Trigger and Treatment Flow Chart:
Tinnitus
Recommendations
for Finding the Solution for your
Tinnitus
If you want to see how tinnitus develops and how treatments work,
watch this 15-min video.
    1) Find the Triggers: Structural (movement), Chemical, Mental
    See the Trigger and Treatment Flow Chart below.
    2) Define the Problem (Symptoms): O, P, Q, R, S, T
    3) Reassess the Triggers with more focus and address them.
    - After you define the problem, you will be better able to assess the problem.
    4) Professional Treatment or Personal treatment.
AuditoryExam or Self-Exam
X-Ray, (Carbon paper for bite)
Palpation, etc.
Palpation, Ortho exam, x-ray
Palpation, History
History
Palpation
Observation
major cause>
other
contributing
structural
causes are
also listed here.
Structural
(
Movement)
Hormonal (Def. or Excess)
Deficiency
Dehydration
Low Blood Sugar
Micro-Nutrients
Toxicity
 
Allergies(Airborne and Food)
Infection (Cold, Flu, Sinus)
specific Sensory Stimulation
Mirror Posturing, Bracing
Chiropractic Adjustments
Motion w/o much pain
Myofascial Release
Exercise
Relax, Massage, Adjustments
Awareness
Chemical
Qlty Food, Supplements, Detox
 
Drink Water (~1/2 wt(lbs) in oz H2O)
Eat freq. & Low Glycemic (CD)
esp. Mg++ and EFA's
Quality Food (CD),(site)
Supplements
 
Avoid and Detoxification
Avoid, Neti Pot(air), & Build Immunity
Build Immunity, Herbs, Rx
Lack of Sensory Stimulation
Misalignment (Spinal, Bite)
Subluxaton Complex
Physical Trauma
Myofascial Adhesions
Lack of Exercise/Movement
Muscle Tension (d/t stress)
Posture
Professional
Diagnosis
Simple
Answers
Trigger or Cause
Mental
stress
Work
Relationship stress
Finances
Purpose
Worry / Perspective
Purpose, Communication
Communication, Forgiveness
(5LoveLang, How2Win, 7Habits,
Mind
)
more Work/Education, less Spending
Purpose
Purpose, How to Stop Worry
 
Counselor, Psychologist
Credit Counselor
Pastor
Stress & Wellbeing Surv
Define the Problem table
Define the Problem table - Once you know the character of the problem you or
your doctor can more easily and accurately find the
cause.
Onset
When did this problem begin?
Position / Palliative / Provocative
Where exactly is it, and What makes it better or worse?
Quality
How would you describe the sensation? - burning, sharp, tingly, numb, weak...
Radiation
Does the sensation go somewhere beyond the main area?
Site / Severity
How bad is it (0=none to 10=worst imaginable)
Timing
Is it better (or worse) at a given time of the day, week, month, year?
   
Associated Signs
What other new or persistent problems or changes have you noticed?
Intervention
What have you tried, and what were the results.
Trigger and Treatment Flow Chart - If you know what to look for and how to get started, why not do it?
'Scaries'
Infection(Ear)
High Blood Pressure
Tumor
Prayer
CBC, Otoscope
"Blood Pressure Cuff"
MRI, CT
Call us for Questions or Appointment:
(559) 635-8266
Among the recommended options is acoustic therapy. Patients listen to "pleasant sounds" such as music, relaxation CDs or a tabletop sound
machine in any environment that is too quiet. For those who experience chronic insomnia with their tinnitus, a tabletop sound machine
connected to a pillow embedded with speakers may provide relief. In-the-ear sound generators that produce broadband sounds like rain or a
distant waterfall to muffle or mask tinnitus can be worn during the day. Patients with significant hearing loss often benefit from wearing hearing
aids. Hearing aids will sharpen patients' hearing and also decrease their perception of tinnitus.

"The goal is not necessarily to mask or remove the patient's perception of tinnitus," says Robert Folmer, Ph.D., a clinical neurophysiologist in
the Oregon Health & Science University Tinnitus Clinic, OHSU Oregon Hearing Research Center. "In many cases that's not possible. We want
patients to pay less attention to their tinnitus, so we help them to understand and gain control of it until it's no longer a negative factor in their
lives."

This guy is OBVIOUSLY a highly qualified specialist, but let's take a look at the possibilities beyond muffling the outside to why the ringing
started at first and how THAT can be addressed successfully.  For details see What Causes the Ringing? and Acoustic Discriminatory Therapy.
Tinnitus Management - "Management" is important and useful, but it does not address the cause.
Management
This is important, but it should not be confused with treating the cause.  See below for "management" answers.
I.   Level I - Discriminate between a Broad range of tones
    A.  ADT – 30 min per day all at once or in 3, 10-minute sessions.
    1) Select SPACEBAR → Hear tone or pair of tones
    2) Identify (try to ‘discriminate’) whether the tone pair are two same or different tones and write down your answer.  
  • Dr. Hobbs has elaborated on the latest research findings by allowing the user to discriminate more specifically by having the
    user attempt to identify the Hertz level.  The answer is given after each identification attempt.  We believe this will allow for
    more complete resolution of the tinnitus -- that's the goal, right?  
  • Dr. Hobbs has also set up this program so that users move on only after they have mastered the previous level of
    discrimination.  Again, this reinforces the goal of thoroughly developing (reorganizing) the brain nerve pathways for maximum
    resolution of the tinnitus.
    3) Select SPACEBAR → See answer
    B. After a certain level of accuracy is reached, move to next more challenging level.

II.  Level II - Discriminate between a Narrow range of tones, ~ one(1) octave below the tinnitus range.
    A.  ADT - (same as above or hear be given tine description first and then decide, between two tones, which is accurate.)     
    B.  Continue ADT daily for 4-week increments until no further improvement is noticed.
    C.  We personally believe that continued ADT is desirable at 1, 10-minute session per week ongoing to maintain brain activity organization.
Auditory Discriminatory Therapy - This 30+ day  therapy takes some work, but has the benefit of not only reducing the tinnitus, but
also improving your ability to recognize and identify the notes and/or frequency of different tones.  This therapy definitely improves
organization of the brain neural activity, probably by encouraging nearby neuron to recruit the idle brain tissue.

Great research has been done to prove this therapy's effectiveness:
The research on why and how this works is available here - BMC Neuroscience 2007, 8:33.  

It is apparent that the researchers used "Cool Edit" software to make a greater than 100db per octave "notch" in the 2007 article.
This is the method I suggest that any DIY enthusiast on this forum could pursue.

1. Find out your tinnitus frequency with a tone generator, (Simple easy test at
digital-recordings.com or by downloading a 14-day free trial of "
Tinnitus Tamer" at:
http://www.vavsoft.com/Tinnitus_Tamer.html

2. Check out:  http://www.phys.unsw.edu.au/music/note/ and find out what note your tinnitus is centered.
For example, 7900 which is B8. An octave with B8 at the centre starts at F8=5588 B8=7900 E9=10,550.  You can see this nicely
in a table here.

3. Open a piece of music in Cool Edit or Audacity, and process it with a >100db per octave notch centred on your tinnitus frequency.
It is easily be achieved with a "Scientific Filter" in Cool Edit or with a little
more effort in Audacity.
Notched Music - This one-year therapy is really easy and seems to work by what neurologists call "lateral inhibition."
Specific Sensory Stimulation - This is a simple therapy to reorganize the brain -- amazing.
Tinnitus Solutions and the Brain VIDEO - 15-min video showing How & Why tinnitus develops and how therapy works.
Tinnitus Solutions & the Brain - YouTube
Synergy Chiropractic and Natural Health
1912 S. Court St., Ste B  Visalia, CA  93277   
(559) 635-8266 or
email us

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