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Tinnitus: Tinnitus Treatment
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Tinnitus affects tens of millions of people worldwide and has plagued man for ages. In some cases, those affected have learned to live with it. In other, more acute cases, it can be an impediment to a normal lifestyle. In the most severe cases, it is a disease that becomes unbearable. Until now, there was no effective treatment for Tinnitus.
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Due to the personal and unique nature of each Tinnitus condition, proper evaluation and specialized treatment is necessary. Although there isn't a single cure for Tinnitus, AudigyCertified™ professionals are experienced at providing individual solutions on a case-bycase basis. After completing a hearing test, your professional may refer you to an otolaryngologist for further examination.
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The bad news in more detail : Dobie (1999) reviewed the 69 randomized controlled trials of tinnitus treatments. According to Dr. Dobie, no treatment can yet be considered "well established" in terms of providing replicable long-term reduction of tinnitus impact, in excess of placebo effects. Support and counseling are probably helpful as are tricyclic antidepressants in severe cases. Benzodiazepines, newer antidepressants and electrical stimulation deserve further study. But don't lose all hope: Dobie made the point that tinnitus is likely multifactorial, and the usual study design is likely not well chosen for this situation. A study design where initially an open-label study is performed, followed by a randomized placebo controlled trial might find patient groups that respond to a medication.
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Tinnitus is always an indication that there is a functional problem with the ear or the sound processing system. It is a signal that you need to do something about your health. It is advisable to seek treatment that is supportive and life enhancing rather than ignore the condition.
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Because of the vast array of potential diagnoses related to tinnitus, each patient requires a thorough history and physical evaluation. Such an evaluation requires attention to detail, including all medical problems and associated treatments and any pharmacologic therapy. The otolaryngologist is required to expand the evaluation to include the other potential sites of difficulty in this case. Evaluation of tinnitus should begin with a very thorough history, physical examination, and indicated laboratory tests. With tinnitus, direct particular attention to the patient's psychological state. Many patients are depressed or very anxious about the problem.
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A 12-week, double-blind, placebo-controlled trial involving 978 people (489 matched pairs) concluded that Ginkgo biloba extract was no more effective than placebo in improving symptoms of tinnitus (ringing in the ears). Effects were assessed via questionnaires at baseline, after four and 12 weeks of treatment, and again two weeks after treatment ended. In addition to questions about the severity of tinnitus, the questionnaires included items on symptoms of cerebral insufficiency (inadequate blood flow to the brain) other than tinnitus. The researchers concluded that ginkgo "seems to be ineffective in treating tinnitus alone, but it may be effective in treating tinnitus in patients who ... have other symptoms of cerebral insufficiency." The ginkgo preparation used in the study was the standardized extract LI 1370, manufactured by Berlin-based Lichtwer Pharma. Drew S, Davies E. Effectiveness of Ginkgo biloba in treating tinnitus: double blind, placebo controlled trial.
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