Tinnitus

Expert Evaluation and Management of Ringing in the Ears in Jacksonville

Tinnitus is the perception of sound in the ears or head without an external source. It is commonly described as ringing, but may also sound like buzzing, humming, hissing, clicking, or heart beats.

Tinnitus is very common and affects millions of people. While many tolerate it well, it can significantly impact sleep, concentration, and quality of life.

What Are the Different Types of Tinnitus?

Tinnitus is generally classified into two types:

  • Subjective tinnitus: heard only by the patient (most common)

  • Objective tinnitus: rare cases where sound can also be detected by others

Tinnitus can also be classified based on the quality of the sound:

  • Non-pulsatile tinnitus: buzzing, humming, hissing, clicking

  • Pulsatile tinnitus: pulsation quality that can be synchronized or unsynchronized with your heartbeat.

Understanding the type and pattern of tinnitus is essential for determining its cause.

What Does Tinnitus Sound Like?

Patients may describe tinnitus in different ways, including:

  • Ringing

  • Buzzing

  • Humming

  • Clicking

  • Roaring or whooshing

Symptoms may be constant or intermittent and can vary in intensity.

Bothered by ringing in your ears? Schedule an appointment for a personalized evaluation.

What Causes Tinnitus?

Tinnitus is often related to the hearing system, but it can have multiple contributing factors.

What Are Common Ear-Related Causes?

  • Hearing loss (most common cause)

  • Noise exposure

  • Aging-related changes

  • Earwax buildup

  • Ear infections or middle ear conditions

  • Eustachian tube dysfunction

What Causes Pulsatile Tinnitus?

Pulsatile tinnitus is a rhythmic sound, often in sync with your heartbeat. It may be related to:

  • Blood flow near the ear

  • Vascular conditions

  • Middle ear abnormalities

This type of tinnitus should always be evaluated.

Can Tinnitus Come from Outside the Ear?

Yes. Tinnitus may also be associated, triggered, or modulated by sensory input from:

  • Jaw joint (TMJ) disorders (somatosensory tinnitus)

  • Neck or muscle tension (somatosensory tinnitus)

  • Neurological conditions

  • Certain medications

How Is Tinnitus Evaluated?

At ENT Specialists of North Florida, we provide a comprehensive and personalized evaluation to determine the underlying cause.

Your evaluation may include:

  • Detailed ear, nose, and throat examination

  • Hearing testing (audiometry)

  • Assessment of tinnitus characteristics (pattern, timing, triggers)

  • Imaging studies (CT or MRI) when indicated

This approach allows us to identify treatable causes and guide appropriate management.

What Treatment Options Are Available for Tinnitus?

Treatment is tailored to each individual and focuses on reducing symptoms and improving quality of life.

Medical Treatment (When a Cause Is Identified)

  • Treatment of ear conditions (infection, wax, pressure issues)

  • Adjustment of medications when appropriate

Hearing-Based Therapies

  • Hearing aids, often improve both hearing and tinnitus

  • Sound therapy to reduce awareness of tinnitus

Sound Therapy and Masking

  • Use of background noise (white noise, nature sounds, fans)

  • Helps reduce the perception of tinnitus, especially in quiet environments

Behavioral and Supportive Therapies

  • Tinnitus retraining therapy (TRT), Cognitive behavioral therapy (CBT)

  • Relaxation and stress management techniques

When Should I See an ENT Specialist for Tinnitus?

You should seek evaluation if you have:

  • Persistent or worsening tinnitus

  • Tinnitus in only one ear

  • Pulsatile (heartbeat-like) tinnitus

  • Associated hearing loss or dizziness

  • Sudden onset of symptoms

Take Control of Your Tinnitus

While tinnitus may not always be completely eliminated, it can often be effectively managed with the right approach.

Our experienced ENT specialists in Jacksonville provide comprehensive evaluation and personalized treatment strategies to help you regain comfort and control.

Contact us today to schedule your evaluation.

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