Navigation Links
Combo Therapy May Help Ease 'Ringing in the Ears'

By Amanda Gardner
HealthDay Reporter

THURSDAY, May 24 (HealthDay News) -- One in five people suffers from tinnitus, the annoying and sometimes severely debilitating condition often referred to as "ringing in the ears," and new research may offer some hope for relief for these patients.

Although the condition currently has no cure, researchers in the Netherlands found that combining two existing therapies may help more than either single therapy alone.

Their report is published in the May 26 issue of The Lancet.

The strategies used in the study aren't new, noted Dr. Eric Smouha, an associate professor of otolaryngology and director of otology and neurotology at Mount Sinai School of Medicine in New York City, who was not involved with the study. However, the finding "shows hope for these people," he said.

Tinnitus can be incredibly frustrating for doctors and patients alike, added another expert, Dr. Michael Seidman, director of otologic/neurotologic surgery at the Henry Ford Health System in Detroit, because there is no cure for the condition and even good treatments are elusive.

Smouha also pointed out that doctors look for an underlying cause but usually can't find one.

Finding a remedy -- if there is one -- is very much a trial-and-error adventure, Seidman said. Dietary modifications (such as cutting out caffeine or alcohol, herbs including Ginkgo biloba), therapy, and even some drugs (such as anti-anxiety medications to facilitate sleep) may help some patients.

Right now, clinicians often rely on one of two main treatments for tinnitus. One, called "tinnitus retraining therapy," involves exposing the patient to another, more neutral sound to mask the tinnitus, along with counseling.

The second is "cognitive behavioral therapy," which includes correcting distorted thought patterns, relaxation techniques and mindfulness instruction.

To date, though, no one has investigated how the two work together, said study authors Rilana Cima and colleagues, from Maastricht University in the Netherlands.

For this study, about 500 adults with tinnitus were assigned to the combination therapy group, or to "usual" care, which itself was very intensive, involving more than two hours of initial testing followed by multiple visits with a social worker.

Those assigned to the combination therapy, referred to as "specialized care," showed more improvement in health-related quality of life over the course of a year, a reduction in the severity of the tinnitus, as well as less impairment from the condition, the investigators found.

Specialized care included the same initial testing period as usual care, followed by assessment by a clinical psychologist and group sessions with movement therapists, physical therapists, speech therapists and social workers.

In the end, it was the uber-intensive specialized care that benefited people with both mild and severe tinnitus the most, the study found.

This specialized combination care really was not a dramatic departure from the tinnitus retraining therapy and cognitive behavioral therapy used individually in the United States, Seidman said.

And it's unclear if this intensive combination approach, which relies on the expertise of many different specialists, could be implemented in the United States with its different population and vastly different health care system, Smouha said.

"What they did is very intensive, consisting of hours and hours of counseling and coming back for sessions," Smouha pointed out. And the combination therapy used in the study really "doesn't differ much from what we refer to as tinnitus retraining therapy," he added.

In the United States, retraining therapy can cost $3,000 to $5,000 and require a commitment of two years, Seidman noted.

More information

The U.S. National Institute on Deafness and Other Communication Disorders has more on tinnitus.

SOURCES: Michael Seidman, M.D., director, division of otologic/neurotologic surgery, Henry Ford Health System, Detroit; Eric Smouha, M.D., associate professor of otolaryngology and director of otology and neurotology, Mount Sinai School of Medicine, New York City; May 26, 2012, The Lancet

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Short-Term Drug Combo May Help Prevent Colon Cancer
2. Bone Marrow Cancer Patients May Benefit From Drug Combo
3. Drug Combo Staves Off Type 2 Diabetes
4. Binge Drinking, Hypertension a Deadly Combo
5. Exercise Combo Best for Type 2 Diabetes
6. New combo lung cancer therapy improves survival over single-line treatment
7. In Women, Diabetes Plus Depression a Deadly Combo
8. Risks May Outweigh Benefits for Blood Pressure Drug Combo
9. Diet-Exercise Combo Seems to Work Best for Obese Seniors
10. Low-Intensity Exercise, Drug Combo Can Help Parkinsons Patients, Studies Show
11. Alcohol-Energy Drink Combo Riskier Than Booze Alone, Study Says
Post Your Comments:
Related Image:
Combo Therapy May Help Ease 'Ringing in the Ears'
(Date:6/25/2016)... ... ... Austin residents seeking Mohs surgery services, can now turn to Dr. Jessica Scruggs ... for medical and surgical dermatology. , Dr. Dorsey brings specialization to include Mohs surgery, ... Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn Goldstein, MD, ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern ... Laude and his M.D from the David Geffen School of Medicine at UCLA. He ... Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article ... people are unfamiliar with. The article goes on to state that individuals are now ... of these less common operations such as calf and cheek reduction. The Los Angeles ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... in Dallas that it will receive two significant new grants to support its ... PHA marked its 25th anniversary by recognizing patients, medical professionals and scientists for ...
(Date:6/24/2016)... Rhinebeck, NY (PRWEB) , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of ... of companies that call for a minimum wage raise to $12 an hour by 2020 ... wage. This will restore the lost value of the minimum wage, assure the wage floor ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Calif. , June 24, 2016  American Respiratory Labs (ARL), ... is now able to perform sophisticated lung assessments in patients, homes, ... , Inc. Patients are no longer limited to ... EasyOne PRO ® , ARL patients like Jeanne R. of ... in the comfort of her own home. ...
(Date:6/24/2016)... 2016 According to a new ... Pen Needles, Safety Pen Needles), Needle Length (4mm, 5mm, ... Mode of Purchase (Retail, Non-Retail) - Trends & Global ... the market for the forecast period of 2016 to ... Billion by 2021 from USD 1.65 Billion in 2016, ...
(Date:6/24/2016)... NAMUR , Belgium , ...  (NYSE MKT: VNRX), today announced the appointment of ... Board of Directors as a Non-Executive Director, effective ... the Company,s Audit, Compensation and Nominations and Governance ... Board, Dr. Futcher will provide independent expertise and ...
Breaking Medicine Technology: