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Tinnitus - Ringing In The Ears

Ear

1 External ear (pinna)
2 Ear canal
3 Middle ear
4 Inner ear
5 Eustachian tube
 

Source Ringing in Ears Ross Chiropractic Clinic, Inc. Ringing in Ears   A sixty-five year old female comes into this office with complaints of pain in the neck and back with pressure and ringing in both ears. The patient states that she has had these problems for at least four years. She had been to two medical doctors, including an ENT, without any diagnosis. She had seen a previous chiropractor with some relief. She comes in stating that she is beginning to feel worse. Examination of this patient revealed normal reflexes in the upper and lower extremities. Cervical compression tests were positive on the left and right. Range of motion in the neck and low back were restricted with pain noticed in the neck but not the low back. Palpable muscle tightness was noted in the neck on the left and right with muscle imbalance extending into the mid-shoulder area. The patient expressed pain in several trigger points around the neck and shoulders. The primary concern as to the cause of the pressure and ringing in the ears was the neck findings. I advised the patient that I wanted to treat her neck first and that I would then treat her low back. The patient stated she would prefer it that way. I had x-rays taken of her neck. I reviewed the x-rays with the patient. The intervertebral foramina were open and normal. The disc at C5-6 appeared degenerated especially on the anterior. The remainder of the x-rays were within normal limits except for a misalignment at C1. I discussed the options with the patient. I suggested three treatments to consist of mild spinal manipulations to reduce the misalignment at C!. The patient agreed. The first treatment was performed. The patient was advised to return the next day. The next day the patient returned stating that the ear pain remained the same. However the pressure had reduced by less than half. I discussed her condition and my treatment plan for the next two visits. She agreed. The patient was given her second spinal manipulation. She was advised to return in two days. The patient returned two days later. She stated that the ear pressure was completely gone. She further stated that the pain in her ears felt like they were beginning to improve. The patient was treated again, as before. She was advised to return in two days to be re-evaluated. The patient returned. She still had no pressure in her ears and the pain was over fifty percent better. I suggested six weeks of treatment on a gradual descending frequency of treatment. The patient agreed. The treatment progressed during the six weeks. The patient had good days and bad days. At the end of the six weeks the patient had no ear pain. She continued with a mild joint dysfunction at the level of C1. She was advised to get periodic care to keep her condition from returning. The patient agreed.

Source

Ringing in the ears refers to a sound that usually only the affected person can hear. The sound is not coming from the environment. Instead it seems to be coming from the person's body or from the ear itself. Other noises, such as buzzing or roaring, may also be heard.

What is going on in the body?

Ringing in the ears is a common problem, especially in elderly individuals. The ringing or other sound may be constant, or it may come and go. Usually, the ringing is not caused by serious problems. Most of the time, it does not interfere with activities. In rare cases, ringing in the ears can be a sign of a serious condition.

What other signs and symptoms are associated with this symptom?

The healthcare provider will ask about several things, including: · what medications the person takes · what other medical conditions the person has · what type of noise is heard, such as ringing, buzzing, blowing, roaring, or another sound · when the ringing started · whether any hearing impairment is associated with the ringing · whether the ringing came on gradually or started suddenly · whether the ringing is constant or if it comes and goes · whether the sound can be heard when there is noise in the room, or only in a quiet setting

The provider also may ask about other symptoms, including dizziness, headaches, ear pain, nausea or vomiting, and visual impairments.

What are the causes and risks of the symptom?

Ringing or other noises heard in the ears can have many causes, including: · abnormal blood flow around the ear, due to a cerebral aneurysm or malformed blood vessel in the brain · age-related hearing loss, with up to 25% of people over the age of 60 experiencing occasional high-pitched ringing in their ears ·  anxiety or depression · damage to the ear from chronic exposure, such as damage from working near loud machines daily, which leads to occupational hearing loss · damage to the ear from noise that occurs suddenly, for example, an explosion · damage to the hearing area of the brain, caused by a stroke, multiple sclerosis, or other conditions · damage to the hearing nerves, as a result of trauma, a brain tumor, or other conditions · ear wax build-up · excess caffeine intake · infections in the ear, such as chronic otitis media or labyrinthitis · medications, such as aspirin, the heart medicine known as quinidine, and carbamazepine, a medication used to treat seizures ·  Meniere's disease, a condition that also causes severe vertigo, or a spinning sensation ·  otosclerosis, a condition in which the tiny hearing bones in the inner ear cannot move properly

There are other possible causes of ringing in the ears. Sometimes the cause cannot be found.

What can be done to prevent the symptom?

Prevention of ringing in the ears is related to the cause. Avoiding loud noises and high doses of aspirin can prevent some cases. Most cases cannot be prevented.

How is the symptom diagnosed?

The healthcare provider can try to help the person figure out the cause of the ringing. Diagnosis starts with a medical history and physical exam. This may be all that's needed to make the diagnosis. In other cases, further testing is needed.

Various tests are ordered, depending on the suspected cause. For example, a cranial CT scan may be done if a stroke or brain tumor is suspected. Hearing tests, such as an audiogram, may be done if age-related hearing loss or noise damage are suspected.

What are the long-term effects of the symptom?

Long-term effects of ringing in the ears depend on the cause. Ringing in the ears caused by age-related hearing loss has no long-term effects besides hearing loss. The hearing loss is usually mild and is rarely bothersome. If the cause is a brain tumor, death may occur. Strokes may paralysis and speech impairments.

What are the risks to others?

Ringing in the ears is not contagious and by itself poses no risks to others. If the cause is an ear infection, especially otitis media, the infection may be contagious.

What are the treatments for the symptom?

Treatment is directed at the cause. Age-related hearing loss may be treated with a hearing aid. This often covers up the ringing by amplifying normal sounds. Someone with a brain tumor may need surgery or radiation therapy. People with Meniere's disease may need medications to reduce symptoms. People with ear infections such as chronic otitis media often need antibiotics. If a medication is causing ringing in the ears, the medication may be stopped.

Recent research has shown that cognitive behavioral therapy is highly effective in reducing the distress caused by ringing in the ears. This type of therapy helps an individual with ringing in the ears see that negative thoughts about the ear problem can affect his or her mood. The therapist helps the individual changes his or her thoughts to a more positive outlook.

What are the side effects of the treatments?

Antibiotics and other medications used to treat ringing in the ears can cause allergic reactions or stomach upset. Surgery carries a risk of bleeding, infection, and allergic reaction to anesthesia.

What happens after treatment for the symptom?

Some cases of ringing in the ears may be cured. Ringing caused by otitis media usually goes away after the infection clears up. Other cases last a long time, with or without treatment, such as ringing caused by a brain tumor or stroke.

How is the symptom monitored?

People can monitor their ringing and tell their healthcare providers about any changes or response to treatment. Other monitoring depends on the cause. For example, people with depression may need regular counseling and monitoring of their moods. Any new or worsening symptoms should be reported to the healthcare provider.

Under no circumstances would a psychiatric drug be helpful -- rather harmful, despite any feeling of depression.

Source

Millions of people suffer from Tinnitus, and most of them think that there's nothing they can do about it. For years people have been told that "there is no known cure" or "you just have to live with it." Many of us have been led to believe that it is just part of growing old. Well if you or someone close to you suffers from Tinnitus, this book may be "just what the doctor ordered!"

One day, a few years ago, I awoke to the sound of a high-pitched ring in my ears. The only times I recall experiencing this in the past was after receiving a hard blow to the head or during extreme illness. Now it had become a daily event. Sometimes even days at a time without any relief.

During a routine checkup, my family physician told me it was "just a little case of tinnitus" (L. fr. tinnire, meaning to tinkle or ring). Saying there was nothing he could do, he sent me to a very expensive specialist in Beverly Hills, California. I spent at least thirty minutes in one of many examination rooms waiting for the doctor. I was charged $250.00 for a five minute "interview" wherein the obviously disinterested doctor looked down my throat, looked in my ears, tapped me hear and there, and then told me there was no known cure. He told me that lots of people, especially as they grew older, had the malady, and I would just have to accept it.

As I paid my bill, which on the basis of my five minutes calculated out to about $3,000 per hour, I began to understand why medical expenses are unaffordable for the average person and a source of rage for the elderly who need help the most.

Inquires over the next few months at two hospitals in the Los Angeles area gave little cause for hope until one day a chance meeting with a young doctor from China led me down another path.

This little book (78 pages) is the story of that path. By traveling it with me, I hope you will find some of the comfort it has brought to me and many others.

I am not a doctor, and if you the reader have questions about this book or any of the exercises or information in it, you should talk to your own doctor. In fact you might want to let your doctor read it himself. In any case it is always a good idea to talk to a professional when it comes to your own health. I have shown this book to many health care professionals, and received nothing but praise.

I sincerely hope that this book with all of its information will help you as much as it has helped me.

Good luck and good health!

Ray Winn

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