Harrison550 Mamaroneck Ave, Suite 407 (4th floor)(914) 949-0034

Somers325 NY 100(914) 556-6720

Audiology Associates of Westchester logo

Tinnitus Knowledge Hub

What Is Tinnitus?

Learn what tinnitus is, why ringing or buzzing can happen, how tinnitus is evaluated, and when to schedule care in Westchester County.

Tinnitus is the perception of sound when no outside sound is present. Patients often describe it as ringing, buzzing, humming, hissing, roaring, clicking, or pulsing.

Tinnitus is a symptom, not a diagnosis by itself. A hearing and tinnitus evaluation can help identify whether hearing loss, noise exposure, earwax, medication, jaw or neck factors, vascular concerns, or another condition may be involved.

Common tinnitus sounds

Describing the sound is one of the first useful steps. Tinnitus can be steady or intermittent, soft or intrusive, high-pitched or low-pitched, and it may be heard in one ear, both ears, or in the head.

  • Ringing
  • Buzzing or humming
  • Hissing or static
  • Roaring
  • Clicking
  • Whistling
  • Pulsing or heartbeat-like sound

Subjective, objective, and pulsatile tinnitus

Most tinnitus is subjective, meaning only the patient hears it. Objective tinnitus is uncommon and may sometimes be detected by a clinician.

Pulsatile tinnitus is different because the sound has a rhythm, often matching the heartbeat. One-sided tinnitus, pulsatile tinnitus, or tinnitus with sudden hearing changes should be discussed promptly with a medical professional.

Symptoms that often come with tinnitus

Many patients are bothered not only by the sound itself, but by how it affects focus, sleep, stress, and communication. Tinnitus can also make quiet rooms feel uncomfortable and can increase listening fatigue in restaurants, family gatherings, meetings, and busy community settings.

  • Trouble sleeping or relaxing in quiet rooms
  • Difficulty concentrating
  • Sound sensitivity or discomfort with loud places
  • Hearing conversations feels harder
  • Stress, frustration, or worry about the sound
  • Mental fatigue from trying to ignore it

The hearing loss connection

Tinnitus and hearing loss commonly occur together, even when a patient does not notice obvious hearing difficulty. When the brain receives less clear sound input, tinnitus may become more noticeable.

A complete hearing evaluation helps determine whether hearing changes, speech clarity, middle-ear function, or other ear-related findings are part of the picture.

How tinnitus is evaluated

A tinnitus visit usually starts with a careful history: when the sound started, what it sounds like, whether it is in one ear or both, what makes it better or worse, and how it affects sleep, concentration, and daily life.

Testing may include a hearing evaluation, speech understanding, middle-ear measures, ear inspection, and discussion of whether medical referral is appropriate. Some patients also benefit from tinnitus pitch or loudness matching when it helps guide counseling.

When tinnitus deserves attention

Mild tinnitus after a loud event may fade, but persistent or changing tinnitus should not be ignored. The right timing depends on symptoms and risk factors.

  • Schedule care if tinnitus lasts more than a short temporary episode
  • Call promptly if tinnitus appears suddenly or is only in one ear
  • Seek urgent medical guidance if tinnitus occurs with sudden hearing loss, severe dizziness, neurological symptoms, or a heartbeat-like rhythm
  • Schedule a tinnitus consultation if the sound affects sleep, mood, focus, or quality of life

Can tinnitus be treated?

There is no single universal cure, but tinnitus is often manageable. Treatment may focus on the cause when one is found, reducing listening strain, adding sound support, improving sleep, counseling the nervous system response, and helping the patient regain control.

For Westchester patients, the best first step is usually a hearing and tinnitus evaluation so the plan is based on real findings rather than generic online advice.

What to expect

What a tinnitus appointment actually involves

  1. We take the history first

    When the sound started, what it sounds like, whether it is in one ear or both, what makes it better or worse, and how much it is affecting sleep, concentration, stress and daily life.

  2. A hearing evaluation, because tinnitus rarely travels alone

    Tinnitus and hearing loss commonly occur together, even in patients who have not noticed any hearing difficulty. Testing may include a hearing evaluation, speech understanding, middle-ear measures and an ear inspection.

  3. Tinnitus pitch or loudness matching, where it helps

    Some patients benefit from matching the frequency and level their tinnitus most closely resembles. It is not a severity score; it is a starting point for counseling and a way to track change.

  4. We go through the findings in clear language

    What we found, what we did not, and which management options actually apply to you: education, sound strategies, hearing aids, maskers, treating an allergy or earwax that is making it worse, a Lenire candidacy conversation, or a medical referral.

  5. A plan matched to your results and symptoms

    Recommendations are personalized rather than generic, and nobody here will promise you a cure. What the first visit does is establish whether hearing loss, earwax, noise exposure or a medication is part of the picture, and what can be done about the part that is treatable.

Tinnitus care at the Harrison office runs alongside NYHD | TinnitusCare, who have been seeing patients there since February 2024 and whose options include Lenire, a bimodal neuromodulation device holding FDA De Novo authorization for the treatment of tinnitus. De Novo is a marketing authorization for a device type the FDA had not classified before — it is not a finding that the device will work for you, and candidacy is decided after an evaluation. Several of our audiologists are Certificate Holders of Tinnitus Management (CH-TM), recognized by the American Board of Audiology.

What Is Tinnitus? FAQs

Is tinnitus a disease?

No. Tinnitus is usually a symptom of another hearing, ear, neurological, vascular, medication-related, jaw, neck, or health factor.

Can tinnitus happen without hearing loss?

Yes, but tinnitus and hearing loss often occur together. A hearing evaluation helps clarify what is happening.

Should I ignore tinnitus if it is mild?

Mild tinnitus may not need urgent care, but persistent, worsening, one-sided, pulsatile, or distressing tinnitus should be evaluated.

What should I bring to a tinnitus appointment?

Bring a medication list, hearing aid details if you use devices, notes about when tinnitus started, noise exposure history, and examples of when the sound is most noticeable.

Set Up Your Hearing Consultation with an Expert Today

Product information is educational. For personalized hearing aid recommendations, schedule an appointment with Audiology Associates of Westchester.