Tinnitus Treatment

By Dr. Novick in Los Gatos, California

Tinnitus is a perception of noise in the ears or head when there is no external sound present. It is often described as ringing, buzzing, hissing, humming, roaring, crickets, ocean waves, etc. Tinnitus can be pronounced as ti-NIGHT-us or Tin-i-tus, both are correct.

September, 2023

Silicon Valley is proud to announce that we are the first Lenire Tinnitus Treatment provider in the San Jose area.

About Tinnitus

Approximately over 45 million people in the United States have tinnitus. Based the 2011-2012 National Health and Nutritional Examinations Survey (most recent data), nearly 20 million people are dealing with burdensome tinnitus, while roughly 2 million individuals find their tinnitus severely debilitating that it impairs their normal daily function.

There Are Two Kinds of Tinnitus

Subjective Tinnitus

Sounds or noises within the head or ear(s) which are only perceived by the individual. No one else can hear this sound. More than 99% of all reported cases of tinnitus are of the subjective variety.

Objective Tinnitus

Sounds or noises within the head or ear(s) which are audible to another individual. These sounds are usually produced internally within the body as a result of circulatory problems (blood flow) or somatic (musculo-skeletal movement) systems. This kind of tinnitus encompasses less than 1% of all tinnitus cases and is quite rare.

Causes of Tinnitus

There can be many potential causes of tinnitus. Dr. Novick will review your medical history extensively to try and help determine a possible cause, which could be due to the following:

  • Noise exposure
  • Hearing loss
  • Impacted earwax
  • Meniere’s Disease
  • Otosclerosis
  • Metabolic and autoimmune disorders
  • Metabolic and autoimmune disorders
  • Head/neck injuries (e.g. concussion, traumatic brain injury)

Tinnitus Evaluation Process

Everyone experiences tinnitus differently. Our role is to educate you in understanding the neural mechanism behind tinnitus and to learn how to manage your tinnitus symptoms, which will ultimately reduce the stress, annoyance and anxiety associated with it.

Your initial tinnitus consultation appointment will be approximately 2 hours and we encourage you to bring a family member or friend.

When evaluating your tinnitus, we will check for any hearing loss. Why you ask? This is because approximately 90% of tinnitus cases also reveal an underlying hearing loss. We will explain your results and develop a treatment plan that best fits you, including various treatment options and coping strategies.

Treatment requires frequent directive educational counseling and regular follow-up visits. It is recommended that patients to fully commit to the treatment plan to maximize their success.

Life isn’t about waiting for the storm to pass, it’s about learning to dance in the rain.” – Vivian Greene

Even though there is no known cure for tinnitus, you can be rest assured that there are various tinnitus relief options

Tinnitus Relief Options

Even though there is no known cure for tinnitus, you can be assured that there are various tinnitus treatment options. Despite the various treatment options available, different individuals report varying degrees of success and relief from their tinnitus.

Auditory Habituation or Tinnitus Retraining Therapy (TRT)

TRT is a systematic protocol method for treatment of tinnitus, hyperacusis and misophonia. TRT is a habituation technique that involves two components:

1) Directive counseling, which provides the patient with intensive, individualized education regarding the causes and effects of tinnitus on the ear, the brain and the coping mechanism.

2) Sound based Therapy, which uses low-level sound generators that produce low-level broadband noise (mimics the sound of a shower) at a soft enough level so the brain can perceive both the noise and the tinnitus. The goal is not to completely mask or cover up the tinnitus signal. Eventually, it is hoped that the brain will learn to de-emphasize the importance of the tinnitus. These sound generators are small and discreet and no one will even notice the patient is wearing them.

This protocol is also  helpful for those patients are sensitive to sound (hyperacusis and misophonia).

  • Stress Reduction: Alleviating stress can do wonders for those who are annoyed by their tinnitus. Many people find relief through progressive muscle relaxation, deep breathing, massage therapy, meditation and daily exercise. Stress management is key in facilitating habituation to tinnitus.
  • Medical: We feel that all patients suffering from tinnitus should have a thorough medical evaluation by an otolaryngologist, a physician who specializes in the diseases of the ear, nose & throat.
  • Psychological Therapy: Even though we do our very best in helping individuals cope/manage their tinnitus, sometimes we need a little help. In cases where we feel you have significant depression or anxiety; we will assist in a referral to a licensed clinical psychologist who specializes in Cognitive Behavioral Therapy or Mindfulness Based Tinnitus Stress Reduction.

Contact us to learn more about tinnitus and different treatment options or to schedule an appointment.

Products Available

Musicians' Ear Plugs

Musicians' Ear Plugs

Musicians' earplugs are a type of hearing protection designed to safeguard the ears of individuals who are frequently exposed to loud music, such as professional musicians, DJs, and concertgoers. Unlike standard earplugs that can distort the quality of music by muffling high and low-frequency sounds, musicians' earplugs are designed to reduce sound levels evenly across frequencies while maintaining a clear and natural sound quality. This is achieved through specialized filters and custom-fit designs, molded to the user's ear for optimal comfort and noise reduction.
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Price: $270/pair, plus sales tax (includes impressions)
Airpod Custom Molds

Airpod Custom Molds

Custom ear molds and sleeves for Apple AirPod and AirPod Pro wireless earphones enhance comfort and audio quality while virtually eliminating the risk of losing an earpiece. Perfect for plane and train travel, exercise sessions, and online meetings via Zoom! The tailored fit offers the same level of fit and sealing that professional musicians appreciate on stage, addressing the two primary concerns with AirPods earpieces – comfort and secure fit. You'll never lose an earpiece while on the move again, and you'll consistently enjoy a comfortable fit.
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Price: $210/pair, plus sales tax (includes impressions)
TLS Sleep Plugs

TLS Sleep Plugs

Struggling to Sleep? Give TLS Sound Labs Ear Plugs a Try! Numerous people experience sleep deprivation due to noise sensitivity, a snoring partner, or a variety of other sounds that can disrupt a restful night's sleep. If you're among those affected, custom sleep earplugs could be the perfect solution for you. TLS Sound Labs' sleep earplugs are tailored to be as cozy as possible while offering maximum noise reduction. By taking deep ear canal impressions, we ensure a secure fit that combines both comfort and sound reduction.
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Price: $210/pair, plus sales tax (includes impressions)
TLS Duck Dive Surfer Plugs

TLS Duck Dive Surfer Plugs

Duck Dive Surfer Plugs by TLS Labs effectively prevent surfer's ear with custom-designed earplugs tailored for surfing enthusiasts! If you're passionate about surfing, paddleboarding, swimming, or all three, the Duck Dive surfing earplugs are designed to keep chilly, bacteria-laden water out of your ear canal, promoting healthy ears. TLS Sound Labs develops and produces specialized waterproof membranes for their custom-molded Duck Dive surfer earplugs, which reduce the entry of cold water into the bony section of your ear canal, preventing surfer's ear.
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Price: $220/pair, plus sales tax (includes impressions)
TLS Swim Earplugs

TLS Swim Earplugs

Custom plugs for swimming are a popular choice for both children and adults who want to protect their ears from water. These specialized plugs from TLS Sound Labs are custom-made to fit perfectly into an individual's ear, providing maximum protection against water and other irritants. They are particularly useful for children who have PE tubes and need to avoid exposing their ears to water while swimming or bathing. One of the key benefits of custom swim molds is that they come in a variety of fun colors, making them a great option for kids who want to show off their style while enjoying their favorite water activities. Whether you prefer bright neon hues, pastel shades, or classic solid colors, there's a custom swim mold out there for you.
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Price: $210/pair, plus sales tax (includes impressions)
Passive Shooters Plugs

Passive Shooters Plugs

Using advanced impulse filter technology, this non-electronic hearing protection product for hunting and shooting shields users from the extreme noise levels associated with gunshots, artillery fire, and explosions, reducing them to safer levels that decrease the likelihood of lasting hearing damage. Initially developed for military use, these specialized earplugs provide exceptional protection against high impulse noises. In the absence of loud sound peaks, the device delivers low attenuation, enabling users to hear voices and surrounding sounds.
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Price: $260-$310/pair, plus sales tax (includes impressions)
Electronic Shooters Plugs

Electronic Shooters Plugs

Custom active shooters plugs, also known as electronic shooters plugs, are designed to provide optimal hearing protection while shooting without compromising situational awareness. These innovative earplugs utilize advanced technology to detect and filter out harmful noises, such as gunshots or explosions, while simultaneously amplifying softer sounds like voices or ambient noises. This ensures that users can communicate effectively and stay aware of their surroundings while safeguarding their hearing from potential damage.
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Price: $999-$1599/pair (includes impressions)

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