Tinnitus to the inner ear can cause tinnitus, other apparent causes (e.g., temporomandibular joint dysfunction) are difficult to explain. It may be caused by increased neural activity in the auditory brainstem, where the brain processes sounds, causing some auditory nerve cells to become over-excited. The basis of this theory is that many with tinnitus also have hearing loss. Three reviews of 2016 emphasized the large range and possible combinations of pathologies involved in tinnitus, which in turn result in a great variety of symptoms demanding specifically adapted therapies. Even when tinnitus is the primary complaint, audiological evaluation is usually preceded by
Tinnitus retraining therapy eliminate tinnitus. The efficacy of TRT in reducing the distress of tinnitus has not been established. TRT is not a medical treatment for tinnitus or any other condition, and is not administered by a medical doctor or other medical professional. An alternative to TRT is tinnitus masking, the use of noise, music or other environmental sounds to obscure or mask the tinnitus. Hearing aids can provide a partial masking effect for the condition. Results from a review of tinnitus retraining therapy trials indicate that it may be a more effective treatment than tinnitus masking. Not everyone who experiences tinnitus is