Tinnitus Today, Silence Tomorrow

Transcription

1 Tinnitus Today, Silence Tomorrow April 16, 2014 Cara James Executive Director American Tinnitus Association Slide 1 of 33

2 Disclaimer The American Tinnitus Association (ATA) is not a provider of healthcare services and does not evaluate, diagnose or treat patients. ATA does not endorse specific products for the treatment of tinnitus. Any information disclosed is for general information only and should not take the place of a full medical consultation and evaluation by a trained healthcare professional. Slide 2 of 33

3 What is Tinnitus? Tinnitus is the perception of sound in the ears or head where no external source is present Tinnitus (TINN-i-tus) preferred by clinicians Tinnitus (ti-night-us) preferred by patients Slide 3 of 33

4 How Common is Tinnitus? 50 Million Million 2-3 Million Experience Tinnitus Bothersome Tinnitus Debilitating Tinnitus Male > Female Older > Younger Left Ear > Right Ear Source: National Health Interview Survey ( ), U.S. Centers for Disease Control Slide 4 of 33

5 The Cost of Tinnitus 840,000 VA / DOD Claims #1 Military Service- Related Injury $1.28 Billion / Year in Veterans / DOD Care $30 K / Year Individual Economic Loss $26 Billion / Year Total Societal Cost Source: American Tinnitus Association, 2013 Slide 5 of 33

6 Causes of Tinnitus Noise / Concussive Exposure Head / Neck Injuries Select Diseases / Disorders Jaw Conditions (TMJ) Tumors (rare) Earwax / Debris on eardrum Slide 6 of 33

7 Pathology of Tinnitus ASYMPTOMATIC HEARING 1. Sound waves enter ear 2. Inner ear and cochlea amplify and sort frequencies 3. Auditory nerve translates sound waves into electrical stimuli 4. Auditory cortex recognizes, processes sound 5. Limbic system interprets emotional reaction to sound Slide 7 of 33

8 Pathology of Tinnitus TINNITUS HEARING 1. Sound waves enter ear 2. Inner ear damage reduces amplification & frequency recognition 3. Auditory cortex receives less auditory stimuli 4. The brain creates it s own noise to compensate for loss 5. Limbic system interprets emotional reaction to new tinnitus sound Slide 8 of 33

9 Pathology of Tinnitus IN THE EAR Damage to hair cells Damage to cochlea Damage to ear drum Obstructions in ear canal IN THE BRAIN Lack of normal auditory stimulation Neural feedback Negative emotional reaction to tinnitus sound Slide 9 of 33

10 Sound & the Limbic System You re walking down the street and you hear a rattling sound Slide 10 of 33

11 Sound & the Limbic System You re walking down the street and you hear a rattling sound Slide 11 of 33

12 Sound & the Limbic System You re walking down the street and you hear a rattling sound Slide 12 of 33

13 Sound & the Limbic System You re walking down the street and you hear a rattling sound Slide 13 of 33

14 Remedies for Tinnitus There is presently no scientificallyvalidated cure for tinnitus. There are no products currently on the market that have been consistently proven to fully eliminate the perception of tinnitus. Slide 14 of 33

15 Remedies for Tinnitus On the Horizon Vagus Nerve Stimulation Neuromodulation Transcranial Magnetic Stimulation (rtms) Experimental Drugs Slide 15 of 33

16 Remedies for Tinnitus There are several scientifically-validated management techniques for tinnitus. There are multiple proven treatments that help patients live full, happy lives even with the perception of tinnitus. Sound Treatments Behavioral Treatments General Wellness Slide 16 of 33

17 Sound Treatments Sound Therapy Amplification (Hearing Aids) Cochlear Implants (Deaf Patients Only) Sound Masking Work by augmenting outside noise to cover-up the perception of tinnitus. Slide 17 of 33

18 Behavioral Treatments Cognitive Behavioral Therapy Mindfulness Therapy Tinnitus Retraining Therapy Progressive Tinnitus Management Work by changing the patient s behavioral and emotional reaction to tinnitus. Slide 18 of 33

19 The Limbic System Controls: Emotion Behavior Motivation Long-term memory Olfaction (smell) Regulates how a patient responds to the perception of tinnitus. Slide 19 of 33

20 Sound & the Limbic System You re walking down the street and you hear a rattling sound Slide 20 of 33

21 Sound & the Limbic System The goal of behavioral therapies: Slide 21 of 33

22 Wellness Approaches Stress Reduction Exercise Socializing Healthy Diet Work by improving patient s baseline health. Slide 22 of 33

23 If you have tinnitus 1. Go to your doctor Slide 23 of 33

24 If you have tinnitus 1. Go to your doctor 2. Find a specialist Slide 24 of 33

25 If you have tinnitus 1. Go to your doctor 2. Find a specialist 3. Be informed about treatment options Slide 25 of 33

26 If you have tinnitus 1. Go to your doctor 2. Find a specialist 3. Be informed about treatment options 4. Find the option(s) best suited to you Slide 26 of 33

27 If you have tinnitus 1. Go to your doctor 2. Find a specialist 3. Be informed about treatment options 4. Find the option(s) best suited to you 5. Take action & stick to it Slide 27 of 33

28 If you have tinnitus 1. Go to your doctor 2. Find a specialist 3. Be informed about treatment options 4. Find the option(s) best suited to you 5. Take action & stick to it 6. Take care of yourself Slide 28 of 33

29 If you have tinnitus 1. Go to your doctor 2. Find a specialist 3. Be informed about treatment options 4. Find the option(s) best suited to you 5. Take action & stick to it 6. Take care of yourself 7. Find a support network Slide 29 of 33

30 About ATA FOR PATIENTS Information & education Support services Research initiatives Connect with trained providers FOR PROVIDERS Information & education Professional Development Outreach FOR RESEARCHERS Pilot Grants Professional Development Student Outreach Slide 30 of 33

31 ATA Funded Research 30 Years of Research Nearly $6M Invested Roadmap to a Cure Pilot Grants Proven Treatments Encouraging Future Research Slide 31 of 33

32 About ATA TINNITUS TODAY Official ATA Membership Magazine 3 Issues a Year Patient Stories Latest Research Management Strategies Slide 32 of 33

33 Thank You! American Tinnitus Association Slide 33 of 33