What causes the clicking sound in your ear. Is tinnitus a serious condition. How can you treat the clicking noise in your ear. What are the common symptoms of tinnitus. Which medications are effective for treating tinnitus. Are there any home remedies for tinnitus relief.

Understanding Tinnitus: The Most Common Cause of Ear Clicking

Tinnitus is a prevalent condition characterized by abnormal ear noises, including clicking, ringing, buzzing, or static sounds. It’s crucial to understand that tinnitus itself is not a disease but rather a symptom of an underlying issue within the auditory system. These sounds can originate from various parts of the ear, including the outer, middle, or inner ear, as well as the nerve connecting the brain to the inner ear.

People experiencing tinnitus often report a range of symptoms beyond the characteristic ear noises. These may include:

• Decreased hearing ability
• Sleep disturbances
• Elevated stress levels
• Depression
• Increased anxiety

If you’re noticing any of these symptoms alongside clicking or ringing in your ears, it’s advisable to consult an audiologist for a proper evaluation.

Common Causes of Tinnitus and Ear Clicking

The clicking sound in your ear can be attributed to various factors. Understanding these causes is essential for proper diagnosis and treatment. Here are some of the most common culprits:

Earwax Buildup

One of the primary causes of tinnitus is an accumulation of earwax. When earwax touches the eardrum, it can interfere with its normal function, leading to tinnitus symptoms. While earwax buildup can occur naturally, it’s often exacerbated by improper ear cleaning techniques, such as using cotton swabs that push the wax deeper into the ear canal.

Other Potential Causes

Tinnitus can also result from:

• Sinus and ear infections
• Natural aging process
• Traumatic injuries
• Otosclerosis (abnormal bone growth in the middle ear)
• Muscle spasms in the inner ear
• Thyroid abnormalities
• Hormonal changes, particularly in women
• Tumors (in rare cases)

It’s important to note that tinnitus can sometimes be an early indicator of age-related hearing loss or a side effect of certain medications. In fact, over 200 prescription drugs are known to potentially cause tinnitus, sometimes even after discontinuation.

Occupational Hazards and Noise-Induced Tinnitus

Individuals working in noisy environments, such as construction sites or factories, may develop tinnitus over time due to prolonged exposure to loud sounds. This type of tinnitus is often classified as noise-induced hearing loss. The constant exposure to high noise levels can damage the sensory hair cells in the ear responsible for transmitting sound signals to the brain.

It’s not just occupational hazards that pose a risk. Young people who frequently attend loud concerts or listen to music at high volumes through earbuds are also at risk of developing noise-induced tinnitus. This underscores the importance of protecting one’s hearing across all age groups and in various settings.

Diagnosing and Treating Tinnitus

The approach to treating tinnitus varies depending on its underlying cause. A comprehensive diagnosis typically involves a physical examination and a hearing test. Based on these results, you may be referred to a specialist who can provide tailored advice on the best course of action.

Some common treatment options for tinnitus include:

1. Tinnitus retraining therapy
2. Relief therapy
3. Hearing aids
4. Depression counseling
5. Electrical stimulation
6. Stress-reduction techniques such as meditation or yoga

Medications for Tinnitus Management

While there is no cure-all medication for tinnitus, certain drugs may help manage symptoms or address underlying causes. Commonly prescribed medications include:

• Benzodiazepines: These drugs can help suppress nerve function, potentially reducing tinnitus-related symptoms.
• Prostaglandin analogues: Typically used for treating gastric ulcers and glaucoma, these medications may benefit some tinnitus patients depending on the root cause.
• Antidepressants: These can help decrease the intensity of tinnitus symptoms and address depression, which can sometimes trigger or exacerbate tinnitus.

Exploring Home Remedies and Alternative Therapies for Tinnitus

While scientific evidence supporting many popular home remedies for tinnitus is limited, some individuals report finding relief through various alternative approaches. It’s important to consult with a healthcare professional before trying any new treatment. Some commonly attempted home remedies include:

• Dietary modifications (e.g., reducing caffeine and salt intake)
• Zinc supplements
• Ginkgo biloba
• Smoking cessation
• Biofeedback techniques
• Acupuncture

Keep in mind that the effectiveness of these remedies can vary greatly from person to person, and what works for one individual may not work for another.

When to Seek Professional Help for Tinnitus

While occasional ear noises are generally not a cause for concern, persistent tinnitus or clicking sounds in the ear warrant professional evaluation. You should consider consulting an audiologist or ENT specialist if:

• The tinnitus is interfering with your daily life or sleep
• You experience sudden hearing loss along with tinnitus
• The tinnitus is accompanied by dizziness or balance problems
• You develop tinnitus after a head injury
• The tinnitus is pulsatile (rhythmic pulsing in time with your heartbeat)

Early intervention can often lead to more effective management of tinnitus and prevent potential complications.

Preventive Measures and Lifestyle Changes for Tinnitus Management

While not all cases of tinnitus can be prevented, there are several steps you can take to reduce your risk or manage existing symptoms:

Protect Your Hearing

Use earplugs or noise-canceling headphones in loud environments. When listening to music through headphones, follow the 60/60 rule: listen at no more than 60% of maximum volume for no more than 60 minutes at a time.

Manage Stress

Stress can exacerbate tinnitus symptoms. Incorporate stress-reduction techniques into your daily routine, such as deep breathing exercises, meditation, or regular physical activity.

Maintain Cardiovascular Health

Good cardiovascular health can improve blood flow to the inner ear. Regular exercise, a balanced diet, and maintaining healthy blood pressure can all contribute to better ear health.

Limit Caffeine and Alcohol

Some people find that reducing their intake of caffeine and alcohol helps alleviate tinnitus symptoms. These substances can affect blood flow and may impact the auditory system.

Practice Good Sleep Hygiene

Tinnitus can often seem worse at night when it’s quiet. Establishing a consistent sleep routine and using white noise or soft background sounds can help mask tinnitus and improve sleep quality.

Emerging Research and Future Treatments for Tinnitus

The field of tinnitus research is constantly evolving, with scientists exploring new potential treatments and management strategies. Some promising areas of research include:

Neurostimulation Techniques

Researchers are investigating various forms of neurostimulation, such as transcranial magnetic stimulation (TMS) and vagus nerve stimulation, as potential treatments for tinnitus. These techniques aim to modulate neural activity in areas of the brain associated with tinnitus perception.

Gene Therapy

Advances in gene therapy offer hope for treating certain types of hearing loss and tinnitus. By targeting specific genes involved in auditory function, researchers hope to develop more targeted and effective treatments.

Pharmacological Innovations

Scientists are continually working on developing new drugs that could potentially treat or manage tinnitus more effectively. This includes exploring compounds that target specific neurotransmitters involved in auditory processing.

Sound Therapy Advancements

Researchers are refining existing sound therapy techniques and developing new approaches, such as personalized sound treatments based on an individual’s specific tinnitus profile.

While these areas of research show promise, it’s important to remember that developing new treatments takes time, and not all experimental therapies will prove effective or safe for widespread use. Patients should always consult with healthcare professionals and rely on evidence-based treatments currently available.

Living with Tinnitus: Coping Strategies and Support

For many individuals, tinnitus is a chronic condition that requires ongoing management. Developing effective coping strategies can significantly improve quality of life. Here are some approaches that many find helpful:

Education and Understanding

Learning about tinnitus and understanding its mechanisms can help reduce anxiety and fear associated with the condition. Many people find that simply knowing their tinnitus is not a sign of a serious underlying condition can provide relief.

Sound Enrichment

Using background noise to mask tinnitus can be very effective. This can include white noise machines, fans, or nature sounds. Many smartphone apps also offer a variety of soothing sounds designed specifically for tinnitus relief.

Cognitive Behavioral Therapy (CBT)

CBT can help change the way you think about and react to tinnitus. By altering negative thought patterns and behaviors, CBT can reduce the distress associated with tinnitus.

Mindfulness and Relaxation Techniques

Practices such as mindfulness meditation, progressive muscle relaxation, and deep breathing exercises can help manage stress and reduce the perceived intensity of tinnitus.

Support Groups

Connecting with others who experience tinnitus can provide emotional support and practical tips for managing the condition. Many communities have local tinnitus support groups, and there are also numerous online forums and communities.

Healthy Lifestyle Choices

Maintaining overall health through regular exercise, a balanced diet, and good sleep habits can have a positive impact on tinnitus management. Some people find that certain dietary changes, such as reducing salt or caffeine intake, can help alleviate symptoms.

Remember, what works best can vary from person to person. It may take some time and experimentation to find the combination of strategies that works best for you. Don’t hesitate to work with healthcare professionals to develop a personalized management plan.

Tinnitus, while often frustrating, is a manageable condition for many people. With the right approach and support, it’s possible to significantly reduce its impact on daily life and overall well-being. As research continues to advance, there’s hope for even more effective treatments and management strategies in the future.

What Is the Clicking in My Ear…Should I Be Concerned?

Are you experiencing crackling, buzzing, ringing, static, or clicking in the ear sound? If so, it could be that your hearing aid batteries need to be changed. But if you’re experiencing clicking in the ear and you don’t wear hearing aids, it could be an indicator of tinnitus. In either case, the team at North Shore Hearing P.C. can help. 

At North Shore Hearing P.C., we’ve been helping people from all walks of life take control of their hearing for over two decades. We offer a range of specialized hearing solutions that can be tailored to your unique situation. 

And one of the most common questions we receive from our clients is “What is the clicking sound in my ear?”…and “Is it serious?” Let’s take a closer look at tinnitus – the most common cause of the clicking sound in the ear.

What Is Tinnitus?

Tinnitus is an abnormal ear noise that can arise in the outer ear, inner ear, middle ear, or in the nerve that runs from your brain to your inner ear. To be clear, tinnitus is not a disease, but rather a symptom of something wrong in the auditory system. In addition to ringing ears and clicking in the ears, people suffering from tinnitus often experience:

• Decreased hearing
• Problems sleeping
• Elevated levels of stress
• Depression
• High levels of anxiety

If you are experiencing hearing loss, high-pitched continuous sounds, clicking in the ear, or ear throbbing, you could be suffering from tinnitus.

What Causes Tinnitus and Clicking in the Ear?

A common culprit of tinnitus is earwax buildup. If earwax accumulates and touches your eardrum, it can prevent it from functioning properly. Although this can happen naturally, earwax buildup is often attributed to improper cleaning of the ear. 

For example, people who use Q-tips often force the ear wax deeper into the ear canal, causing it to become compacted. However, you should never insert a Q-Tip or any other foreign object into your ear. If you do need to clean your ears, it’s imperative you know the safe earwax removal methods. Additional causes of tinnitus include: 

• Sinus and ear infections
• Aging
• Trauma
• Otosclerosis
• Muscle Spasms
• Thyroid abnormalities
• Hormonal changes in women
• Tumors

Before assuming the worst, it’s important to consider all the options and consult with an audiologist about what you are experiencing. Sometimes, tinnitus is one of the first signs of hearing loss that happens naturally with aging. 

If someone is taking multiple medications, it could even be a side effect of the medicine. Research shows that more than 200 prescription drugs are known to cause tinnitus, sometimes even after patients stop taking them.

Individuals who work in relatively noisy environments—such as construction or factory workers—can develop tinnitus over time. The development of tinnitus can be due to ongoing exposure to noise that eventually harms the sensory hair cells in the ear that transmit sound to the brain.  

This is referred to as noise-induced hearing loss. This can also occur by consistently listening to loud music (e.g. concerts, earbuds at high volume), so young people should be especially careful.

How Can I Treat the Clicking in My Ear? 

Depending on the root cause of your tinnitus, it can be treated in different ways. Once you’ve gone through a physical exam and a hearing test, you can be recommended to the appropriate specialist who will give you the best advice on how to move forward. Common tinnitus treatments are:

• Tinnitus retraining therapy
• Relief therapy
• Hearing aids
• Depression counseling
• Electrical stimulation
• Meditation or yoga to reduce stress

What Medications Can Be Used to Treat Tinnitus?

Medications often given to tinnitus patients include:

• Benzodiazepine – help suppress nerve function, decreasing tinnitus related symptoms
• Prostaglandin analogues (e.g. Cytotec) – normally used to treat gastric ulcer and glaucoma, some tinnitus patients can use this medication depending on their root cause
• Antidepressants – decrease intensity of tinnitus symptoms and levels of depression, which sometimes cause tinnitus to begin with

Home Remedies and Therapies for Tinnitus

If you are looking for a home remedy or alternate medicine to alleviate symptoms, there is not enough research to support many of the popular options. Even so, the following home remedies are commonly used in an attempt to find relief: 

• Dietary restrictions (e.g. avoid coffee and limit salt intake)
• Zinc supplements
• Ginkgo biloba
• Stop smoking tobacco
• Biofeedback
• Acupuncture

Contact North Shore Hearing P.C. for Tinnitus Treatment

At North Shore Hearing P.C., we take a holistic approach to treating tinnitus. Our experienced audiological professionals will work closely with you to develop a unique program that meets your needs and helps you achieve your hearing goals. Our management approaches are proven to help provide relief and reduce symptoms. Learn more about how we treat tinnitus, and don’t hesitate to reach out to us today for relief.

Irregular Ear Clicking or Vibration Noise

by Dr. Christopher Chang, last modified on
9/1/21.
Read and comment below!

Introduction

Every once in awhile, I see a patient who complains of an irregular clicking (or vibration-like) noise in one or both ears that occurs in bursts and may last anywhere from a few minutes every few days to as long as days or weeks at a time. Just as mysteriously as they begin, the noise may suddenly stop only to restart weeks, months, or even years later (or never again). In the rare patient, the sound is ALWAYS there. For others, it happens only when hearing a sound.

Click…. click… click, click, click…
CLICK… click, click…
click… Click Click… click… … … … CLICK

The noise occurs whether you are simply breathing without any chewing or swallowing (if it happens with opening and closing the mouth, you have TMJ). It occurs while reading, sleeping, or watching TV. There’s nothing you do that consistently seems to trigger it to happen nor get it to stop. There is no pain and if anything, this issue is more annoying than anything else. If this does not quite sound like you, your problem is more likely to be due to eustachian tube dysfunction.

These irregular clicking noises in the ear should NOT be confused with tinnitus. Rather, irregular clicking noises in the ear are almost always due to muscle spasms. .. just like “eye twitching” or “facial twitching”. BUT, instead of being able to “see” the twitching as with eye twitching (also known as blepharospasm), one hears the twitching instead since the muscles are located around or in the ear. The most common causes are:

• Palatal Myoclonus
• Tensor tympani and/or stapedius muscle spasms (middle ear myoclonus, tonic tensor tympani syndrome)

Create the ear clicking/pulsing sound you hear with an
online ear noise generator.

Palatal Myoclonus

The first potential cause (palatal myoclonus) can be diagnosed by seeing “spasms” of the soft palate that occurs in time with the clicking. Spasms of the soft palate can be visualized by simply looking in the mouth or by nasal endoscopy. The mouth needs to open passively since actively opening the mouth will often suppress the palate spasms. Watch the videos below (click on picture).

The reason one is able to “hear” the twitching is because the muscles of the soft palate extend up into the ear via the eustachian tube.

Treatment of palatal myoclonus is by botox injections to the muscles that are twitching. Just like botox treatment anywhere else in the body, the effects are only temporary and needs to be repeated every 3-6 months.

Tensor Tympani or Stapedius Muscle Spasms

Regarding tensor tympani and stapedius muscle spasms (middle ear myoclonus)… these muscle are not able to be visualized as they are located within the middle ear. The tensor tympani attaches to the malleus ossicle (the “hammer” of the 3 middle ear bones) and the stapedius muscle attaches to the stapes ossicle (the “stirrup”).

The stapedius muscle is the smallest skeletal muscle in the human body. At just over one millimeter in length, its purpose is to stabilize the smallest bone in the body, the stapes. The tensor tympani is a muscle located in a bony canal above the eustachian tube and connects to the malleus bone. Its main role is to dampen loud sounds, such as those produced from chewing, shouting, or thunder. Because its reaction time is not fast enough, the muscle cannot protect against hearing damage caused by sudden loud sounds, like explosions or gunshots.

Just like any muscle in the body, these muscles can also “twitch” rapidly causing the clicking noise in the ear. Tensor tympani muscle spasms typically produce a clicking sound whereas stapedius muscle spasms produce more of a buzz/click sound. About 80% of patients suffering from middle ear myoclonus recall either a triggering stressful event or sudden loud noise exposure.

Middle ear myoclonus (MEM) produced noises occur completely at random without any associated correlation with external triggers. Tonic tensor tympani syndrome (TTTS) produced noises also occur randomly, BUT is associated with external triggers typically occurring with certain sounds/pitches (for example, occurs only with talking, hearing a child cry, swallowing, etc).

Unfortunately, there is no “test” one can obtain to definitively diagnose this problem with absolute certainty. One can infer there may be an issue by observing twitching of the eardrum under endoscopic magnification. Abnormalities may be seen on stapedial reflex and acoustic reflex decay. However, really the best way to diagnose is based purely on history and excluding palatal myoclonus as a diagnosis (no soft palate twitching seen even though the patient is able to hear it).

One can try to treat this condition with TriMagnesium 500mg total per day and if that fails, consider even trying muscle relaxants and anticonvulsants (ie, flexeril, neurontin, dilantin). One study found that tegretol (anti-convulsant) with baclofen (muscle relaxant) worked best.

However, ultimately the only way this problem can be definitively treated is surgical… the muscle gets cut. Botox can NOT be utilized as one needs to be able to “see” or “feel” the muscle in order to inject botox. This surgery is performed by a neuro-otologic surgeon.

See the full list of surgeons who can perform this surgery here.

References:

Clinical characteristics and therapeutic response of objective tinnitus due to middle ear myoclonus: a large case series. Laryngoscope 2013, 123 (10): 2516-20

Stapedius muscle myoclonus. Ann Otol Rhinol Laryngol. 2003 Jun;112(6):522-4.

Middle-ear myoclonus. J Laryngol Otol. 2000 Mar;114(3):207-9.

Management of middle ear myoclonus. J Laryngol Otol. 1994 May;108(5):380-2.

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Watch in the Ear – Women’s Health

How to cope with the various problems with the ears that occur in the summer – inflammation, trauma, congestion and itching?

Elena Alexandrovna Lebedinskaya, Candidate of Medical Sciences, Chief Physician of the Ear, Throat, and Nose Clinic in Perm, and Svetlana Olegovna Tervo, Candidate of Medical Sciences, otolaryngologist at the clinic, answer questions from readers (www.clinic-lor.ru).

“After a vacation at the sea, my ears itch a lot, and sometimes a clear liquid comes out of them. Hearing seems to be fine. The pharmacy advised candibiotic drops. But they have such a “killer” composition – and an antibiotic, and hormones, and an antifungal component. How to be?

Galina N., Kostroma

— Candibiotic is a really powerful drug. It has four active ingredients, each of which is responsible for its part of the work. But in your case, its use may not be justified.

First of all, you need an examination by an otolaryngologist. Since the main complaint is itching, it is necessary to take a swab from the ear for fungi. It is a fungal infection that most often gives such symptoms.

If positive, you will need special antifungal drops and ointments. And if the fungal process affects not only the ears, drugs for oral administration are also prescribed.

Do not touch the ears with cotton swabs during treatment. When washing your hair, make sure that water does not get into them. Better yet, cover them with earplugs.

By the way, complaints of itching in the ears occur with allergic dermatitis or diabetes. These problems will also help to exclude an examination by a doctor.

“I get a lot of earwax, so I have to clean it out every two days with cotton swabs. Recently, there has been a feeling of pressure on the ears, and used sticks have begun to smell unpleasant. What does this mean and what should be done?

A. Rubina, Krasnogorsk

— Most likely, your habit of constantly cleaning your ears provoked the problem. This procedure is not as useful as many people think. Firstly, while cleaning the ears with sticks, you can injure the skin of the external auditory canal. Through these microcracks, harmful microbes can enter the ear, and inflammation will begin.

Secondly, by removing earwax, you deprive your hearing organ of its natural protection. After all, sulfur is a habitat for beneficial microflora. A kind of barrier to harmful bacteria and fungi. Therefore, for aesthetic reasons, it is worth removing only the visible part of it. But not the one hidden in the depths of the ear.

In addition, cleaning with sticks does not always lead to the release of wax from the ear canal. Often it just tamps down. A sulfur plug is formed. It presses on the skin of the walls of the ear canal, injuring it and causing inflammation.

You need a doctor’s examination of the ears with special devices. If you have discharge, you will be tested for culture and a smear for fungi. If an inflammatory process has developed, the doctor will prescribe a local treatment – most likely, drops with an antibiotic. And sulfur plugs can be easily removed during the visit.

“Sometimes a clock seems to be ticking in my left ear. Not only sound is heard, but also a pulsation. What could it be?”

Milana R., Astrakhan

— The sensation of ticking, throbbing and humming can be caused by a malfunction of the auditory tube, which connects the ear and nose. In this case, a person, as it were, hears the sounds of his own body. For example, ticking is the pulsation of blood vessels. Hum – the movement of blood through the vessels.

This condition is fairly easy to diagnose and treat. To do this, after examining the auditory tube with a video camera built into the endoscope, the doctor will blow it. For this, a special apparatus is used.

So-called intranasal blocks can also be included in the treatment regimen. We are talking about injections of drugs that act on the nasal mucosa. They relieve swelling, reduce inflammation and, ultimately, significantly speed up recovery.

“Sea water got into my ear in summer. After that, the ear was blocked, there was a constant annoying noise. The local doctor said that I had sulfur plug and advised me to drip hydrogen peroxide. It did not help. How to get rid of traffic jams at home?

Kira Shishkina, Suzdal

— When hydrogen peroxide is instilled into the ears, the cork swells, becomes less dense, but still remains in the ear canal. Hence the persistent feeling of congestion and noise.

Today there are more effective preparations for dissolving sulfur. For example, Removax and Cerumin. They can be used on their own. But only if the diagnosis of “sulfur plug” was made by the doctor after the examination. After all, stuffy ear can be a sign of a variety of problems.

It is best to remove the cork in the specialist’s office. There is no need to be afraid of this. Sulfur plugs are washed out with a directed stream of warm water. As a rule, this does not cause any pain. And you will feel immediate relief.

“I have a bad runny nose for the second day. At work, I sneezed and pinched my nose with my fingers, after which my ears were blocked. Advise what to do now?

N. Vitasova, Kursk

— At the moment when you sneezed, the mucus from the nasopharynx could get into the middle ear. This caused ear congestion. In the absence of a runny nose, it would be possible to blow out the ears. However, in your situation, this procedure, on the contrary, can be harmful. Therefore, first of all, it is necessary to cure a runny nose.

The first two or three days you should blow your nose very carefully – alternately with the left and right half of the nose. Three times a day it is necessary to instill vasoconstrictor drops. Do this lying on your back with your head thrown back. After instillation, lie down for 3-5 minutes, then blow your nose.

It is also useful to create a chewing load. When we chew, our auditory tube works. The air through it penetrates into the cavity of the middle ear. And this movement contributes to the elimination of mucus that has got there.

It must be borne in mind that against the background of your condition, acute otitis media may develop. He is already being treated with antibiotics. Therefore, if congestion persists or ear pain appears, consult an otolaryngologist.

“I drive with the window open. Puffed out ear. The therapist said that I have otitis media. Anauran, naphthyzinum and antibiotics were prescribed. Ten days have passed, and there is almost no effect. Maybe I wasn’t treated right?

Natalia Pertseva, Moscow

— Acute otitis media is quite a serious problem. In your case, the antibiotic may not have worked completely. In this case, it must be replaced with a drug of another group. But first you need to take a general blood test. It will show if there is inflammation in the body. You will also likely need to take an x-ray.

Other scenarios are possible. It is possible that acute otitis media has been cured, but the runny nose persists. And against this background, there are problems with the operation of the auditory tube.

In this case, the ears are blown out. Sometimes physiotherapy is added and the mandatory treatment of the common cold, including allergic. By the way, it is he who most often provokes prolonged summer otitis media. Therefore, the treatment regimen for inflammation of the ears often includes drugs for allergies.

When otitis media is very important mode. Eliminate physical activity, sports. Also give up thermal procedures – visiting the bath and warming up with a “blue lamp”.

Precautions must be observed even after recovery. The most important thing is not to dive. You can just swim, but just in case, use earplugs.

Nina PONOMAREVA

Objective pulsatile noise in the ear – modern treatment methods

9
Aug
2019

9 Aug 2019 Causes, Causes of objective tinnitus Treatment

Content of the article:

• 1 Objective pulsatile noise in the ear: diagnosis, counseling, treatment under the TinitusNeuro program
• 2 Objective blowing or pulsating tinnitus: features of manifestation
  • 2.1 Myogenic murmur
    • 2.1.1 Neuromuscular causes
    • 2.1.2 Musculo-articular pathology
    • 2.1.3 Angi encephalopathy – permanent treatment
• 3 Comprehensive care

Objective pulsating noise in the ear: diagnosis, counseling, treatment under the TinitusNeuro program

Sound affects people in different ways. The same noise level for some may be imperceptible, while for others it becomes a disaster. It is difficult to independently assess the sensations and understand that pathology is developing. The patient is not able to diagnose the cause and cannot accurately understand what kind of tinnitus he has – subjective or objective.

• If the discomfort resolves on its own and the person no longer encounters similar sound sensations, then the problem can be forgotten.
• If the situation worsens, it is necessary to look for the cause, because tinnitus develops.

Turning to traditional healers will not bring relief. Do not delay or postpone your visit to the clinic!

Objective blowing or throbbing tinnitus : features of presentation

Tinnitus is a medical term for a symptom. It can be expressed by sound phenomena: from pulsation to the sensation of a blowing or whistling sound. In everyday life, they usually say “noise, ringing in the ears or head. ” To one degree or another, every person is faced with these phenomena at least once in a lifetime.

At the end of the last century, a global statistical survey was commissioned by the German Tinnitus League. Ordinary citizens took part in it – about three million Germans suffering from constant tinnitus, i.e. people with severe pathology.

The need for the study was due to the fact that the figure was steadily growing. Every year there were almost a quarter of a million more patients. As a result, it turned out:

• Almost half of the respondents do not experience any particular discomfort from tinnitus; quietly lives with him, not considering a serious problem.
• 20% of people diagnosed with tinnitus experience the phenomenon from time to time – it’s too early to talk about the development of pathology.
• The remaining 30% of those surveyed are in need of serious treatment, including psychological help.
• A certain percentage of patients with an exhausting and asthenic course are the most severe cases, when severe discomfort leads to the need for hospitalization.

The study clearly demonstrates the fact that noise discomfort is the result of various causes. Scientists and doctors have adopted a single classification, identifying two main groups – objective and subjective.

Myogenic murmur

Intense myogenic murmur, which is part of the objective tinnitus group, is a rare case in which the patient’s symptom can be heard by a person standing nearby. It is similar to the clicking, the crunching of snow underfoot, the chirping of a grasshopper.

The occurrence of a symptom of a myogenic nature occurs against the background of multiple sclerosis, lesions of the cerebral vessels, intracranial tumors, with temporomandibular syndrome , when the doctor hears clicks in the area of ​​the joints of the lower jaw. Other categories of factors leading to the occurrence of noise phenomena are diverse – psychogenic disorders and so on.

Neuromuscular causes

When considering this group, according to the results of the diagnostic process, the patient may be diagnosed with diseases: myoclonic twitches).

After counseling and identifying the true nature of the disorder, it is recommended to consult an ENT doctor or neurologist, since a conservative treatment of the disease is required – elimination of the cause.

Musculo-articular pathology

This group is associated with functional pathology of the temporomandibular joint, caused by muscular, occlusal and spatial disorders. Since pulsating ringing is included in the list of multidisciplinary pathologies in temporomandibular syndrome, the problem cannot be eliminated by a doctor of any one specialty.

After a comprehensive examination and consultation of the patient, we make an individual decision to refer the sick person to specialized doctors – dentists, neurologists, psychologists.

Angioencephalopathy – permanent treatment

Cerebral circulation disorders are common. The occurrence of a symptom against the background of vascular pathology is due to the fact that large vessels are compressed and audible sounds occur when blood passes through them.

At the Tinnitus Neuro Center, we offer not only consultation, but also treatment according to a special program. For example, in the diagnosis of arterial stenosis.

• In case of abnormal arrangement of blood vessels, arteriovenous shunts, heart defects, we provide consultation and refer to vascular specialists.
• If ear or brain tumors are detected, we are redirected to doctors of the appropriate profile.

Comprehensive care

In our clinic, we offer comprehensive diagnostics, as a result of which the causes of objective noise phenomena are accurately identified. After receiving the results of the analysis, a collegial decision is made on further actions.