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Singer Audiology
Tinnitus care

Tinnitus is real. It deserves a real evaluation.

Ringing, buzzing, hissing, or pulsing sounds can affect concentration, sleep, and quality of life. We start by understanding what you hear, how it affects you, and whether hearing loss or another factor may be involved.

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Clear evaluation. Practical guidance. Management options tailored to you.

Woman experiencing tinnitus discomfort while holding her head
It can happen in one or both ears
Some people hear tinnitus in one ear, both ears, or as though it is coming from inside the head.
It can change over time
Tinnitus may shift in volume, pitch, or how noticeable it feels throughout the day.
Quiet can make it more noticeable
Many people notice tinnitus more in quiet rooms, at bedtime, or when there is less environmental sound.
It deserves a full evaluation
Tinnitus is often connected with hearing loss, sound exposure, stress, medication, or other health factors.
What is tinnitus?

Tinnitus is a symptom, not a disease itself.

Tinnitus is treated as a hearing-system issue first, starting with a full evaluation, not a guess.

Tinnitus is the perception of sound in the ears or head when no external sound is present. It can be associated with hearing loss, noise exposure, stress, certain medical conditions, medications, and more.

For some people tinnitus is occasional and mild. For others it can significantly affect focus, sleep, and quality of life. Our tinnitus care at our Midtown Manhattan practice starts with understanding how it affects you.

Common descriptions

RingingBuzzingHissingRoaringClickingHummingStatic-like soundsMusicPeople chattering or voices

Some people hear a steady sound, while others notice fluctuations throughout the day.

Types of tinnitus

The two main types of tinnitus

Understanding the type of tinnitus you are experiencing helps determine whether hearing care, medical referral, or another next step is appropriate.

Subjective tinnitus
The most common type of tinnitus. Only the person experiencing it can hear the sound, and it is often associated with hearing loss, noise exposure, or changes within the auditory system.
Objective tinnitus
Much less common. In rare cases, the sound may be generated by physical structures in the body, such as blood flow or muscle movement, and may sometimes be heard during medical evaluation.
One ear or both

Where you hear it can point to why.

Tinnitus in both ears is often tied to age-related hearing loss, long-term noise exposure, or broader changes across the auditory system. Tinnitus in one ear only is more likely to have a specific, identifiable cause, which is one reason it warrants a closer look.

If one-sided tinnitus came on suddenly, is paired with hearing changes or dizziness, or matches your pulse, a prompt evaluation is recommended.

Earwax buildup
Earwax can affect sound conduction on one side and trigger tinnitus that often eases once it is professionally removed.
Middle ear infection or fluid
Colds, allergies, or sinus congestion can lead to fluid buildup in one ear, sometimes causing temporary ringing alongside muffled hearing.
Noise exposure on one side
Standing near a speaker, firearm use, or one-sided headphone habits can affect one ear more than the other.
TMJ (jaw joint) tension
The jaw joint sits close to the ear canal. Tension or dysfunction there can sometimes present as tinnitus on that side.
Stress
Stress does not directly damage hearing, but it is a well-known trigger for making existing tinnitus more noticeable, sometimes more so on one side.
Less common causes
Conditions such as Ménière's disease or, rarely, a growth on the hearing nerve can also cause one-sided tinnitus. This is part of why an evaluation matters.

If tinnitus sounds like your heartbeat, start with a physician.

Pulsatile tinnitus can sound rhythmic, like a heartbeat or whooshing sound. If your tinnitus matches your heartbeat or pulse, it is important to consult with a physician or cardiologist first to rule out vascular or circulatory causes before pursuing tinnitus management options.

Woman speaking with an audiologist about pulsatile tinnitus
Hearing and tinnitus

Tinnitus commonly occurs alongside hearing loss.

Many people with tinnitus do not realize they also have hearing loss until a comprehensive hearing evaluation is completed.

A hearing test, called an audiogram, measures how well sound is detected across different pitches and volumes. For many patients, it is the test that finally explains why the tinnitus appeared in the first place, and it is also how unrelated causes are ruled out.

A full assessment can help determine

  • Whether hearing loss is present
  • Possible underlying causes
  • Whether medical referral is needed
  • Which tinnitus management options may be appropriate
Treatment options

Current tinnitus treatment options

Tinnitus management is not one-size-fits-all. The right plan depends on your hearing, symptoms, goals, and how tinnitus affects daily life.

Hearing aids
When tinnitus occurs alongside hearing loss, treating the hearing loss is often the most effective starting point. Hearing aids amplify the everyday sounds that have been harder to hear, which reduces the contrast between tinnitus and silence that makes the ringing so noticeable. Many modern devices go further, functioning as a dedicated tinnitus hearing device with features like notch therapy, fractal tones, or customizable masking sounds built directly into the device already being worn.
Device-based options

Sound therapy

External sounds such as white noise, ocean sounds, nature sounds, or customized masking sounds can help the brain pay less attention to tinnitus over time.

Notch therapy

Some hearing aids can target the specific pitch or frequency of tinnitus over time to help reduce awareness of the sound.

Fractal tones

Soothing, non-repetitive chime-like sounds can support relaxation and reduce stress associated with tinnitus without requiring active listening.

Ear-level maskers and tactile devices
Wearable sound generators and bimodal devices, such as Lenire, may be considered when tinnitus needs additional support beyond hearing aids or environmental sound.
Mental health and wellness approaches
Cognitive Behavioral Therapy (CBT), meditation, mindfulness, stress reduction, and sleep strategies can reduce the emotional burden of tinnitus and improve quality of life.

Frequently asked questions

Early evaluation can make tinnitus more manageable.

If you are experiencing tinnitus, whether occasional or constant, a comprehensive hearing evaluation is an important first step. Early evaluation and treatment can often make tinnitus significantly more manageable.

Request an appointment
Dr. Michelle Singer in her Midtown Manhattan audiology clinic
Request an appointment

Start your journey to better hearing today by requesting a consultation. Share the days and time of day that usually work best for you. After you submit the form, someone from our clinic will reach out to confirm your appointment.

Prefer to schedule by phone?
Call 212-914-4327