[HN Gopher] Tinnitus linked to undetected auditory nerve damage
       ___________________________________________________________________
        
       Tinnitus linked to undetected auditory nerve damage
        
       Author : beefman
       Score  : 659 points
       Date   : 2023-12-02 03:52 UTC (19 hours ago)
        
 (HTM) web link (scitechdaily.com)
 (TXT) w3m dump (scitechdaily.com)
        
       | beefman wrote:
       | paper (open access):
       | https://www.nature.com/articles/s41598-023-46741-5
       | 
       | older report (2016) from one of the authors:
       | https://pubmed.ncbi.nlm.nih.gov/27108594/
       | 
       | planned study: https://oto.hms.harvard.edu/news/dr-zheng-yi-chen-
       | named-prin...
        
       | jader201 wrote:
       | Cue all the top comments about why this isn't news, or how we're
       | no closer to a cure.
       | 
       | I've just accepted that there won't be a cure anytime soon, and
       | come to terms with it.
       | 
       | Would love to be proven wrong, but I think they'll find a cure
       | for tinnitus when they can cure baldness and cancer.
        
         | vlovich123 wrote:
         | I get the point but we _can_ cure many many forms of cancer and
         | have treatments for baldness so it feels like a moving
         | goalposts situation.
        
           | thaumasiotes wrote:
           | > we _can_ cure many many forms of cancer
           | 
           | We can try. Sometimes the cancer doesn't come back, and
           | sometimes it does, and in no case do we understand why. This
           | is not what most people mean by "cure".
        
             | noirbot wrote:
             | Earnest curiosity - when someone is cured of cancer, and it
             | comes back, is that different from me being cured of the
             | flu and then catching the flu again later? Obviously it's
             | different sorts of malady, but is it that the same cancer
             | comes back, or is it just that if you had kidney cancer
             | once, it's likely you might get it again? Or do we just not
             | know enough about cancer to say/it varies on the sort of
             | cancer?
             | 
             | It's not like being cured normally means "and you'll never
             | get that again ever".
        
               | beeboobaa wrote:
               | You don't typically catch cancer riding the bus.
        
               | vlovich123 wrote:
               | That's kind of a flippant answer. I hope you know that
               | viruses (particularly the herpes family) cause at least
               | some forms of cancer and herpes is super transmissible
               | and most people have some form (in particular familial
               | herpes but also chicken pox). Can you catch it from
               | riding a bus? Probably not. But I don't think you were
               | talking about literally from riding a bus but we don't
               | know if it's a viral infection that's untreated and has
               | flare ups or if you can treat the viral infection and get
               | reinfected. It wouldn't surprise me if it's both -
               | typically it's a flare up but even if you cured the viral
               | infection you could get reinfected and get cancer
               | expressed again.
        
               | noirbot wrote:
               | Yea, no shit. That's not the question I was asking. You
               | can choose to be an annoying literalist, or you can be
               | informative, or you can be quiet. You've chosen the least
               | socially reasonable of them.
        
               | mlyle wrote:
               | We're mostly talking about it coming back. A treatment
               | might eliminate the vast amount of cancer cells, but some
               | can be lying dormant and wake back up at some later time
               | (and since they survived, the ones that are more
               | resistant to treatment have been selected-- prognosis is
               | then much worse the second time around). Or sometimes
               | those "seeds" of recurrent cancer never awake.
               | 
               | Of course, people who get one cancer are, on average,
               | more genetically and environmentally exposed to cancer
               | risk. Cancer treatments themselves can even increase the
               | risk of new cancer in some cases. So getting an entirely
               | independent cancer is possible, too.
        
               | noirbot wrote:
               | That was mostly what I had in mind. There's plenty of
               | diseases where you're cured in the sense that your body
               | can passively take care of it from here, but there's a
               | chance it flares up again. I was unclear if most cancers
               | were a "you got rid of it, but a different part of your
               | kidney developed a cancer now" as compared to "that
               | cancer you had before is back"
        
               | zdragnar wrote:
               | Sometimes you get better from a sickness, but it stays
               | idle in your body and resurfaces later. If you get
               | chickenpox as a child, it'll stay in you and eventually
               | come back as shingles when you're an adult.
               | 
               | Others like herpes are lifelong afflictions whose
               | symptoms can clear up, become inactive and eventually
               | reactivate and flare up again.
               | 
               | Cancers can be like that too.
        
             | mlyle wrote:
             | I don't think we have very many treatments that are 100%
             | efficacious and durable for most conditions, even ones that
             | are generally considered curative.
             | 
             | If you take antibiotics-- sometimes it doesn't seem to work
             | at all, and some other times the infection comes back after
             | the cessation of treatment. This is true because of some
             | reasons that are well-understood, and others that aren't.
             | 
             | Yes, most cancers are worse on these metrics than most uses
             | of antibiotics, but not always ridiculously so. There are
             | cancers with 5 year survival rates of >95%, and with very
             | low recurrence rates after 5 years.
        
         | _factor wrote:
         | Diseases without the possibility of animal testing are going to
         | take a long time.
        
           | anonymouskimmer wrote:
           | You could study auditory nerve regeneration in animals, it
           | would just be difficult to determine whether or not it cures
           | any tinnitus that they have.
        
           | petra wrote:
           | You could probably be possible to create an animal model by
           | destroying some hearing cells/sensors in the ear.
           | 
           | As for creating a device to detect what the animal "hears",
           | similar to how there's some research that used fmri with
           | machine learning to "see dreams",it might be possible to do
           | that for animal hearing.
        
         | __MatrixMan__ wrote:
         | I don't think that's a very good comparison. Cancer strikes at
         | the very heart of what we are (a bunch of cells which are
         | expected to cooperate and sometimes don't). Compared with that,
         | tinnitus seems pretty hackable.
        
           | labster wrote:
           | Baldness seems like a good comparison, though, given how
           | hearing involves hair in the inner ear. Cancer is thousands
           | of different disorders so it's unlikely there will ever be a
           | single cure; making hair grow where we want it is a simpler
           | task.
        
             | anonymouskimmer wrote:
             | It's cilia, not hair, growing from the hair cells in the
             | inner ear.
             | 
             | Other than that nitpick, sure.
        
       | jacquesm wrote:
       | Can't wait. With me it is ups-and-downs, at times it's great for
       | months at a stretch and sometimes it is so bad I can't listen to
       | music (or play).
       | 
       | There are many different forms of tinnitus and usually some
       | mechanism or cure operates only on a fraction of all cases so I'm
       | hoping that this is as broad as possible. Note to younger self:
       | stay away from loud concerts.
        
         | nzoschke wrote:
         | Sorry to hear. You're not alone and I'm constantly surprised to
         | learn how many people I know are dealing with hearing concerns
         | once I started talking about mine more.
         | 
         | My note to younger self is similar: get great earplugs and use
         | them diligently.
        
           | strogonoff wrote:
           | A note of caution regarding earplugs: they can introduce
           | infection, which in turn (I suspect) may play a role in
           | triggering or causing tinnitus. It probably depends on
           | individual predisposition and climate (to me it happened in
           | hot humid environment), but I recommend caution.
           | 
           | I wish I could use earplugs (or IEM headphones with good
           | sound isolation) a lot of the time, but I found out the hard
           | way (after infection subsided I have intermittent tinnitus as
           | well).
        
           | monkpit wrote:
           | > Sorry to hear.
           | 
           | Phrasing...
        
             | jacquesm wrote:
             | I thought it was funny.
        
         | hanniabu wrote:
         | Have you been on antibiotics since you had it? If so, did it
         | make it any worse?
         | 
         | I have a slight case of tinnitus and need to do a 2 week round
         | of neomycin. Doctor says it shouldn't make it worse since it's
         | a short course, but I'm still concerned/anxious about it.
        
           | jacquesm wrote:
           | It's been with me for 20+ years now, originally triggered by
           | a concert in Paradiso in Amsterdam that I got free tickets to
           | on account of repairing a bunch of cabling under the stage.
           | The next day there was a really loud buzz on top of
           | everything else that only slowly went away. After that it
           | periodically recurred, usually right after exposure to some
           | loud noise (especially: grinder, that one does it every
           | time). I do what I can with ear protection to keep what I've
           | got (which is a slowly losing battle), without any sound
           | around me there is this very high pitched whine and with some
           | low level masking sound that becomes manageable.
           | 
           | But e5 on the piano played loud is an instant trigger, that
           | particular frequency is really not working for me. Never made
           | any link with antibiotics but if I ever have to do a cure
           | I'll be sure to pay attention. What mechanism are you
           | concerned about? Is this a well known thing?
        
             | hanniabu wrote:
             | I think it's less of a concern for someone like you where
             | it was brought on by loud noise vs someone like me where
             | it's likely due to an imbalanced microbiome where taking
             | antibiotics could potentially damage your microbiome
             | further, leading to worsening tinnitus.
        
             | schiffern wrote:
             | Do you have an audiologist regularly look at your ears?
             | Obstruction and buildup can make tinnitus worse.
             | 
             | I find I really should wear earplugs _way_ more often than
             | I think. Putting dishes away, shoveling snow, scraping ice,
             | even just running a sink. For everyday wear I cut down
             | cheap foam plugs to ~half length (and reduce the depth of
             | insertion), and I also wash them beforehand /periodically
             | with plant-based soap. This removes additives in the foam
             | which I find can cause skin irritation and reduce
             | breathability.
             | 
             | Hope you get some relief.
        
               | jacquesm wrote:
               | > Do you have an audiologist regularly look at your ears?
               | 
               | I did in the past, haven't in years so thank you for the
               | reminder, I really should do that. I think in part it is
               | because I've simply given up on ever seeing an
               | improvement, just a very slow rearguard fight.
        
         | schiffern wrote:
         | >Note to younger self: stay away from loud concerts.
         | 
         | Or try those "concert earplugs." They reduce the overall sound
         | level while better preserving high and mid sounds. It also
         | reduces the booming sound ('occlusion effect') when talking.
         | 
         | I paid $15 for a pair recently, but experimentation shows it's
         | mostly just silicone earplugs with a hole through the center
         | and a small mesh screen.
         | 
         | Removing the fancy "audio filter" and stuffing a tiny (tiny!)
         | wisp of cotton in the hole seems to do the same thing,
         | honestly. You can probably reproduce these using 30C/ HF
         | silicone earplugs if you find a way to "drill" a hole through
         | them...
        
           | flippinfloppin wrote:
           | If the solution to concerts is that you have to protect your
           | ears yourself then I would argue that the concerts themselves
           | should be held accountable.
           | 
           | I have tinnitus and it SUCKS. The people who threw the
           | outdoor music festivals I went to in my 20s should be brought
           | to trial...
        
       | lemper wrote:
       | good stuff, mate. it's been 8 goddamn years since my right ear
       | ngiiiiiiiiiiiiiiiings all the time. I'm fine with waiting for
       | another or two 8 years, but please, show some result. pretty
       | please with cherry on top.
        
       | localghost3000 wrote:
       | I've got multiple tones in both ears. Most of the time I don't
       | notice it but sometimes... well it's hard not to panic when you
       | realize you can't escape it. I would very much like to experience
       | life without the ringing again before I kick the bucket. I'd
       | honestly probably cry.
        
         | m3kw9 wrote:
         | Makes me realize I should not take even the most mundane things
         | for granted
        
           | hanniabu wrote:
           | Facts. I used to take a lot for granted. Now I not only have
           | tinnitus, but also muscularskeletal and digestion issues. I'd
           | love to go back to being healthy again, but sometimes you're
           | dealt a shit hand. And you never know what will happen
           | tomorrow that will change the rest of your life.
        
         | jimmaswell wrote:
         | It's almost always been there for me if a room is too quiet,
         | but somehow it just doesn't bother me no matter how much I
         | notice or think about it. It's just there.
        
         | cmehdy wrote:
         | Have you ever tried the back of the head tap thing?
         | https://lifehacker.com/this-weird-trick-might-give-you-brief...
        
           | fermentation wrote:
           | I wish all of these weird tricks worked. I'm sure all of us
           | tried them during our initial panic
        
         | LoganDark wrote:
         | I don't think I have tinnitus, but I made a bad choice of power
         | supply for some of my audio equipment, and it emits an annoying
         | whine from one of its fans. Which is bad because this is
         | supposed to be audio equipment.
         | 
         | I may simply remove that fan in the future.
        
           | nehal3m wrote:
           | I'll assume you know what you're doing, but I still had a gut
           | reaction. Careful not to burn your house down.
        
             | LoganDark wrote:
             | It's a MEAN WELL industrial power supply, brand new. I
             | needed 12 volts DC to power a "car" amplifier, but it's not
             | easy to get 50 amps of that from the wall. My guess is it's
             | built for industrial automation, not audio equipment, but
             | it's not like the other option of repurposed server PSUs
             | would have been any quieter.
             | 
             | Removing the fan may or may not be relatively safe
             | depending on how much airflow a 12 inch sub can push
             | through a ported enclosure when it's running anywhere near
             | full enough power to actually heat up the power supply.
        
         | technothrasher wrote:
         | I've had it for as long as I can remember, I suspect it's been
         | there since birth. As a small child, I thought it was normal
         | and that it was what the Simon & Garfunkel song "The Sound of
         | Silence" was talking about. Anyway, I think I may be lucky in
         | that I've never experienced not having it, so it doesn't bother
         | me at all. It's just there.
        
           | dj_mc_merlin wrote:
           | Same here. The sound's always been there and it's the only
           | thing I can control my attention towards perfectly. Kind of
           | like how you can't not think about pink elephants but through
           | a lifetime of practice I can do it with this one specific
           | thing.
        
           | someNameIG wrote:
           | Same with me, can't remember when mine started. I knew pretty
           | early it wasn't normal though as for me it's only in my left
           | ear.
           | 
           | Unless I'm actively thinking about it (like now), most of the
           | time it's nt an issue, and it's quiet enough to be easily
           | drowned out.
        
         | anonporridge wrote:
         | It's unbelievably depressing in the initial onset.
         | 
         | Couldn't sleep. Couldn't do my job. Forced to take extended
         | time off. Terrorized by the possibility that I would never be
         | able to work again.
         | 
         | Closet I've ever come to suicide.
        
           | breakfastduck wrote:
           | Yep same. My mental health has been sigificantly worse across
           | the board since it started.
        
       | doodlebugging wrote:
       | I recently bought a couple of audiomoths for monitoring or
       | tracking birds passing through my area. It records up to 192kHz I
       | think so it can pick up ultrasonic chirps from bats. Anyway while
       | passing the recorded data into Audacity to search for bird calls
       | I was able to finally nail down the bandwidth where my tinnitus
       | overwhelms all other signal and to begin to understand the depth
       | of my work-related hearing loss. I use the low and high pass
       | filters to extract the signals across discrete frequencies and
       | then track the level of gain I need to apply in order to be able
       | to hear the calls that are in each extracted band. This is quite
       | useful for me as before I knew that there are sounds I cannot
       | hear unless there is almost no background noise but I had no idea
       | where they were spectrally or just how much hearing loss I had in
       | each band.
       | 
       | I could potentially use this information to design a hearing aid
       | that boosts sounds in the affected bands so that I can hear them.
       | I am not sure I can inverse filter the tinnitus-related noise
       | since it is random intensity though a notch filter could be an
       | option since it is narrow band.
       | 
       | I hope the tinnitus discovery thing in this article ends up being
       | useful.
        
         | mnemotronic wrote:
         | Mine reminds me of the high-pitched sound made by old, tube
         | TVs. I think it was called the flyback transformer. 16Khz.
        
           | LoganDark wrote:
           | 15.625KHz to be exact. I can hear this sound quite well, to
           | the point where I prefer not to be in the same building as
           | any CRT that emits it.
           | 
           | There are those that don't, mainly newer models I assume. I
           | think it has to do with the exact shape of the waveform that
           | drives the (horizontal part of the) deflection yoke. Some of
           | them are noisier than others.
        
             | therein wrote:
             | I remember enjoying that sound as a child. Muting the TV
             | while falling asleep.
        
               | LoganDark wrote:
               | One of the power supplies I own makes a high-pitched
               | whining sound from its fan. It's the most terrible,
               | obnoxious sound, but I somehow don't mind it. It blends
               | into the background after living in it for years. Still,
               | when it goes away, there is nearly unparalleled silence.
        
             | idonotknowwhy wrote:
             | It's the PAL and NTSC (480i / 240p) sets we can hear. VGA
             | (480p and higher) screens scan at > 30khz so we can't hear
             | them.
             | 
             | I like the sound and can hear when a shop has a CRT
             | security camera when I walk past lol
        
             | jeffparsons wrote:
             | Same. As a child, I could be reading a book at one end of
             | the house and I would experience discomfort (experienced as
             | a slightly painful "pressure" in my ears) when the
             | television, which was 4 rooms away, was powered on. My
             | family didn't believe that I could tell, because to them it
             | was silent. So they challenged me to a double blind test,
             | and were surprised to find that yes, it really was the TV
             | that was bothering me.
             | 
             | Related, we did a hearing range test in a high school
             | science class. I could detect the tone generator at a
             | frequency well beyond what anyone else in my class could
             | pick up. I couldn't hear it as a sound anymore after a
             | certain point, but could still feel it as an uncomfortable
             | "pressure" inside my ears.
        
             | drmpeg wrote:
             | The _exact_ formula is 4,500,000  / 286 =
             | 15734.265734265... Hz.
        
               | pezezin wrote:
               | That is for NTSC, for PAL the formula is 625*25 = 15625
               | Hz
        
           | petesergeant wrote:
           | Took me a while to realise that I could hear those, but also
           | that I have tinnitus at the same level. For quite a while I
           | assumed someone had turned one on nearby, until it dawned on
           | me that no, I also have tinnitus
        
           | smegger001 wrote:
           | That reminds me of the old crt tv my parents had for ages in
           | their room that i could hear from the other side of the house
           | but they couldn't that made the most awful high pitch whine.
           | and as the screen would go black in some sort of sleep mode
           | but it kept making that horrible noise with the only
           | indicator that is was on still other than the noise, that
           | apparently only i and dogs could hear, was the color of a
           | small dim recessed led. they got rid of it a about three
           | years ago but whenever i would visit I'd hear it as soon as
           | the door opened and it would drive me nuts till i got the
           | chance to turn it off.
        
             | eps wrote:
             | For what it's worth, I had that and pretty all my friends I
             | bothered to ask could also hear old TVs back when were
             | kids. It is exceedingly common.
        
             | LtWorf wrote:
             | I couldn't charge my macbook at night because the official
             | apple charger made that noise and it bothered me.
        
         | luplex wrote:
         | Honestly you should probably just get a professional hearing
         | aid, they do a hearing test and adjust its frequency response
         | to your ears.
         | 
         | The longer you wait with getting it, the harder it will be for
         | your brain to adjust to processing the full corrected sounds.
        
           | doodlebugging wrote:
           | I've been considering this more often lately. I was hoping
           | for an inexpensive option since hearing aids are just earbuds
           | with a custom tune.
        
             | ozborn wrote:
             | Hearing aids are much better than most earbuds, especially
             | with regard to power consumption. I have tinnitus, mild
             | hearing loss, but wear cheapish Costco hearing aids as
             | earbud replacement and the hope my tinnitus won't progress.
        
             | 392 wrote:
             | They're not really, but I can see why Beltone stores would
             | give you that impression. Go see an audiologist.
        
         | thfuran wrote:
         | The frequency response of a healthy ear isn't flat across all
         | audible frequencies, so you'd need to reference normal hearing
         | to determine the extent of damage rather than just looking at
         | minimum audible db at various frequencies.
         | 
         | >I am not sure I can inverse filter the tinnitus-related noise
         | since it is random intensity though a notch filter could be an
         | option since it is narrow band.
         | 
         | Are you talking about basically using active noise canceling to
         | silence tinitus? I don't think that's possible.
        
           | doodlebugging wrote:
           | >The frequency response of a healthy ear isn't flat across
           | all audible frequencies, so you'd need to reference normal
           | hearing...
           | 
           | Isn't the normal frequency response of a healthy ear
           | dependent on the shape of the ear cartilage and the
           | configuration of the ear canal and the ear drum? It would be
           | different for every individual. Kinda like how Mom could
           | always hear everything we did and said after bedtime while
           | Dad, without even using his selective hearing, wouldn't even
           | know we were still awake.
           | 
           | >Are you talking about basically using active noise canceling
           | to silence tinitus?
           | 
           | Yes. Model the tinnitus and design the inverse filter based
           | on the bandwidth and inject that inverse filter to become an
           | active subtraction of the tinnitus response. I know it
           | probably isn't possible because the noise is variable and
           | originates in the brain instead of external to the ear so it
           | is not easily quantifiable therefore the inverse operator
           | will not be exact, optimum, or anything else. However, if you
           | can model the signal then you should be able to design the
           | inverse operator. Since the signal is just a band-limited
           | input there is no reason why you can't dink around until you
           | have a close enough model to be able to design the inverse
           | filter which you would then inject as an external input thru
           | an earpiece or some other sound generator.
           | 
           | I'm a geophysicist with hearing problems, not an audiologist
           | or otolaryngologist. It sounds reasonable to me. We deal with
           | convolution/deconvolution and other signal processing as a
           | regular part of the job process.
        
             | thfuran wrote:
             | >Isn't the normal frequency response of a healthy ear
             | dependent on the shape of the ear cartilage and the
             | configuration of the ear canal and the ear drum? It would
             | be different for every individual
             | 
             | Yes, there's some individual variation, but human ears are
             | all generally roughly the same structure, so there are
             | known baselines for how they work. There's about 40 dB
             | difference in minimum audible threshold between 50 Hz and 5
             | kHz. Same with near the top end of the hearing range,
             | though where exactly that lies is more subject to
             | individual variation (and age)
             | 
             | >so it is not easily quantifiable therefore the inverse
             | operator will not be exact, optimum, or anything else.
             | However, if you can model the signal then you should be
             | able to design the inverse operator.
             | 
             | It's not originating from actual sound, so I think the
             | approach fundamentally doesn't apply. Active noise
             | canceling relies on destructive interference to actually
             | physically remove the sound before it is perceived. Once
             | you have the nerve signal, I think there simply isn't an
             | anti-sound that would result in some other nerve signal
             | that adds up to perceived silence.
        
               | NotMichaelBay wrote:
               | I've definitely read anecdotes about people with tinnitus
               | listening to noise to reduce it. It may not be the same
               | effect as destructive interference but it seems like
               | there's something at work there.
        
               | thfuran wrote:
               | As I understand it, for certain types of tinnitus,
               | listening to a sound of the right frequency may
               | temporarily suppress the tinnitus for some time
               | afterwards. But the triggering sound is still audible, so
               | it's not like noise canceling.
        
         | thibaut_barrere wrote:
         | It's a great idea - and a more detailed diagnosis compared to
         | what some professionals do. I had no idea audiomoths were a
         | thing by the way! Will look into that.
        
           | doodlebugging wrote:
           | I'm really liking these audiomoths. Broadband recording at
           | high fidelity with long, unattended recording possible. I'm
           | trying to see whether I can identify individual crows among a
           | family of pecan-stealers active in my area. I almost have
           | them accustomed to checking my porch for raw peanuts as part
           | of their regular rotation. I probably need cameras to be able
           | match the bird to the call and identify individual birds and
           | I don't yet have that but I will in time. For now I am
           | getting familiar with all the normal noises out here and the
           | frequencies they occupy so that I can visually separate bird
           | calls at various frequencies from ambulances, airplanes,
           | helicopters, automobiles, barking dogs, etc so I can spend
           | more time analyzing interesting signals from the birds out
           | here.
           | 
           | If you have time to acquire a new hobby, an audiomoth is a
           | great tool.
        
       | idontwantthis wrote:
       | Tinnitus is so strange. It's like depression. You can't will it
       | away, but if you start to feel better it also gets better. And if
       | you feel worse it gets worse. And both reinforce each other.
       | 
       | It's not just perception and it's not just physical. Physical
       | symptoms make it seem worse and when it seems worse it actually
       | gets worse.
       | 
       | The best thing to do is accept that you have it and try to never
       | hear it, so that you don't think about it. Then it might actually
       | (not just psycholgicy) get better. It won't be cured, but it can
       | have a huge improvement.
        
       | ohm wrote:
       | Mine has gotten pretty bad it's constant now. Before hitting the
       | back of skull worked for a bit and listening to YouTube tinnitus
       | scrubber worked but not anymore. Hoping this can be fixed one
       | day.
        
       | adamddev1 wrote:
       | Here's a very interesting study about how manual osteopathy on
       | the temporal bones could help the auditory nerve/tinnitus. It's
       | been a huge relief for me.
       | 
       | https://norcaloa.com/CAOT/articles-in-press/CAOT-101018
       | 
       | I've suffered from tinnitus that's gotten worse at times, and for
       | me it definitely feels like there's some sort of nerve that's
       | pinched or damaged because my hearing is totally fine but when
       | certain muscles are tight in the area it gets louder, when I yawn
       | it squeezes something and I get this loud tone, and sometimes it
       | gets worse with pressure or impact. I had a very nasty and loud
       | lower tone but I found physiotherapy around the neck and
       | especially osteopathy around the temporal bone very, very
       | effective in reducing/eliminating that lower tone. Osteopaths
       | will talk about how if the temporal bone is stuck in rotation it
       | can pinch/damage the auditory nerve. I don't fully understand the
       | mechanics but whatever they do WORKS for me in taking away the
       | loudest tone of tinnitus.
        
         | htamas wrote:
         | I told my doctor about this effect of yawning and he said
         | that's just a reflex, unrelated. However my tinnitus started
         | when they removed my wisdom teeth and that's also when my TMJ
         | started, so I'm pretty sure they are somehow related, and my
         | tinnitus is generated by some kind of a bone/ligament alignment
         | issue.
         | 
         | It's very interesting what you said about ostheopathy, I would
         | try it out except I'm afraid it can just as well make it worse
         | as it can make it better if the ostheopath doesn't know what
         | they're doing. At least that's what dentists told me when I
         | asked about if fixing my TMJ would fix my tinnitus.
        
           | adamddev1 wrote:
           | Ya I also have had wisdom teeth removed and TMJ issues for a
           | long time, and it also seems related. The nice thing about
           | Osteopathy is that it's very gentle so it shouldn't be as
           | dangerous as more aggressive or invasive treatments. Some
           | Osteopaths are especially experienced with ear-related
           | things. I've had very, very good results from it personally.
           | 
           | For me the biggest help has been that as well as general
           | physio/exercises (especially eccentric neck muscle exercises
           | with a exercise band) around the neck getting all hose
           | muscles healthy and relaxed.
        
             | htamas wrote:
             | Could you link a video or something on the exercises you
             | do? Not sure what eccentric means in that context.
        
               | adamddev1 wrote:
               | Here are the streches:
               | 
               | https://1drv.ms/b/s!AkOl7L0amzk1gZJkufVhfYr8q1vtbw?e=tjuB
               | WD
               | 
               | And for the resistant band thing, kind of like this
               | video. But I put the resistance band in a door at a 90
               | degree angle to my head and I focus on the "eccentric"
               | movment, slowly bringing it back into upright position
               | and letting it pull the muscles and lengthen them.
               | 
               | https://www.youtube.com/watch?v=1EG7z_qsYNY&ab_channel=Re
               | hab...
        
         | beingfit wrote:
         | > Here's a very interesting study about how manual osteopathy
         | on the temporal bones could help the auditory nerve/tinnitus.
         | It's been a huge relief for me.
         | 
         | > https://norcaloa.com/CAOT/articles-in-press/CAOT-101018
         | 
         | Is this something that only a medical professional should do?
         | If not, I'd love to see a video of this. I can't figure out
         | from the figures what one is supposed to do.
        
           | adamddev1 wrote:
           | I'm pretty sure it's just something that trained osteopaths
           | could do. Cranial osteopathy takes a lot of practice and
           | learning as I understand.
        
       | mongol wrote:
       | I got tinnitus in one ear after a fall where I hit my face hard
       | on a table. After being careful with loud music my entire life
       | this feels like a bummer. But accidents happen and it could have
       | been worse. I also got some numbness in other parts of my face
       | that slowly got better so I have some hope the tinnitus may
       | improve.
        
       | janmo wrote:
       | Most people having a peeep tone tinnitus including myself can
       | experience complete silence for a few seconds (up to 30) by
       | listening to a tone at the specific frequency of their Tinnitus.
       | 
       | For example listen to the following, at a level that it isn't
       | uncomfortable and your Tinnitus might be gone for a short time:
       | https://www.youtube.com/watch?v=qNf9nzvnd1k
       | 
       | This is called residual inhibition. You can Google "tinnitus
       | residual inhibition" and find many papers about it.
       | 
       | Benzodiazepines work also very well in some cases, when taking
       | them I have no Tinnitus at all, but that's ABSOLUTELY NOT a
       | viable long term solution because of the long term negative
       | effects.
       | 
       | I am not sure about this paper, but what I've read and believe
       | the most is that the Tinnitus is caused by neurons in the brain,
       | that have lost nerve input signals from the ear (due to hearing
       | loss, nerve damage etc..), and start to emit parasite signals.
       | 
       | Benzodiazepines reduce the brain activity thus reducing/silencing
       | the tinnitus. Residual inhibition seems to work by stimulating
       | the region where the hearing loss has occurred, the neurons
       | responsible for the Tinnitus all the sudden get stimulated and
       | stop emitting noise signals for a few dozens of seconds then
       | resume. But so far there is still a lot of research to be done
       | and we are decades away from a cure that is SAFE enough. Benzos
       | work but are just not worth it, this is like fighting back pain
       | with opoids.
       | 
       | Until then I think it is best to protect our hearing, you can buy
       | custom made earplugs which are comfortable to wear, last about 5
       | years and cost around 200 USD. I use them when I am in loud
       | environments like on an air plane, train, at a bar etc...
       | 
       | Also it is best not be in completely silent environment as this
       | is where you will notice the Tinnitus.
       | 
       | When listening to music with headphones it is important to take
       | regular breaks and not to push the volume too high to give your
       | ears some rest.
       | 
       | Edit: Last advice, don't try to listen to your tinnitus, but
       | focus on other noises/sounds, if you are listening to the
       | Tinnitus you are telling your brain that the signal is important,
       | when you should be telling it, that it isn't.
        
         | moribvndvs wrote:
         | My tinnitus has a very recent onset. So far it's pretty mild
         | but I expect it to get much worse. Your advise is the most
         | practical, at least for mild cases: baby the ever living shit
         | out of your hearing (I have spent decades in the underground
         | metal scene and didn't wear ear plugs until the past 5 or so
         | years. What a colossally stupid thing to do. Please: if you're
         | young, remember you are not invincible, you're merely borrowing
         | heavily from future you) and avoid complete silence. I've also
         | noticed that it will occasionally hit me hard in bursts. When
         | that happens, I can make like I'm covering my ears with my
         | palms and tap my finger tips on the back of my head for a few
         | seconds and the roar will die down. Doesn't go away permanently
         | but so far it provides a little relief from those painful
         | stabs.
        
           | xivzgrev wrote:
           | Agree. I also made poor choices, drumming as a kid without
           | hearing protection. By time I was in high school I already
           | had tinnitus. Since then I've also babied my hearing
           | (earplugs at concerts, playing music in headphones as quietly
           | as possible or avoiding headphones), it's fortunately stayed
           | about the same over the ensuing years.
        
             | 3abiton wrote:
             | Given how spread tinnitus is, I wish there were more
             | campaigns to help to spread awareness. Funny thing, ghe
             | first gike I remember developing tinnitus, was following a
             | evening where the fully pressurized soda stream bottle was
             | not fully closes, so it emmitted this wheezing sound all
             | evening, high pitched. I was too tired to figure out the
             | source, or even if it was real up until the next morning.
        
             | jcalabro wrote:
             | Same story here. I'm pretty young and I'm quite concerned
             | about it as I age, but since I stopped drumming about 10
             | years ago, it hasn't progressed at all.
        
         | schiffern wrote:
         | >When listening to music with headphones it is important to...
         | not to push the volume too high
         | 
         | I've started referring to this experiential phenomenon as "The
         | Call of the Loud"
         | 
         | (of course a reference to https://www.livescience.com/what-is-
         | call-of-the-void)
        
           | LoganDark wrote:
           | Heh. I felt it so strongly that I built my own subwoofer. I
           | get noise complaints if I set it anywhere near half volume.
           | At least a transducer really helps, and doesn't often result
           | in complaints.
        
         | im3w1l wrote:
         | Well if tinnituses arises from the brain not having an input,
         | then it seems like the proper way to fix it is to restore the
         | input. Now restoring damage to the nerve or those little hairs
         | inside the ear, I'm sure that's tricky, but it also seems like
         | it should be quite doable if you just throw resources at it.
         | 
         | This seems promising? https://hms.harvard.edu/news/scientists-
         | regenerate-hair-cell...
        
           | janmo wrote:
           | Mammals cannot restore hearing, but other animals such as
           | Chicken can. A few years ago there was a drug called FX-322
           | that was able to regenerate inner ear hair cells in guinea
           | pigs, it made it into human trials, but was unable to improve
           | hearing, meaning that the cells were probably not functional.
        
           | musha68k wrote:
           | I remember full well that music was much richer to me until
           | maybe my mid 20s. It would be amazing to get that back
           | somehow.
        
           | anjel wrote:
           | Seems neurological and reminiscent of phantom limb pain after
           | amputation. And they treat that now by fooling the brain with
           | mirrors...
        
           | Naijoko wrote:
           | there is also this similar project from the EU
           | https://www.regainyourhearing.eu/ this is very interesting.
           | They put hair regrowth stuff in the ear
        
           | ck_one wrote:
           | Biggest project to restore hair cells and ultimately hearing
           | is probably this one:
           | https://hearinghealthfoundation.org/hearing-restoration-
           | proj...
           | 
           | It was shown in a couple of papers that we can restore hair
           | cells in mammals. Damaged hair cells are the root cause for
           | the majority of people with hearing loss & tinnitus. The most
           | promising path seems to use so called supporting cells in the
           | inner ear and convert them into hair cells. Researchers are
           | getting closer and closer every year. I think we are now at a
           | point where it's not a question of if but rather when.
           | 
           | Here is a quote from one of the leading scientist in the
           | field:
           | 
           | What is needed to help make HRP goals happen? Frankly,
           | funding to keep our research moving forward. A postdoctoral
           | fellow with five to six years of training starts out on a
           | modest salary of about $45,000, plus $12,000 in benefits. So
           | that's $57,000 before they even pick up a test tube in the
           | lab. Each person will typically use between $15,000- $20,000
           | a year in supplies and chemicals. Simply maintaining a single
           | cage of mice for one year costs $210, and my lab can use
           | between 300-500 cages of mice for our experiments! HHF and
           | its donors have been extremely generous in their support,
           | however with additional funding the output from the
           | consortium could be significantly greater and accelerate the
           | pace to a cure.
           | 
           | Link: https://hearinghealthfoundation.org/spotlight/groves
           | 
           | Overall the field of hearing restoration still only receives
           | tiny amounts of funding (<200 Mio). The research is in a
           | vacuum phase. It's not proven out enough for Big Pharma to
           | come. Relying on small government grants makes it difficult
           | to get the research to a stage where it's attractive enough
           | for Big Pharma.
           | 
           | Best bet at this point is probably when a former big tech
           | executives would get hearing loss/tinnitus and then decides
           | to put real money behind the problem. Bryan Johnson who
           | created the Blueprint program has hearing loss but I guess he
           | is not wealthy enough to make a difference.
           | 
           | EDIT (to put numbers into perspective):
           | 
           | The size of the problem: Sensorineural hearing loss disables
           | over 360 million people worldwide. Irrespective of its cause
           | and severity, hearing loss can have a large impact on
           | people's health and well-being. The treatment of hearing loss
           | is currently limited to the use of hearing aids or devices
           | surgically implanted in the middle or inner ear. These
           | devices often perform poorly in noisy environments and can be
           | very costly. It has been estimated that the costs of
           | untreated hearing loss are EUR213 billion in Europe alone
           | each year.
           | 
           | The funding (EU): An international consortium of 7 partners
           | has been awarded a EUR5,8 million European Commission Horizon
           | 2020 grant to develop and test a new drug to treat hearing
           | loss caused by the loss of sensory hair cells.
        
         | sgbeal wrote:
         | > Most people having a peeep tone tinnitus including myself can
         | experience complete silence for a few seconds (up to 30) by
         | listening to a tone at the specific frequency of their
         | Tinnitus.
         | 
         | What "works for me" but your kilometrage may vary...
         | 
         | i listen to LOTS of white noise. All night when i sleep, when
         | i'm out and about and might normally listen to music, and
         | sometimes just randomly throughout the day.
         | 
         | For whatever reason, listening to white noise over long periods
         | seems to tone down the volume of my beeping, _sometimes_ to the
         | point where i have blessed silence for several days at a time
         | (recently a full 2 weeks, though that was a new record in my
         | 13-ish years of beeping).
         | 
         | Whether or not the white noise _genuinely_ plays a factor is
         | difficult to say, but it's been my experience, the past three
         | or four years, that the volume of The Beep and the duration of
         | the rare Quiet Periods seems to be affected by how how much
         | white noise i listen to.
         | 
         | (Sidebar: "quiet" is never quite silent, but The Beep sometimes
         | (thankfully) fades to the point where i have to actively listen
         | to hear it, exactly as it was when this all started out around
         | 2010.)
         | 
         | (Sidebar: though the tone of my beep is near-constant, wavering
         | only very slightly, the volume varies wildly, from minor
         | background noise to headache-inducing and concentration-
         | shattering.)
         | 
         | That said: "white noise" is a generic term here. i often get
         | better results with what my phone's white noise app call "pink
         | noise" or "blue noise" - they're just different frequencies of
         | the same style of noise.
         | 
         | Edit: FWIW, i've heard from two other tinnitus sufferers that
         | white noise has a similar effect on them. That doesn't mean
         | that it definitely helps, but it seems to help for some of us.
        
           | lutorm wrote:
           | My tinnitus, both the one that's always present and the one I
           | can provoke with my jaw muscles, is not a single-pitched tone
           | but more like band-limited noise. I did a hearing test and we
           | tried to match it to various frequencies. None of the models
           | they had really fit, but the best one was a sort of
           | moderately-wise noise.
        
         | lutorm wrote:
         | I've always assumed the tinnitus arises from some sort of AGC,
         | automatic gain control, in the auditory system, such that when
         | something is damaged and the signal disappears, the brain will
         | just turn up the gain until the noise is about the level it
         | expects the signal to be.
         | 
         | At least my experience with AGC is that it's useless because
         | times of silence ends up just being filled with noise... "audio
         | system tinnitus..."
        
           | groestl wrote:
           | And I have the suspiction, this can happen with visual
           | signals as well. See "visual snow".
        
         | Naijoko wrote:
         | mdma does the same for some reason. Total quit for 8h ... but
         | also totaly high.
        
         | scoot wrote:
         | I tried the YouTube video and was slightly alarmed to discover
         | that I appear to be deaf above about 13.5KHz. I wondered if it
         | might be the frequency response of my laptop speakers, but
         | according to this site [0] it's pretty flat up to 20KHz.
         | 
         | It didn't make the tinitius go away, but perhaps subdued it
         | slightly. Hard to say.
         | 
         | But if as one of the other posters suggests tinnitus is a
         | neurological response to lack of input, deafness in higher
         | frequencies tallies. Like others though, jutting my jaw forward
         | makes the tinnitus louder, so not sure how that interaction
         | works for something originated in the brain.
         | 
         | Something I haven't seen mentioned here is _very_ occasional
         | short periods (seconds) of apparent deafness, typically at
         | night, in a quiet room, and only when very tired or sleep
         | deprived. I say apparent because since it's quiet, it's hard to
         | know if it's the tinnitus momentarily stopping, or all sound;
         | and the presence of sound may prevent it from happening.
         | 
         | [0] https://www.dxomark.com/apple-macbook-air-15-m2-2023/
        
         | gonesurfing wrote:
         | Your advice about not listening to your tinnitus is spot on,
         | but easier said than done. I found the guidance in the book
         | Rewiring Tinnitus really helped me in this respect
         | https://www.amazon.co.uk/Rewiring-Tinnitus-Finally-Relief-Ri...
        
         | hackernewds wrote:
         | you can also try this exercise for very low risk temporary
         | tinnitus suppression
         | 
         | https://youtu.be/2yDCox-qKbk?si=eEjtlP97v8UiubX4
         | 
         | it works reliably well
        
         | hackernewds wrote:
         | nice that worked for 5 seconds
         | 
         | this works for 2-4 mins for me
         | 
         | https://youtu.be/2yDCox-qKbk?si=eEjtlP97v8UiubX4
        
       | petersumskas wrote:
       | I have tinnitus. I had brain surgery to remove an acoustic
       | schwannoma. The doctor said that I would lose all hearing in the
       | ear due to the unavoidable damage to the acoustic nerve.
       | 
       | Well, at least that will get rid of the tinnitus, I thought.
       | 
       | No such luck! I still have tinnitus.
       | 
       | As such I think there may be more to tinnitus than undetected
       | nerve damage.
       | 
       | It isn't clear cut though: I have some hearing in that ear after
       | all (to the surprise of the doctor). But the tinnitus came back
       | (or never went away) before any hearing returned.
        
         | janmo wrote:
         | You are not the only one, in fact removing acoustic nerve is
         | known not to fix the tinnitus / sometimes making it worse. The
         | research has has shown so far that it appears the Tinnitus is
         | coming from within the brain, neurons that have lost the input
         | signal from the acoustic nerve aren't stimulated anymore and in
         | response start to emit noise signals on their own.
        
           | 1letterunixname wrote:
           | This makes sense in a "phantom limb" way.
        
           | eecc wrote:
           | Makes me wonder if nervous transduction is based on PLL
           | resonant circuits
        
         | dh3 wrote:
         | I have the same tumor on the auditory nerve on both sides
         | (NF2). Had surgery on one side. Lost full hearing on that side
         | (so auditory nerve almost fully severed). Always had tinnitus
         | but after surgery it's gotten much worse on that side. Not
         | unbearable but a constant source of noise. I can see there
         | being some sort of connection between the nerve and tinnitus.
        
         | 1letterunixname wrote:
         | My dad had one of those. They used to be called acoustic
         | neuromas. He lost hearing in one ear because of the lack of
         | microneurosurgey at the time and the way it was wrapped around
         | CN 8.
        
         | RobotToaster wrote:
         | It reminds me of what sometimes happens in an electrical
         | circuit if you disconnect an input and leave it floating.
        
       | theonemind wrote:
       | I have tinnitus and strangely, I have no real idea when it
       | started, much less what caused it. Maybe it just started softly
       | and got louder. I think it appeared in my early 20s, couldn't
       | swear that it didn't start way before then, and I'm pretty sure
       | it was there when I was about 30. It seems strange somehow that I
       | just don't actually know.
        
         | keithnz wrote:
         | mine just suddenly happened. It really bothered me to start
         | with, now I barely notice it even though its actually kind of
         | loud.
        
       | timlod wrote:
       | I've had Tinnitus since I was 14 (when I went to a concert and
       | stood in front of the speakers).
       | 
       | A couple of pieces of advice to people who might be struggling
       | with their tinnitus:
       | 
       | 1. You need to learn to cope with it - once you're used to it, it
       | will mostly fade into the background and be manageable. Accepting
       | that it'll never be silent again was very difficult, but that's
       | the only thing hat helped me feel better in the end.
       | 
       | 2. Wear ear plugs when it gets too loud! It's too easy to get
       | irreversible damage to your hearing, and that's the only thing
       | you can really do - prevent it.
       | 
       | Curiously, yesterday I woke up at night because the tinnitus had
       | gotten louder again - stupidly, I played drums the other day at a
       | jam session without earplugs. I could punch myself for that one,
       | and see it as (yet another) wakeup call to be more careful.
        
         | jchook wrote:
         | Is tinnitus really just "freaker by the speaker" syndrome?
        
           | Naijoko wrote:
           | No. Many people got it because of burn out stress for
           | example.
        
           | philjohn wrote:
           | No - I had tinnitus from when I was quite a young child.
           | 
           | As OP said though - it's a case of, if you focus on it, it'll
           | weigh you down.
        
           | Gare wrote:
           | Prolonged exposure to loud sounds, short extremely loud
           | sounds (explosions), ototoxic drugs (some antibiotics,
           | chemo..) and substances (toluene..) and viral infections that
           | spread into inner ear can all cause cochlear damage and
           | therefore tinnitus.
        
             | collyw wrote:
             | Covid vaccines as well.
             | 
             | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788157/
             | 
             | I know, I am a heretic for drawing any negative attention
             | to our savior from the deadly pandemic.
        
               | dahart wrote:
               | Covid vaccines do sometimes lead to increased tinnitus
               | symptoms. But you can't draw any conclusions from that,
               | because getting COVID often leads to increased tinnitus.
               | I'm not sure whether it's known yet, but it very well may
               | be that on balance there are fewer cases of tinnitus
               | associated with the vaccine than with the virus. Also,
               | BTW, flu vaccines and catching the flu both have reports
               | of tinnitus increase. My theory: any inflammation event
               | may be likely to increase tinnitus symptoms.
        
               | collyw wrote:
               | What difference does it make if covid causes it? Most
               | people took the vaccine, pretty much everybody got covid
               | anyway. The vaccine was voluntary (with a lot of
               | unethical coercion).
        
               | Gare wrote:
               | I got vaccinated three times (with Pfizer). No ill
               | effects on my hearing/tinnitus (I was monitoring it).
               | Then I got COVID (Omicron), was quite sick for several
               | days (lost smell) and it seems the tinnitus worsened a
               | bit in one ear. So... your mileage may vary, as with
               | everything.
        
               | collyw wrote:
               | Th vaccine worked well then. Let me guess, it would have
               | been so much worse without it...
        
         | collyw wrote:
         | Earplugs often give me tinnitus when I am wearing them.
        
       | iJohnDoe wrote:
       | Have Tinnitus.
       | 
       | I had the ever common thinking it was caused by a visit to the
       | dentist or the antibiotics that were prescribed. Maybe it was,
       | maybe it wasn't.
       | 
       | It was also possibly when I walked behind a server rack and the
       | fans were blowing air and the sound from the fans were loud, both
       | into my ears. This could could have caused the damage that caused
       | the tinnitus.
       | 
       | Took about two days to kick in fully. Tinnitus started, then
       | stoped. Then started like it wanted to kick in fully and then
       | stopped. Then started and never left.
       | 
       | 99% of the time I never notice it. 1% of the time I do notice.
       | 
       | I also think it has something to do with neck pain and the
       | muscles behind the head and around the neck. If I sleep in the
       | wrong position and get a sore neck, then the tinnitus is crazy
       | loud.
       | 
       | I remember thinking my life would never be the same. I was stuck
       | with this forever. Pretty traumatic event. To anyone else out
       | there, please find comfort that you'll get used to it. You won't
       | notice it. It's not the end of the world. Don't stress. You'll be
       | fine.
        
         | talldrinkofwhat wrote:
         | The beauty of our race is it's absurd ability to accept
         | uncomfortable situations as "normal".
         | 
         | the obvious exceptions being chronic pain, and the jets'
         | imperative to steal defeat from the jaws of victory.
        
         | bandola wrote:
         | Thank you. I needed to hear the last part.
        
       | teh_infallible wrote:
       | I'm surprised no one has suggested noise canceling headphones as
       | a possible cause. There was an HN post about this awhile back
        
       | jomamasayknocku wrote:
       | I'm surprised more people haven't mentioned noise canceling
       | headphones as a possible cause. There was an HN thread about this
       | awhile back. This has been mentioned on many forums, google it.
        
         | idonotknowwhy wrote:
         | We had tinnitus before anc was common
        
         | abdela wrote:
         | My tinnitus (from a single loud party), which I had before
         | noise canceling headphones, gets worse with noise canceling
         | headphones, but only temporarily, like 2 or 3 days.
         | 
         | I found out as well that my headphones plays my own voice back
         | to me so that I dont shout, but was able to turn that off in
         | the settings (Jabra 2), which seems to help.
        
           | teh_infallible wrote:
           | I'm not saying it's the only cause, but it may well aggravate
           | it.
           | 
           | https://discussions.apple.com/thread/250886390
        
       | mrtksn wrote:
       | I have tinnitus which I managed to cure(almost. In complete
       | silence I still can hear a teapot-like sound but the original
       | single tone high volume sound is no more).
       | 
       | Turns out it's about my neck. I religiously paid attention to my
       | neck position and fixed my posture, and as a result, my tinnitus
       | gradually disappeared.
       | 
       | If I sit in a bad position or sometimes do some weird move, my
       | tinnitus can return but I immediately start a neck massage and
       | fix my posture, and it goes away. Sometimes it can be very severe
       | and lower volume version remains, but it goes away the next day.
       | 
       | I think it happened because I used to move my head forward when
       | sitting in front of a screen. There are chiropractors, who claim
       | to fix tinnitus by fixing the head position and say that it's
       | associated with some nerve in the neck.
        
         | zelphirkalt wrote:
         | Can you describe in more detail how you adjust your position?
         | You move your neck back, I guess, and anything else?
        
           | mrtksn wrote:
           | IIRC, when I was trying to mask the sound with the shower I
           | noticed that it's not working when the water is cold or when
           | I'm not comfortably under it. Then I had a few days of road
           | trip without the laptop and noticed improvement when I was
           | driving, sitting up straight.
           | 
           | So I decided to work on this and bought a keyboard and a
           | mouse and made myself a rule that I will always use the
           | laptop with a stand or external display so I don't lean over
           | the laptop and sit straight up the way it is ergonomically
           | recommended, pretty much like it says on articles like this:
           | https://healthandbalance.com.au/workstation-desk-posture-
           | erg...
           | 
           | I also begin doing neck exercises, recommended to me by an
           | orthopedist(I got some neck pain for a few days, the
           | orthopedist gave me a couple of movement I should do
           | regularly to increase the straight of my neck muscles, I will
           | leave links to the leaflets of the movements). I also did the
           | push the chin to push your head back movement because
           | although I didn't have clinically severe situation with my
           | head moving forward I noticed that on my old photos my head
           | wasn't leaning forward that much.
           | 
           | After a week or so after I started sitting right, my tinnitus
           | begin to improve rapidly. I even began sleeping the
           | orthopedically correct way and avoiding any stress positions.
           | After some time I tried experimenting stress positions, like
           | using the laptop the way I used to and the tinnitus returned
           | in full force until I fix the posture and do some massages.
           | After a year or two the tinnitus was almost completely gone
           | and stress positions don't immediately bring it back anymore
           | so I can use laptop again but if I'm not careful and overdo
           | it, get carried away and lean into the screen it returns.
           | 
           | the leaflets:
           | 
           | https://imgbb.com/XWnTZVB
           | 
           | https://imgbb.com/r6PBbTK
        
           | y-c-o-m-b wrote:
           | For me it's about tightness in the SCM (Sternocleidomastoid
           | muscle) and scalene muscles. If I can successfully get them
           | to loosen up through some heat and massage, I can make my
           | neck pop (very loudly in fact, sometimes it makes my arm go
           | numb for a second) and whamo, tinnitus gone. It returns as
           | soon as the neck stiffness/tightness comes back though.
        
         | t4h4 wrote:
         | Mine was caused by my neck as well! At some point I was
         | contemplating suicide because it got so bad. Completely healed
         | with dry needle theraphy.
        
           | mrtksn wrote:
           | The worst part, no one takes your condition seriously. Glad
           | to hear that you are well too.
        
       | tom8opot8o wrote:
       | I had tinnitus my entire life and it's really annoying. I always
       | thought everyone had it too, until I found out they didn't,
       | which, in a way, was even more annoying. At the same, I can say
       | my hearing is pretty sharp. I often hear sounds that are too
       | subtle or far away for others to hear. So I'm not sure if in my
       | case the ringing has to do with hearing loss. But I'd be so happy
       | to give anything a shot
        
         | LoganDark wrote:
         | I can hear ringing in dead silence, and if I pay close
         | attention I can hear it without silence, too. But some say
         | that's just blood flowing, and real tinnitus is much more
         | obvious.
         | 
         | Regardless, I can't escape it either. If I focus on it, I can
         | make myself dissociate from the pain.
        
       | nomy99 wrote:
       | its diabetes in disguise is what my doc said
        
         | JPLeRouzic wrote:
         | Hey, this is very interesting. Do you have any pointer?
        
           | nomy99 wrote:
           | The inflammation in your body can be picked up by your ears
           | if you are sensitive to it
        
             | JPLeRouzic wrote:
             | Yes, a quick search through Pubmed shows that 25% of
             | Diabetes patients have Tinnitus.
             | 
             | https://pubmed.ncbi.nlm.nih.gov/35261656/
        
       | beltsazar wrote:
       | I have a relatively minor tinnitus, which I thought was caused by
       | my drum lessons in my early twenties.
       | 
       | But when I tried to remember it, I always heard something like a
       | tinnitus sound (albeit quieter) whenever I closed my ears with my
       | hands since my childhood, during which I was never exposed to any
       | loud music or sound.
        
       | LoganDark wrote:
       | I sometimes have a difficult time trying to tell if I actually
       | have tinnitus, or if I can simply detect something that's there
       | for everyone. Plenty of websites say that you will always be able
       | to hear the blood flowing through your ears, and that doesn't
       | count as tinnitus. It's just that most people subconsciously
       | filter that out, to the point where it can't be detected even if
       | they look for it, except while in a completely silent, noise-
       | deadening room, such as an anechoic chamber.
       | 
       | It's similar to how I don't have any issues with color in my
       | vision, yet when I look at a completely solid and flat color, I
       | can see noise in it. It's not visual snow, because it obstructs
       | nothing and I can easily tell the difference between even very
       | similar colors, but I don't seem to experience the "noise
       | reduction effect" where if I stare at a solid color, it is
       | completely and entirely solid and unchanging and has no noise at
       | all.
       | 
       | I believe I'm simply observing entropy, and that noise is
       | supposed to be there, because it's impossible for light to always
       | explore all possible paths instantaneously and exhaustively. But
       | I'm not supposed to be able to notice or perceive it, I don't
       | think.
       | 
       | I think it has to do with me being autistic, but it's hard to
       | find any descriptions of similar experiences online, and it's
       | also hard to communicate about it with others.
       | 
       | Exception: my right eye has significantly more noise, to the
       | point where it's difficult to actually see and read through that
       | eye, even though I can still see all colors and text perfectly
       | sharply. If I close my left eye, I will see the darkness through
       | my right, to the point where it's distracting. I think this was
       | an error caused by me being cross-eyed at birth; my right eye
       | just sorta deteriorated, and now it only exists for depth
       | perception.
        
         | idonotknowwhy wrote:
         | I see the same noise, but I think it's along our nerves rather
         | than the light it's self. High rest camera don't pick it up for
         | example.
         | 
         | There's a lot of filtering happening in the visual cortex all
         | the time. Your nose for example is visible but gets ignored. (I
         | hate it when I remember this and suddenly notice it lol)
         | 
         | There's also the blind spot in each eye which gets covered by
         | what the other eye can see. If I close one eye now, I can alway
         | see exactly where that blind spot is now.
         | 
         | After I had an eye test where they flashed a light in my eyes,
         | I perceived the blood vessels. Now I can sometimes perceive
         | them if I look at a white TV screen and pay attention.
        
           | LoganDark wrote:
           | > Your nose for example is visible but gets ignored
           | 
           | To me, it's anything that's covered in one eye, but visible
           | by the other, that can get "ignored". It's just binocular
           | vision at work. Similar to the blind spot thing you
           | mentioned.
           | 
           | I've seen my blood vessels too, but they didn't just flash a
           | light in my eyes, they had me look into a machine that did a
           | full retinal scan. Now that was fun, because it was 15
           | minutes of "wtf your eyelashes are too long they keep getting
           | in the way. keep trying"
        
             | idonotknowwhy wrote:
             | > It's just binocular vision at work.
             | 
             | Agreed, these are just binocular vision. But here's an
             | interesting one.
             | 
             | A relative had a pituitary tumor crushing her optic nerve,
             | and went to a specialist who ran some tests as she was
             | seeing Van Gogh style patterns everywhere. It turns out she
             | had no color vision in the periphery, but she didn't know
             | this. It was only when she couldn't correctly identify the
             | color of some lights until they were right in front of her,
             | and she got freaked out by it.
        
               | LoganDark wrote:
               | That's really cool. It's similar to how I can only read
               | what's in the exact center of my vision, but I don't
               | really notice because I'm always looking at what I'm
               | trying to read. When my eyes move, my brain still
               | maintains the illusion that what I'm reading has not
               | actually moved, I look where I am focusing, so the data
               | is there when I need it.
               | 
               | This is all really cool, honestly.
               | 
               | I can read fine from my left eye, but if I try to read
               | with my right eye, then both eyes will be superimposed,
               | and sometimes I'll get confused when my brain is trying
               | to parse two sentences at once and it forgets which eye
               | it's reading with.
               | 
               | My right eye is defective, lol. Even though it can see
               | perfectly clearly and sharply, my brain just doesn't
               | treat it properly. Everything that relies on having two
               | eyes works fine, like depth perception, but anything that
               | relies on only one eye, can only really be done with my
               | left.
        
       | nostromo wrote:
       | A lot of us also spend too much time in quiet environments.
       | 
       | When I'm outside, my tinnitus is barely noticeable. It's only
       | when I'm in my silent office does it drive me crazy.
        
       | jader201 wrote:
       | I don't know if this is a clue, but I can do muscle movements in
       | my head/face/jaw to make the tinnitus worse (only as I make the
       | movements, immediately reverting back to "normal" tinnitus as
       | soon as I relax).
       | 
       | Some examples:
       | 
       | - jutting my jaw forwards
       | 
       | - moving my ears back with my face muscles
       | 
       | - pushing downward on the top of my head with my hands
       | 
       | Another possible clue: this has been true since I can remember --
       | even as a child, well before I developed tinnitus. I always
       | thought this was normal, until mentioning it to others, and it
       | seems no one I know shares this experience.
       | 
       | This, to me, suggests that (my flavor of tinnitus, at least) may
       | be due to physical/muscle related causes, and not necessarily
       | associated with hearing damage or neurological. Or that I was
       | "destined" to get tinnitus at some point, as if I was born with
       | some defect that others weren't.
       | 
       | Or, it could just be that there is something else unrelated with
       | how my muscles are connected to my hearing that cause the same
       | tinnitus (e.g. same frequency), and that the persistent tinnitus
       | actually is hearing damage.
       | 
       | I've not looked into it much, and have really only mentioned this
       | to my doctor (who mostly blew it off as irrelevant), and others
       | in my family. But thought I'd share here in case anybody
       | experienced something similar, and may have insight into what
       | causes this "muscle-related tinnitus", and if it's somehow
       | connected or unrelated to the persistent tinnitus.
        
         | nsxwolf wrote:
         | Interesting. I can "play my eardrums", which I describe as the
         | ability to consciously control something in my ears that causes
         | a loud fluttering, ringing sound that is something like wind
         | entering my ear canals combined with a bell.
         | 
         | After some research I've found some people can control
         | something called the "tensor tympani" and generate sounds
         | described as a "roar" but being a subjective experience I am
         | not certain this is exactly what I am doing.
        
           | huytersd wrote:
           | That _is_ interesting. I assumed everyone could hear that. I
           | can hear the sound (roar, ocean, wind) when I move my jaw
           | forward but I can also just directly control it without
           | moving anything else. It's a muscle I can feel myself
           | controlling and contracting in my inner ear.
        
             | hackernewds wrote:
             | I think that is the experience of _everyone_
        
           | smegger001 wrote:
           | yeah i think i do the same thing as you with my ears. a
           | flutter is probably the best description of it i had thought
           | of it as clapping or clicking my ears but that is to sharp a
           | sound to really describe it
        
             | idonotknowwhy wrote:
             | I can do this too. It also does the same thing as yawning
             | when your ears get blocked on a plane or driving up a steep
             | hill. It unblocks them.
        
               | nsxwolf wrote:
               | I'm wondering if this is something different, or if it's
               | a more intense level of the other thing. I'm able to pop
               | my ears without any apparent tensioning of my jaw or a
               | yawn reflex. But I can do it while also making the
               | rushing sound or not.
        
               | idonotknowwhy wrote:
               | Yeah okay, that must be something different (that I can't
               | do) then.
        
               | matsemann wrote:
               | Yeah, it's two different muscles for the rumbling vs
               | clicking. Tensor veli palatini opens the eustachian tube
               | and makes a click. The rumbling is from the tympani.
        
               | ce4 wrote:
               | Stapedius reflex? Some can control this muscle
               | volintarily (me as well), it dampens incoming noise by a
               | few dB to protect the ears.
               | 
               | https://en.m.wikipedia.org/wiki/Acoustic_reflex
        
           | sedatk wrote:
           | I can do that too.
        
           | luplex wrote:
           | I'm pretty sure that's the tensor tympani. I also think your
           | description sounds closer to what I do. For me it sounds like
           | wind, but only lower frequencies.
        
           | cjsme wrote:
           | Ditto! Very useful for relieving ear pressure at altitude.
        
             | bartvk wrote:
             | Yeah, I also use it for that. I've asked people the
             | question, "can you click your ears"? Of course, they don't
             | understand me, because it's such a vague question. I
             | started asking, "can you relieve your ear pressure without
             | moving anything else", and most people answer no. One
             | person who dived, answered "yes, of course!" like it's
             | something all people can.
        
               | jaeckel wrote:
               | If someone doesn't know how to do it, they could still
               | learn it
               | 
               | https://en.m.wikipedia.org/wiki/Valsalva_maneuver
        
               | metafunctor wrote:
               | That's not the same thing, I believe.
        
               | jaeckel wrote:
               | It's not the same thing, but it would allow them to
               | 
               | > "[...] relieve your ear pressure without moving
               | anything else"
        
               | jaeckel wrote:
               | And I just realized that I meant the Frenzel Maneuver,
               | which I always forget the name of. OK you need a nose
               | clip, but besides that it's hands free.
               | 
               | https://en.m.wikipedia.org/wiki/Frenzel_maneuver
        
               | matsemann wrote:
               | Frenzel is not done by controlling the muscles in the
               | ear. It's done by controlling your epiglottis and your
               | tongue and push air against a blocked nose. So while it's
               | hands free, it's not the same.[1]
               | 
               | With controlling the muscles in the ear, one can do it
               | without a nose clip. It's called BTV (or VTO sometimes in
               | English)[2], and instead of forcing air in to open the
               | eustachian tube, you just open it by muscles.
               | 
               | [1]: https://en.m.wikipedia.org/wiki/Ear_clearing [2]:
               | https://www.freedivinginstructors.com/article/204
        
               | sanitycheck wrote:
               | I used to scuba dive, and yes - can "click my ears" while
               | breathing freely through my nose and/or mouth. We were
               | taught to use Valsalva when feeling pressure during
               | ascent/descent, and after a while I found I was able to
               | just use the right muscles voluntarily instead.
        
               | ethbr1 wrote:
               | BTV or Jan Dow sound closest to what's being described in
               | this thread.
               | 
               | To me, it "feels" kind of like moving the base of my
               | tongue sideways and tensing my bottom jaw (in the same
               | way I would pre-yawn).
        
               | blincoln wrote:
               | That second link is a gold mine. Thank you so much for
               | sharing.
               | 
               | I've known how to do the basic BTV/VTO for many years,
               | but it wasn't quite enough for me to equalize pressure
               | while diving (without descending _very_ slowly, I
               | suppose). Just a few minutes with the techniques on that
               | page has already improved my ability dramatically.
        
               | matsemann wrote:
               | Cool, hope it will be of use! I freedived for years
               | before trying scuba, so for scuba I have no issues. With
               | the head up and all air going there, my VTO is good
               | enough.
               | 
               | But for freediving with the air going towards the stomach
               | and much faster descent it's still a bit tricky. One
               | thing is if I'm not equalizing quickly enough, no amount
               | of force I can muster will open the tubes again without
               | actually doing a more classic pinch nose technique. Doing
               | a classic equalize you will often "overblow" air in and
               | can descend a bit before needing to equalize again. But
               | with VTO you're only equalizing to a perfect balance so
               | will need to make sure to keep equalizing to not get
               | under pressure. But of course not as much hassle hands
               | free, I try to just do click-click-click continuously,
               | almost every kick down to remind myself to keep it open.
               | But yeah, if I get too much under-pressure I'm not able
               | to open it again hands free.
               | 
               | I also feel head angle matters a lot, so trying to not
               | bend the neck too much to look down, but instead swim
               | down while looking "straight ahead" instead of where
               | you're actually going helps for me.
        
               | david-gpu wrote:
               | That only allows you to _increase_ the pressure in your
               | inner ear, but not _decrease_ like opening them does. For
               | example, it would be useful while an airplane is
               | descending, but it wouldn 't help while ascending.
               | 
               | There is, however, a simple trick anyone can do to
               | equalize the pressure both ways: swallow. Works wonders
               | with babies and toddlers.
        
               | hackernewds wrote:
               | valsalva involves moving your hands
        
               | atombender wrote:
               | I can do that, as well, and it has a practical purpose
               | when going hiking in the mountains or scuba diving. But
               | nobody I've talked to about it understand what I mean,
               | and I can't even explain what the technique is; I'm
               | tensing of some muscles, certainly, but I can't explain
               | how and which ones they are.
        
               | riversflow wrote:
               | I learned to do it by isolating what made my ears pop
               | when I yawn. I explain it as "kinda like yawning without
               | opening your mouth" which seems to work.
        
               | ingenium wrote:
               | This is how I explain it. When I first started scuba
               | diving and explained to the instructor that it wasn't an
               | issue to pop my ears, he was kind of horrified and was
               | like no don't yawn underwater to do that. He didn't seem
               | to understand, no matter how many times I explained it,
               | that I can do it without actually yawning. You just
               | like... mimic the start of a yawn. And then can continue
               | it into a full actual yawn if you want to.
        
               | blincoln wrote:
               | If it helps, I'm reasonably sure it's the soft palate
               | muscles. To cause the effect you're describing, I
               | visualize tensing a muscle that runs directly from one
               | ear to the other, through the middle of my skull.
               | 
               | It's one of those things where trying to describe it to
               | someone who physically can't do it or doesn't know how to
               | may make them question your judgment and/or sanity.
        
               | chrisweekly wrote:
               | I don't have tinnitus nor "ear rumble", and I can't
               | visibly wiggle my ears -- but I can reliably equalize air
               | pressure (eg in airplanes or car rides with altitude
               | changes) by inducing a yawn (via swallowing-like action
               | in my upper throat) and/or moving my jaw side to side.
        
             | matsemann wrote:
             | I think it's two different things. When using it to
             | equalize ears hands free, it's the tensor veli palatini
             | (tvp) you're contracting to open the eustachian tube.
             | 
             | Of course, one might not be able to distinguish what
             | muscles one is contracting, so it might be that most people
             | actually tense both the tvp and the tympani at the same
             | time, getting both the roaring sound from the tympani and
             | the clicking sound from the tvp when the tubes open. Hence
             | it's two different, but connected, things.
        
               | meindnoch wrote:
               | This is the correct answer.
               | 
               | tensor tympani rumble = deep continuous rumbling sound
               | you may hear when yawning
               | 
               | Eustachian tube clicking = a single slightly wet click
               | you hear when you move your soft palate to block off your
               | nasal cavity from your throat (via the tensor veli
               | palatini muscle)
        
           | tudorw wrote:
           | Oh Internet, so maybe I can do that, thought we all could!
           | Sounds like roaring wind...
        
           | carrozo wrote:
           | There's a whole subreddit dedicated to this, which they call
           | "ear rumbling":
           | 
           | https://www.reddit.com/r/earrumblersassemble/
        
             | lotsofpulp wrote:
             | Ear rumbling is not the same as tinnitus. I can make my ear
             | rumble, and I also have tinnitus (constant ringing or high
             | pitched frequency sound). At least I assume, I have never
             | bothered getting it diagnosed by a doctor because I can
             | easily ignore it and have for many years, I only notice it
             | when not focusing on anything else and I happen to pay
             | attention to it.
             | 
             | I assumed tinnitus was mostly caused by damaging the little
             | hairs that sense sound becoming damaged from loud sounds
             | and not working anymore, which I would have done with
             | headphone use in my teens/early 20s.
        
             | hackernewds wrote:
             | wow there's a word for my useless ability!
        
               | echelon wrote:
               | Not everyone can do this? That's wild.
        
             | downrightmike wrote:
             | I can do that and have tinnitus and they aren't remotely
             | the same. I usually use the ear rumble as a real world mute
             | option. Someone talking tome and IDK? ear rumble. The
             | tinnitus is always there.
        
           | mofeien wrote:
           | To add another personal experience to that: I can do that as
           | well, and for me it will make my tinnitus louder. It is very
           | low pitched but more or less stable around 340Hz, and thus
           | actually musically relevant to me as it gives me some kind of
           | active, makeshift absolute pitch.
        
           | CapsAdmin wrote:
           | I'm not sure if it's the same, but if I listen to pure noise
           | (to sleep or something) I can somewhat adjust my hearing to
           | focus on certain frequency bands in the uniform noise making
           | me to hear a ringing sound in the noise. I can adjust the
           | pitch and it will stay at the pitch until I change it.
           | 
           | So with this I can play a melody with the ringing noise.
           | Sometimes I do this until I fall asleep. :-)
        
             | LtWorf wrote:
             | Not the same thing at all. Try squeezing your eyelids
             | really tight, you might hear a noise. That's what he's
             | talking about.
        
           | riccardomc wrote:
           | I am genuinely shocked I can do it...
        
           | jakderrida wrote:
           | I went from, "What's this guy even talking about?" straight
           | to inducing roaring after vaguely recall doing it as a child
           | over 30 years ago.
        
           | razodactyl wrote:
           | Right. I can do it too - I can make them click/crunch and
           | roar - which I'm sure is due to the sound muscles make when
           | tensed.
           | 
           | Squeeze your fist and hold it up to your ear. It's audible.
        
             | almostnormal wrote:
             | Click is from pressure gradient when opening/tightening the
             | eustachian tube. If I switch to open I can hear myself
             | breathing.
             | 
             | Partially covering the outer ear makes the flow of blood
             | audible.
             | 
             | That's not tinnitus-related.
        
               | w4ffl35 wrote:
               | I've been able to do it my whole life, chatgpt tells me
               | it's this:
               | 
               | Hearing a crackling sound when you flex your ears is
               | quite common. This noise typically results from the
               | movement of small muscles around your ear, particularly
               | the tensor tympani muscle in your middle ear. These
               | muscles contract to dampen certain sounds, like chewing,
               | but can also be voluntarily or involuntarily activated
               | when you move your ears. This action can cause a
               | vibration or movement of the eardrum, leading to the
               | crackling sound. It's usually harmless, but if you
               | experience pain, discomfort, or any other symptoms, it's
               | advisable to consult a healthcare professional.
        
               | meindnoch wrote:
               | Another example why you shouldn't take ChatGPT at face
               | value.
               | 
               | The clicking sound is the opening of the Eustachian tube.
               | Flexing the tensor tympani sounds like a deep rumbling.
        
               | im3w1l wrote:
               | A long time ago I would sometimes amuse myself by opening
               | the tubes and humming some melody - would sound really
               | loud.
        
           | itsboring wrote:
           | I always just assumed this was a normal thing that everyone
           | had and never bothered to look it up. Sounds exactly like the
           | roar of a high wind to me.
        
           | anonymousiam wrote:
           | I've always been able to do this, and I've always assumed
           | that it's not unusual. It does not seem to be at all related
           | to my tinnitus.
        
           | ddingus wrote:
           | I can do that. It is like a roar at the loudest point I can
           | manage. A light effort sounds a lot like the ship thruster
           | sound in Asteroids.
           | 
           | I find I can clench the muscle, but can only and occasionally
           | relax the thing.
           | 
           | When I do clench, my ear response curve in the midrange, say
           | 800Hz to a few KHz, is improved.
           | 
           | Have a fan handy? Try it and listen. You may hear a lot more
           | from that fan.
        
           | cortesoft wrote:
           | Wait, not everyone can do that?
        
         | tuzemec wrote:
         | It sounds like mine is the same flavor. And it's getting worse
         | in the last couple of years. I even did MRI scan at some point,
         | but it didn't reveal anything.
         | 
         | Recently a neurologist recommend transcranial electrical
         | stimulation. Seems that it helps in some cases. Have to look
         | around if someone is performing that here.
        
         | pdntspa wrote:
         | I have this too, and in fact I can recall that tinnitus first
         | came to me after it felt like something in my ear physically
         | shifted, in a period of my life where I was not listening to
         | loud music or going to loud concerts or otherwise being around
         | loud noise. I should note I've had numerous ear problems in the
         | past (including multiple colestiatomas), and I used to be able
         | to manipulate it with a q-tip or popping my ears. (Don't do
         | that! I regret it)
         | 
         | The head massage technique I've had some friends send me to
         | temporarily alleviate symptoms never worked.
        
         | makk wrote:
         | Some examples:       - jutting my jaw forwards       - moving
         | my ears back with my face muscles       - pushing downward on
         | the top of my head with my hands
         | 
         | That's wild. Never tried that before but just did and I can
         | 100% repro.
        
           | thfuran wrote:
           | Only the first and third do anything for me, but both seem to
           | add the same high pitch tone to the mix.
        
             | idonotknowwhy wrote:
             | Same here, what the hell? Luckily it goes away as soon as I
             | stop doing it.
        
             | acomjean wrote:
             | I get more buzzing with the first and third as well. I like
             | the go biting doesn't seem to change it for me.
        
           | 3rd3 wrote:
           | To this list I'd add pulling the jaw backward/inward.
           | 
           | Moving the jaw forward and then to the right has the biggest
           | effect for me, causing the ringing on the left ear to
           | increase. It's asymmetric in that moving the jaw to the front
           | left has only a very small effect on the right ear.
           | 
           | Moving the ears backwards has no effect for me.
        
         | ornornor wrote:
         | > - jutting my jaw forward
         | 
         | Works for me too. Never noticed it would do it before though.
         | I've had very mild tinnitus for as long as I can remember. But
         | I mostly only hear it when it's quiet around so I'm lucky in
         | that sense I guess.
        
         | chrsmth wrote:
         | I've seen this called Somatosensory Tinnitus [0], and it's what
         | I have as well. Stretching my neck & clearing my ears of wax
         | pretty much resolves it every time, or at least helps a lot.
         | 
         | I only have it on the left side, and my TMJ lines up marginally
         | worse on that side, so it's probably related.
         | 
         | [0]
         | https://www.sciencedirect.com/science/article/pii/S180759322...
        
         | Lorin wrote:
         | Tinnitus was one of the reasons I stopped cracking my neck -
         | would trigger it shortly after.
        
         | painted-now wrote:
         | It took me a long while to figure out that I can make my
         | tinnitus better by pushing by jaw backwards (using my hands).
         | 
         | As I understood it, the ear and the jaw muscle are delicately
         | close. "Pressure" on the ear can somehow cause the nerves to
         | send such signals.
         | 
         | I got prescribed some special training to relax the muscles in
         | the neck and jaw area; still need to start it.
         | 
         | I read that being able to modulate the tinnitus to also be
         | quieter somehow is a good indicator of being able to improve it
         | with therapy.
        
           | nobrains wrote:
           | My symptoms started along with my jaw crackling. So it seems
           | they are related.
           | 
           | Putting my symptoms here:
           | 
           | - Constant noise in ear
           | 
           | - Also seems like noise / tingling sensation in the brain
           | 
           | - Is higher just when I wake up
           | 
           | - Started along with an infection that went to the ear.
           | Infection cleared up. Tinnitus didn't.
           | 
           | - Been on for a year and a half.
           | 
           | - Its terribly unbearable. Not suicidal level but very close
           | to it.
        
             | KomoD wrote:
             | > - Its terribly unbearable. Not suicidal level but very
             | close to it.
             | 
             | I feel that, it sucks. For me it started with like a
             | "blocked" feeling, now I'm at the point where it's constant
             | static which makes it impossible to sleep on my side,
             | sometimes my left ear goes "deaf" momentarily and a sharp
             | ring starts and it makes me "zone out" but ends after
             | 15-30s
             | 
             | It's living hell.
        
               | kitsune_ wrote:
               | I have the same shit, it sucks.
        
             | Solvency wrote:
             | I bet you have a tongue tie. Go get a frenectomy. Do tongue
             | stretches. Get some facial massages.
        
               | hackernewds wrote:
               | mind elaborating more? I also have horrible sleep apnea
               | that is related to a lazy tongue
        
         | lutorm wrote:
         | Yes, there are reports of trigger points in the jaw muscles
         | being at least partially responsible for tinnitus (see e.g.
         | https://www.amazon.com/Trigger-Point-Therapy-Workbook-Self-T...
         | which, if you have any muscle related pains, will likely blow
         | your mind.) I have exactly the same experience as you. I also
         | get jaw induced headaches from biting my nails etc and my
         | impression is that it is associated with an increase in my
         | tinnitus.
         | 
         | Probably a related mechanism, but I can also sometimes hear my
         | eye muscles working. It only happens if I'm sick or otherwise
         | feeling under the weather, but moving my eyes rapidly is then
         | associated with a swoosh-like auditory impression. I haven't
         | heard anyone else experiencing this so far.
        
           | thfuran wrote:
           | That's a peculiarly specific sort of autophony.
        
         | JumpCrisscross wrote:
         | > _moving my ears back with my face muscles_
         | 
         | Uh, this has always made me hear a high-pitched whirr. Like a
         | tiny buzzer with a dirty power supply. Huh.
        
         | kstenerud wrote:
         | Interesting.. moving muscles does nothing for me. But then
         | again I was born with tinnitus. I actually didn't know until
         | much later in life that a constant multi-tone ringing in your
         | ears is NOT normal - that was simply my reality so I assumed it
         | was the same for everyone.
        
         | KomoD wrote:
         | > I don't know if this is a clue, but I can do muscle movements
         | in my head/face/jaw to make the tinnitus worse (only as I make
         | the movements, immediately reverting back to "normal" tinnitus
         | as soon as I relax).
         | 
         | I can do that as well.
        
         | BreadPants wrote:
         | Lemme guess, somewhat narrow palate, slightly recessed jaw.
         | Unable to breathe exclusively through the nose during high
         | intensity workout. Possible indications of sleep apnea.
         | 
         | If they're detecting nerve damage, it's happening from nerve
         | compression. Tinnitus being a manifestation of the compressed
         | nerve.
         | 
         | I would bet money rapid palatal expansion with a proper
         | midpalatal suture split would cure you.
        
           | MyFirstSass wrote:
           | Had braces for years, they removed 4 molars, was horrible,
           | now my smile is too narrow, breathing bad, got TMJ, tongue
           | too big for mouth, recessed chin look worse etc.
           | 
           | Why is it that orthodontics used this method? I can see
           | locally it's still only some dentists that seem to use palate
           | expansion when it's seemingly easier, prettier, quicker,
           | healthier etc. than teeth removal + braces?
           | 
           | Thinking about removing my retainers and having a palate
           | expansion done instead as you recommend as i seriously feel
           | like i'm never really getting enough air during sports, sleep
           | etc.
           | 
           | EDIT: This whole reddit thread is quite crazy, full of people
           | having all sorts of issues cured by various methods that
           | classic ortho wont approve: https://www.reddit.com/r/orthotro
           | pics/comments/11ow1yb/expan...
        
             | BreadPants wrote:
             | You're on the right track
        
           | hackernewds wrote:
           | how does nerve damage relate to sleep apnea? doctors have
           | recommended tonsil removal to expand my palate space.
           | 
           | also have tinnitus bte
        
             | BreadPants wrote:
             | It doesn't. If you have tinnitus caused by any one or more
             | of the other issues, you likely have sleep apnea on top of
             | it.
             | 
             | Enlarged tonsils themselves are indicative of poor nasal
             | breathing. If you have them completely removed you'll
             | suffer from greatly reduced immune response. You have a
             | fighting chance with intracapsular. Palate expansion
             | through a good Ortho is still probably way better.
        
         | beingfit wrote:
         | For me, with tinnitus in one ear (buzzing), what helps is
         | moving (and stretching) the jaw downwards and sideways away
         | from that ear. The jaw bone on the side with tinnitus also
         | makes a low cracking noise every time I make this move. Keeping
         | my jaw in that weird position (downwards and sideways) turns
         | off the buzzing many a times. But it's temporary. It's also not
         | easy to keep the jaw in that tensed position for a long time.
         | On the other hand, keeping my jaws relaxed does not make it
         | better or worse.
         | 
         | I'd love to know if there are any videos of exercises that
         | could help reduce or cure this form of tinnitus.
        
           | hackernewds wrote:
           | have you tried this
           | 
           | https://youtu.be/2yDCox-qKbk?si=eEjtlP97v8UiubX4
        
         | radicalbyte wrote:
         | Same here! Mine is in one ear, mild, started with a sinus
         | infection and changes depending on whether I have a cold or
         | not.
         | 
         | I initially assumed it was caused by babies / children - we
         | have three and they are loud. Plus my kids have screamed
         | directly into my ears on occasion (and been punished for it).
        
         | COGlory wrote:
         | Do you have TMJ?
        
         | kitsune_ wrote:
         | As a child my teeth were corrected by pulling my lower jaw back
         | with elastic bands. Not only do I have a weak chin because of
         | this, but in hindsight I think my tinnitus might be related to
         | this as well.
        
           | cedws wrote:
           | I have major distrust of orthodontics as a practice. I see it
           | as chiropractic for teeth. I have permanent damage to one
           | side of my jaw (TMJ) as a result of braces. They not only put
           | unlevel bite blocks in, they did an extraction before putting
           | my braces on. There is literature pointing to this as a
           | common cause of TMJ issues.
           | 
           | I was told that the clicking sounds are just due to gas in
           | the joint by a TMJ specialist, but I can literally feel my
           | jaw jut to one side, so I'm convinced the bone is damaged.
        
             | MyFirstSass wrote:
             | Same!
             | 
             | I had braces as a kid and something always seemed off
             | intuitively about how they "fixed" my teeth.
             | 
             | Also got TMJ, recessed chin, and i've never felt my
             | breathing has been very good afterwards, like my whole face
             | became too narrow after removing 4 molars making me just a
             | bit less attractive.
             | 
             | And after deep diving orthodontics i'm pretty fucking mad.
             | It seems there are way better methods that keep both
             | aesthetics and a more natural breathing - ie. a little
             | palate expansion to make space for your teeth instead of
             | removing teeth and having braces for years.
             | 
             | It's even quicker, like what the actual!
             | 
             | I still have retainers on, and i'm considering having them
             | removed and having rapid palate expansion done as others in
             | this thread recommends. As they also point out, i also have
             | a hard time breathing correctly during sports, and have
             | been worrying over sleep apnea.
        
               | kitsune_ wrote:
               | My breathing is impaired as well, there is simply not
               | enough space in my mouth as a result of the fix.
        
               | MyFirstSass wrote:
               | Exactly, my tongue also seems like it's too big for my
               | mouth afterwards.
               | 
               | I wonder if rapid palate expansion would fix this also.
        
         | CapsAdmin wrote:
         | I have the exact same experience. I believe it's called
         | "somatic tinnitus" and I've had it for as long as I can
         | remember.
         | 
         | Every now and then I get ringing in my ears that fade out
         | quickly, which is normal. I always thought that was the sort of
         | constant ringing people had when they talk about tinnitus, and
         | the one you describe is a different class of tinnitus.
        
           | y-c-o-m-b wrote:
           | Yes it's somatic tinnitus. I can make mine go away for a few
           | hours, sometimes a whole day by loosening up my SCM muscles
           | and popping my neck. Other times it backfires and gets worse.
           | Very annoying, but the ability to have SOME control over it
           | makes things less depressing at least.
        
         | peebeebee wrote:
         | Yup. Pushing jaw forward is the most prominent one. Goes up a
         | lot.
        
         | j45 wrote:
         | This is interesting in terms of tinnitus that can be brought on
         | after a car accident, or a concussion. And maybe as a
         | derivative of the former, TMJ.
         | 
         | A muscle related tinnitus seems entirely plausible to me in
         | addition to any potential nerve related tinnitus tied to, for
         | example, listening to loud music.
        
         | stndef wrote:
         | Very relatable. Have always been able to do this.
         | 
         | I have quite significant hearing loss these days, which has
         | been tied back to having Ehlers Danlos Syndrome, relating to
         | connective tissue development, which in part could impact areas
         | that result in certain types of tinnitus developing.
         | 
         | Worse thing about tinnitus and hearing loss is that the more
         | your hearing goes, the louder the tinnitus gets. Haven't heard
         | proper silence in over a decade. Bit of a nightmare sometimes!
        
         | adamddev1 wrote:
         | Yes, me too. An ENT also told me that my tinnitus was muslce-
         | related and I got huge relief (low tones totally disappeared)
         | from some good physiotherapy and osteopathy. (See my other
         | comment)
        
         | baerrie wrote:
         | I have found that if I meditate and "focus" on the area where
         | my inner ear/behind my ear is eventually I can quiet the
         | tinnitus some or even completely. I've been able to reproduce
         | it three or four different times. I imagine the nerve endings
         | shrinking, receding, or calming down, and it causes some
         | relief. Could be psychosomatic but it is repeatable and the
         | effect lasts
        
         | Jhsto wrote:
         | > suggests that (my flavor of tinnitus, at least) may be due to
         | physical/muscle related causes
         | 
         | I have explosion-related tinnitus/hearing damage and it also
         | reacts to muscle movements. So, it seems like they are the
         | same.
        
         | maushu wrote:
         | Interesting. I don't have tinnitus but when I jut my jaw
         | forward I hear really low white noise.
        
           | 123pie123 wrote:
           | interesting, I've just tried it and I get the same
        
         | arbuge wrote:
         | Could it be that those movements are pinching a nerve somewhere
         | and causing the tinnitus?
        
         | palla89 wrote:
         | I've an issue similar to yours, playing with my jaws especially
         | yawning seems to increase the whistle while I'm doing it, then
         | it come back to normal. I can hear it almost onyl at night and
         | only in the right ear. Sometimes when I yawn a lot I can
         | dismiss it totally (at least for that night) What the hell is
         | this? I also did a hearing test and I've no problem.
        
         | adamhp wrote:
         | Same here. Mine is basically directly correlated with bite
         | pressure. When I'm chewing sometimes I can literally hear the
         | ringing going "wah, wah, wah" in time with my chewing. And if I
         | grit my teeth I can make it get much louder than its baseline.
         | Same if I open my jaw quite wide (sometimes this helps?). I've
         | ground my teeth my whole life. And I can definitely point at
         | one or two concerts that probably did some significant damage.
        
         | itsboring wrote:
         | Very interesting. Jutting my jaw forward makes a very obvious
         | loud squeal at what sounds like a lower frequency than my
         | normal background tinnitus. I never noticed that before.
         | 
         | I do clench my teeth a lot from anxiety and get muscle pain in
         | the sides of my face on occasion. I wonder if that's related.
        
           | riedel wrote:
           | Exactly the same for me.
        
         | loceng wrote:
         | I've had the unfortunate "superpower" of living with central
         | sensitization and hyperalgesia - a hypersensitivity to pain -
         | for the last ~10 years.
         | 
         | Not everyone's nervous system works this way but for a
         | significant portion of the population there is the capacity of
         | the nerves to refer pain to other parts of the body, whether in
         | the nerves themselves or signalling in the brain region itself
         | cascading or both.
         | 
         | There also seems to be a lack of understanding or consideration
         | that merely normal pressures on nerves, with subtle levels of
         | additional pressure, will actually cause a pain signal or
         | sensitization of that nerve line (either or both directions) to
         | occur.
         | 
         | What you state could be a clue to pain _somewhere_ in your
         | body. It could be tooth pain, it could be jaw pain, it could be
         | bite-alignment pain, e.g. where your jaw position and bite with
         | teeth is causing pressure on nerves that it doesn 't expect or
         | want.
         | 
         | It could also instead be a hypersensitivity to sound you have,
         | and so those nerve line(s) are amped up - so then anything
         | connected or in close proximity to it will then
         | 
         | From my experience with pain, 99.999% of doctors have no real
         | understanding of pain, and there's a whole body of work waiting
         | to be written and to start being taught closer to properly; and
         | the rest of them still only have a fairly niche but not
         | holistic understanding.
         | 
         | There is a book called "Hearing Equals Behaviour: Updated and
         | Expanded" that dives into a sound therapy developed 70+ years
         | ago in France, called Berard AIT [Auditory Integration
         | Training], for where you can do a non-standard audiogram to
         | check for imbalances in the hearing - for which at certain
         | frequencies you can with accuracy predict a set of behaviours
         | that person will likely have. If such imbalances show up in
         | these special audiograms then it's either a sign of damage or a
         | sign of how the brain is processing audio-sensory signals, and
         | which may been interfered with - proper development disrupted -
         | if say you had painful ear infections as a child who's brain is
         | rapidly developing, and now where your brain is abnormally
         | associating sound as pain. Berard AIT can get rid of tinnitus,
         | depending on its cause, essentially giving the brain an
         | opportunity to recalibrate.
         | 
         | Did you ever have ear infections as a child, and do you
         | remember if they were painful at all?
        
         | Sosh101 wrote:
         | I have exactly the same thing. Most tinnitus is caused damage
         | to the hair cells in the cochlea from loud noises for extended
         | periods of time (as is mine). My theory is that the brain
         | basically turns up the gain to compensate for the poor
         | performance of the sensor. I think tinnitus is basically
         | interference, or cross-talk from other nervous processes that
         | normally are low level background.
         | 
         | Last time I went for a hearing test the doctor asked me if I
         | had been in an explosion (not to my knowledge).
        
         | matja wrote:
         | > pushing downward on the top of my head with my hands
         | 
         | I've never tried or noticed this before until you mentioned it,
         | but this makes my tinitus noticeably worse. It's not really
         | louder, but seems to add "harmonics".
        
           | hackernewds wrote:
           | same. wow this really lends to the "it's physical" theory
        
         | berniedurfee wrote:
         | Mine is due to hearing damage from being stupid.
         | 
         | I can modulate it as well using my jaw muscles.
         | 
         | What I've always found interesting is that I can't describe the
         | sound. It's high pitched, but I've never found a frequency of
         | tone that matches or even comes close to the tinnitus.
         | 
         | I would imagine the signals my brain receives from the damaged
         | nerves is very complex. Not white noise, but probably the
         | equivalent of a tone with lots of specific harmonics.
         | 
         | As for my experience, it's been an issue for so long it doesn't
         | generally affect me. It's always there and I can't ignore it,
         | but it doesn't disrupt my life, other than having generally not
         | great hearing.
        
         | longstation wrote:
         | This is exactly the same as mine. I never found any with this
         | situation. Even if someone claims to have tinnitus, it's a
         | different variation.
         | 
         | My feeling is, for a lack of better word, grateful, (definitely
         | not a good thing for your or me) that I finally found someone
         | the same as mine.
         | 
         | Next time I ever want to see a doctor again for this (not
         | helpful btw, they don't really have cure or seem to understand
         | my situation), I will just show your comment!
        
           | hackernewds wrote:
           | if it helps you or your doctor, my experience is exactly the
           | same. I can amplify the tinnitus with jaw movements
        
         | iJohnDoe wrote:
         | Same here. Head and neck movement can make my tinnitus worse.
         | If I sleep poorly on my neck then I can wake up with my
         | tinnitus being much louder.
        
         | dahart wrote:
         | > pushing downward on the top of my head with my hands
         | 
         | Have you tried pulling up to make it less noticeable? I've long
         | suspected my neck muscles had something to do with making
         | tinnitus worse. Or, like you said, maybe there is a correlation
         | or interaction with head & neck muscles that isn't causal but
         | nonetheless seems to affect the symptoms. Cervical traction,
         | i.e. a device that pulls up on your head, sometimes seems to
         | help me, as does neck stretching & relaxation. Make sure to
         | consult a doctor or physical therapist about cervical traction,
         | it's easy to overdo it without guidance.
        
           | jader201 wrote:
           | Interesting, that _may_ help but if so only slightly. I
           | wonder if an inversion table would help identify whether this
           | helps /is a factor.
        
             | dahart wrote:
             | I think an inversion table might help my tinnitus slightly
             | maybe but not much... it mostly helps and puts tension on
             | the lower back, and a lot less on the neck. Inversion, or
             | lumbar traction, seem to help with sciatica. (And yeah,
             | that's another one where it seems like there's an
             | interaction between muscles and nerves.)
        
         | darksim905 wrote:
         | Where are you based, and would you want to troubleshoot with a
         | friend who notices similar things? :)
        
         | financltravsty wrote:
         | Try putting your fingers in your ears and massaging around.
         | I've found it gives me complete relief for about 10 seconds.
         | 
         | I think mine might be related to stress, hypertension, and an
         | all-around lack of relaxation.
        
         | polishdude20 wrote:
         | My ears ring when I yawn. Does anyone else get that?
        
           | jmckib wrote:
           | Yep same here, and I don't have tinnitus. Sometimes I seem to
           | get it temporarily though, for unclear reasons.
        
         | jaxr wrote:
         | Exact same experience here! particularly, if I move my jaw
         | backwards with my jaw muscles, the tinnitus would get worse.
         | Never better, though. I do feel the same sometimes, that
         | doctors are not listening hard enough to what we are saying.
         | I've been suffering tinnitus for 20 years now, and it seems to
         | be getting even worse. I really hope a viable treatment is
         | found in my lifetime. It would improve my quality of life so
         | much!
        
         | dghughes wrote:
         | I have tinnitus I mean my ears ring constantly but I've never
         | been diagnosed officially. It seems to be a middle C tone.
         | 
         | For years I clenched my jaw and grind my teeth mostly at night
         | to the point of damaging my teeth. I wore a guard and then
         | didn't now again back at it due to jaw pain. The guard helps a
         | bit mainly from damage when asleep and seems to protect my jaw
         | joints.
         | 
         | My point being even if my jaw is totally relaxed there is a hum
         | from the muscles in my jaw. It's like a 60Hz hum musicians hear
         | from AC interference in speakers. I have to wonder if it's part
         | of the constant noise I hear in my ears.
         | 
         | I also get BPPV too it's severe sudden vertigo it may be
         | related to my clench and tinnitus. It's just random no clue
         | what causes it. I can't even walk and have to lay down and not
         | even close my eyes just pick a spot and stare. I had to do that
         | for 12 hours one time my worst time.
        
           | dathos wrote:
           | Interesting, I have issues with jaw clenching and a damaged
           | TMJ. I seem to always notice the (incorrect) position of my
           | jaw, and when this is in a worse position the clenching
           | increases and with that my tinnitus.
           | 
           | I always assumed the softer bones around my ears get deformed
           | because of this which in turn causes me to be affected by
           | tinnitus.
           | 
           | Honestly the thing that helped best was meditation. I tried
           | guards, even a specialized one to realign my jaw slowly, but
           | I feel those are just symptom relievers.
        
         | ajkjk wrote:
         | It's fascinating how many people have various versions of these
         | problems and a bunch of their own theories about it. And how
         | many of them are frustrated by orthodontistry for not helping
         | or causing it or making it worse.
        
         | deng wrote:
         | Yes, this is called somatic tinnitus and is actually quite
         | common. Like you, I had this since I was a little child and
         | thought this was normal. Only when I first heard of tinnitus as
         | a juvenile, I realized that this is what I had.
         | 
         | There have been small studies regarding somatic tinnitus, see
         | for instance
         | 
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2633109/
         | 
         | For modifying tinnitus loudness, the most common is that it
         | increases when clenching the jaw. In the above paper, the
         | cerebral blood flow was measured with PET, and for people with
         | somatic tinnitus, when clenching their jaw, in addition to the
         | sensory-motor areas, the auditory cortex became activated as
         | well. However, the underlying reason is unknown.
         | 
         | In my case, I had pretty severe hearing loss as a little child
         | because of liquid in my middle ear. Due to that, I continuously
         | had my mouth open so that I could hear at least a little bit
         | through the eustachian tubes, and I guess this might have
         | influenced the interactions between these brain regions. But
         | who knows. In the end, my parents realized what's going on and
         | I got tympanostomy tubes, and I'm hearing fine now. Of course I
         | don't know if the tinnitus really comes from that, because I
         | cannot remember (I must have been around 3 years old).
        
           | Natsu wrote:
           | It seems like some cases of tinnitus may be due to tight
           | muscles, too. I don't usually suffer it, but when I do, I've
           | noticed that sometimes massaging the back of the head or jaw
           | can make it just go away. I doubt this works for everyone or
           | for every cause, but it's simple enough to be worth trying to
           | see if it does anything helpful.
        
         | ricardobeat wrote:
         | I was curious and tried 'jutting my jaw forwards' and got a
         | very loud whine in my ears. I've had ringing in my ears before
         | but never diagnosed with tinnitus, now I'm worried...
        
       | petra wrote:
       | This study uses fmri neurofeedback to teach people to control
       | their auditory cortex, with impact on tinnitus :
       | 
       | https://www.sciencedirect.com/science/article/pii/S105381191...
        
       | speedylight wrote:
       | It isn't just that I get tinnitus when my eras are plugged with
       | ear wax if I don't clean them a for a while, and when I do poof
       | it's magically gone. I figure tinnitus is the brains response to
       | a lack of input in a specific frequency range, like filler noise.
        
       | eecc wrote:
       | Well, this has always been my suspicion ever since I started
       | being affected.
       | 
       | All hearing tests I performed stop at 8k while I can easily hear
       | into 15k and my ringing is way up there in the 13-14k range.
        
       | dsco wrote:
       | Wow! Just tonight I had a dream that my mild tinnitus had
       | worsened at later years. My brain has adjusted to ignoring the
       | noise the past 20 years or so, especially when doing physical or
       | mentally challenging work. But it's always there as a companion
       | in the background if I choose to "tune into it".
        
       | thomasfkk wrote:
       | Got mine very recently as a side effect of taking Bupropion
       | (Wellbutrin). At 150mg I had no side effects and it was working
       | well (for ~12 months). Then Doc upped it to 300mg and with in 2
       | weeks silence no longer existed. Went back down to 150mg but
       | Tinnitus is still there after 2 months lets see.
       | 
       | Kinda gotta say that if it doesn't get worse its worth the
       | positive effects of Bupropion still annoying to be in that 1%
       | group with the side effect
        
       | protoman3000 wrote:
       | I would like to share, that my tinnitus changes its pitch with
       | the rate of breathing and tension on the muscles that help with
       | diaphragm breathing
        
       | zubairq wrote:
       | Lots of good tips here, thanks!
        
       | phito wrote:
       | Badly fitting earbuds (Samsung Galaxy Buds) gave me tinnitus in
       | one ear. I still am not sure how that's possible, but wearing
       | them for more than 30mn was hurting my right ear, tinnitus
       | appeared shortly after and kept getting worse. Once I stopped
       | using the buds, the pain went away and the tinnitus decreased,
       | but it's still there one year later.
        
         | slig wrote:
         | Do they have noise cancelling? There was a thread a while back
         | about people blaming active noise cancelling as a possible
         | cause.
        
       | supriyo-biswas wrote:
       | Does this study bring anything new to the table?
       | 
       | I suffer from tinnitus myself and a doctor determined that there
       | was damage to the hair cells and auditory nerves after an ear
       | infection. I assumed the cause of such issues was factor was
       | pretty well known.
        
       | 1letterunixname wrote:
       | Severe tinnitus 24/7 is the least of my problems that I mostly
       | tune out.
       | 
       | I have left SCDS. It was verified with audiology and CT (a tiny
       | pit) after I correctly self-diagnosed it. A traditional approach
       | surgery is possible, but it's brain surgery where one surgeon
       | accesses the area by lifting your cerebellum out of the way.
       | There is a lot to go wrong for something that isn't 100%
       | debilitating. Just I can't eat croutons because they're way too
       | loud, I always hear my voice like there's a microphone on
       | permanent feedback, I can hear my left eye move most of the time,
       | and music that's too loud makes my eyes jump off focus with a
       | momentary wave of nausea (oculovestibular involvement).
        
       | Naijoko wrote:
       | for all people who have tinnitus or the tinnitus is worse because
       | of a visit by the dentist. I have tinnitus and it got much much
       | worse when I got a filling. The reason is they have to make the
       | filling the height of the teeth that was there bevore. even half
       | a mm more can make your jaws clinch and you get tinnitus. My luck
       | I fund another Dentist who took this seriously and took some of
       | the filling away so my jaw didnt clinch anymore... and bam my
       | tinnitus was back to normal. only a little anectode that could
       | help.
       | 
       | The first dentist did deny that it did came from the filling and
       | the other one did say thats new to him and he will study on this
       | and see me next week urgently. A week later he said it could be
       | and we should try it ... many many many thanks to that doctor
       | without him I would maybe killed myself
        
       | troll_v_bridge wrote:
       | Tinnitus and partial hearing loss is the largest personal pain in
       | my life. Ruins my ability to listen to music for pleasure,
       | hinders my focus, and overall disheartening. Hoping there is a
       | cure in my lifetime, both for hearing loss and tinnitus.
        
       | carlsagat wrote:
       | My tinnitus started in 2009 during an anxiety period (the worst
       | period of my life) and basically due to an ototoxic drug for
       | dizziness.
       | 
       | I had already experienced it after going to a nightclub when I
       | was a younger but I never thought that this problem would remain
       | forever due to a doctor prescription drug.
       | 
       | Not only that but in the next years I got two more ringings and
       | now I (don't have anxiety anymore) I can live normally with
       | tinnitus but I'm always hope to get a cure. I was a silence
       | junkie previous to the tinnitus and now I miss the "sound" of the
       | silence so much.
       | 
       | I believe that once a year I can hear again the silence but it's
       | my brain tricking me again.
        
         | aspaviento wrote:
         | Does it also sound stronger for you after a nap or intense
         | exercise?
        
           | carlsagat wrote:
           | Nope, it only gets stronger after some use - or abuse- of
           | headphones with medium-high volume.
        
       | bradley13 wrote:
       | Reading the comments, it seems pretty obvious that there are
       | multiple causes.
       | 
       | To add my own anecdote (because I don't see it mentioned
       | otherwise): I have very specific hearing loss (40dB) in one
       | frequency range frequency (4khz). That is also the frequency of
       | my tinnitus. The cause is almost certainly bored neurons making
       | stuff up: there is never input at that frequency, so they produce
       | their own.
       | 
       | Maybe fixing the auditory nerve will help some people. Other folk
       | will need a different cure...
        
       | Euphorbium wrote:
       | It seems like tinnitus is to hearing what migraine is to vision.
        
         | IAmGraydon wrote:
         | I think it's closer to visual release hallucinations.
         | 
         | https://en.wikipedia.org/wiki/Visual_release_hallucinations
        
       | nurettin wrote:
       | I can induce a sleep paralysis while my consciousness is awake.
       | Why? Well, as a child, I thought it was a cool superpower. As the
       | paralysis sets in, I hear a loud wooshing sound. Then it gets
       | louder and louder until full paralysis sets in. A few years ago I
       | had a similar experience, but it left me with a permanent
       | tinnitus. I guess you can hurt yourself by simply lying down
       | doing nothing.
        
       | bob1029 wrote:
       | This has been highly-variable for me over the years. I have
       | noticed changes with with caffeine intake and exercise.
       | 
       | On many occasions I've felt my ears "pop" after an extensive
       | cardio session. The result feels like I just took really weak
       | earplugs out. Rowing is more prone to do this than other forms of
       | exercise in my experience.
       | 
       | I've also noticed that if I force myself to sit in total silence
       | and remain as calm as possible, whatever ringing I can hear will
       | start to diminish to ~imperceptible within a few minutes. When
       | I'm on edge and anxious, the opposite appears to be true.
        
       | austinjp wrote:
       | Some speculation in this thread about the causes of tinnitus.
       | There are several, including hearing loss, which (as someone here
       | points out) possibly produces tinnitus in a manner similar to how
       | limb loss can cause phantom limb pain. The nervous system isn't
       | like plumbing, it's a tangled web of self-adjusting feedback
       | loops. Once an input is severed, an area of the tangled web may
       | lose an important calibrating input. Neurons don't emit "noise
       | signals" (or "pain signals" or whatever) they just depolarise in
       | response to stimulation, and altered calibration alters which
       | neurons depolarise and how often. The frequency and number of
       | certain neurons depolarising is experienced as noise (or pain or
       | whatever) by the conscious human they belong to.
       | 
       | Good talk here[0] BUT BE WARNED, I recall* that there's a high-
       | pitched squeal during this talk as a demonstration of what
       | tinnitus is like for done people. It's extremely nasty especially
       | if you're wearing headphones.
       | 
       | Incidentally, the self-adjusting feedback loop model helps
       | explain why things like wiggling your jaw can alter the
       | experience of tinnitus. Due to wiring issues, sensory input from
       | muscles and joints can get mixed in with the auditory inputs. A
       | similar mechanism (which isn't fully understood) helps explain
       | why, for example, people having a heart attack can experience
       | pain in the left arm. There's nothing wrong with the arm, the
       | normal sensory signals from the arm are mixing with those from
       | the heart.
       | 
       | [0] https://youtube.com/watch?v=XGq3MXQlRJs
       | 
       | * Can't verify right now, trusting my memory.
        
       | razodactyl wrote:
       | Not sure if tinnitus but I've heard a ringing in super-quiet
       | environments since I was a kid.
       | 
       | Mid-30s now and a few months back I had a case where the ringing
       | was very noticeable and it lasted a few weeks. I think what set
       | it off was some hearing damage from using high-frequency
       | equipment without hearing protection but it was definitely an
       | experience that I'm not keen on repeating.
       | 
       | Once I noticed that the background ringing was louder than normal
       | I couldn't un-hear it and it was starting to drive me nuts.
        
         | earthboundkid wrote:
         | That's tinnitus.
        
       | collyw wrote:
       | Also associated with rushed covid vaccines.Perhaps their is good
       | reason that vaccines usually take around 10 years to develop.
       | 
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788157/
        
       | jFriedensreich wrote:
       | What i do not understand is why normal hearing tests were seen as
       | a counter argument to the brain compensation for hering loss
       | theory. If the brain compensated for the loss of nerve or hearing
       | cells, the signal should be back to normal but with more noise,
       | the failure of adaptation of the brain to the noise results in
       | tinnitus. To have patients with normal or nearly normal hearing
       | tests but tinnitus would be expected.
        
       | nettsundere wrote:
       | https://uselullaby.com "Lullaby can lower your Tinnitus' volume
       | and improve your quality of life with an experimental treatment
       | designed specifically for you."
       | 
       | I'm just promoting this because I've tried this myself and it
       | kind of helps. At least to relax when the noise gets too painful
       | to bear
       | 
       | My case is linked to the neurovascular conflict, but the tool is
       | for the brain, so I hope it helps someone else too.
        
         | hackernewds wrote:
         | why do you need this paid service? seems they're monetizing 1
         | audio clip
         | 
         | here's a YouTube video that does the same thing
         | 
         | https://youtu.be/qNf9nzvnd1k?si=HCFBFkuTCeVd2d_9
        
           | beefman wrote:
           | Lullaby is free. It's notched white noise, with an
           | interactive test to help you find the notch frequency for
           | your tinnitus. So not the same as this youtube clip, which is
           | just an ascending sine tone.
        
           | nettsundere wrote:
           | It's free and opensource https://github.com/Aerolab/lullaby,
           | like it should be
        
         | fierro wrote:
         | what is the neurovascular conflict?
        
       | avsteele wrote:
       | I developed tinnitus during a bout of COVID last week.
       | 
       | On about the third day I had an earache in one ear. Earache went
       | away after about a day but now I have pretty strong tinnitus in
       | that ear. COVID symptoms long gone now but tinnitus remains.
       | 
       | 'Volume' is negligible when I wake up but increases over the day.
       | I still feel some 'pressure' in that ear (maybe residual sinus
       | infection?) so I'm hoping it will heal on its own.
       | 
       | Anyone else experience this?
        
         | pier25 wrote:
         | My tinnitus started days after my first covid shot. Plenty of
         | people have reported tinnitus after covid or the shots.
         | 
         | Mine is very mild but it's still annoying.
        
           | rogerkirkness wrote:
           | Same here, after my first Moderna shot it started and hasn't
           | gone away.
        
           | kingTug wrote:
           | Has yours been improving at all? Mine started (just in the
           | left ear) about 48hrs after my 3rd Pfizer shot and remained
           | loud for ~8months. Several months of noticeable dissipation
           | followed by true silence at about the 1-year mark. Thought I
           | was in the clear but it's started again out of nowhere this
           | fall. I'm optimistic it will improve again and can probably
           | be controlled with better lifestyle habits but at this stage
           | is something I feel I will be managing forever. I've seen
           | ENT's and audiologists but they're unable to help past
           | confirming my inner ear and hearing are fine. In 2022 John
           | Stewart had some infectious disease experts on his podcast
           | and one of the epidemiologists stated that he got tinnitus
           | from his 2nd vaccine, and his 3rd exacerbated it. It was at
           | that point that I realized it had to be somewhat common.
        
         | dahart wrote:
         | I've heard of lots of people first noticing tinnitus while
         | being sick, as well as like the sibling comment, right after
         | getting a vaccine (flu, covid, etc.) It seems like inflammation
         | generally makes the symptoms worse, and I'd bet that most of
         | the time inflammation is causing latent existing tinnitus to
         | cross a threshold and become noticeable and reach your
         | consciousness. I distinctly remember that the first time I
         | consciously noticed my tinnitus, I knew I'd actually been
         | hearing the sound very quietly for some time and not
         | recognizing what it was... I don't know how long I had tinnitus
         | before I knew I had tinnitus.
        
       | kgbcia wrote:
       | Found ringing in the air only occurs when I do inverted
       | exercises, like when your upside down
        
       | imtringued wrote:
       | I overslept today and I just woke up thirty minutes ago. A minute
       | within waking up my brain feels under a lot of pressure and the
       | accompanying tinnitus was very intensive. In fact I
       | simultaneously have a headache.
       | 
       | As more time passes the intensity of the headache and tinnitus
       | get lower by the minute. The idea that tinnitus is caused by
       | hearing loss alone sounds like a load of bullshit. Tinnitus gets
       | worse when I wear very tight headphones or when I am ill or when
       | I move my jaw to apply more pressure to the head. If I could
       | engineer some sort of machine to control the pressure applied to
       | my head, I am pretty sure I could control the tinnitus.
       | 
       | Since I have built a mental model of when tinnitus is really bad
       | and when it it is almost imperceptible, even the most intense
       | tinnitus doesn't faze me and strikes me more as an annoyance like
       | a mosquito buzzing around, because I know that it will go away.
       | Weeks go by where I literally don't think a single thought about
       | tinnitus, then suddenly, it strikes and can't be ignored, except
       | I know it will go away so I ignore it regardless.
        
       | calini wrote:
       | About 6 years ago I caught a bad flu which evolved into an ear
       | infection that required antibiotics, my ears were in pain, really
       | stuffed, popping etc. When I got that under control, I was left
       | with what can only be described as tinnitus, a very high-pitched
       | sound in my ears, almost undetectable in my right ear but quite
       | annoying in my left.
       | 
       | It was there for about 12-18 months, but it slowly started to go
       | away to the point I had to pause for a minute to remember if the
       | left/right one was more affected. After 9-12 months I was only
       | able to hear it if I was wearing ear plugs, and now I need to
       | wear ear plugs and really concentrate to realize that it's not
       | 100% silence, but it's close to 1-5% of what it was and even the
       | "tone" of the tinnitus is more muted.
       | 
       | I'm not sure if they genuinely healed, if there even is such
       | thing as temporary tinnitus (for more than a day/week), or if my
       | brain just got better at filtering that out.
        
       | robwwilliams wrote:
       | Summary of the science:
       | 
       | 1. Hearing loss is usually caused by damage and death of the hair
       | cells----the sensory receptor cells that respond directly to
       | sound. The hairs on the upper face of these cells vibratethis
       | physically opens ion channels that change the voltage across the
       | cell membrane. This in turn causes these cell to releases
       | neurotransmitters at their feet. The transmitter release then
       | induces series of action potentials (spikes) in the axons of
       | spiral ganglion cell; #2 below
       | 
       | 2. But hearing loss can also be caused by damage to the spiral
       | ganglion cells themselves. These cells and their axons conduct
       | spikes between cochlea and brain. They cells are heavy workers
       | and they are also fussy and metabolically demanding cells---even
       | by CNS standards. Revving them too high can blow their gaskets.
       | 
       | In sum, two among several mechanisms that contribute to hearing
       | loss and tinnitus.
       | 
       | In a very similar way, blindness can also be caused by two major
       | classes of cell damage and death---1. the death of photoreceptors
       | (called retinal degeneration) or 2. by damage to axons in the
       | optic nerve (retinal ganglion cell axons). This is usually called
       | glaucoma.
       | 
       | This lovely study from Maison and colleagues is focused on the
       | consequences of hearing loss caused primarily by damage to
       | cochlear nerve fibers and their synapses in the cochlea, not the
       | degeneration of hair cells per se.
       | 
       | It is a systematic and rigorous study that supports the idea that
       | tinnitus can be associated with nerve damage rather than hair
       | cell loss. This is a surprisingly hard problem to nail down.
       | 
       | If you want a good introduction to this work then read this
       | review article by the same group.
       | 
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438769/
        
       | chakintosh wrote:
       | It can also be a symptom of brain cancer. My aunt passed away
       | last year after suffering from severe tinnitus for two years, and
       | not a single doctor suggested and MRI, they all pretty much gave
       | her magnesium supplements and drugs to treat the symptom
       | (tinnitus) rather than actually thinking outside the box and
       | suggesting an MRI to be sure (which is almost free in my
       | country). Even I nearly suggested she does it very early on but
       | thought I wouldn't know better than doctors.
       | 
       | Eventually, other symptoms started appearing and only then did
       | they do an MRI, and lo and behold, a tumor was found at the base
       | of her skull and right behind her sinus cavity, it was pressing
       | against her auditory nerve and was the cause of all the tinnitus.
       | The tumor was basically untreatable via surgery and it was too
       | late for chemo.
        
         | pacomerh wrote:
         | That was my first thought when developed tinnitus, tumor or
         | something pressing in there. In my case it was actually related
         | to labyrinthitis, I did get an MRI and it was my first one, oh
         | man did I get anxious inside the tube, I feel like it's good
         | therapy for learning how to relax hehe. Anyways, Sometimes the
         | tinnitus loudness gets worse and sometimes get's quiet, I still
         | haven't detected what makes it change. However! recently after
         | getting Covid It's been louder more often which tells me maybe
         | my nervous system was affected, idk
        
       | mattgreenrocks wrote:
       | I'm trying to suss out whats my tinnitus. I've had persistent
       | fullness in my head for about 2 years now that I can't find an
       | explanation for.
       | 
       | Audiologist says I have better than average hearing for my age
       | (41).
       | 
       | The precipitating event in my mind was an Opeth concert in 2021.
       | However, I never thought anything was too loud there, and wore
       | earplugs for most of it. Additionally that was a very stressful
       | time. Also, I have ehlers danlos.
       | 
       | So might be TMJ, sinus pressure, EDS, and/or exposure to loud
       | music.
       | 
       | It sucks especially because Opeth weren't great performers there.
       | I suspect I don't like most live metal shows because they seem to
       | make them too loud.
        
         | raziel2p wrote:
         | Opeth are just a band more suitable for making studio albums
         | than touring. You'll find other metal bands that are amazing
         | live but boring when listening at home.
         | 
         | Metal concerts are loud sure, but the loudest concerts I've
         | gone to have been electronic or indie stuff with heavy
         | electronic influences - they try to make you feel like you're
         | in a night club I guess.
        
       | tim333 wrote:
       | >It's been a longstanding idea that these symptoms, known as
       | tinnitus, arise as a result of a maladaptive plasticity of the
       | brain. In other words, the brain tries to compensate for the loss
       | of hearing by increasing its activity, resulting in the
       | perception of a phantom sound, tinnitus.
       | 
       | I can't say I buy that. I've got tinnitus. Also sometimes my
       | brain has a loss of input as I can't see, hear of feel something
       | and it's nothing like tinnitus.
       | 
       | It seems more likely to me that it's a problem with the gizmo
       | that converts mechanical movement into electrical impulses. It
       | consists of a string like thing, the tip link, between two hairs
       | that pulls on an ion channel in a nerve cell wall to let ions in
       | and trigger the nerve to give a sound signal. (pic here, fig 1 if
       | you scroll down
       | https://www.cell.com/fulltext/S0092-8674%2809%2901170-2)
       | 
       | When you get an over loud sound it probably yanks that thing too
       | hard leaving the ion channel stuck open some how or something
       | along those lines.
       | 
       | The whole thing is tiny - the tip link is about 150nm long.
       | Another pic here
       | (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921850/ fig 1)
        
         | skimojoe wrote:
         | The produced by the brain aspect as never washed with me too.
         | My tinnitus started right after a severe sinus infection that
         | spread to my ears. I was so blocked up an needing some sleep
         | that I did a nasal wash and was to forceful in blowing my nose
         | (my ears popped). Since then tinnitus has been there everyday,
         | whereas 35 years before never even knew it was a thing.
        
           | Retric wrote:
           | The theory isn't that it's caused by the brain alone, but
           | rather it's like the fandom limb pain sensation after an
           | amputation. https://en.wikipedia.org/wiki/Phantom_limb
           | 
           | The difference is your auditory nerve doesn't directly carry
           | touch signals so you hear sounds instead of say an itch.
        
       | ferd wrote:
       | For what it's worth, here's my case:
       | 
       | I have tinnitus, a 4khz tone on both ears, one more than the
       | other. I have hearing loss at high frequencies (the curve of my
       | hearing tests drops abruptively right around 4khz). The side with
       | the worst hearing is also the one with worse tinnitus. My loss
       | probably comes from many many ear infections as a child (plus
       | hearing to loud music on a basement, and just bad genetics).
       | 
       | Things that make my tinnitus worse:
       | 
       | - Basically, any kind of "hearing effort" stresses me out and
       | makes my tinnitus worse (busy places, bars, parties, etc. are the
       | worse, but even music on my headsets, which I enjoy, make it
       | worse). Maybe this puts some doubts on the "phantom limb" theory?
       | 
       | - Stress
       | 
       | - Not sleeping well
       | 
       | - After doing exercise. I play sports, run and lift light
       | weights. After any of these exercises, it gets a bit worse
       | 
       | - Driving a car: the humming noise of car drive is probably the
       | worse for me
       | 
       | - If I clinch my jaws (mimicking a strong bite) I hear another,
       | surprisingly similar tone... However, I feel like it's a
       | different thing, not related.
       | 
       | I wished I had a similar list of things that lessen it... I don't
       | :-) However: I started using prescription hearing aids. And
       | although they don't really help with tinnitus directly, I do feel
       | much better: general noise doesn't bother me as much, and of
       | course I hear better :-).
       | 
       | Recommendation: if you have some hearing loss, don't wait to use
       | a hearing aid, just like you don't wait to wear glasses. They are
       | expensive, but worth it. And no, they are not just simple
       | "earbuds".
       | 
       | Confession: I play the drums, although very occasionally. I have
       | no proof but I'm sure I had hearing loss way before I started
       | playing. Playing my drums of course makes my tinnitus worse:
       | probably due to the combination of the sound + "exercise".
        
         | pacomerh wrote:
         | I have hearing loss in my left ear, from mid frequencies to
         | higher. So basically I can only hear bass on my left hear. Do
         | people usually get hearing aids when one ear is damaged? I went
         | to the doc and they said it was optional since I could still
         | have a normal conversation, so I'm not sure if that's what
         | you're referring to.
        
       | Zebfross wrote:
       | PSA: I thought I had tinnitus but it was just ear wax sitting
       | against my eardrum. A doctor cleared it up in 15 minutes.
        
       | figital wrote:
       | Some may be able to calibrate their hearing in this regard with
       | something called Auditory Integration Training. I have done it.
       | It worked. You might also want to read more about CAPD (Central
       | Auditory Processing Disorder).
        
       | criddell wrote:
       | Has anybody tried or know somebody who tried the Lenire device?
       | It's been out for a little while now and is in the price range
       | ($4k) where I think it might be worth a shot.
       | 
       | https://www.lenire.com/what-is-lenire/
        
         | hackernewds wrote:
         | intrigued but wondering if this is a shameless plug
        
         | pacomerh wrote:
         | Yeah I'd like to see what the results of that device are, I'd
         | like to see someone actually try it and write about it
        
       | rajin112 wrote:
       | Mine started after taking antibiotics for Lymes. Not sure what
       | caused it the antibiotics or lymes... this was in 2021 so other
       | things were at play too.
       | 
       | Anyone have any tips for healing?
       | 
       | Really has hindered from doing deep thinking and just even day
       | dreaming. I have been an avid meditator and I feel that has been
       | taken away from me.
       | 
       | What is good though is that I dont hear it when i am active in
       | the day such as working or out with friends.
        
         | hackernewds wrote:
         | you learn to zone out your tinnitus. ironically, meditation
         | helps me be more present and be WITH the tinnitus.
         | 
         | it sucks. especially if you have an injury it might be
         | permanent, however ENT doctors have told me it's all imagines
         | which I refuse to believe
        
         | hackernewds wrote:
         | to add to my other comment: https://youtu.be/2yDCox-
         | qKbk?si=eEjtlP97v8UiubX4
         | 
         | this trick helped me be in silence for the first time in
         | decades. it was wonderful, to say the least
        
           | bosse wrote:
           | How long did this silence last for you?
        
         | pasc1878 wrote:
         | I don't think there is any way to heal tinnitus.
         | 
         | The best you can do is get habituated to it, that is get used
         | to it.
         | 
         | The only way is as you have found is to concentrate or do
         | something else.
        
         | gfodor wrote:
         | Tobramycin at least can cause tinnitus. It happened to me.
        
       | 6stringmerc wrote:
       | I just cleared a serious sinus infection that had impacted the
       | base of my skull and neck spinal discs. 4 hospitalizations this
       | year an not a single mention.
       | 
       | I am on TRT and used a TENs machine to kick start my muscles
       | again before hitting the gym and 1 session loosened enough to let
       | my body pour out YEARS WORTH OF SCUM.
       | 
       | I have photos and posted a video to JPS Hospital on my IG because
       | seeing this stuff is really disturbing.
       | 
       | Point being: My perspective is the US medical system at my
       | disposal is utter shit and self-care is extremely important and
       | these people sent me to collections and home with a potentially
       | fatal respiratory suppression.
        
         | BobbyTables2 wrote:
         | Can you elaborate a bit? The TENs machine loosened scum that
         | came out of your nose? I'd like to know more...
         | 
         | I do find that most specialists are incapable of diagnosing
         | anything not blatantly obvious...
        
       | Flatcircle wrote:
       | Just anecdotal, but I always noticed people I knew that had
       | tinnitus had a history of using a lot of over the counter pain
       | medication
        
         | mwint wrote:
         | fwiw, I have mild tinnitus and have never had anything stronger
         | than child Tylenol syrup - and that maybe once every two years
         | or so.
        
       | anonymousiam wrote:
       | Maybe the article is on to something, but it mostly doesn't seem
       | to apply in my case. As I sit here with my ears ringing, I can
       | tell you that my hearing has recently been pronounced "perfect"
       | by a doctor of audiology (not just an audiologist). So I
       | apparently have no damage, but I still have the ringing. My ears
       | don't ring all the time though -- often the ringing begins after
       | I eat. I haven't narrowed down which foods could be responsible.
       | It's possible that I have a mild food allergy that I'm unaware
       | of.
        
       | nshkr wrote:
       | T and H are major factors for ruining my life. Ruined dreams and
       | suicidal.
        
       | codesnik wrote:
       | For me it's an attention issue. I went for a checkup and it was a
       | first time I've been in silenced cabin where doctor checks
       | hearing. And I wasn't able to hear some of the frequencies,
       | because of ringing in my ears, which was louder. And doctor
       | expressed some concern about it.
       | 
       | Before that I rarely ever noticed it. Now it is very loud and
       | constant. Maybe it was like that for a long-long time, but now I
       | just focus on it too much.
        
       | jxramos wrote:
       | Does anyone know where the research went regarding cold sores on
       | the lip at the virus which causes them? I heard a doctor once
       | speak on the subject that HSV1 I think it is for the lips, goes
       | and burrows in the nerves of the jaw and face and jumps over to
       | the auditory nerve at some point. I was never able to verify any
       | of those claims but it sounded feasible.
        
       | derefr wrote:
       | I used to have tinnitus. I suppose I still technically do, but it
       | appears much more rarely, and when it does, I can make it stop
       | entirely in just a few seconds. So I'm basically "free" of it
       | these days.
       | 
       | Two things I learned over the years:
       | 
       | 1. Tinnitus seems related to dopaminergic neurotransmission (or
       | faults thereof.)
       | 
       | I have ADHD, but I didn't know it until I was an adult. Growing
       | up, I would often get episodes of tinnitus. After being medicated
       | for ADHD, these episodes became much more rare, and also
       | exclusively now only occur at the end of the day, when my meds
       | are half worn-off already.
       | 
       | I've seen many journal papers correlating tinnitus to various
       | dopaminergic dysfunctions. For example, people who develop
       | tinnitus in old age are apparently also more likely to develop
       | parkinsonism, and vice-versa.
       | 
       | If you've noticed that you're developing tinnitus, then you might
       | want to raise the possibility with your GP that you could have
       | some undiagnosed problem with dopamine. Get screened for ADHD if
       | you haven't; get tested for Parkinson's if you're the right age;
       | etc. If it turns out that you have one of these chronic diseases
       | and didn't know it -- well, treating it on its own will probably
       | change your life, but it'll potentially also help your tinnitus!
       | 
       | 2. However, tinnitus _also_ seems related to some physical
       | process in the ear.
       | 
       | I've learned that, when the high-pitched ringing starts in one
       | ear, I can instantly stop it -- not just push it into the
       | background, but literally silence it like pressing "stop" on an
       | alarm -- by using my finger to essentially _plunge_ my ear:
       | putting my finger into my ear canal just deeply enough and then
       | twisting, resulting in a pressure seal like in-ear earbuds try to
       | achieve; and then lightly -- but quickly -- pushing and pulling
       | the trapped air-pressure in and out inside the ear canal, using
       | the finger. After doing this for about 30 seconds (during which
       | the tinnitus won 't _seem_ to change), my eardrum and ear canal
       | both begin to feel warm. Once that happens, I then unplug the
       | finger from my ear. At the moment I do, the tinnitus stops.
       | 
       | Presumably, the "plunging" action is in turn flexing my eardrum
       | inward and outward. Basically it's acting like high-amplitude 1Hz
       | infrasound. I'm not sure what this _does_ that helps, but it
       | certainly does help, consistently.
       | 
       | (If you're wondering: I've _also_ had otitis media before, so I
       | know what the sensation of my eustachian tube being blocked with
       | fluid /crud, creating a pressure _imbalance_ of the middle ear,
       | feels like; and what unplugging the eustachian tube + rebalancing
       | that pressure feels like. This isn 't that! It's entirely an
       | interaction between my finger, my eardrum, and maybe the bones of
       | the middle ear. My ears are currently 100% clear of detritus on
       | either side of the eardrum according to a recent ENT visit -- and
       | yet this procedure still works.)
        
         | mwint wrote:
         | Whoa. Dude. That finger plunging thing works.
        
       | riwsky wrote:
       | Finally; I'd always wondered what the buzz is all about
        
       | ewweezdsd wrote:
       | One lesson I've learned in life is to never fly when recovering
       | from flu, even if you feel quite okay. I did that very painful
       | mistake once a decade ago, and since then I've had permanent
       | tinnitus in my left ear. It doesn't bother me much in daily life,
       | but I would like to be be able to experience total silence in
       | nature without that constant noise.
        
       | gilloh wrote:
       | I'll add my two cents, I have mild tinnitus on the left ear, like
       | other readers I learned to ignore it and only really notice it
       | when focusing or drawing attention to it. Luckily doesn't affect
       | my sleep or work. Stress and similar situations seem to intensify
       | it a little and I become more aware. I'll add a curious one to
       | the discussion, I'm a big AirPods fan, as soon as Apple released
       | the AirPods Pro I bought them, on the first week of use I started
       | getting horrible headaches/nauseas which I associated (most
       | likely wrongly) to having tinnitus and it causing some balance
       | "imbalance". Returned them and got back to regular AirPods.
        
       | IAmGraydon wrote:
       | I've had mine for a very long time. It started when I was in loud
       | rock bands in my late teens and early 20s. However, it eventually
       | went away completely on its own. It came raging back several
       | years ago (I'm in my early 40s now) and is now constant. I'm not
       | sure what started it again, but it could have been a very intense
       | course of gentamicin after a kidney surgery that had some
       | complications.
       | 
       | Honestly, it doesn't bother me as much as some people. It's just
       | there. I would love for it to go away, but I kind of ignore it
       | most of the time.
        
       | plaidfuji wrote:
       | I've had tinnitus and its cousin hyperacusis for about 7 years.
       | When I first got them from a particularly loud nightclub, I had
       | rolling panic attacks and insomnia for about the first three
       | weeks, but then they died down to a tolerable background level.
       | 
       | Something brought it back in the past couple months and triggered
       | the same reaction again.. it's not clear what the trigger was
       | this time, but it's like my brain needs time to re-train itself
       | to ignore it as background noise. It's an emotionally exhausting
       | process that I wouldn't wish on anyone.
       | 
       | The only advice I can offer to people here is to treat tinnitus
       | like any other serious injury (which it is): take time to let
       | your body heal, don't push yourself too hard, don't come down on
       | yourself for how you got it, and don't judge yourself for any
       | feelings it might bring out. Get help if it's making you
       | depressed.
       | 
       | There are definitely some helpful coping strategies that people
       | have highlighted here, particularly white noise (look into notch
       | filtering as well), and everyone needs to find the approach that
       | works best for them. Allow yourself to grieve; you've lost
       | something - the sound of silence (at least what you used to think
       | of as silence - most humans never experience true -inf dB). It's
       | easier to move on if you come to terms with it from that angle,
       | rather than continually trying to make it "go away".
        
       | decafbad wrote:
       | I'm pretty sure mine is psychosomatic. It's only at left ear.
       | When I pissed off about former mistakes or current annoying
       | issues, I know it's coming.
        
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