I am an Audiophile and appreciate listening to music that is reproduced through a high quality audio system and used to listen to music through High-End headphones that eventually caused tinnitus due to listening at high volume levels that I didn't think were harmful. I haven't used headphones for the passed 21 years. I now listen to music through my HI-FI system and haven't missed headphones in the slightest. My views on headphone use and tinnitus are primarily for when it was caused by "exposure to loud noise" I have written posts on this and the most resent is below.
Michael
My views on headphone use apply to people whose tinnitus was caused by "noise exposure". Tinnitus caused by other problems not associated with noise trauma to the auditory system may not be so easily affected by headphone use. When a GP or ENT doctor, tells a tinnitus patient that has suffered tinnitus from noise trauma, there is no problem with headphones as long as the volume is kept low, they are telling the patient what they want to hear, they don't really know of the risks. These people are good health professionals but the majority of them have never experienced tinnitus or know of the emotional impact that it has on an individual. They won't be the one that's going through the suffering if the tinnitus gets worse due to headphone use.
It is true, some people with noise-induced tinnitus are not affected by headphone use but I believe there is always a risk. Someone that I used to counsel, was told by her Audiologist headphone use is perfectly okay as long as the volume is kept low. The person in question used headphones keeping the volume low, and her tinnitus and hyperacusis become unbearably loud.
https://www.tinnitustalk.com/threads/headphones-and-tinnitus.12062/