{"id":7959,"date":"2020-07-30T15:03:04","date_gmt":"2020-07-30T15:03:04","guid":{"rendered":"https:\/\/www.tinnitusclinic.it\/tinnitus-therapy"},"modified":"2026-01-29T17:33:22","modified_gmt":"2026-01-29T17:33:22","slug":"tinnitus-therapy","status":"publish","type":"page","link":"https:\/\/www.tinnitusclinic.it\/en\/tinnitus-therapy","title":{"rendered":"Tinnitus therapy"},"content":{"rendered":"

\n
It Can Be Treated<\/div>\n<\/h1>\n

Tinnitus Treatment<\/h1>\n
\n

Our Therapeutic Approach to Tinnitus and Hyperacusis<\/p>\n<\/div>\n

\n

\nTinnitus often results from a combination of different causes<\/strong>, which may involve not only the ear,
\nbut also the musculoskeletal system of the head and neck, as well as certain organic functions.
\nThis complexity requires the involvement of multiple specialists at the therapeutic level.
\nTinnitus is, in fact, a complex condition that calls for a multidisciplinary approach<\/strong>,
\nwith close collaboration among different healthcare professionals.\n<\/p>\n

\nOnce the triggering cause has been identified or hypothesized through a specialist consultation<\/strong>,
\ntreatment can begin.
\nIt is important to emphasize that effective intervention is possible to reduce or even eliminate
\nthe discomfort caused by tinnitus.
\nContrary to common belief, the statement that there is no solution for tinnitus is incorrect.\n<\/p>\n<\/div>\n

\n

The Causes of Tinnitus<\/h2>\n

Through specialist consultation and diagnostic tests, it is generally possible to classify the possible causes of tinnitus into two groups:<\/p>\n

    \n
  1. Tinnitus caused by a previous injury to the ear<\/strong> that has since stabilized. In this case, identifying the cause that most likely led to tinnitus provides valuable information for the patient, who primarily wishes to understand the origin of the condition.<\/li>\n
  2. Tinnitus related to an ongoing condition<\/strong> or one that may potentially develop further and cause additional damage. In such cases, the most effective medical and surgical treatments should be implemented to treat or keep the condition under control.<\/li>\n<\/ol>\n

    In both cases, a patient\u2019s natural predisposition to anxiety<\/strong> and constant attention to the symptom can play a significant role in contributing to the discomfort associated with tinnitus or hyperacusis. It is important to know, however, that this link is well known<\/strong> and widely studied: in people who experience anxiety, tinnitus may be perceived as more distressing than in those who do not.<\/p>\n

    The good news<\/strong> is that by addressing anxiety through appropriate strategies and professional support, it is possible to significantly reduce discomfort and improve quality of life.<\/p>\n<\/p>\n<\/div>\n

    \n CALL US FOR AN APPOINTMENT +39 02 4801 1361<\/a>\n<\/p>\n

    \n

    Therapies for Tinnitus and Hyperacusis<\/strong><\/h2>\n

    Since the causes of tinnitus vary from person to person<\/strong>, there is no standardized therapeutic approach. It is therefore essential to develop a personalized treatment plan<\/strong>, tailored to the specific needs of each patient, integrating the most effective therapies or combinations of interventions for the individual case.<\/p>\n<\/div>\n

    \n

    TRT (Tinnitus Retraining Therapy)<\/h2>\n

    Since the 1990s, TRT\u2014an acronym for Tinnitus Retraining Therapy, also known as tinnitus retraining or reprogramming therapy\u2014 has provided real and effective support for people suffering from tinnitus and hyperacusis. This therapy is based on the neuropsychological model developed by Polish neurophysiologist Pawel J. Jastreboff, according to which tinnitus is perceived as distressing because the brain unconsciously classifies it as an alarm signal. Through TRT, this conditioning can be reversed, allowing tinnitus to become a neutral sound and therefore no longer disturbing.<\/p>\n

    One of the key elements of TRT is sound enrichment<\/strong>, to which the patient is exposed for most of the day and also during the night for several months. Sound stimulation is delivered through small, wearable sound generators. This stimulation does not interfere with normal daily activities<\/strong> and, after a few days, is no longer consciously perceived by the person wearing the devices.<\/p>\n

    An integral part of TRT is psychotherapeutic support<\/strong>, provided through four sessions over a period ranging from 9 to 12 months. During this time, tinnitus perception gradually decreases, becoming progressively less bothersome, and in later stages it turns into a natural element of the everyday sound environment.<\/p>\n

    Environmental and wearable sound generators for TRT<\/h3>\n

    Sound generators are devices that produce neutral sounds for the listener. Wearable generators are very small devices worn behind the ear<\/strong> that deliver sound to the eardrum through a virtually invisible and non-invasive micro-transducer. Sound generators emit a minimal level of sound, with an intensity similar to that of the tinnitus itself, and are adjusted according to the patient\u2019s individual auditory characteristics and sensitivity.<\/p>\n

    The sound\u2014typically a natural noise similar to a distant waterfall\u2014 gently stimulates the auditory nerve cells, allowing them to be more easily reprogrammed and, in some respects, \u201cregenerated\u201d through brain plasticity. In addition, sound stimulation promotes habituation to tinnitus, eventually enabling the patient to ignore it.<\/p>\n

    When tinnitus is associated with even very mild unilateral or bilateral hearing loss, it is advisable to use a specific type of hearing device known as a \u201cCombi,\u201d which also incorporates a sound generator. This approach achieves a dual benefit: restoration of hearing function and targeted stimulation for tinnitus.<\/p>\n

    TRT outcomes<\/h3>\n

    Results collected by our Tinnitus Clinic [1]<\/a> since 1999 and published in scientific journals or presented at international conferences consistently show a significant reduction<\/strong> in the perception of tinnitus and hyperacusis in 80% of patients<\/strong>. This improvement remains stable over time, and patients typically discontinue use of the devices after approximately 12 months.<\/p>\n<\/p>\n<\/div>\n

    \n BOOK A VIDEO CONSULTATION<\/a>\n<\/p>\n

    \n

    Other therapies and their effectiveness<\/strong><\/h2>\n

    Psychological intervention<\/h3>\n

    The application of cognitive-behavioral therapy is based on the use of relaxation techniques<\/strong> and on the cognitive restructuring of dysfunctional thoughts. Scientific literature agrees on the positive effects achieved with this type of treatment. A meta-analysis [2]<\/a> evaluating outcomes in 285 patients found no differences in tinnitus perception or levels of depression between the control group and the group undergoing psychological therapy, but it did highlight a significant improvement in quality of life in the latter group.<\/p>\n

    However, when a cognitive-behavioral treatment is carried out by qualified professionals (psychologists and\/or psychotherapists, depending on the specific case) and combined with TRT (Tinnitus Retraining Therapy), there is significant positive scientific evidence. The tools used by cognitive-behavioral psychologists are fully aligned with Tinnitus Retraining Therapy. Psychological intervention enhances the effects of TRT by providing effective techniques to decondition tinnitus from emotions such as anxiety and fear.<\/p>\n

    Pharmacological therapies<\/h3>\n

    The pharmacological topic could be very extensive, given the wide range of treatments commonly proposed to patients. To date, however, there are no specific drug therapies for tinnitus<\/strong>. Although medication cannot suppress tinnitus, pharmacological treatment may be particularly useful in managing anxiety and depression<\/strong>, which often develop following the onset of tinnitus. In this context, benzodiazepines\u2014used for many years in clinical practice for tinnitus\u2014 appear to have a positive effect in approximately one-third of patients. According to some theories, however, their use should be limited over time, as they may slow brain plasticity and therefore reduce adaptation to tinnitus perception.<\/p>\n

    Tinnitus neuromodulation<\/h3>\n

    One treatment currently under clinical investigation<\/strong> is Repetitive Transcranial Magnetic Stimulation (rTMS), which delivers magnetic fields to areas of the cerebral cortex that are activated by tinnitus. This therapy has already been used for some time in hospitals to treat neurological disorders. Results collected so far indicate effectiveness in approximately 50% of patients. Another experimental therapy is electrical stimulation of the auditory cortex, achieved through electrodes placed directly on the cortex or on the dura mater. At present, this experimentation is limited to a small number of patients.<\/p>\n

    Biofeedback<\/h3>\n

    Biofeedback, and the more advanced neurobiofeedback, may contribute to tinnitus reduction in selected patients. These methods aim to \u201cteach\u201d patients how to modify their own brain and physiological activity through self-regulation. By recording electroencephalographic data or physiological parameters, the system assesses the level of \u201calertness or stress\u201d and converts it into an auditory or visual signal perceived by the patient. If the patient succeeds in modifying these parameters in a positive direction, a reward is provided, such as listening to pleasant music or viewing rewarding colors or images. There is currently no conclusive scientific evidence supporting the effectiveness of biofeedback.<\/strong><\/p>\n

    Natural or non-conventional therapies<\/h3>\n

    Acupuncture, homeopathic treatments, Ginkgo biloba, dietary interventions, colon hydrotherapy, pranotherapy, food intolerance testing, Bach flower remedies, herbal treatments, and energy therapies are very popular, especially online. Unfortunately, in this case as well, there is no proven scientific evidence demonstrating their effectiveness in reducing tinnitus<\/strong>.<\/p>\n<\/p>\n<\/div>\n

    \n CALL US FOR AN APPOINTMENT +39 02 4801 1361<\/a>\n<\/p>\n

    \n

     <\/p>\n

    \n

    Notes<\/h3>\n

    \n<\/a>[1]
    \nResults of TRT after eighteen months: Our experience<\/strong>,
    \nGiovanna N. Baracca, Stella Forti, Andrea Crocetti, Enrico Fagnani, Alberto Scotti, Luca Del Bo, Umberto Ambrosetti<\/em>,
    \n2009
    \n
    \nhttps:\/\/doi.org\/10.1080\/14992020601175945
    \n<\/a>\n<\/p>\n

    \n<\/a>[2]
    \nCognitive behavioural therapy for tinnitus<\/strong>,
    \nPablo Martinez-Devesa, Angus Waddell, Rafael Perera, Megan Theodoulou<\/em>,
    \n2007
    \n
    \nhttps:\/\/doi.org\/10.1002\/14651858.CD005233.pub2
    \n<\/a>\n<\/p>\n<\/div>\n


    \n<\/p>\n","protected":false},"excerpt":{"rendered":"

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