Tinnitus is the perception of sound when no external sound is present. Often described as ringing in the ears, tinnitus can manifest as buzzing, hissing, whooshing, humming, or even musical tones. It affects approximately 15-20% of the population, with higher prevalence among older adults.
While tinnitus itself isn't a disease, it's a symptom that can result from various underlying conditions. Understanding what tinnitus is—and isn't—is the first step toward managing it effectively.
How Tinnitus Sounds
Tinnitus sounds different for everyone. Common descriptions include:
- Ringing — A high-pitched tone, often continuous
- Buzzing — Similar to electrical interference or bees
- Hissing — Like air escaping or static noise
- Whooshing — A rhythmic sound, sometimes matching your heartbeat (pulsatile tinnitus)
- Humming — A low-frequency drone
- Clicking — Sharp, repetitive sounds
The sound may be constant or intermittent, affect one or both ears, and vary in pitch and volume throughout the day.
Types of Tinnitus
Subjective Tinnitus
The most common type, subjective tinnitus can only be heard by the person experiencing it. It accounts for over 99% of all tinnitus cases and is typically caused by auditory nerve or processing issues.
Objective Tinnitus
Rare and accounting for less than 1% of cases, objective tinnitus can be heard by a doctor during examination. It's usually caused by blood vessel problems, muscle contractions, or inner ear bone conditions.
Pulsatile Tinnitus
A subtype where the sound pulses in rhythm with your heartbeat. This often indicates a vascular cause and should be evaluated by a healthcare provider.
Who Gets Tinnitus?
Tinnitus can affect anyone, but certain factors increase risk:
- Age — Most common in people over 50
- Noise exposure — Musicians, construction workers, military personnel
- Hearing loss — Often accompanies age-related or noise-induced hearing loss
- Gender — Slightly more common in men
- Certain medications — Some antibiotics, cancer drugs, and high doses of aspirin
- Health conditions — High blood pressure, cardiovascular disease, diabetes
Is Tinnitus Serious?
For most people, tinnitus is not a sign of a serious medical condition. However, you should see a doctor if:
- Tinnitus develops suddenly without apparent cause
- You experience hearing loss alongside tinnitus
- You have pulsatile tinnitus (rhythmic with heartbeat)
- Tinnitus is only in one ear
- You experience dizziness or balance problems
- Tinnitus significantly impacts your quality of life
The Impact on Daily Life
While tinnitus varies in severity, many people experience:
- Sleep difficulties — The quiet of night makes tinnitus more noticeable
- Concentration problems — Intrusive sounds can disrupt focus
- Emotional distress — Anxiety, frustration, or depression
- Social challenges — Difficulty following conversations
The good news is that effective management strategies exist. With the right approach, the vast majority of people with tinnitus can significantly reduce its impact on their lives.
Moving Forward
Understanding tinnitus is empowering. While there's currently no universal cure, sound therapy and habituation training help 74-84% of people significantly reduce their tinnitus distress. Many report their tinnitus "fading into the background" after consistent treatment.
The StillWell Program combines personalised sound therapy with a structured 12-week habituation program, giving your brain the tools it needs to learn to filter out tinnitus naturally.