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Medical Forum / Diseases and Disorders / Tinnitus / July 2006

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tinnitus cure?

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deb - 25 Jul 2006 00:03 GMT
Has anyone tried this new tinnitus treatment?: www.tinnituscare.com
A friend of mine said it was quite effective.  I think it is FDA
approved.  I would love to hear from anyone who has tried it.  It is
based in London (UK).  Thanks! :)
deb - 25 Jul 2006 00:06 GMT
Also, it is non invasive and not drug-based.

> Has anyone tried this new tinnitus treatment?: www.tinnituscare.com
> A friend of mine said it was quite effective.  I think it is FDA
> approved.  I would love to hear from anyone who has tried it.  It is
> based in London (UK).  Thanks! :)
drfrank21@gmail.com - 25 Jul 2006 01:15 GMT
> Has anyone tried this new tinnitus treatment?: www.tinnituscare.com
> A friend of mine said it was quite effective.  I think it is FDA
> approved.  I would love to hear from anyone who has tried it.  It is
> based in London (UK).  Thanks! :)

I think it's worth a try for some people (I don't know of
anyone who has tried this though). I didn't see anywhere on
the website that it is FDA approved (not even available in
the states) but that doesn't necessarily mean anything.
It also doesn't claim a 100% success rate which is
usually a give away for rip off artists.

Jack Vernon, who has an excellent reputation in the field,
is listed on the advisory board which only lends it more
credibility.

So it's worth a shot for those in the London area (but no, I
would not travel overseas for this myself).

frank
Ray Chandler - 25 Jul 2006 12:11 GMT
> Has anyone tried this new tinnitus treatment?: www.tinnituscare.com
I notice the website gives all the info you might want except how much it
costs. Always makes me suspicious, that. OK maybe it differs according to
individual need, but it must be possible to give some broad idea of cost. So
why don't they?
Enno Borgsteede - 25 Jul 2006 13:34 GMT
>> Has anyone tried this new tinnitus treatment?: www.tinnituscare.com
> I notice the website gives all the info you might want except how much it
> costs. Always makes me suspicious, that. OK maybe it differs according to
> individual need, but it must be possible to give some broad idea of cost. So
> why don't they?

Another cause for concern is that the site hasn't been updated in years.
The copyright notice says 2004, and the announcement for a presentation
at a 2005 tinnitus conference is still there too.

For a treatment like this, one would expect to see more recent results,
but I can't find them anywhere. Searching Google with the treatment name
gives all sorts of quack sites, but nothing really relevant.

cheers,

Enno
Murray Grossan - 25 Jul 2006 17:12 GMT
On 7/25/06 5:34 AM, in article daKdnVInGYMnklvZnZ2dnUVZ8qGdnZ2d@casema.nl,

>>> Has anyone tried this new tinnitus treatment?: www.tinnituscare.com
>> I notice the website gives all the info you might want except how much it
[quoted text clipped - 13 lines]
>
> Enno
I really don't know how many persons can sit and listen to a sound, any
sound, for more than 5 minutes. We are a nation of channel surfers and used
to going from one 3 minute attention to another. I question how many persons
can sit and "do nothing" while they listen to a sound?
For my patients its better to have an  I pod with a musical or sound in the
room - like a broadway show and be diverted. For T I recommend having the
shopping channel on,.
This is why the "nerve enhancement" where you put the T sound into the good
ear and reduce the volume and allow the affected ear to match that reduced
volume can work, because you are "doing something" actively.

Murray Grossan, MD
Www.earaid.info
Skycloud - 25 Jul 2006 20:25 GMT
To quote the site:

"The principles of sound cancellation are well accepted and currently
employed in a number of commercial applications. Noise canceling headphones
developed by leading electronics manufacturers are the best-known
application of this technology. Many systems have been developed to reduce
machinery and other industrial noises. Also, several automobile
manufacturers are developing cabin noise suppression systems."

True, but what's this got to do with tinnitus?  Phase-shift noise
cancellation techniques have _nothing_ to do with treating tinnitus.
Tinnitus is not a wave, cancellable with another wave. It is a nervous
stimulus. Once again we see posh presentation and smooth words trying to
pull the wool over the eyes of desperate people.

As for the results cited.... certainly, exposure to tones can reduce or
cancel tinnitus for a while.  But this is due to the well  known effect of
residual inhibition - ie. temporary deadening or discharge of the relevant
nerves.  Other treatments already make use of that effect.   I wonder, what
grounds does this organisation have for citing 'phase-shifting' as the
actual cause of the results?   Beyond, that is, it sounding so cool...

So...how do they measure the patient's tinnitus frequency sufficiently
accurately for their 'phase shifting'?  Have they established that the
patient's dominant tinnitus frequency is so stable that its phase can
actually be locked onto, at tinnitus frequencies typically of the order of
10KHz?  I wonder, do they measure - and need to compensate for - interaural
pitch difference in the two ears (in cases of binaural tinnitus) ?    I hope
they check all this...

Oh yes, and what about a ballpark figure for costs?

Steve
Martin Smith - 25 Jul 2006 21:35 GMT
> To quote the site:
>
[quoted text clipped - 10 lines]
> stimulus. Once again we see posh presentation and smooth words trying to
> pull the wool over the eyes of desperate people.

I agree, but the two waves don't really cancel each other out in the
sense of stopping the wave. They are actually both there; both hit the
ear, but because one is phase shifted, the two waves have opposite
affects in the brain.

In the case of tinnitus, there is only one wave from the noise
generating device. The tinnitus noise is just the effect in the brain.
So, the wearer of the device could manipulate the tuning dial until he
finds a wave whose effect in his brain cancels the tinnitus noise.

> As for the results cited.... certainly, exposure to tones can reduce or
> cancel tinnitus for a while.  But this is due to the well  known effect of
[quoted text clipped - 10 lines]
> pitch difference in the two ears (in cases of binaural tinnitus) ?    I hope
> they check all this...

I assume the patient just puts the device on and fiddles with the
control until he finds the right setting.

> Oh yes, and what about a ballpark figure for costs?
>
> Steve
Skycloud - 25 Jul 2006 22:52 GMT
Hi Martin,

> I agree, but the two waves don't really cancel each other out in the
> sense of stopping the wave. They are actually both there; both hit the
[quoted text clipped - 5 lines]
> So, the wearer of the device could manipulate the tuning dial until he
> finds a wave whose effect in his brain cancels the tinnitus noise.

Right. The question is "which effect is achieving this... is it  residual
inhibition ... or phase cancellation ?"

With residual inhibition, the tuning for such a device is not critical (I've
tried it). When the interfering tone is in the general vicinity of the
tinnitus frequency it has the greatest effect.

(a) But if phase cancellation is at work, we would expect to hear a
'warbling' (beat) effect as we approached the tinnitus frequency.  This
'warble' would become slower and slower and eventually stop when we exactly
matched the tinnitus frequency.
I did look for, and found no evidence for this warble/beat effect when
trying a sound generator with my own tinnitus. And this should not be
surprising; see (b) below...

It's worth remembering too that many peoples' tinnitus is not a single tone
but a compound tone (further complicated by the interaural pitch difference,
when present). Effective phase cancellation would then become a very complex
matter.

(b) It's true our ear/brain system can indeed distinguish between incoming
_stereo_ sounds which are in phase or in antiphase. However sounds entering
the ear/brain system in antiphase do _not_ cancel out to silence, they just
sound 'different' (hard to describe unless you've heard it but useful to
know when you're phasing up loudspeakers!).  This would indicate that the
effect of trying to cancel tinnitus with another antiphased tone might not
be so straightforward either.

Of course actual sound waves out in the outside world _can_ cancel out to
silence when in they meet in antiphase. But we are considering here what the
ear/brain system makes of antiphased signals, not what happens according to
physics in the outside world.

So, my view:

1) At least for stereo sounds, antiphasing just doesn't produce silence in
the ear/brain. Instead things sound 'strange'.

2) I know of no evidence of any 'beat' effect against tinnitus produced
internally by the ear/brain. Such an effect would be observed first if true
phase cancellation to silence were possible.   Even if it were, it would
then be incredibly hard to maintain this phase relationship with the high
(and often multiple) tinnitus frequencies.

Steve
Enno Borgsteede - 26 Jul 2006 00:26 GMT
Hi Martin,

> In the case of tinnitus, there is only one wave from the noise
> generating device. The tinnitus noise is just the effect in the brain.
> So, the wearer of the device could manipulate the tuning dial until he
> finds a wave whose effect in his brain cancels the tinnitus noise.

This would be true if the brain had a sense of phase, but I sincerely
doubt if such a sense is there. There is a sense of frequency and time,
but that's not enough to do any canceling. The brain's not fast enough
for that, IMO.

cheers,

Enno
Jim Chinnis - 26 Jul 2006 01:26 GMT
Enno Borgsteede <ennoborg@gmail.com> wrote in part:

>Hi Martin,
>
[quoted text clipped - 11 lines]
>
>Enno

The brain does encode phase information on lower frequencies. Unfortunately,
unlike sound pressures, all nerve impulses are of the same polarity. Adding
a stimulation may create more nerve impulses or time-shift impulses, but it
cannot cancel them.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Martin Smith - 26 Jul 2006 05:51 GMT
> Enno Borgsteede <ennoborg@gmail.com> wrote in part:
>
[quoted text clipped - 18 lines]
> a stimulation may create more nerve impulses or time-shift impulses, but it
> cannot cancel them.

I suspect the best that a noise canceling device could do would be to
disintegrate the tinnitus "sound" into white noise. But that would
probably be an improvement.
fyfpoon@gmail.com - 27 Jul 2006 00:11 GMT
> To quote the site:
>
[quoted text clipped - 27 lines]
>
> Oh yes, and what about a ballpark figure for costs?

The cost is about 4,000 dollars.  I went for a check up in an ENT
office in the city of Vancouver.  That lady doctor did not even bother
to check out if there was anything wrong with my ear but if there was
anything that could have caused it.  She just went ahead to sell me the
sound cancelling device.  I suppose one of these days ENT doctor
service would be available in e-Bay.

> Steve

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