How Do You Treat TMJ Fullness in the Ears?

Home » How Do You Treat TMJ Fullness in the Ears?

You cannot copy content of this website, your IP is being recorded

Do you have a crackling sound in your ear due to TMJ?! Call our dedicated team today at Koala® Center For Sleep & TMJ Disorders or visit us online to book an appointment. We have convenient locations across the U.S. in Bloomington IL, Peoria – Dunlap IL, Mishawaka IN, Kansas City MO, El Paso TX and Wausau WI.

Table of Contents:

Can TMJ cause a crackling sound in your ears?
How do I get rid of the crunching sound in my ear?
How do you treat TMJ fullness in the ears?

Crepitus is a sound or vibration that occurs when tissues in the body, such as cartilage in the joints, are damaged and rub against one another. One of the most common causes of crepitus is dysfunction of the TMJ or temporomandibular joint disorder. TMJ disorder occurs when the various parts in the temporomandibular joint become misaligned; this can cause the bone to rub on bone or cartilage. This rubbing can damage cartilage, causing it to develop into crepitus.

Can TMJ cause a crackling sound in your ears?

Yes, TMJ disorder can cause a crackling sound to occur in the ears; this is known as crepitus. In addition to a crackling or popping sound, crepitus also refers to a grating sensation produced by the friction of bone rubbing against cartilage. Crackling in the ears does not only occur from TMJ disorder, it can also be the result of ear wax that has dried on the eardrum. When the dried wax expands, it cracks, which is audible in the ear canal as a crackling, crunching or popping sound.

How do I get rid of the crunching sound in my ear?

When a crunching or crackling sound is audible in the ears, it is likely caused by dysfunction of the temporomandibular joint. In order to address this concern, the underlying cause of the crunching sound must first be taken care of. The best way to find the most effective treatment is by visiting a dentist who specializes in treating temporomandibular joint disorders. The dentist may utilize any one of several different modalities, including oral splints and mouth guards, or they may even prescribe physical therapy to help stretch the jaw muscles and relieve tension on the temporomandibular joint. Gentle stretches and strengthening exercises can improve TMJ health, reducing symptoms.

How do you treat TMJ fullness in the ears?

The TMJ, or temporomandibular joint, is positioned just in front of the ear; dysfunction with this joint can therefore easily impact how the ears feel. Several TMJ-related causes can cause stuffiness of the ear; tension in some of the jaw muscles can actually trigger tension in the stapedius muscle, the muscle of the inner ear. When this occurs, the eardrum tenses and can give a sense of stuffiness or diminished hearing. Chronic clenching or grinding of the teeth can trigger these types of spasms; the more frequently teeth clenching or grinding occurs, the more severe the ear symptoms will be. Other jaw muscles can also spasm from chronic clenching, causing the Eustachian tube to narrow or close. This affects inner ear pressure and can muffle hearing, similar to how ears pop when descending in an airplane.

In hard-to-diagnose cases that involve muffled hearing, ear pain, hearing changes or itching deep in the ear, it is likely that a chronic TMJ condition exists. In the treatment of TMJ disorder, using orthotic appliances to decompress the joint can restore ear function and improve hearing. Orthotic appliances are different from other techniques such as bite adjustment and bite equilibration as they use orthopedic medicine to improve jaw function.

In some cases, TENS (transcutaneous electrical nerve stimulation) may be used; this technique confuses the muscle memory to find the optimal resting position of the jaw. This can effectively ameliorate ear fullness when caused by the temporomandibular joint disorder.

If you are experiencing fullness in your ears, trust the team at Koala® Centers For Sleep & TMJ Disorders to provide you with relief.

Additional Services You May Need

▸ KoalaKIDZzz®
▸ Sleep Apnea
▸ Snoring
▸ TMJ Disorder
▸ Fatigue
▸ Sleep Disorders
▸ Weight Loss
▸ CPAP Alternative
▸ Oral Appliances

El Paso

• 6901 Helen of Troy, Ste D-2 El Paso, TX 79911
• View Details

Kansas City

• 2008 Swift Ave, Kansas City, MO 64116
• View Details

Bloomington

• 309 E. Empire St. Ste 500, Bloomington, IL 61704
• View Details

Peoria

• 11825 N. State Rt 40, Ste 100, Dunlap, IL 61525
• View Details

Mishawaka

• 230 E. Day Rd., Suite 150, Mishawaka, IN 46545
• View Details

Wausau

• 413 North 17th Avenue Ste. #100, Wausau, WI. 54401
• View Details

Directions To Nearest Koala Location

*In case of a life threatening emergency, immediately call 911.
**For any medical procedures, patients may respond to treatment differently, each patients results may vary.
***Information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content contained on or available through this site is for general information purposes only.
****By using this website and sending us your information, you are giving us permission to contact you by electronic and non-electronic means. We also track the conversions and collect user data to improve marketing.
*****If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact us.

TMJ and Ear Pain – Causes, Symptoms, Treatment

How To Stop Grinding Your Teeth: Tips & Techniques

By manager
•
02 Mar, 2023

Teeth grinding is the most common cause of jaw pain. Grinding your teeth also results in fractured teeth and the destruction of dental work, which can even change how you look. People who grind their teeth during the day can make conscious changes to reduce their teeth grinding for those who grind their teeth at night . Fortunately, with a visit to Dr. Phillips, you can discover how to stop grinding your teeth. What is Teeth Grinding, and What Causes it? Grinding or clenching your teeth, or bruxism , is a common condition affecting millions of people and, if left untreated, can lead to broader health issues. According to the American Dental Association (ADA), a 2020 ADA Health Policy Institute report stated that half of the dentists saw a rise in clients with stress-related dental problems, primarily due to teeth grinding and jaw clenching. It can happen during the day or night and often goes unnoticed until the person is alerted by a partner or family member. Treating bruxism can prevent further damage to the teeth and relieve any symptoms associated with the condition, and there are several steps you can take to stop grinding your teeth and protect your oral health. People grind and clench their teeth for various reasons, including stress and anxiety, misalignment of the teeth and jaw, or an abnormal bite. In adults, teeth grinding is often caused by emotional tension and stress and can become a subconscious habit. In children, teeth grinding is usually due to an immature bite and can be triggered by new teeth erupting or the recent placement of braces. How Do You Know if You’re Grinding or Clenching Your Teeth? Grinding or clenching your teeth can be challenging to identify since it usually happens when you are unconscious or sleeping. However, several signs could indicate you are grinding your teeth. Common symptoms of teeth grinding include: Waking up with a sore jaw Frequent headaches Increased sensitivity or pain in your teeth Tired or tight jaw muscles Pain that feels like an earache, but there is nothing wrong with your ear A locked jaw that is difficult to open or close completely Neck or face pain Noticing that your teeth feel different or worn down You or your sleep partner may also notice that you make clenching or grinding sounds during the night. At a dental appointment, your dentist may suspect teeth grinding if you have the following: Teeth that are chipped, loose, flattened, or fractured Worn enamel on your teeth Gum recession Possible Causes of Teeth Grinding Many people grind their teeth and tighten their jaws without realizing it, especially at night. Although stress and anxiety can lead to teeth grinding, other common causes are: Posture. Poor posture is not only horrible for your back; it’s also bad for your teeth. When the body’s joints aren’t in proper alignment, it can result in jaw clenching and grinding. Misaligned teeth. If the upper and lower teeth don’t fit together correctly, the misalignment may result in the tendency to grind teeth or clench jaw muscles. Sleep disorders. Sleep habits and sleep disorders can lead to teeth grinding at night. Chronic obstructive sleep disorder , also known as sleep apnea , is a known cause of sleep bruxism. Resolving sleep apnea can help stop teeth grinding. Sleep terrors and insomnia may also result in grinding teeth at night. Joint disorders. The temporomandibular region is around the jaw, mouth, and ears. This area contains the temporomandibular joints and jaw muscles, which allow the jaw to open and close. Disorders in this area can affect teeth grinding and a sore jaw. Stimulants. Stimulants like caffeine, nicotine, and alcohol can trigger teeth grinding. Avoiding these can help prevent teeth grinding. Stress. Stress is a common cause of teeth grinding and clenching. Finding ways to manage and reduce stress can help decrease teeth grinding. These can include relaxation techniques such as progressive muscle relaxation, yoga, deep breathing, meditation, and guided imagery can help relax the jaw muscles and stop teeth grinding. Chewing on Objects. Chewing on objects such as pencils or fingernails can trigger teeth grinding. You may also need to avoid chewing gum, which can exacerbate teeth grinding. Finding out how to stop grinding teeth at night takes getting to the root cause of grinding. Discovering the cause provides clues, pointing to the appropriate solutions. Prevent teeth grinding during the day. It is crucial to identify triggers that cause teeth grinding if you intend to stop grinding them during the day. Pay attention to your habits during the day and see if you notice when and if your grinding or clenching is worse. A TMJ specialist or dentist specializing in bruxism can provide you with exercises or relaxation techniques you can do throughout the day if you notice yourself clenching and, in some cases, offer medical treatment like muscle relaxants or Botox for bruxism. Prevent teeth grinding and clenching at night/in your sleep. You’ll have to make changes during the day to stop grinding or clenching your teeth at night or in your sleep. Start by talking to your dentist or doctor to determine if you have underlying medical issues that could be causing the grinding. Additionally, your dentist may suggest you wear a mouthguard, splint, or other oral appliance. At the same time, you sleep to protect your teeth from further damage and keep your mouth in the proper alignment, helping your TMJ to relax. A custom-fitted mouthguard also helps lessen the impact of teeth grinding by covering the teeth to create a physical barrier that reduces damage. How To Stop Child/Baby Grinding Teeth Many children grind their teeth at night, but most grow out of it. If your child or baby grinds their teeth, the first thing to do is identify what might be causing the behavior. Stress, anxiety, or an underlying medical condition can cause your child to grind their teeth. If the grinding is stress-related, identifying and addressing the source of the stress, such as an overly demanding school schedule or peer pressure, may help. If a medical or dental condition causes the grinding, your child’s dentist or doctor can help you determine the best action. If the grinding results from a habit, it can help redirect your child’s attention when they start to grind and provide them with other activities that may help reduce their stress and anxiety. Side Effects of Teeth Grinding Grinding your teeth may seem like a harmless habit. After all, it’s easier to notice this behavior if you’re not on the lookout for it. And unless your significant other or family members complain about the noise from your nighttime teeth grinding, it’s difficult to find proof of the act. However, long-term grinding of teeth at night can lead to significant side effects like: Pain in the jaw. The pressure and movement from teeth can lead to tenderness in the muscles, causing jaw pain . For some people, the pain may become chronic and severe. Headaches. The constant back-and-forth movement and clenching can impact the muscles around the neck and head, resulting in headaches due to muscle fatigue and tension. Wearing down teeth. Like sandpaper eventually smooths a surface, the repetitive motion from teeth grinding can flatten teeth and wear the enamel down over time. Teeth grinding can change the appearance of your teeth, causing them to look shorter and making chewing more difficult. Damage or fractured teeth. Grinding can destabilize teeth, making them shift and feel wobbly. The force from grinding may also crack teeth, causing pain and affecting oral health. Misalignment and cracked teeth can result in gum disease, cavities, and tooth loss — leading to poor overall health. Chronic ear pain. The temporomandibular area is closely connected. If the muscles around the ear become affected due to teeth grinding, chronic ear pain may occur. Facial muscle changes. Most people need to be aware that teeth grinding can change the shape of your face. Long-term bruxism can cause shorter teeth. Shorter teeth, in turn, change the structure of the face and jaw — leading to a sunken appearance. In addition, other muscles around the face can enlarge to compensate for dental changes. If you’re concerned about your appearance, you may want to note that chronic teeth grinding can change the way you look. Remedies for Teeth Grinding The methods for how to stop teeth grinding at night versus teeth grinding when you are awake are typically the same. Although some treatments aren’t quite possible when you’re asleep, their benefits can last even after you’ve gone to bed. Reductive coronoplasty. Reductive coronoplasty directly involves changing or leveling the biting surface of teeth. This procedure reshapes crowded or crooked teeth, improving teeth alignment. Conversely, additive coronoplasty can add to the surface of teeth to help treat bruxism. Dental Appliances: Mouthguards, night guards, and splints. A mouthguard does just that — it guards teeth. Typically used for sports, a mouth guard keeps teeth from injuries sustained during activity. A night guard protects teeth from grinding at night. Lastly, a bit splint guides jaw movement, enabling the jaw to land in the appropriate position. These appliances protect teeth differently, and finding the right one for your situation is essential. Biofeedback. Biofeedback allows a person to train themselves by monitoring auditory and visual stimuli from the body. Although biofeedback needs a person to be alert, the technique can still help sleep bruxism by reducing overall stress. Stress reduction techniques. Though implementing stress reduction techniques such as yoga, exercise, and meditation requires a person to be awake, they can also help with nighttime teeth grinding. Allowing muscles to decompress and relieve tension alleviates stress-induced teeth grinding, even at night. Tongue and jaw muscle exercises. Most people don’t stop to think about it, but their faces and mouth are a team of tissue, muscles, bones, and joints that closely affect each other. The tongue, for example, affects how the jaw moves. You reduce teeth grinding by exercising the right muscles — like the tongue and jaw. Behavior changes. Behavioral modifications like changing your posture and avoiding environments that cause stress can reduce instances of teeth grinding. Cognitive Behavioral Therapy (CBT) can help change behavior and thought patterns that lead to teeth grinding. Medications. A doctor can prescribe medication to help treat bruxism if all other treatments don’t work. When used for short periods, muscle relaxants can relieve tension in the temporomandibular area. In severe cases of teeth grinding, botox injections can alleviate muscle tension. Antidepressants and anti-anxiety medications assist in decreasing anxiety, allowing jaw muscles to relax and reduce bruxism. How Can a TMJ Specialist Help with Teeth Grinding and Clenching? A TMJ specialist is a dentist board-certified in orofacial pain and conditions affecting the TMJ. TMJ specialists have extensive knowledge and experience regarding the structure, function, and pathology of TMJ. In addition to more thorough diagnostic evaluations, they can often provide more effective and long-term solutions for teeth grinding than your doctor or dentist alone. This is because TMJ specialists use a holistic approach to treatment, focusing on the underlying causes of the teeth grinding, such as stress, anxiety, or misaligned teeth, rather than just treating the symptoms. They often work with other medical experts like dentists or sleep physicians for more comprehensive care and treatment. Protecting Your Oral Health Protecting your teeth is critical to taking care of your overall health. Chronic teeth grinding can result in costly dental work, poor oral health, and chronic pain. If you’re experiencing a sore jaw, headaches, or cracked teeth, seeking an expert diagnosis to find the cause is the first step to finding a solution. Get the answers you need on how to stop grinding your teeth at night or keep from grinding in the daytime to protect your oral health. As a TMJ and sleep apnea dentist, Dr. Katherine Phillips specializes in diagnosing and treating bruxism. With her Master of Science in Orofacial Pain From USC and extensive experience in TMJ therapy, Dr. Phillips utilizes proven and effective evidence-based medical interventions to identify bruxism and help find the right treatments to suit your needs. Get in touch today for more information.

Feeling of fullness and pressure in the ears: causes and remedies

Hearing loss in itself causes a lot of trouble in everyday life. But what if the common cold, with its typical symptoms of nasal discharge, stuffy ears, and sinus pressure, also complicates the situation?

The ear, throat and nose make up a single system, so the violation of the functions of any one of its elements without fail affects everything as a whole

The Eustachian tube is a continuation of the nasopharynx. This connecting canal with the middle ear plays an important role in the regulation of intra-ear pressure. It expands when we sneeze, swallow, or chew, which reduces excess pressure and is a natural barrier for fluid to accumulate behind the eardrum. With obstruction or blockage of the Eustachian tube, hearing acuity may deteriorate, and the sound may become muffled. What can cause partial occlusion of the Eustachian tube?

• Allergy.
• Inflammation of the paranasal sinuses (paranasal sinuses).
• Colds.

These pathological conditions, characterized by copious secretion of mucus, which can block the Eustachian tube, which in turn causes a feeling of fullness in the ears

Dysfunction of the Eustachian tube can also be caused by climb and fall in altitude when traveling by plane.

Paranasal sinus problems

As noted above, the paranasal sinuses, ears and nasopharynx are interconnected, and if a problem occurs somewhere in one place, then everything else is involved in the pathological process. For example, swelling of the paranasal sinuses usually leads to stuffy ears and increased pressure in the middle ear. Typical causes of swelling of the paranasal sinuses:

• Allergy.
• Viral infections.
• Tobacco smoke and other environmental irritants.

To relieve the condition, you can use:

• Nasal decongestants (in other words, vasoconstrictor drops and sprays).
• Washing the nasal cavity with saline solutions.
• Humidifiers (dry air is an irritant).
• Aromatherapy . For example, inhalations or baths with a few drops of eucalyptus oil can be used.
• Drinking plenty of water (a glass of water every two hours during the day).
• Herbal teas , vegetable juices .

Fluid in the ears

Fluid may accumulate behind the eardrum as a result of impaired drainage of the auditory canal. This is manifested by:

• Ringing in the ears.
• Feeling stuffy.
• Increased intra-ear pressure.
• Impaired hearing and the ability to maintain body balance in space.

Causes – colds, viral and bacterial infections, allergies, and barotrauma.

It is very important to pinpoint the cause of the impaired drainage function, otherwise the fluid will continue to accumulate, which can cause severe pain or even rupture of the eardrum

Here are some ways to remove fluid from the ear canal: head to the side.

Wax plug

It is formed due to excessive production and accumulation of earwax in the eardrum area and manifests itself:

• Hearing impairment.
• Vertigo.
• Pain.
• Sensation of fullness and pressure in the ears.
• Tinnitus.

Do not use cotton swabs to clean your ears, as this can make matters worse by pushing the wax even deeper

The safest way to get rid of wax buildup is to flush the ear canal with water (necessarily warm) or saline solution for several minutes. The liquid will soften the earwax, and the cork will come out by itself. It is best to entrust this process to a specialist.

Allergies

Allergies can also cause stuffy and pressure in the ears. Antihistamines in the form of tablets, capsules, syrups will help relieve symptoms associated with allergies.

Note that some antihistamines have a sedative effect and are realized from pharmacies according to the doctor

Air Travels

During take -off and landing, rapid change in atmospheric pressure causes an imbalance between air pressure in the environment and in the middle ear. . The result is the stuffy ear syndrome in an airplane, familiar to anyone who has ever traveled by air. To prevent or mitigate its consequences, among which, in addition to congestion, it is necessary to note the pain in the ears, try to implement the following recommendations:

• During takeoff and descent, chew gum or candy to activate the muscles responsible for dilating and constricting the Eustachian tube.
• Apply the Valsalva maneuver – pinch your mouth and nose and exhale forcefully. This will help equalize the pressure in the sinuses and in the environment.
• Use ear tips.
• For nasal congestion, use a vasoconstrictor nasal spray.

Middle and outer ear infections

Inflammation of the middle ear (otitis media) causes a range of symptoms, including:

• Hearing loss.
• Vertigo.
• Pain in the ears.

This disease is usually viral in nature

Inflammation of the outer ear (often referred to as “swimmer’s ear”) is most often caused by water entering the ear canal, for example, while taking a bath or swimming. A warm, humid environment is the optimal condition for the multiplication of various bacteria, and, as a result, inflammation.

In most cases, ear infections go away on their own and do not require a visit to the doctor: pharmacies today have a sufficient range of over-the-counter ear drops and pain medications that can be used as part of self-treatment.

If your condition does not improve, contact your doctor immediately!

As you can see, you can feel pressure in your ears for various reasons, so it is very important to determine exactly what caused you to feel discomfort. In most cases, the problem is solved without a visit to the doctor, but if the symptoms persist for two or more weeks, medical attention is needed.

Causes of high blood pressure and tinnitus. Pressure problems and humming in the head

3
Oct
2017

3 Oct 2017 Causes, Causes and symptoms

With age, the body fails – this applies to many parts of the body, including hearing. According to statistics, most diseases that are causes of high blood pressure and tinnitus begin after forty years – this occurs in one third of people belonging to this age.

The older the person, the greater the percentage. A common “provoker” of ringing manifestations is considered to be vascular imbalance – the tone of the walls of arteries and veins can be lowered or increased relative to the norm.

Contents of the article:

• 1 Can normal pressure cause noise in the head?
  • 1.1 High blood pressure: symptoms
  • 1.2 Diagnosis
  • 1.3 Treatment
    • 1.3.1 Effective help from the best specialists!

Normal blood pressure values ​​often accompany noise sensations in the head. Physiologically, this may be the result of:

• A long stay in a place where loud music plays, construction, repairs are underway, trains are running, planes are taking off.
• A long journey by transport on a noisy highway.
• Traveling from one time zone to another, not being used to the air mode of transport.
• Sickness on the water.
• Stress, overwork.
• Hormonal changes – age-related, during pregnancy, etc.

All these phenomena are temporary and do not require special treatment. In some cases, antidepressants or sedatives can help – they normalize the state of the central nervous system, relieve tension and help return to normal working form.

If you do not suffer from hypertension, tinnitus can be due to the following reasons:

1. Sulfur plug.
2. Foreign body or insect ingestion.
3. Otitis , neuritis.
4. Hearing loss.

These problems are not related to the general condition of the body, but to disorders in the ENT organs, therefore they do not affect the pressure indicator.

Additional symptoms:

• Cork formation is accompanied by a feeling of congestion and heaviness in the ear, a sharp decrease in hearing on the affected side.
• A foreign body can cause an unpleasant feeling, an insect – buzzing, moving.
• Otitis is associated with pain in the diseased ear cavity, headache.
• Neuritis, hearing loss entail a strong decrease in hearing acuity or its complete loss.

High blood pressure:

symptoms

Hypertension manifests itself for various reasons:

1. Severe stress.
2. Emotionally difficult.
3. Vascular pathology.

In the first two cases, the disorders are temporary – they disappear immediately, as soon as the person calms down, gets the opportunity to have a good rest. The consequences of a shock state can manifest themselves for some time – their duration depends on the strength of the stress. It is useful to visit a doctor who will prescribe suitable sedatives. They will help to recover faster without consequences for the body.

A humming sensation occurs after a sudden increase in cardiac output – this creates an increase in blood volume in the vessels, resulting in noise. The phenomenon may be accompanied by pulsating noise tides – as if something is beating in the ears. Also, the release of adrenaline that occurs during fright causes vascular spasm, as a result of which the pressure immediately rises.

Along with the noise effect, symptoms manifest themselves:

• “Asterisks” before the eyes.
• Pain in the heart and head of a tightening character.
• Redness of the skin on the neck and face.
• Dizziness .

If these signs occur together, the health of blood vessels in the area of ​​the brain and heart can be called into question. It is necessary to consult a doctor who will conduct an examination on the state of the bloodstream.

Diagnosis

Compulsory examination of the function of the heart. Also, one of the stages of the examination, if the patient complains of high blood pressure and hum, will be the delivery of tests – blood and urine. Do not ignore this stage, because. many serious disorders begin their existence almost asymptomatically – signals of trouble are sent only to the blood and other biological fluids. The sooner you recognize the disease, the easier it will be to cure it.

Clinical laboratory examination includes evaluation of a number of parameters:

• Hemoglobin level.
• RBC counts.
• Their settling rates.
• Leukocyte count.
• Leukocyte formula.

Any inflammation will immediately show itself as an increased content of certain cells. It also affects the erythrocyte sedimentation rate.
For an accurate analysis, blood is taken in the morning on an empty stomach. To conduct a study, as a rule, you need no more than a day. If necessary, the data can be provided even on the day of the analysis.

Hardware examination will consist of:

• Use of a stethoscope – with its help objective noise is heard.
• Computed tomography – will give detailed information about whether the vessels of the brain are healthy.
• X-ray – examination for the integrity of bone tissue.
• Audiograms.

Treatment

Diseases associated with a systematic or constant increase in pressure are never treated without the participation of a doctor.

Only a professional specialist is able to accurately determine the cause and help eliminate it by prescribing a set of effective treatment procedures. Activities are selected individually, depending on the identified problem. Often they are medical in nature.

For certain purposes, the patient can be referred to courses of magnetotherapy or laser therapy:

• Normalization of the vascular condition.
• Removal of tumors.
• Acceleration of tissue regeneration.

In extreme cases, when the listed means are ineffective, an operation is prescribed. And this should not be afraid, because. Modern equipment makes it possible to carry out actions as accurately as possible and with minimal intervention.

Effective help from the best specialists!

Do you suffer from ear ringing, humming, whistling and other noise problems? Contact the Tinnitus Neuro Medical Center. In the shortest possible time, efficiently and reliably, we will help restore the former clarity of perception of sounds, get rid of obsessive discomfort.