Hi Megatron,
I like the sound of your name and thank you for your kind comments.
You are a veteran to tinnitus so will not attempt to tell you how to suck eggs. Various things can cause tinnitus to spike, stress and the loss of someone close. Please accept my condolences on the passing of your mother, I know how it feels for you right now but with time it does get easier. Tomorrow will be 15 years that my mother died and think about her every day. I have little choice as she made all my short sleeve shirts that amass to over one hundred. Each one is unique as there isn't another like it in the world. The compliments I receive from people are too many to count but always appreciated.
If you have been using headphones, earbuds, headsets or AirPods even at low volume this can cause the tinnitus to spike too. As well as working in a noisy environment or listening to music through speakers at high volume. If stress is the cause, then this needs to be managed so advise you talk to your family doctor. Please click on the links below and read my posts.
White noise generators can be helpful and I use them regularly. However, it's important to find out what has caused the spike, whether it's stress or exposure to sound from the sources I have mentioned. White noise generators should be used alongside counselling with an Audiologist or Hearing Therapist that's trained in tinnitus and hyperacusis management. Please go to my started threads and read my posts on TRT.
As a veteran you may not need counselling so if you decide to go ahead the following procedure is what I advise.
White noise generators should be introduced to the ears and auditory system slowly and not used continuously as some therapists tell patients, as this can cause irritation and possibly spike the tinnitus and hyperacusis. Therefore, set the volume of the WNG below the level of the tinnitus and wear them for just 1 or 2 hours then remove them for the same duration. After the elapsed time put them on again setting the volume below the tinnitus and wear them for another 1 or 2 hours. If you notice any irritation reduce the wearing time again.
Continue doing this on day one, two and throughout the week. Continue this process for week two and so on, then gradually increase the wearing time. The goal is to achieve a total wearing time of 6 to 10 hours and many people achieve this. At night white noise generators shouldn't be worn while asleep. Instead use a sound machine by the bedside setting the volume slightly below the tinnitus.
Over time the white noise generators will help to desensitize the auditory system so it becomes less sensitive to sound and thus hyperacusis will reduce. At the same time the tinnitus is treated as the brain will habituate to the white noise generators and slowly push the tinnitus into the background so it becomes less noticeable. This treatment can take up to 18 months and ideally, the patient should have regular counselling with their Hearing Therapist or Audiologist. Counselling helps to remove demystifies the negative thinking that is often associated with tinnitus and hyperacusis. Contrary to some beliefs, hyperacusis can be completely cured using white noise generators or reduced considerably. The same can be achieved naturally without WNG or using self help as described in my post: Hyperacusis, As I See It, on my started threads.
All the best
Michael
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