Tinnitus

Tinnitus is the perception of hearing a noise when there is no external source. It is extremely common, affecting around 6 million people in the UK (1 in 8 of the population). The majority (approximately 80%) of diagnoses are made in those aged over 40. Subjective tinnitus is only heard by the patient. Objective tinnitus can be heard by others when the patient is examined and is very rare.

There are management approaches which can make a significant and positive difference to patients with tinnitus. NICE has emphasised that early interventions, including explanation, help reduce disability. Patients being told there is no treatment and that the only option is to learn to live with it can lead to catastrophic thinking which fuels the condition.

Stress management virtually always helps tinnitus symptoms.

White noise devices can help tinnitus, whether or not there is hearing loss. As tinnitus is more common in people with hearing loss, hearing aids can also be an option.

Hyperacusis is where there is heightened sensitivity to sound, causing distress. It can co-exist with tinnitus, but the approaches to management are the same.

What happens at an Audiology tinnitus or hyperacusis appointment

For patients with unilateral tinnitus, an MRI scan will be discussed. If tinnitus continues to be problematic, they will then continue on a tinnitus management pathway.

For tinnitus or hyperacusis causing distress, the appointment will include audiometry and tympanometry, along with person-centred tinnitus /hyperacusis counselling.

A management session will also cover:

• sleep management
• sound therapy
• relaxation techniques
• stress management