Tinnitus treatment

New scientific evidence shows that there is a cure for tinnitus. The basis of tinnitus therapies are treatment programs such as the original tinnitus retraining therapy, TRT (Jastreboff & Hazell 1993) or – as is the case in most cases- its various modifications. The cornerstones of these programs are diagnostics, counceling and sound therapy possibly added with cognitive behaviour therapy, CBT (Cima et al 2012)) or with the latest modality, vagal nerve stimulation (VNS) (Engineer et al 2011, Kilgard et al 2013, Lehtimäki et al 2013).

The main goal of these therapeutic programs is to reduce the distress caused by tinnitus and by teaching the individual to live in harmony with his tinnitus, improve his quality of life. To reach this goal these therapies use counceling as a primary tool. Counceling in this connection can be seen as a form of psychotherapy which is aimed to modify and reduce fears, dysfunctional beliefs and behaviours.
 
The newest research suggests that even the tinnitus sensation itself can be affected and its loudness and annoyance reduced by using individually tailored music therapy or a combination of customized sound therapy and vagal verve stimulation (VNS) (Okamoto et al 2010, Kilgard et al 2011).
 
We recommend more accurate determination of tinnitus characteristics if your tinnitus is at least of moderate severity (15 points or more in our global severity survey).

Therapy depends on the severity of the disorder. In all cases it is recommended to go through a basic diagnostic work-up which should include tinnitus and hearing profiling. In all cases it is also important to receive  Instructive counseling, which tells what tinnitus is all about, why it may cause problems and what should you do and how to behave in order to avoid worsening of tinnitus or to get relief of that.
The general rule for all tinnitus patients is AVOID SILENCE. 

(Most people recognize tinnitus only in silent environment). For silence avoidance we recommend enrichment of sound environmental (EE). For that purpose  we offer especially designed sound material consisting of music, nature sounds and noises. In addition, in acute or only short lasted tinnitus it is possible to prevent the worsening of tinnitus by masking it always when it is felt disturbing. For that  purpose, we offer specially designed masking (M) sound material consisting of the same components as EE material. 

For moderate or severe tinnitus new therapeutic possibilities (in addition to the above-mentioned counceling, EE and M) offer tailored sound therapy (tST). In tailored sound therapy, one octave containing the tinnitus frequency has been omitted. 

In addition to above treatments, in moderate and severe tinnitus we offer transcutaneous vagal nerve stimulation (tVNS) with our SaluSTIM device. For specific somatic tinnitus  electrical stimulation of the great auricular nerve (tGANS) is theoretically targeted therapy and tGANS might work also in practice. tGANS function is included into our SaluSTIM® device.