Hyaluronan (Hyaluronic Acid) + Cortisone Injection to the Middle Ear

[Ozzy]

Hi,

I have been suffering from severe tinnitus for about 10 months. Therefore I visited a
a ENT clinic in Heidelberg / Germany and got information about a new treatment. It is:

Hyaluronan (Hyaluronic Acid) + Cortisone injection
* Therapy consists of injection of this mixture directly to the middle ear (or to inner ear ?? I'm not sure of that)
* They apply injection totally 7 times (once a week)
* Price: Inexpensive. (7 units about 250 Euros = 340 US Dollars)
(This price is only for this above-mentioned mixture . You might have to pay additional price for "the injection")

The owner of the clinic told me, that although this treatment for Tinnitus is not known yet worldwide, they achieved pretty good results in Germany with many patients !

After coming to my home country (I live in Istanbul / Turkey), I began to make a search about this substance, I mean: "Hyaluronan" (Hyaluronic acid). I learned that this substance is found in all living organisms. I also made a discussion with another doctor here. I learned it has many medical uses, as it has tissue-healing properties.
http://en.wikipedia.org/wiki/Hyaluronan

(I'm unsure, but I'm considering to get this treatment. I might order this special mixture from Germany. But I have to find a good doctor here who can make the injection directly to my middle ear. )

Is there someone who got benefit from this therapy? Or have you heard any information about it?

Best Regards,

 

[jes]

What is the name of the Clinic in Heidelberg jes

 

[Ozzy]

Hi Jes,

Name & contact information of the clinic which is giving this treatment:
Company: HNO - Gemeinschaftspraxis
Owners: Florian Heimlich & Angelika Witzel-Heimlich
Address: Karlsruher Strasse 86, 69126 HEIDELBERG / GERMANY
Web-site: http://www.praxis-heimlich.de/
e-mail: info@praxis-heimlich.de
Phone: +49 (0) 6221/314814


(Note: I hereby declare that I do NOT have any kind of connection with this clinic or their owners.)

 

[yonkapin]

Interesting!

 

[nills]

Did they mention a specific time frame to achieve results? should the tinnitus be less than 1 year or did it not matter? ... I`m in Europe in April. might pay them a visit.

 

[seal]

I live about 15 minutes away from Heidelberg, will be there next week tuesday. But I just had a look at their website and they say that it's only for acute Tinnitus (up to 6 months) ... so nothing for most of us...

 

[seal]

Did they mention a specific time frame to achieve results? should the tinnitus be less than 1 year or did it not matter? ... I`m in Europe in April. might pay them a visit.

Yes not longer than 6 months, if you need a translation of anything on their page just let me know.

 

[Erlend]

Yes not longer than 6 months, if you need a translation of anything on their page just let me know.

Isn't acute up to 6 months? Damn

I'm 5.5 months in. Maybe I should do this?

 

[seal]

Isn't acute up to 6 months?

That's what I'm saying, isn't it? They only treat patients with T up to 6 months with this treatment... not with chronic T

 

[Erlend]

That's what I'm saying, isn't it? They only treat patients with T up to 6 months with this treatment... not with chronic T

I don't know how I missed that lol.

 

[seal]

I don't know how I missed that lol.

lol. Maybe you should give it a try, but I must admit from what it says on their page, they offer a lot of expensive treatments, so they seem to be a lot into business if you know what I mean
Tinnitus is always a great business...

 

[Erlend]

They have "homeopathy" under what they do...... Isn't that basically admitting they're not a serious clinic?

http://www.praxis-heimlich.de/unsere-Praxis.html

 

[nills]

I emailed a friend in germany just now and she gave them a call couple minutes ago ...

The person at the clinic said it also works for long term sufferers. There is possibility to full recovery but depends on the patient. They do 5 infusions and also support the treatement with acupuncture. That`s all she found out just now. But enough for me to go and try it

 

[seal]

BTW what they suggest for chronic T: CR neuromodulation, bioresonance therapy and what sounds interesting: pure oxyvenation ( pure oxygen through infusion ) - has anybody tried that?

 

[seal]

They have "homeopathy" under what they do...... Isn't that basically admitting they're not a serious clinic?

http://www.praxis-heimlich.de/unsere-Praxis.html

no, it's common in Germany to also provide acupuncture and other stuff. It's a bit hard to explain, but in the German health system we have an insurance for everybody and private ones. Doctors don't earn a lot with the regular patients so they tend to offer a lot of different treatments the regular insurance doesn't pay ( or only pays in parts) to earn some extra money plus it has become very popular here to try alternative treatments among them acupuncture. we love it over here! so it's basically normal in Germany to offer acupuncture...

 

[seal]

I emailed a friend in germany just now and she gave them a call couple minutes ago ...

The person at the clinic said it also works for long term sufferers. There is possibility to full recovery but depends on the patient. They do 5 infusions and also support the treatement with acupuncture. That`s all she found out just now. But enough for me to go and try it

ok, so maybe I will call them? As I said it's 15 minutes from where I live. But how come their page says it's only meant to be for acute T?

 

[Erlend]

If you can call them and hear some examples of people they've been able to help and their cases.. That would be great

 

[Hopeful]

ok, so maybe I will call them? As I said it's 15 minutes from where I live. But how come their page says it's only meant to be for acute T?

Call them on behalf of this community. Try to get some results. Some trials they have done. That would be highly appreciated.

 

[Hopeful]

What I have heard about cortisone injections is that sometimes it helps if it's injected within the first few days of onset. And the scientific community doesn't even agree on that. Never heard about the acid, though.

 

[seal]

Okay guys, so unfortunately no details on other patients because of patient confidentiality. But I just read in the German Forum that one guy had the treatment done ( 6 weeks into T) and it did nothing for him. What I found out: the treatment is mainly meant to work after a ISSHL with Tinnitus and if it doesn't heal on it's own. So I don't know, nills friend called them too and they said it was also for chronic T... mhh... Unfortunately there are no real studies or trials. There is basically just one ENT professor from the University of Mainz who tested this treatment, but he isn't very trustful IMO because he is a guy from the German Tinnitus League ( has a bad reputation..) And I found out that there are several ENTs all over Germany that offer this treatment, so it is not just available in Heidelberg.

 

[Hopeful]

That's what I heard about the cortisone as well. For sudden deafness.

 

[Ozzy]

As I said, I visited in this clinic last month. In fact, what I really wanted to get "Acoustic Neuromodulation Therapy" which this clinic is also offering. However, I learned there that Acoustic Neuromodulation Therapy is useful only for "tonal" tinnitus cases. (If you hear single-tone continous-siren-like sound, that is "tonal"). Mine is different. It is a hissing sound, like the gushing of the wind, similar to white noise. (It's so hard to describe !)

Unfortunately I learned that, as my tinnitus is not "tonal", I'm not eligible for this therapy. Seeing that I'm not the right person for the treatment, the doctor recommended me this Hyaluronan (Hyaluronic Acid) + Cortisone injection therapy.

If your tinnitus is "tonal", you might try "Acoustic neuromodulation therapy" first.

But Seal is right. Many ENTs in Germany currently offering both therapies. (I must warn that this clinic is in Heidelberg and this city does not have an international airport. That means that first you have to fly to Frankfurt, then take a train or rent a car to reach Heidelberg.) So you might want to get these therapies from another clinic in Germany.

I gave more information (prices etc.) about about Acoustic Neuromodulation Therapy in another post. If you are interested, you can read my message in the following link:

https://www.tinnitustalk.com/threads/acoustic-cr®-neuromodulation-a-new-treatment-for-tinnitus.219/page-9#post-20080

 

[seal]

so Ozzy, are you going to try the hyaluronan and cortison injections?

 

[Ozzy]

Yes, Seal. I want to try that. I've already ordered the mixture (hyaluronan & cortison) from this clinic and requested them to send it via a speed courier like DHL or TNT.

However after calling them, I learned that, instead of a speed courier service, they posted it via normal mail!
2 weeks passed. I'm still awaiting. After I recieve the mixture, I will try to find a good doctor in Istanbul who can make this injection. (Not all ENT doctors can make this kind of specific injection to the middle ear)

I will inform the results after I get the treatment.

 

[seal]

Yes, Seal. I want to try that. I've already ordered the mixture (hyaluronan & cortison) from this clinic and requested them to send it via a speed courier like DHL or TNT.

However after calling them, I learned that, instead of a speed courier service, they posted it via normal mail!
2 weeks past. I'm still awaiting. After I recieve the mixture, I will try to find a good doctor in Istanbul who can make this injection. (Not all ENT doctors can make this kind of specific injection to the middle ear)

I will inform the results after I get the treatment.

cok merci ozzy!!!

 

[Ozzy]

Rica ederim (You're welcome) Seal !

 

[erik]

@Ozzy : I wish you luck with this my friend. I am not sure how these injection treatments would work unless the source of your tinnitus is caused by inflammation or some type of blood restriction to the inner ear. I have not been able to find any studies with this treatment other than a few using cortisone from years ago. Please be careful and good luck.

 

[Ozzy]

@erik: Thank you very much. I learned that cortisone is for inflammation. But the most important component is Hyaluronan (also called hyaluronic acid). This substance has wound-healing properties. I think it is used to heal damaged cochlea. I learned that Hyaluronan is also found in some skin creams.

I found these videos at Youtube link. First link mensions about this substance and inner ear.
Second link is also interesting.

 

[nills]

I took some cortizone pills a couple of years after my onset and it did work en relieved me from a tonal T to a softer hiss ... it came back afterwards

 

[Ozzy]

@nills Yes, but you took pills. However in this treatment they mix cortisone with hyaluronic acid and inject the mixture directly to your middle ear. It might be better. However, as you have a tonal T, you can try more promising "Acoustic neuromodulation therapy", too.