What is Tinnitus?

 Tinnitus is the perception of sound when no external noise is present. People may describe it as ringing, buzzing, hissing, chirping, clicking, or roaring. Tinnitus itself is not a condition — it is a symptom of an underlying issue with the auditory or sensory system.


Common Causes of Tinnitus

 Tinnitus can have many possible causes, including:

  • Noise exposure
  • Age-related changes
  • Earwax buildup
  • Ear infections
  • TMJ or neck tension
  • Stress and anxiety
  • Certain medications
  • Neurological or auditory pathway issues


What is Decreased Sound Tolerance (DST)

 Decreased sound tolerance refers to difficulty tolerating everyday sounds. It includes:

  • Hyperacusis: sounds feel too loud or overwhelming
  • Misophonia (annoyance hyperacusis): strong emotional reactions to specific trigger sounds


Common Causes of DST   

 Common contributing factors include:

  • Noise trauma
  • Head injuries or concussions
  • Ear or neurological conditions
  • Stress or sensory processing sensitivities


Treatment and Management Options Available

 Depending on your results, treatment options may include:

  • Sound therapy
  • Tinnitus retraining strategies
  • Counseling and education
  • Stress-reduction and sound enrichment techniques
  • Hearing aids or devices (when appropriate)
  • Management plans for decreased sound tolerance
  • Referral to a physiotherapist when neck or jaw issues may be contributing to tinnitus
  • Referral to an Ears, Nose and Throat Physician


Does Insurance or OHIP cover testing?

 Assessments are not covered by OHIP, but some private insurance plans may include partial coverage. Contact Envision Hearing for details on testing fees.


Why Choose Envision Hearing for Tinnitus & Decreased Sound Tolerance testing in Ottawa?

 At Envision Hearing, our approach goes beyond a standard hearing test. Tinnitus and sound intolerance are often influenced by more than just the ears, and our assessment looks at the full picture. In addition to evaluating the auditory system, we also screen for sensory factors that may contribute to increased sound sensitivity. Because some tinnitus is affected by muscle and nerve input from other parts of the body, we also perform a physical examination of the jaw and neck to check for somatosensory tinnitus. This comprehensive approach helps us understand all possible contributors to your symptoms so we can provide accurate explanations and individualized recommendations.