--- In DigitalBlackandWhiteThePrint@yahoogroups.com, Lee Hiers <lee.hiers@...> wrote:
>
> On Thu, Mar 26, 2009 at 3:18 PM, Terry Ritz <t.ritz@...> wrote:
>
> > I'm in a Tinnitus Retraining Program,
>
> I had never heard of such and just did a quick Google search...is this
> working for you?
>
> As a musician, I have a number of friends with Tinnitus...I'm pretty
> lucky, I don't, or it's very mild.
I will start by saying that the reason I got back into photography a few years ago, after a long absence, was because my tinnitus had increased to such a level that I dropped out of music entirely. Music is very important to me, and that was a very difficult thing to do.
I've had Tinnitus for about 13 years, and it's become progressively worse over that time. I began wearing hearing protection soon after it began, and that too has increased over the years. I was up to using 32dB Wal Mart foamy ear plugs when I played on stage and foamy plugs PLUS airport runway style 28db ear muffs OVER those for when I travel on the highway. I would not even drive in the city without wearing hearing protection.
For many years I have avoided listening to music, even at low levels, I've had to avoid even small crowds and I've not been to a movie theater for years.
A huge problem with Tinnitus is the misinformation. The Tinnitus Retraining Program (TRT) corrects this. Because my ringing would increase anytime I was exposed to even moderate sounds, I had assumed my ears were at risk. This was incorrect. Early on I had a custom molded earplugs made, and this misconception was reinforced by the vendor (wear these all the time!). Indeed my ringing did get worse. However, not for the reasons I thought.
My ears are no more at risk than anyone else's. That is truth #1. By wearing plugs I was causing my brain to focus on the ringing. THIS is why the ringing became worse. You see, the brain has a built in mechanism designed to filter out certain sounds and give prominence to others. That's why you only hear the hum of a new refrigerator for a few minutes, yet you clearly hear your name quietly spoken over the buzz of conversation in a crowded room or an ambulance in the distance over traffic noise.
Wearing earplugs caused a second condition, hyperacussis. Wearing plugs all the time caused my brain to "turn up the gain", so I could still hear. That means the gain is up with, or without, earplugs in. Eventually, it got so bad that being in a kitchen with 2 or 3 people talking and a TV playing was painful and agitating. It was just too loud for me. Put another way, the dynamic range of my ears was very, very small.
The first step in the TRT program is to address the hyperacussis. I'm 5 months in, and I no longer wear earplugs. I've been on an 8 hour highway trip and back without discomfort. Earlier this week I was at a conference with 50 people all taking in a bright room and I had no discomfort. I'm listening to music again, and at levels that are enjoyable. The foamy plugs and earmuffs are gone, and life is so much more enjoyable! At 3 months I had my Loudness Discomfort Levels re-tested and the improvement was measurable. It's even better now, and I know the number will be very positive when I'm tested again in a month.
Once the hyperacussis is addressed the tinnitus itself (ringing) will be targeted. I wear sound generators (pink noise) in my ears all the time, and listen to an ambient noise unit when I sleep. After my next visit I expect the level for these device to be turned up. By listing to a friendly sound at close to the same level as my tinnitus, the brain will begin to associate this "friendly" sound with my tinnitus and "habituate" the tinnitus. Just as the refrigerator hum goes away on it's own, so too will my tinnitus. Given the results to date, I have every confidence this will occur.
This is a one to two year program. It is EXTREMELY important that it be administered by a professional who is training in the therapy. For example, wearing the sound generators at too high a level will not only be counter productive, but it could cause the opposite outcome to occur. My audiologist was trained by the man who invented the therapy, and you can check his website for practitioners.
I hope this helps. I wrote this long (and off-topic! ;-) post because I like to take every opportunity I can to help others. I suffered for 13 years, and it was all unnecessary.
Best,
Terry.