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[–] 109 points 11 months ago (31 children)

I've always learned it comes from damaged hair cells inside the ear, how could it be anything but physical? Very surprised it can be picked up with a microphone in an anechoic chamber though

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  • [–] 94 points 11 months ago (2 children)

    It's called objective tinnitus. Tinnitus can have different causes, the damaged hair cells one is the most common.

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  • [–] 32 points 11 months ago (1 child)

    I was with you until: "[...] but it can also be heard by the examiner (eg, by placing a stethoscope over the patient's external auditory canal)." and now I'm even more confused

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  • [+] 47 points 11 months ago (10 children)
  • [–] 6 points 11 months ago (3 children)

    It seems like it could be some kind of feedback loop where the false signalling is actually inducing a physical response that can be recorded under ideal conditions. At the end of the day, the eardrum is an audio transducer, and every other such device we know of can make "fake noise" by being pushed into an unstable state.

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  • [–] 2 points 11 months ago (2 children)

    What is the mechanism for the ‘physical response’? Your proposition assumes that the eardrum or the cochlea have some kinda muscle that would vibrate them, which makes no sense and hasn't ever been a part of the ear anatomy.

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  • [–] 2 points 11 months ago

    Any organic motion detector is just a series of mechanical, chemical and electrical connections which translate the motion to nerve impulses. All these things can work backwards, although likely with much less efficiency. It's a reasonable theory that there's a path creating these sounds from tinnitus even if the original source is the brain nerve signals. Of course there's of other conflicting theories too. But it's hard to experiment to figure it out as we can't cut apart a functioning system to see what parts are doing what - well we probably could, but the ethics board might have a problem with that.

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  • [–] 3 points 11 months ago (1 child)

    Yeah, I always thought it was just the brain filling in the blanks by lack of data as in no data meaning "constant sound" or something.

    If you can actually hear the tinnitus it's very promising for curing it, if it's a spasm in a micromuscle of the ear trying to free the hair from mucus there could potentially be a way to have something slow release a muscle relaxant in the ear to remove it as an example.

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  • [–] 1 point 11 months ago (2 children)

    That's still a physical sound even if the source is internal or at the sensor.

    "Non-physical sound" would necessarily be errant nerve signaling or hallucination, something on the brain side of the sensor.

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  • [–] 29 points 11 months ago (4 children)

    I have a kind of tinnitus that comes and goes based on how stressed out the tendons in my neck and jaw are, on one side, after a pretty serious physical injury.

    I can basically massage away my tinnitus a good deal of the time, its only on the side that got fucked up.

    Beyond that, I actually have exceptionally good hearing (for my age at least), and I often hear things other people don't even notice, yay autism!

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  • [–] 30 points 11 months ago (2 children)

    Poorly shielded electronic devices go BRRRRRRRRRRRRRRRRRRRRRRRRRRT EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE!

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  • [–] 11 points 11 months ago

    Poorly shielded inductors in switch mode PSUs/old CRTs for me (Very common in older devices, low current causes the switching frequency to drop into the audible range.)

    You can build your own tinnitus inducer with a cheapo 100kHz buck ic, put an air coil inductor on it, and then decrease the current until failure.

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  • [–] 2 points 11 months ago*

    About 2/3 of my family (including me) have the same thing, some kind of hereditary issue with the nerve that runs from the jaw up behind the ear. Accompanied by most of us also having jaws that don't quite fit in their sockets properly and tend to pop and crunch from time to time.

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  • [–] 11 points 11 months ago (11 children)

    Why would a damaged hair cell make noise?

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  • [–] 11 points 11 months ago (3 children)

    If you close your eyes tightly you can induce the perception of color. If you stand in a doorway and lift your arms to the side so that the backs of your hands are pressing against the inside of the door frame, keep pressing for 60 seconds, then step out of the doorway and relax your arms: it'll feel like your arms are floating.

    The body's systems are complex and part of reliably filtering signal from noise in such systems is establishing a baseline while in a steady state. Our brains are pretty good at filtering out noise but the pressures or degradations which lead to tinnitus seem to trick the brain into accepting some noise as signal.

    If you're looking for a deep dive then the following paper does an excellent job of outling what we know and what our best guesses are so far: https://www.sciencedirect.com/science/article/abs/pii/S0306987724002718

    It's jargon-laden but nothing someone armed with a dictionary can't handle. 🙂

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  • [–] 2 points 11 months ago (2 children)

    Right, but I'm not talking about perceiving noise, I'm talking about creating noise.

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  • [–] 6 points 11 months ago

    Ah. My bad. That's kind of covered indirectly within the third reference paper (https://www.sciencedirect.com/science/article/abs/pii/S0959438808000871) and more-so in this paper: https://pmc.ncbi.nlm.nih.gov/articles/PMC2724262

    Part of the process for our hearing involves otoacoustic emission (wikipedia), i.e., creating sound. My arm-chair understanding is that we think this part of the process misbehaving is a main contributor for objective tinnitus and why we can record it under the right circumstances.

    tl;dr: ear too loud.

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  • [–] 3 points 11 months ago

    I'm in the same spot. Obviously I believe it happens if I'm reading it from a credible source, but the idea that a hair makes sound that other people can record and hear doesn't make sense. How does it do that??

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  • [–] 7 points 11 months ago

    Maybe it's like the way microphones and speakers are basically the same hardware, with the cells surrounding the hair in your ear canal vibrating those hairs "out" at high frequency for some reason.

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  • [–] 1 point 11 months ago (1 child)

    The hair cell's whole job is to send neuronal signal when there's vibration at its specific frequency. It's entirely conceivable that a cell would get stuck in the ‘send signal’ mode when damaged, just as it can go the other way and send no signal ever anymore.

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  • [–] 70 points 11 months ago (1 child)
  • [–] 61 points 11 months ago (5 children)

    Here is an interview with her. She had it bad:

    “I do have a chronic health condition, which made it difficult to pinpoint if it was that that was suddenly getting worse, or whether it was [the damage to the ear] that was causing neurological changes, but I literally couldn’t walk straight; I was having what looked like strokes where I would collapse.” A violinist, she was told by doctors to give up playing. When the COVID pandemic arrived a few months in, she was forced to shield because of ultimately false suspicions that she had MS. “I got really frustrated,” De La Mata says. “I wasn’t getting any of the answers I wanted. It was, ‘Your hearing is fine, you’re young, you’re healthy,’ and it’s like, well clearly I’m not if I can’t walk and people are feeding me.”

    https://thequietus.com/interviews/lola-de-la-mata-oceans-on-azimuth-tinnitus-interview/

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  • [–] 34 points 11 months ago (3 children)

    "you're young, you're healthy", and its like, well clearly I'm not if I can't walk and people are feeding me.

    Yup, sounds like a doctor alright

    I've had my own fair share of doctors not believing my struggles. Sometimes even directly getting in the way of medical help. And yes, it's incredibly unhelpful.

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  • [–] 16 points 11 months ago

    I spent 20 years trying to find a rheumatologist who would take my positive lupus test results, symptoms, extensive family history, and potential comorbidities seriously and give me a diagnosis and treatment. Nobody would listen until I was 23 because I was "too young." After 23, they started accusing me of just wanting medical marijuana.

    At 27 I finally found a doctor that would take me seriously. We spent 2 hours going over the 15 years of medical records of mine that are accessible digitally, as well as some physical records from before that that my mother kept in a safe. The doctor ordered an absurd amount of tests and gave me a diagnosis when they all came back indicating that I, indeed, have lupus. She saw the same results in all of my records, too. I've tested positive and have had all of the other indicators my entire life. Like I am a textbook case of Systemic Lupus Erythematous that attacks the joints and connective tissue.

    She started me on treatment and for the first time in my life, I'm not ruled by my pain and fatigue. I actually have a life now. I have started doing things that I've always dreamed of doing because now I can. I'm not chained to my bed anymore.

    All of the doctors that refused to treat me despite positive test results and symptoms because I was "too young" or "just wanting marijuana" can rot in Hell. "Do not harm" my ass. I spent twenty years suffering, with multiple pediatricians and general practitioners sending me to every rheumatologist they knew of to try to get treatment for what they, non-specialists, believe I suffer from.

    I drive two and a half hours one way every 6 months to see my rheumatologist and it's worth it because she gave me my life. I'd say she gave my life back to me, but I never had one to begin with. I'm actually living now. 20 years too late if you ask me, but better late than never.

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  • [–] 34 points 11 months ago* (5 children)
  • [–] 5 points 11 months ago (2 children)

    Mine doesn't sound quite like that, but it did get a little better for a while after listening to that.

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  • [–] 3 points 11 months ago (1 child)

    Holy shit mine too! Mines much higher pitch but it was also briefly relieved. Ima keep that video in my pocket..

    I wonder if there’s a way to tune that to match and negate an individual’s sound waves…

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  • [–] 2 points 11 months ago (1 child)

    Oh, I think I would go insane if I constantly had to hear something. It already weirds me out that people hear things that aren't actually there and this is a thing that actually is.

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  • [–] 3 points 11 months ago* (last edited 11 months ago)

    It's always there, but that doesn't mean one constantly hears it. I'm listening to music a lot, so then I don't hear it. When I skateboard or do any other sports I don't hear it, et cetera. Only when it's quiet I sometimes become aware of it, but because of habituation I usually unconsciously ignore it just as quickly. It does happen that sometimes in bed I keep focusing on it to the point it annoys me, but fortunately that's rare. Not being able to experience absolute silence in a forest anymore disappoints me though; c'est la vie.

    That being said, I'm probably in the camp of people whose condition is mild. It must indeed be horrible for people whose tinnitus overpowers all other sounds.

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  • [–] 32 points 11 months ago*

    So its a real sound? Noise cancelling implants then?

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  • [–] 25 points 11 months ago (7 children)

    My tinnitus is at the very upper frequency range of my ability to hear, right around 13,000 Hz (I'm 60). Fortunately, I don't notice it except in a quiet room.

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  • [–] 15 points 11 months ago (4 children)

    extremely dumb question, but would a very loud 13kHz sound kill the cochlear cells that detect that specific frequency?

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  • [–] 17 points 11 months ago

    This was already known. Some forms of tinnitus are 'real'

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  • [–] 26 points 11 months ago (6 children)

    i had decent pitch before my tinnitus, but it rings at a constant e8. now i have perfect pitch.

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  • [–] 4 points 11 months ago (5 children)

    Nice ! that's two octaves higher than my highest e on the guitar (first string, twelvth fret). I could definitely use this

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  • [–] 4 points 11 months ago (4 children)
  • [–] 2 points 11 months ago (3 children)

    now I have perfect pitch.

    Nice !

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  • [–] 8 points 11 months ago*

    What lind of Horton Hears a Who shit is this?

    My tinnitus is a real vibration and not faulty signals from dead hair cells in my inner ear?

    Seriously?

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  • [–] 8 points 11 months ago (1 child)

    I thought otoacoustic emissions were known for a while, but I guess confirming that tinnitus is (or can be) an OAE might be promising for treatment.

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  • [–] 1 point 11 months ago*

    They say these sounds range from 500-4500 Hz, but that seems strangely low. The ones I hear sometimes in a silent room seem much higher pitched, at the limit of what I can hear. If I had to guess, at least 15kHz.

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  • [–] 13 points 11 months ago (4 children)

    I got rid of my handheld game after I noticed my thumb was starting to twitch while I was at rest.

    Apparently, the same thing can happen with ears.

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  • [+] -7 points 11 months ago (3 children)

    This is quite the opposite of what the image macro says

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  • [–] 19 points 11 months ago* (2 children)

    According to the macro, the ear is actually producing sounds. Sounds are vibrations. Apparently, the ear continues to vibrate without stimulation, the same way my thumb kept moving even if there was no game.

    How is it 'the opposite?'

    edit = nontechnical article. https://guildofscientifictroubadours.com/2024/06/09/recording-tinnitus-as-it-happens-for-art-and-science/

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  • [–] 6 points 11 months ago (3 children)
  • [–] [S] 2 points 11 months ago* (2 children)

    Next time I'm gonna have to make the source thingy bigger. I put it up above. Not criticizing you, saying sorry that I wasn't more obvious with my thing and made you go lookin'. But it is a fascinating article

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  • [–] 6 points 11 months ago (3 children)

    I thought tinnitis is where your brain can't filter it out? I think most people can hear a sound anywhere if they focus on it.

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  • [–] 6 points 11 months ago (2 children)

    Almost. Tinnitus is constant ear ringing. Like a high pitched, constant noise. It does vary in intensity in people who have it though and is not always noticeable. (I don't have tinnitus, so may not be 100% accurate)

    When your brain can't filter out sounds, that is one of the side effects of audio processing disorder. Probably a lot of other things that cause it too. Audio processing disorder is exactly what it sounds like. You can hear, but its hard to understand. Can't filter sounds (you hear all sounds at their actual volume). Sometimes causes people to think I am hearing impaired. Frequently causes me to mishear things as completely different, unrelated sounds. Many people also have difficulty determining which direction noises come from, although I haven't personally experienced this

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  • [–] 2 points 11 months ago (1 child)

    Its literally sounds that other people can’t hear because they are generated by your own ear ears. Typically, it’s from something damaged in your ear or excess earwax.

    It’s not constant, necessarily. It’s also not always ringing. And, you might not hear it in both ears.

    For me, I do hear ringing often but not constantly. Sometimes, I just hear a high pitched squeal for a bit. Sometimes it’s the unlike 30 seconds and sometimes it’s much longer.

    The symptom that stands out most, is the static sound. It’s like the sound you hear when you tune a tv or a radio to empty station. It mostly happens if the environment is too loud. That could be loud music/tv, a crowd of people, or maybe even just someone speaking loudly.

    Most of the time, it’s just kinda annoying and not too bad. If I hear static, I know I’m in an environment that is too loud, and I need to do something to protect the hearing I still have.

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  • [–] 6 points 11 months ago

    Fucking voodoo shit, get the fuck out of here with that.

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  • [–] 3 points 11 months ago

    Much like our visual processing, sound goes through a series of neural gates before you witness it. Nothing is truly what you perceive. Fight me about it.

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  • [–] 3 points 11 months ago (2 children)

    I thought that was my brain sound

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  • [–] 3 points 11 months ago (3 children)

    Wait what? I can literally put my head to my kids ear and she can hear my tinnitus. How is this news?

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  • [–] 3 points 11 months ago (2 children)
  • [–] 18 points 11 months ago (9 children)

    This is the one thing I don’t like about some doctors and scientists: they think they know everything, and in doing so they become lazy and dismissive (or they only care about money and fame). They should always be curious, and always seek to find the next truth, no matter what the general consensus is in the community. Good on De La Mata for challenging the status quo.

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  • [+] 37 points 11 months ago (7 children)
  • [–] 20 points 11 months ago (2 children)

    some doctors and scientists

    The person you are replying to very clearly did not mean all doctors and scientists.

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  • [–] 6 points 11 months ago (1 child)

    I took his comment to mean the people who accepted that tinnitus was not physical.

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  • [–] 1 point 11 months ago* (last edited 11 months ago)

    Rarely, the sound may be heard by someone other than the patient by using a stethoscope, in which case it is known as "objective tinnitus". Occasionally, spontaneous otoacoustic emissions, sounds produced normally by the inner ear, may result in tinnitus.

    It's not ‘physical’ in most cases. Or rather, it's not acoustic but electric instead.

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  • [–] 2 points 11 months ago

    It’s the same logic and immigrants are lazy and stealing all the benefits of society.

    That logic is: someone invented a stereotype and people ran with it instead of being curious and doing science

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    [–] 2 points 11 months ago

    So I guess me and my numerous old laptops have something in common

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