TMS Tinnitus Treatment

Nearly 50 million Americans suffer from tinnitus or abnormal ringing of the ears. Tinnitus is defined generally as perception of sound in one or both ears without an external source. Tinnitus can be a debilitating disorder and often accompanied by poor mood, anxiety, poor sleep, and poor quality of life. Tinnitus is described as constant or pulsatile. Constant tinnitus is more common than pulsatile. The severity of tinnitus varies widely among those who suffer and can change over course of life. Most commonly, tinnitus becomes noticeable in the 5th and 6th decades of life and more common in men than women.

The exact cause of tinnitus is usually not readily clear and can be multifactorial. Long term exposure to loud noise (at work and/or leisure environments), prior severe inner ear infections, Meniere’s disease (excessive pressure within the cochlea), tumors of the vestibular-cochlear nerve (e.g. Schwannoma), head trauma, alcohol abuse, high blood pressure, anxiety and mood disorders have all been associated with tinnitus and considered risk factors.

Conventional treatments for tinnitus include use of sound-cancelling headphones or hearing aids, antidepressant medications, corticosteroids, and cognitive behavioral therapy. One of the most promising advances in tinnitus management is use of TMS therapy for tinnitus. Numerous randomized, controlled, and well-done research trials have shown the benefits of TMS for improving tinnitus quickly and without any side effects.

Here’s how TMS tinnitus treatment works. The therapy uses small magnetic pulses to “rewire” abnormal networks of neurons in the auditory cortex of the brain. TMS treatment usually involves 10 to 20 brief (for example, 20- to 30-minute) sessions in office. Most patients experience a rapid, long-lasting reduction in intensity of tinnitus without use of additional medications and hearing aids. At NeuroSpa, patients have experienced 20 to 50 percent relief of tinnitus within first two weeks of treatment as reported by patients on the tinnitus handicap inventory (THI) standardized scales. Researchers at other labs show a 10 to 40 percent decrease with use of TMS therapy for tinnitus.

We believe that the use of precise MRI-guided navigation to locate the areas of brain treatment and addition of targeted advanced neurofeedback increases the likelihood of success in treating tinnitus. In addition, brain mapping techniques (QEEG) help identify the exact areas of dysregulation and help with directing treatment.

References:

Folmer, R. L., & Theodoroff, S. M. (2014). Transcranial Magnetic Stimulation as a Treatment for Tinnitus. Otolaryngology-Head and Neck Surgery, 151. Retrieved 4 6, 2019, from http://journals.sagepub.com/doi/abs/10.1177/0194599814541627a217

Forogh, B., Forogh, B., Yazdi-Bahri, S.-M., Yazdi-Bahri, S.-M., Ahadi, T., Ahadi, T., . . . Raissi, G. R. (2014). Comparison of two protocols of transcranial magnetic stimulation for treatment of chronic tinnitus: a randomized controlled clinical trial of burst repetitive versus high-frequency repetitive transcranial magnetic stimulation. Neurological Sciences, 35(2), 227-232. Retrieved 4 6, 2019, from https://ncbi.nlm.nih.gov/pubmed/23852313

Hsiung-Kwang Chung, C.-H. T.-C.-M. (2012). Effectiveness of Theta-Burst Repetitive Transcranial Magnetic Stimulation for Treating Chronic Tinnitus. Audiol Neurotol, 112-120.
Ridder, D. D., Song, J.-J., & Vanneste, S. (2013). Frontal Cortex TMS for Tinnitus. Brain Stimulation, 6(3), 355-362. Retrieved 4 6, 2019, from https://sciencedirect.com/science/article/pii/s1935861x12001374

Rossi, S., Capua, A. D., Ulivelli, M., Bartalini, S., Falzarano, V., Filippone, G., & Passero, S. (2007). Effects of repetitive transcranial magnetic stimulation on chronic tinnitus: a randomised, crossover, double blind, placebo controlled study. Journal of Neurology, Neurosurgery, and Psychiatry, 78(8), 857-863. Retrieved 4 6, 2019, from https://ncbi.nlm.nih.gov/pubmed/17314192