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Tinnitus

Tinnitus is the perception of sound when no external source is present. It has affected people for centuries and is estimated to impact up to 20% of the global population1, and nearly 1 in 10 New Zealanders2.

Technically, tinnitus isn’t a condition on its own but a symptom of an underlying issue. It can be frustrating, though it rarely signals anything serious, and while there’s no cure, there are ways to manage it effectively. If you’re concerned about tinnitus, your local audiologist can help.

Symptoms

Tinnitus can vary from person to person. Common descriptions include ringing, buzzing, humming, roaring, hissing or cicada-like sounds. Some people notice it constantly, while for others it comes and goes, and it may affect one ear, both ears, or feel like it’s “in the head.”

Causes of tinnitus

Tinnitus can have several different causes, and the exact reason isn’t always clear. The most common is damage to the tiny sensory cells in the inner ear, which can send irregular signals to the brain and create the phantom sounds we hear as tinnitus. Other factors can include hearing loss, ear problems such as infections or wax buildup, and certain health or circulation issues that affect the nerves.

Hearing Loss

Hearing Loss

Hearing loss is commonly linked with tinnitus, though not everyone with hearing loss experiences it.

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Hearing Loss

Age-related hearing loss (presbycusis) is common. Damaged sensory cells in the cochlea can send irregular signals to the brain, producing the phantom sounds we hear as tinnitus. Your audiologist can assess your hearing and discuss management options, including how hearing loss and tinnitus may be connected.

Noise Exposure

Noise Exposure

Exposure to loud sounds, whether occasional or prolonged, can trigger tinnitus.

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Noise Exposure

Every person’s ears respond differently, but consistent loud noise can damage the inner ear. If you’re ever worried, use ear plugs. Your audiologist can provide guidance on protecting your hearing and preventing further issues. Learn more about our custom hearing protection.

Ear Problems

Ear Problems

Conditions such as wax build-up, Meniere’s disease or Eustachian tube dysfunction may contribute to tinnitus.

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Ear Problems

Wax can temporarily block hearing and make ringing more noticeable. Tinnitus is one of the hallmark symptoms of Meniere’s disease, which affects fluid pressure in the inner ear. Eustachian tube issues can create a feeling of fullness or persistent ringing. Rare acoustic neuromas may also cause tinnitus, so sudden one-sided ringing should be checked promptly by a healthcare professional. Your audiologist can advise if you have concerns.

Head Injuries

Head Injuries

Injuries to the head or neck can affect hearing pathways.

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Head Injuries

Depending on the severity, damage to the ear, nerves or brain centers that process sound can lead to tinnitus or hearing loss. Consult your audiologist if symptoms develop after an injury.

Blood Vessels

Blood Vessels

Changes in blood flow can make tinnitus more noticeable.

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Blood Vessels

Atherosclerosis or high blood pressure can create pulsatile tinnitus, where you hear a heartbeat-like sound. Narrowed or irregular vessels can sometimes contribute. If you notice changes, your audiologist can help assess your hearing and guide management.

Medications

Medications

Certain medications can trigger or worsen tinnitus, especially at higher doses.

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Medications

Antibiotics, chemotherapy drugs, NSAIDs, diuretics and some antidepressants may be linked to tinnitus in some people. Your audiologist can review your history if you notice changes after starting or adjusting medication.

Risk factors and associated effects

Certain attributes can increase the likelihood of developing tinnitus, including age, history of loud noise exposure, being male, heart conditions and smoking. While tinnitus isn’t a condition itself, it can still affect daily life, with some people experiencing sleep disturbances, mood changes, anxiety, depression, irritability, fatigue or stress.

Diagnosis

Diagnosing tinnitus starts with a physical exam of your ears, head, and neck, along with a review of your health history and symptoms. Your audiologist will ask when it started, how long it lasts, which ear is affected, and any triggers. They may also perform an otoscopy, a hearing assessment, and tinnitus matching to determine pitch and volume. These steps guide personalised management and treatment options. Find out more about our tinnitus assessments.

Treatment options

While there’s no cure for tinnitus, there are ways to manage it effectively. Every person’s experience is unique, so treatment is too. For some, it’s as simple as learning to tune it out, while others benefit from a combination of approaches. Your local audiologist will tailor a treatment plan that’s right for you.

Sound Therapy

Sound Therapy

Sound therapy uses apps or devices to mask or distract from tinnitus.

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Sound Therapy

Apps can help manage tinnitus day-to-day, while personalised sound devices may be suitable for more persistent or severe cases. Your audiologist can help determine which option is right for you and tailor devices to your unique needs. Check out our blog post on some of our favourite sound therapy apps.

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT)

CBT helps reduce the impact of tinnitus on daily life.

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Cognitive Behavioral Therapy (CBT)

There are many programs worldwide to support tinnitus management. Your audiologist can help you decide which type is best for you, whether online or one-on-one. Reframing thoughts and managing anxiety through CBT can improve sleep, focus, and overall quality of life.

Ear Wax Removal

Ear Wax Removal

Blockages can worsen tinnitus.

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Ear Wax Removal

During your exam, your audiologist will check your ears with an otoscope to see if there’s any wax buildup or other condition affecting your hearing. Most of the time, wax can be safely removed during your appointment. If a referral to an ENT specialist is needed, your audiologist can help you find the nearest one.

Heart Conditions

Heart Conditions

Healthy circulation supports auditory function.

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Heart Conditions

Changes in blood flow, high blood pressure, or heart conditions can make pulsatile tinnitus more noticeable. Discussing your cardiovascular health with your doctor can help manage these effects.

Change Medications

Change Medications

Adjusting medications may help in some cases.

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Change Medications

Review your medication history with your doctor, and discuss any concerns with your audiologist, who can help determine if changes might be affecting your tinnitus.

Tinnitus Retraining Therapy (TRT)

Tinnitus Retraining Therapy (TRT)

TRT combines sound therapy with counselling to manage tinnitus.

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Tinnitus Retraining Therapy (TRT)

This structured program addresses the neurophysiological aspects of tinnitus and requires consistent effort. The combination of sound therapy and psychological support helps reduce how noticeable and important tinnitus feels over time. Your audiologist can guide you through TRT and support your progress.

New Zealand,
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And give yourself a pat on the back for being proactive