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Hearing Health

Understanding Tinnitus: A Plain-English Explainer

Tinnitus: what it is, why it matters, and what published guidance actually asks of you.

Ben Halvorsen, MSc, CSCS Strength and conditioning coach 3 min read 1 views
Understanding Tinnitus: A Plain-English Explainer

It is very common, rarely dangerous, and the distress it causes responds far better to treatment than the sound itself does.

Key takeaways

  • Very common: most people experience it at some point
  • Often associated with: hearing loss
  • Most useful single change: Have a hearing test; treating hearing loss often helps the tinnitus.
  • Commonest mistake: Loud noise exposure, which worsens it.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The short answer

Hearing sound that has no external source, commonly ringing or buzzing.

Where it fits

This is part of Hearing Health. Guidance sets out what to look for and what to do about it, which is what the rest of this page covers.

The numbers, in one place

Published figures for Tinnitus
MeasureFigure
Very commonmost people experience it at some point
Often associated withhearing loss
Best-supported treatmentCBT for the distress, plus hearing aids where there is loss
One-sided or pulsatile tinnitusneeds assessment

What that means in practice

Translated into things you can actually do:

  • Have a hearing test; treating hearing loss often helps the tinnitus
  • Use background sound rather than silence
  • Ask about CBT, which has the best evidence for distress

What gets people into trouble

The pitfalls worth knowing about:

  • Loud noise exposure, which worsens it
  • Focusing on silence, which makes it more noticeable
  • Supplements marketed for tinnitus; the evidence does not support them

Where to go next

When to speak to a doctor

See a GP promptly for tinnitus in one ear only, tinnitus that pulses in time with your heartbeat, tinnitus with sudden hearing loss, vertigo, facial weakness, or after a head injury. Sudden hearing loss needs same-day assessment.

Where this comes from

  • NICE — Tinnitus: assessment and management
  • NHS — Tinnitus

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Ben Halvorsen

Strength and conditioning coach, and our resident sceptic on anything sold with a before-and-after photo. Writes the programmes he has actually run with beginners, not the ones that look impressive on paper.

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