2014 American Tinnitus Association

Tinnitus Today, Silence Tomorrow

Cara James Executive Director American Tinnitus Association

April 16, 2014

Disclaimer

The American Tinnitus Association (ATA) is not a provider of healthcare services and does not evaluate, diagnose or treat patients. ATA does not endorse specific products for the treatment of tinnitus. Any information disclosed is for general information only and should not take the place of a full medical consultation and evaluation by a trained healthcare professional.

What is Tinnitus?

Tinnitus (TINN-i-tus)

preferred by clinicians

Tinnitus (ti-NIGHT-us)

preferred by patients

Tinnitus is the perception of sound in the ears or head where

no external source is present

How Common is Tinnitus?

Experience Tinnitus Bothersome Tinnitus

Debilitating Tinnitus

50 Million

16-20 Million

2-3 Million

Source: National Health Interview Survey (1999-2004), U.S. Centers for Disease Control

Male > Female Older > Younger Left Ear > Right Ear

The Cost of Tinnitus

840,000 VA / DOD Claims #1 Military Service-

Related Injury

$1.28 Billion / Year in Veterans / DOD Care

$26 Billion / Year Total Societal Cost

$30 K / Year Individual Economic Loss

Source: American Tinnitus Association, 2013

Causes of Tinnitus

Noise / Concussive Exposure

Head / Neck Injuries

Select Diseases / Disorders

Tumors (rare)

Earwax / Debris on eardrum

Jaw Conditions (TMJ)

Pathology of Tinnitus

1. Sound waves enter ear 2. Inner ear and cochlea amplify

and sort frequencies 3. Auditory nerve translates

sound waves into electrical stimuli

4. Auditory cortex recognizes, processes “sound”

5. Limbic system interprets emotional reaction to “sound”

ASYMPTOMATIC HEARING

1. Sound waves enter ear 2. Inner ear damage reduces

amplification & frequency recognition

3. Auditory cortex receives less auditory stimuli

4. The brain creates it’s own noise to compensate for loss

5. Limbic system interprets emotional reaction to new tinnitus “sound”

TINNITUS HEARING

IN THE EAR

• Damage to hair cells

• Damage to cochlea

• Damage to ear drum

• Obstructions in ear canal IN THE BRAIN

• Lack of “normal” auditory stimulation

• Neural feedback

• Negative emotional reaction to tinnitus sound

Sound & the Limbic System

You’re walking down the street and you hear a rattling sound…

Remedies for Tinnitus

There is presently no scientifically- validated cure for tinnitus.

There are no products currently on the market that have been consistently proven to fully eliminate the perception of tinnitus.

On the Horizon…

Vagus Nerve Stimulation

Transcranial Magnetic Stimulation

(rTMS) Experimental Drugs

Neuromodulation

There are several scientifically-validated management techniques for tinnitus.

There are multiple proven treatments that help patients live full, happy lives even with the perception of tinnitus.

Sound Treatments

Behavioral Treatments

General Wellness

Sound Treatments

Sound Masking

Cochlear Implants (Deaf Patients Only)

Sound Therapy

Amplification (Hearing Aids)

Work by augmenting outside noise to “cover-up” the perception of tinnitus.

Behavioral Treatments

Progressive Tinnitus Management

Tinnitus Retraining Therapy

Cognitive Behavioral Therapy

Mindfulness Therapy

Work by changing the patient’s behavioral and emotional reaction to tinnitus.

The Limbic System

Controls:

• Emotion

• Behavior

• Motivation

• Long-term memory

• Olfaction (smell)

Regulates how a patient responds to the perception of tinnitus.

The goal of behavioral therapies:

Wellness Approaches

Healthy Diet

Socializing

Stress Reduction

Exercise

Work by improving patient’s baseline health.

If you have tinnitus…

1. Go to your doctor

2. Find a specialist

3. Be informed about treatment options

4. Find the option(s) best suited to you

5. Take action & stick to it

6. Take care of yourself

7. Find a support network

About ATA

FOR PATIENTS

• Information & education

• Support services

• Research initiatives

• Connect with trained providers

FOR PROVIDERS

• Information & education

• Professional Development

• Outreach

FOR RESEARCHERS

• Pilot Grants

• Professional Development

• Student Outreach

ATA Funded Research

30 Years of Research

Nearly $6M Invested

Pilot Grants

Encouraging Future Research

Proven Treatments

“Roadmap to a Cure”

About ATA

TINNITUS TODAY

• Official ATA Membership Magazine

• 3 Issues a Year

• Patient Stories

• Latest Research

• Management Strategies

Thank You!

American Tinnitus Association 503-248-9985

tinnitus@ata.org www.ATA.org

2014 American Tinnitus Association

Documents

Tinnitus Outcome Profile and Tinnitus Control · International Tinnitus Journal, Vol. 9, No.1, 26-31 (2003) Tinnitus Outcome Profile and Tinnitus Control Barbara A. Goldsteinl,2 and

Clinical Algorithm for Evidence- Based Tinnitus Management€¦ · temporary, occasional, intermittent, or constant tinnitus –Determine if a patient’s tinnitus warrants tinnitus-specific

Mississippi Association of Physicists American Association

American Urological Association Advanctng...American Urological Association Advanctng

Corporate* Partner* Program - American Tinnitus Association · 2019. 11. 20. · awareness,#and#build#rapport#with#patients#and#patient#providers#along#with# enhancing#industry#initiatives,#educational#opportunities,#and#improving#

Tinnitus Activities Treatment and Mindfulness · Tinnitus •articulate, professional, well educated with respect to tinnitus •knowledgeable about tinnitus •has previous successful

Tinnitus Handbook - thh.nhs.uk€¦ · Tinnitus Handbook This ReSound Tinnitus Handbook is designed to provide valuable information to those suffering from tinnitus. It will help

Systematic Review for the 2018 …...American College of Preventive Medicine, American Diabetes Association, American Geriatrics Society, American Pharmacists Association, American

American Heart Association/American Stroke …wcm/@wsa/documents/...Welcome & Opening Remarks Tami Swart, LPN, MPH, ... American Heart Association/ American Stroke Association .

The Association Between Tinnitus and Mental Illnesses...lesser sound of tinnitus. In the Babylonian Talmud, tinnitus was referred to as the “curse of Titus”. It was described as

Solutions Come in Many Sizes. - American Tinnitus Association · Vol. 41, Number 2 Fall 2016 A publication of the American Tinnitus Association INCLUDED IN THIS ISSUE: What IS a Safe

Tinnitus Device Dire - American Tinnitus Association

The Association Between Tinnitus and Mental Illnessescdn.intechopen.com/pdfs/...between_tinnitus_and_mental_illnesses.pdf · Chapter 15 The Association Between Tinnitus and Mental

The Irish Tinnitus Association Newsletter Quiet Ireland · wrote to the British Tinnitus Association and they printed her article in their ‘Quiet’ Magazine ap-pealing for Irish

1 How the QRM Fits in the QM Reality American Bankers Association American Escrow Association American Financial Services Association American Land Title

TINNITUS TREATMENT SOLUTIONknow suffer from constant “ringing in the ears”? what you should know about TINNITUS Quick Tinnitus Facts g Some 50 million American adults suffer from

Tinnitus-related distress after multimodal treatment can ... · 1,416 tinnitus patients (decompensated tinnitus: 32%) who completed a 7-day multimodal treatment encompassing tinnitus-specific

TRI Tinnitus Flowchart for Patient ManagementR Tyler et al. (2008) American Journal of Audiology, Snow JB (2004) Tinnitus – Theory and Management. BC Decker Inc, Chap. 16 . JA Henry

Volume 39 Number 8 news October 2017€¦ · American Tinnitus Association—. Madison Hearing Ctr, 14 Columbia Circle Drive, Ste 202, Albany, NY 12203 (518)690-2060 Madison & Saratoga

Tinnitus therapy workbook - For Professionals€¦ · natural process of the CNS and crucial to brain function Tinnitus a ects at least 1 in every 10 American adults Using hearing