How Do You Adapt to / Live with a Very Reactive Tinnitus?

[SilverSpiral]

@Michael Leigh

Great, you do that.

You need to understand that you are the authority on everything tinnitus. The term Grand Poobah comes to mind when thinking of you - not in the reverential sense, but the opposite. One that comes from a place of extreme self-importance - haughty and pompous.

I am not the first or last to speak out against Michael's abuse, but unfortunately my voice has been silenced several times on this forum when trying to address his behavior.

I have been informed that he has a tendency to bait those who disagree with him (or use things like logic or research references) into arguements that result in moderation actions taking place, which in turn acts as damage control for him, and allows his bizarre rhetoric to proliferate.

I do not have the answers to this condition, but I am searching, and I will not be mislead by those who claim they do as I have been in the past, especially when they further try to censor constructive criticism and discussion.

 

[Michael Leigh]

Hyperaucusis which some erronously call reactive tinnitus of which there is no such thing. Will always remain a problem if it is not treated or cured. Sometimes it can be cured naturally which I have mentioned in my post: Hyperacusis, As I see it. In more severe circumstances desensitisation of the auditory system may be required by wearing white noise generators and preferably backed up with tinnitus counselling.

Michael

 

[SilverSpiral]

Hyperaucusis which some erroneusly call reactive tinnitus, of which there is no such thing, will always remain a problem if it is not treated or cured. Sometimes it can be cured naturally which I have mentioned in my post: Hyperacusis, As I see it. In more severe circumstances desensitisation of the auditory system may be required by wearing white noise generators and preferably backed up with tinnitus counselling.

Michael

There is more evidence for reactive tinnitus existing than there is for your beloved Ginkgo Biloba curing tinnitus as you claim. Will Sedley has indicated this in his recent presentation, and he is a professional researching this condition.

Your unique and bizarre version of TRT is equally open to criticism.(well theoretically it is, trying to have an actual conversation with you is obviously impossible as your pompous nature deems me too low to even speak to).

Reactive tinnitus is just a word used to describe something a whole bunch of people are suffering from, why are you harassing them?

Just like hyperacusis is just a word used to describe a set of symptoms. If we don't use defining words to define different symptoms how can each individual symptom be treated? What is there to gain by you trying to merge every hearing condition into the term "hyperacusis"?

 

[Zinnia]

@Michael Leigh

Great, you do that.

You need to understand that you are the authority on everything tinnitus. The term Grand Poobah comes to mind when thinking of you - not in the reverential sense, but the opposite. One that comes from a place of extreme self-importance - haughty and pompous.

lol, BIG BIG mistake made on my post to @Michael Leigh... (ML, don't go thinking that my typo is some kind of sign, now.... mm'kay there, big guy) Here's the corrected version:

You need to understand that you are not the authority on everything tinnitus. The term Grand Poobah comes to mind when thinking of you - not in the reverential sense, but the opposite. One that comes from a place of extreme self-importance - haughty and pompous.

 

[threefirefour]

lol, BIG BIG mistake made on my post to @Michael Leigh... (ML, don't go thinking that my typo is some kind of sign, now.... mm'kay there, big guy) Here's the corrected version:

You need to understand that you are not the authority on everything tinnitus. The term Grand Poobah comes to mind when thinking of you - not in the reverential sense, but the opposite. One that comes from a place of extreme self-importance - haughty and pompous.

I don't dislike Michael, but he's very narrow minded about reactive tinnitus and TRT. It's worth pointing out that he's not alone, and there's a lot of tinnitus doctors/researchers that instantly shove their heads up their ass so far they can see their teeth whenever they hear the words "reactive tinnitus". I get that it's similar to hyperacusis and it may very well be treatable or similar to hyperacusis, but that doesn't mean it doesn't exist. I don't know why people like Mike and these doctors don't want to recognize a real tinnitus phenomenon when it clearly exists

 

[Tinker Bell]

I don't dislike Michael, but he's very narrow minded about reactive tinnitus and TRT. It's worth pointing out that he's not alone, and there's a lot of tinnitus doctors/researchers that instantly shove their heads up their ass so far they can see their teeth whenever they hear the words "reactive tinnitus". I get that it's similar to hyperacusis and it may very well be treatable or similar to hyperacusis, but that doesn't mean it doesn't exist. I don't know why people like Mike and these doctors don't want to recognize a real tinnitus phenomenon when it clearly exists

An ear specialist told me that reactive tinnitus falls under the umbrella of hyperacusis; that hyperacusis is a general term for a wide range of conditions caused by a collapsed sound tolerance.

Phonophobia, a fear of loud noises, is sometimes clumped under hyperacusis as well. And just like phonophobia, reactive tinnitus is still very much a real condition.

I do not get the point of denying that members suffer from reactive tinnitus. I certainly would not deny that anyone suffers from phonophobia.

Because the subject has been brought up, I think it important to recognize that experience does not equal expertise. For example, I have had an eye condition my entire life. I am not an expert on that condition nor am I an expert on everyone's form of that condition. What I am an expert on is how I personally have coped with the condition. I can speak to that and share anecdotes from others, but I am not an expert on all facets of the condition, recent research, nor related technology.

 

[threefirefour]

An ear specialist told me that reactive tinnitus falls under the umbrella of hyperacusis; that hyperacusis is a general term for a wide range of conditions caused by a collapsed sound tolerance.

Phonophobia, a fear of loud noises, is sometimes clumped under hyperacusis as well. And just like phonophobia, reactive tinnitus is still very much a real condition.

I do not get the point of denying that members suffer from reactive tinnitus. I certainly would not deny that anyone suffers from phonophobia.

Because the subject has been brought up, I think it important to recognize that experience does not equal expertise. For example, I have had an eye condition my entire life. I am not an expert on that condition nor am I an expert on everyone's form of that condition. What I am an expert on is how I personally have coped with the condition. I can speak to that and share anecdotes from others, but I am not an expert on all facets of the condition, recent research, nor related technology.

I could believe that reactive tinnitus is a form of hyperacusis, but not that it doesn't exist. Michael Leigh says that it is, therefore "reactive" tinnitus isn't a real form of tinnitus.

First off, I would like to address his claim that reactive tinnitus is most likely a ruse perpetuated by hearing professionals as a "seperate but treatable" thing from hyperacusis. He brings this up with no evidence, and no reason to believe this is the case when the opposite appears to be the most true. Also I think it's funny that he thinks that this is a ruse, but TRT and those "hearing regenerating headphones" aren't.

Secondly, even if Hyperacusis and RT are on the same spectrum, then it doesn't help to tell people that RT doesn't exist, as it clearly has an effect on tinnitus, whereas Hyperacusis may not always have an effect on tinnitus. They're clearly different, and trying to demolish an already established definition isn't helping the dialogue.

 

[SilverSpiral]

I could believe that reactive tinnitus is a form of hyperacusis, but not that it doesn't exist. Michael Leigh says that it is, therefore "reactive" tinnitus isn't a real form of tinnitus.

First off, I would like to address his claim that reactive tinnitus is most likely a ruse perpetuated by hearing professionals as a "seperate but treatable" thing from hyperacusis. He brings this up with no evidence, and no reason to believe this is the case when the opposite appears to be the most true. Also I think it's funny that he thinks that this is a ruse, but TRT and those "hearing regenerating headphones" aren't.

Secondly, even if Hyperacusis and RT are on the same spectrum, then it doesn't help to tell people that RT doesn't exist, as it clearly has an effect on tinnitus, whereas Hyperacusis may not always have an effect on tinnitus. They're clearly different, and trying to demolish an already established definition isn't helping the dialogue.

I suspect the reason Michael is so suspicious of people who study the human hearing mechanism today, is because he is so deeply caught up in the TRT rhetoric he learned upwards of 21 years ago or something. A treatment which efficacy should be openly discussed, since it costs several thousand dollars in nearly every country besides his own. It is certainly not offered by my countries public healthcare, and that may have something to do with the fact that it's efficacy data is lacking.

Some have outright suggested that ML is literally a TRT "shill". That he is literally here to advertise TRT subversively. I wouldn't go that far, I think he just has a hard time learning new things, and knows what he knows about tinnitus from what he experienced 21 years ago, and he's really not interested in new research, since his tinnitus doesn't actually bother him much anymore, so he has no motivation to learn new information about it. His tinnitus is manageable and he can enjoy music and brag about it and post it in threads where you are asking for help for a condition where you can't enjoy music anymore.

Thats my opinion and experience at least...

 

[threefirefour]

Well Michael is no doctor

I suspect the reason Michael is so suspicious of people who study the human hearing mechanism today, is because he is so deeply caught up in the TRT he took upwards of 21 years ago or something. A treatment which efficacy should be openly discussed, since it costs several thousand dollars in nearly every country besides his own. It is certainly not offered by my countries public healthcare, and that may have something to do with the fact that it's efficacy data is lacking.

Some have outright suggested that ML is literally a TRT "shill". I wouldn't go that far, I think he just has a hard time learning new things, and knows what he knows about tinnitus from what he experienced 21 years ago which is apparently.

That was me. I called him the TRT shill. I don't mean that in the literal sense that they're bribing him to post good comments about it, but that he constantly argues in favor of it whenever someone says it's bad.

And it is certainly interesting that TRT, despite having run a couple experiments on how effective it is, have not released the result of these experiments. Pretty obvious why. There is a TRT experiment that claims it will publish it's conclusion in January 2018, and I highly doubt this because it's probably not what the people studying this want. It's probably going to show no significant help between those who did and didn't undergo TRT. My personal theory is that on a subconsious level, Mike knows this is true.

During the recent ATA conference, the primary point of focus was on TRT, expanding it, donations to TRT research, and what it's future holds. This is why I hate it. This is why I consider it to be an obstruction. Because it's a needless drain on resources that could be allocated to research. I hope that the research shows that TRT is ineffective and it is no longer seen as a good treatment so the tinnitus community can finally move on. Basically for the good of advancing in tinnitus research, TRT needs to die.

 

[SilverSpiral]

That was me. I called him the TRT shill. I don't mean that in the literal sense that they're bribing him to post good comments about it, but that he constantly argues in favor of it whenever someone says it's bad.

And it is certainly interesting that TRT, despite having run a couple experiments on how effective it is, have not released the result of these experiments. Pretty obvious why. There is a TRT experiment that claims it will publish it's conclusion in January 2018, and I highly doubt this because it's probably not what the people studying this want. It's probably going to show no significant help between those who did and didn't undergo TRT. My personal theory is that on a subconsious level, Mike knows this is true.

During the recent ATA conference, the primary point of focus was on TRT, expanding it, donations to TRT research, and what it's future holds. This is why I hate it. This is why I consider it to be an obstruction. Because it's a needless drain on resources that could be allocated to research. I hope that the research shows that TRT is ineffective and it is no longer seen as a good treatment so the tinnitus community can finally move on. Basically for the good of advancing in tinnitus research, TRT needs to die.

Yeah All I know, is that synaptic damage and glial scarring have been indicated to be important aspects of hearing loss/damage and likely related to the pain experienced in someone with hyperacusis caused by an acoustic trauma. There are very recent studies regarding this, the study of "hidden hearing loss". This is about the time he decided to start ignoring me, right when I start trying to talk about the actual biological pathology related to acoustic trauma and how it relates to this condition.

These kinds of hearing loss and damage are previously undetected on standard audiograms. This kind of information simply is not useful to his outdated TRT rhetoric, so he takes offense to it.

Really if we are working on any form of treatment, any new information about this condition must be integrated into the treatment for the condition.

 

[threefirefour]

Yeah All I know, is that synaptic damage and glial scarring have been indicated to be important aspects of hearing loss/damage and likely related to the pain experienced in someone with hyperacusis caused by an acoustic trauma. There are very recent studies regarding this, the study of "hidden hearing loss". This is about the time he decided to start ignoring me, right when I start trying to talk about the actual biological pathology related to acoustic trauma and how it relates to this condition.

These kinds of hearing loss and damage are previously undetected on standard audiograms. This kind of information simply is not useful to his outdated TRT rhetoric, so he takes offense to it.

Really if we are working on any form of treatment, any new information about this condition must be integrated into the treatment for the condition.

What pisses me off is that he always has some sort of answer for why TRT sucks. One person on a thread I made said that TRT did not help him at all, and he went through it with Jastreboff himself. Mike's response: "Well that wasn't TRT done right", despite the fact it was done by the person who invented it. When something can't be wrong, and when something goes wrong "it's always the fault of some outside factor", then you know it's pseudo-science.

 

[SilverSpiral]

What pisses me off is that he always has some sort of answer for why TRT sucks. One person on a thread I made said that TRT did not help him at all, and he went through it with Jastreboff himself. Mike's response: "Well that wasn't TRT done right", despite the fact it was done by the person who invented it. When something can't be wrong, and when something goes wrong "it's always the fault of some outside factor", then you know it's pseudo-science.

Yeah countless times, every person who has had a negative experience from TRT he always says it was the fault of the practitioner or something, or the wrong clinic, but the thing is, even the treatment he seems to describe himself, isn't exactly what i've read most local TRT clinics offer at least...

 

[PaulBe]

Saw a prominent ENT who runs a T clinic.. he said that about 20% of the patients he sees have "reactive" T and he does not believe that it is H.

My take on this is that there is some cross definition here. We can't get into each others heads to hear what each other hears (and feels...it can be vaguely tactile too). I think (using my own case) that there are levels of tinnitus where the right pitch and volume can catch and alter your usual perceptions of various sounds, which is what a number of us probably define as hyperacusis. Many of us have described good and bad days, which implies that tinnitus can routinely cycle in intensity and presentation, (excluding the acute "spike" events). Others seem to experience hyperacusis in sheer volume terms. A lot of sound practitioners here are moving to using the term hyperacusis as something of a blanket term to cover a range of descriptions of sound intolerance.

 

[Michael Leigh]

I could believe that reactive tinnitus is a form of hyperacusis, but not that it doesn't exist. Michael Leigh says that it is, therefore "reactive" tinnitus isn't a real form of tinnitus.

With respect to those in this forum that believe there is such a thing called "reactive tinnitus", you will go on believing in this regardless of what I, or other people with many years experience in tinnitus and hyperacusis say that there is no such thing. It was a term made up in tinnnitus forums by people in distress with over sensitivity to their auditory system. In most cases (but not all) this over sensitivity to sound is caused by exposure to loud noise.

Whether one likes it or not, there are only two ways hyperacusis or so-called "reactive tinnitus" can improve. The first is naturally without treatment meaning the condition improves over time. One can use sound therapy at home and slowly introduce themselves to normal everyday sounds to help desensitise the auditory system. When necessary "noise reducing" earplugs should be used but I stress they shouldn't be overused. I have covered this in my post: Hyperacusis, As I see it. The second method is having professional treatment with a Hearing Therapist or Audiologist, that is trained in the treatment and management of tinnitus and hyperacusis. Sound therapy is used in the form of wearing two white noise generators to desensitise the auditory system and is backed up with regular counselling. This treatment is called TRT.

Some clinics practice a new treatment called TDT (Tinnitus Desensitisation Therapy) In my opinion this is a simplified version of TRT called by another name but with an important element removed which is regular counselling. Hyperacusis is not only a physical problem but often a psychological one too and for this reason counselling may be needed to address the fear and negative thinking that is often associated with tinnitus and hyperacusis.

Just read the many posts in this forum and on tinnitus talk chat, from people that are in distress and unknowingly keep negativity at the forefront of their mind and thus, rarely make improvement unless this mindset is changed. They find themselves in an ideal environment with like-minded people and feel a real sense of camaraderie and true concord. Forums and other social media platforms are perfect places for this. Some people believe wearing ear protection will help the problem but unfortunately it doesn't and often makes it worse. I have covered this in many posts on my started threads.

I don't dislike Michael, but he's very narrow minded about reactive tinnitus and TRT.

On the contrary @threefirefour I don't believe that I am narrow-minded. The advice that I give in this forum is based on many years experience with tinnitus, hyperacusis and counselling people with these conditions. No two people will experience them the same and therefore, my advice should be viewed as a guide and for information. Each person will have to address his or her tinnitus and hyperacusis in the way they think best. These conditions can take many months to improve and up to two years for some to habituate. This has to be backed up with positive thinking, as a negative mindset will delay or prevent the habituation process. There are posts on my "started threads" advising how one can start to acquire positive thinking. It is something that is often overlooked but vitally important if one wants to improve their quality of life.

Those that believe that there is a condition called "Reactive tinnitus" I will mention the following. Although tinnitus, hyperacusis and reactive tinnitus can improve with time and without treatment. In more severe cases one will have to seek the help of the healthcare professionals that I've mentioned above, as this isn't the field for an ENT doctor. ENT doctors treat the ear medically or surgically and any underlying medical problem associated with it. I believe the majority do this well. They are not counsellors or practice tinnitus and hyperacusis treatment and management with patients.

Michael

 

[Tinker Bell]

Well the above just illustrated my point.

We go on believing what we do because we personally experience it. I have a family member with more than 20 years experience with tinnitus. His tinnitus is not reactive, yet he does not doubt that mine is simply because he has not experienced it for himself.

 

[Screamin Ears]

My take on this is that there is some cross definition here.

I'm not exactly 100% sure what people are referring to when they use the term RT, is it that their T is made worse by certain sounds? i know this exists as i have experienced it.
Do they mean that H makes their T worse, in regards to this i'm not sure what to believe as i had an audiologist/TRT therapist who is regarded as the best in my country tell me that when H is brought under control that T decreases, which a leading TRT therapist in the US said is wrong and that H has no effect on T.

 

[Lorac]

My deaf ear reacts to each sound my good ear takes in. I hear and feel noise in the deaf ear with every sound introduced in the good ear. You can call it reactive tinnitus or hyperacusis or recruitment. I think it's all of the above. You can also throw in misophonia and phonophobia because I do fear and dislike sound at times. That being said, I do want sound in my life. I want spoken conversations. I want audio cues in my environment to help me negotiate life. I don't want to be 100% deaf.
It isn't a one size fits all treatment because our situations differ from one another. Some of you hate being in silent rooms because your tinnitus drives you crazy in silent rooms. I love silent rooms! Maskers or TRT might be right for you but not for me. There is also the ongoing argument about overprotecting versus underprotecting. I used earplugs much more often in the beginning of this ordeal because I felt I needed to. I carry them with me now but I don't often use them. All sound is uncomfortable to me but I know where to draw the line, and my line is going to be in a different place than your line.
I know my own T and H and I can tell you what helps me. I don't know yours. I can try to understand you but I'm not an expert and I can't dole out advice to you, just support.

 

[dpdx]

Hyperaucusis which some erronously call reactive tinnitus of which there is no such thing. Will always remain a problem if it is not treated or cured. Sometimes it can be cured naturally which I have mentioned in my post: Hyperacusis, As I see it. In more severe circumstances desensitisation of the auditory system may be required by wearing white noise generators and preferably backed up with tinnitus counselling.

Michael

I think H can be cured only by doing TRT therapy.

 

[GregCA]

I think H can be cured only by doing TRT therapy.

It depends on the root cause for your H. My H got cured with middle ear surgery.

 

[dpdx]

It depends on the root cause for your H. My H got cured with middle ear surgery.

I got H from overprotecting my ears from moderate noises.

 

[Michael Leigh]

I think H can be cured only by doing TRT therapy.

Not necessarily @dpdx. Hyperacusis like tinnitus comes in different levels of severity and it also depends what has caused the hyperacusis? If it caused by exposure to loud noise, which is the most common. It can improve over time using methods that I've mentioned in my post: Hyperacusis, As I see it: https://www.tinnitustalk.com/threads/hyperacusis-as-i-see-it.19174/

In more severe cases the wearing of white noise generators will be required and used as part of TRT and ideally with counselling. My hyperacusis has been completely cured for 18 years having used this treatment for 2 years. Results will vary between people. The only way hyperaucusis can be treated, which is oversensitivity to sound, is for the auditory system to be desensitised and this takes time whatever method one uses.

Michael

 

[threefirefour]

With respect to those in this forum that believe there is such a thing called "reactive tinnitus", you will go on believing in this regardless of what I, or other people with many years experience in tinnitus and hyperacusis say that there is no such thing. It was a term made up in tinnnitus forums by people in distress with over sensitivity to their auditory system. In most cases (but not all) this over sensitivity to sound is caused by exposure to loud noise.

Whether one likes it or not, there are only two ways hyperacusis or so-called "reactive tinnitus" can improve. The first is naturally without treatment meaning the condition improves over time. One can use sound therapy at home and slowly introduce themselves to normal everyday sounds to help desensitise the auditory system. When necessary "noise reducing" earplugs should be used but I stress they shouldn't be overused. I have covered this in my post: Hyperacusis, As I see it. The second method is having professional treatment with a Hearing Therapist or Audiologist, that is trained in the treatment and management of tinnitus and hyperacusis. Sound therapy is used in the form of wearing two white noise generators to desensitise the auditory system and is backed up with regular counselling. This treatment is called TRT.

Some clinics practice a new treatment called TDT (Tinnitus Desensitisation Therapy) In my opinion this is a simplified version of TRT called by another name but with an important element removed which is regular counselling. Hyperacusis is not only a physical problem but often a psychological one too and for this reason counselling may be needed to address the fear and negative thinking that is often associated with tinnitus and hyperacusis.

Just read the many posts in this forum and on tinnitus talk chat, from people that are in distress and unknowingly keep negativity at the forefront of their mind and thus, rarely make improvement unless this mindset is changed. They find themselves in an ideal environment with like-minded people and feel a real sense of camaraderie and true concord. Forums and other social media platforms are perfect places for this. Some people believe wearing ear protection will help the problem but unfortunately it doesn't and often makes it worse. I have covered this in many posts on my started threads.

On the contrary @threefirefour I don't believe that I am narrow-minded. The advice that I give in this forum is based on many years experience with tinnitus, hyperacusis and counselling people with these conditions. No two people will experience them the same and therefore, my advice should be viewed as a guide and for information. Each person will have to address his or her tinnitus and hyperacusis in the way they think best. These conditions can take many months to improve and up to two years for some to habituate. This has to be backed up with positive thinking, as a negative mindset will delay or prevent the habituation process. There are posts on my "started threads" advising how one can start to acquire positive thinking. It is something that is often overlooked but vitally important if one wants to improve their quality of life.

Those that believe that there is a condition called "Reactive tinnitus" I will mention the following. Although tinnitus, hyperacusis and reactive tinnitus can improve with time and without treatment. In more severe cases one will have to seek the help of the healthcare professionals that I've mentioned above, as this isn't the field for an ENT doctor. ENT doctors treat the ear medically or surgically and any underlying medical problem associated with it. I believe the majority do this well. They are not counsellors or practice tinnitus and hyperacusis treatment and management with patients.

Michael

That's a lot of text but I don't think you addressed the issue. You're saying what you usually say when that's what folks like Me, Zinnia, and SilverSpiral are putting into question.

 

[Michael Leigh]

That's a lot of text but I don't think you addressed the issue. You're saying what you usually say when that's what folks like Me, Zinnia, and SilverSpiral are putting into question.

You are entitled to your opinion on what I've written but the facts are this: Over sensitivity to sound caused by noise induced tinnitus (or not) can improve with time. In some cases this needs professional help in the manner I've mentioned. Unless this happens the problem will always remain and habituation to tinnitus will not occur. Whether the people you mention choose to do something about it is their concern. My post was meant for other forum members that might read this thread and find it helpful.

I wish you well
Michael

 

[threefirefour]

You are entitled to your opinion on what I've written but the facts are this: Over sensitivity to sound caused by noise induced tinnitus (or not) can improve with time. In some cases this needs professional help in the manner I've mentioned. Unless this happens the problem will always remain and habituation to tinnitus will not occur. Whether the people you mention choose to do something about it is their concern. My post was meant for other forum members that might read this thread and find it helpful.

I wish you well
Michael

You posted it as a retort to the criticisms that Me and the others have raised. It looks like you were doging the question. Plus the fact you've already said something like this earlier in the thread.

 

[SilverSpiral]

You are entitled to your opinion on what I've written but the facts are this: Over sensitivity to sound caused by noise induced tinnitus (or not) can improve with time. In some cases this needs professional help in the manner I've mentioned. Unless this happens the problem will always remain and habituation to tinnitus will not occur. Whether the people you mention choose to do something about it is their concern. My post was meant for other forum members that might read this thread and find it helpful.

I wish you well
Michael

Are you able to interact with others in a way that doesn't serve your ego? Are you able to have an actual discussion about the biological pathology that causes these hearing conditions in the first place? Are you able to reference anything other than your own opinion?

 

[Michael Leigh]

You posted it as a retort to the criticisms that Me and the others have raised. It looks like you were doging the question. Plus the fact you've already said something like this earlier in the thread.

You have been respectful and well mannered so far and hopefully you keep it this way. I will not be posting further on this topic as I've said my piece.

All the best
Michael

 

[glynis]

I don't have my own views on this thread but it lead me in to reading up about it..
Below is what I found so have coppied it.
Take note on REACTIVE tinnitus...love glynis

Definitions
What is Hyperacusis?

The lack of consistency in defining hyperacusis is frustrating for researchers and patients alike. The following are the most common definitions for terms related to hyperacusis and decreased sound tolerance.

• Decreased Sound Tolerance- Present when every day sounds cause a negative reaction. This includes most of the conditions listed below.
• Hyperacusis- Present when every day sounds are perceived as being uncomfortably loud or cause physical pain. Negative reactions to sound caused by something other than uncomfortable loudness or pain (e.g. fear, distortion, tinnitus, annoyance) is not defined as hyperacusis. Misuse of the term "hyperacusis" is common.
  • There is a push to replace the often misused "hyperacusis" with "pain hyperacusis" and "loudness hyperacusis" (Tyler 2014). This adds clarity to the meaning of the terms and splits into subtypes where detailed mechanisms will surely have differences. While these two types generally occur together, there is a portion of hyperacusis patients that present loudness hyperacusis without pain and a portion that present pain hyperacusis without increased loudness sensation.
    • Pain Hyperacusis- Present when sounds trigger pain in the ear below common pain thresholds (120 dB).
    • Loudness Hyperacusis- Present when moderately intense sounds are perceived as being uncomfortably loud.
  • The term hearing sensitivity is discouraged as the meaning is ambiguous and it can inaccurately suggests the ability to detect sounds that others cannot hear.
• Misophonia- Present when everyday sounds cause a negative emotional reaction. Examples of emotions that can be triggered from sound include annoyance, rage and fear. Other researchers wish to drop usage of the term misophonia and instead split this into fear hyperacusis and annoyance hyperacusis in order to to simplify naming and make the terms easier to interpret by the general public.
• Phonophobia- Present when everyday sounds cause fear (subset of misophonia). Other researchers wish to call this fear hyperacusis in order to make the term easier to interpret by the general public. For some, this is more directly linked to a fear of re-injury or long-term setback.
• Vestibular Hyperacusis- Present when everyday sounds induce disordered balance or vertigo. This is commonly referred to as Tullio's Phenomenon.
• Reactive Tinnitus- Present when everyday sounds increase tinnitus activity. This is not a term used in research literature but commonly used by tinnitus patients. Winding-up and kindling are terms sometimes used to describe similar effects.

 

[threefirefour]

Are you able to interact with others in a way that doesn't serve your ego? Are you able to have an actual discussion about the biological pathology that causes these hearing conditions in the first place? Are you able to reference anything other than your own opinion?

He left the thread. I still feel like he is dodging the question because he can't answer it, and left the thread because we called him out on it. Basically damage control.

 

[SilverSpiral]

And here is an article that references hearing distortion. Michael simply will not acknowledge the existence of hearing conditions he has not experienced himself.
http://www.whirledfoundation.org/wp...stortion-Associated-with-Menieres-disease.pdf

 

[Michael Leigh]

He left the thread. I still feel like he is dodging the question because he can't answer it, and left the thread because we called him out on it. Basically damage control.

I left the thread because there is nothing more to say on this topic and because I am right.

Michael