@Allan1967
Noise induced tinnitus is different from other types of tinnitus, as the cochlea, in the inner ear has become traumatized by loud noise. As is often the case the whole of the auditory system including the auditory pathways in the brain have also been traumatized by sound. It is for this reason hyperacusis (sensitivity to sound) often (but not always) accompanies those that have tinnitus caused by noise trauma.
For this reason I advise people that have noise induced tinnitus, not to use headphones even at low volume. I have corresponded and counselled many people with NIT over the years that have used headphones at low volume after they have habituated. In the majority of cases their tinnitus has increased. I know some people with NIT use headphones and have no problems but there is always a risk of the tinnitus becoming worse, and if it does, usually it will not return to its previous baseline level.
Tinnitus caused by stress, medication, an underlying medical problem within the ear or elsewhere in the body is different as the inner ear and auditory system have not been affected or traumatized by loud noise. The majority of these people will not be overly sensitive to sound as people with noise induced tinnitus. Therefore, hyperacusis is not normally present. This is not to say their tinnitus will not be sensitive to certain sounds but it is not the same as someone with NIT.
I do not believe there is a condition called Reactive Tinnitus so will not be answering questions on it, as I've discussed it many times in TT. It was a term made up in tinnitus forums. Some people have latched onto the term and say it is treatable by using sound therapy and want to separate it from hyperacusis, but I do not believe this is the case. Reactive tinnitus is hyperacusis and it comes in different levels of severity. It can improve by itself without treatment over time. In more serious circumstances, self help using sound therapy or with white noise generators as part of CBT or TRT where counselling is involved with a Hearing Therapist or Audiologist trained in the management and treatment of tinnitus and hyperacusis.
Michael