Trigger and Treatment Flow Chart: Tinnitus
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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.
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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.
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X-Ray, (Carbon paper for bite)
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Palpation, Ortho exam, x-ray
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major cause> other contributing structural causes are also listed here. Structural (Movement)
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Hormonal (Def. or Excess)
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Deficiency
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Dehydration
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Low Blood Sugar
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Micro-Nutrients
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Toxicity
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Allergies(Airborne and Food)
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Infection (Cold, Flu, Sinus)
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Mirror Posturing, Bracing
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Motion w/o much pain
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Relax, Massage, Adjustments
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Lack of Sensory Stimulation
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Misalignment (Spinal, Bite)
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Subluxaton Complex
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Physical Trauma
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Myofascial Adhesions
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Lack of Exercise/Movement
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Muscle Tension (d/t stress)
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more Work/Education, less Spending
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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
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When did this problem begin?
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Position / Palliative / Provocative
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Where exactly is it, and What makes it better or worse?
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Quality
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How would you describe the sensation? - burning, sharp, tingly, numb, weak...
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Radiation
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Does the sensation go somewhere beyond the main area?
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Site / Severity
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How bad is it (0=none to 10=worst imaginable)
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Timing
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Is it better (or worse) at a given time of the day, week, month, year?
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Associated Signs
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What other new or persistent problems or changes have you noticed?
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Intervention
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What have you tried, and what were the results.
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Trigger and Treatment Flow Chart - If you know what to look for and how to get started, why not do it?
Call us for Questions or Appointment: (559) 635-8266
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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.
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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.
Synergy Chiropractic and Natural Health 1912 S. Court St., Ste B Visalia, CA 93277 (559) 635-8266 or email us
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