Please read this carefully, it might and should change your T for the better.
Been having T since 2015. It was really bad 2 years ago to the point of not being able to work or sleep. As if a plane engine was inside your head.
I really think the root cause is multiple and perhaps simultaneous factors: loud noises, stress, anxiety, muscles around the ears, diet, blood flow, and so on.
2 years later, it is much better and I can almost control it entirely. I have tried everything you can think of in those 2 years.
Naps do trigger it off for me. Rarely the opposite. Sometimes even resting without sleeping helps a lot. Exercising does the same. I can have slight T before exercising, only to be gone right after exercising. Same applies to eating a meal (it goes off after eating), or taking a warm shower.
So my conclusion is it is related to some kind of brain blood flow, stress level, or inflammation in the brain or hearing canal. MRI scan was good, so nothing "medically" wrong with the ear itself.
If I sleep well for a whole week, exercise, I can have zero T for that week. Opposite is true as well.
Here is the list of things that helped the most:
1. Cranial massage. Get an expert to do it for you, I had a huge difference after 6 sessions. During the cranial massage, I noticed it would trigger it on or completely off, but it always goes off 30 min after the end of the massage. The following days or weeks are much better. My cranial massage includes facial and upper back areas as well.
2. Sleep a lot, as much as you can. Quality of sleep is very important, try to sleep early.
3. Exercise at least twice a week. Burn at least 400 calories a week min.
4. Take warm showers. It relaxes the body and increases blood flow around the ears, at least that's what I think.
5. Eat your meals on time. Add anti-inflammatory foods (google it). List of vitamins that I take: B12, Zinc, fish oil, Gingko, and sometimes multi-vitamins.
6. Take as many naps as you can. After work helps a lot, or when physically exhausted.
7. Stay calm, avoid panicking, avoid being down or depressed, look ahead and be positive. Think it can be gone instead of the opposite. Think of it as a challenge that has to be dealt with. Panicking is your worst enemy.
8. Put ear plugs around loud noises: train, busses, etc. Noise cancelling headphones work as well.
9. Avoid lots of coffee, sugar, salt. Don't ask me why.
10. When T is on, do something pleasant to forget about it: work, movies, take a walk, exercise, etc. Don't let it get to you.
11. Smoking sometimes helps turn off T completely. While I don't ask you to smoke because it's obviously unhealthy, I just state what works for me.
Completely avoid:
1. Loud sounds, music, etc
2. Headphones unless they are extremely low on volume. Just enough to hear. No bass!
3. Stress or anxiety
4. Heavy wind (convertible cars, etc)
5. Motorcycles, avoid them completely. You have been warned!
6. High frequency sounds (alarms, air compressors, and so on)
7. Staying up late or working a lot without rest. It WILL make T worse, guaranteed. Try to get at least 8 hours of sleep. 10 would be perfect.
If you have any questions, feel free to ask!
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