If you already experience hearing loss, then use a hearing aid to restore your hearing.

Use headphones or earphones that provide noise-canceling option when you have to listen to music or other audio content.

Preventive Measures

If you live at or near any of the places mentioned above, then you must change your locality. If your career demands you to live or work in such places, you must take extra care and precautionary measures to prevent ear damage.

Install soundproof windows where you live or work. Heavy curtains on windows can help block some of the noises. Carpets can absorb noises to an appreciable extent. Installing thick carpets is a very good idea to avoid the echo of noise. Fill in the empty spaces with furniture and stuff that can absorb or block noise to a little extent.

Treatment

It is best to get in touch with a proper ENT specialist or an Otologist, so they can examine your ear and help you take preventive measures. If you experience tinnitus then contact us at 646-213-2321 to book a consultation. Treat your tinnitus with best of our cognitive therapies before it gets too late.

Stephen Geller Katz LCSW at the Tinnitus Cognitive Center offers advanced cognitive therapies for treating tinnitus.

Tinnitus Cognitive Center

Stephen Geller Katz, LCSW-R
19 West 34th Street
Penthouse Floor
New York, NY 10001


Call today for a consultation
646-213-2321