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Clinical diagnostics and tinnitus reduction

When choosing a standard clinical path of tinnitus diagnostics and reduction, it is required for a patient to appear in person in one of our clinics either in Poland or abroad. In our medical centers we offer audiology and neurobiology consultation, and further diagnostics which will allow us to select the most effective technology to one of four different causes of tinnitus.

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Advance tinnitus diagnosics 

 

Most of the hearing tests performed in other clinics are insufficient and they only examine the basic hearing parameters. The range of human hearing is 125 Hz to 20 kHz; therefore, it is a daily routine in our clinics to measure high frequency tonal audiometry up to 20 kHz. The majority of sudden hearing losses that generate tinnitus occur in the range of inner ear where the level of blood vessels is the lowest  (between 4 to 20 kHz). In this particular range we most often recognize sudden hearing loss or hidden hearing loss that caused tinnitus. Moreover, in order to select the most appropriate technology it is necessary to test synaptic activity, corpus callosum fibers activity and hyperactivity of the horizontal fibers in the auditory cortex. Due to lack of research, it is impossible to select an effective treatment technology. Our approach is unique, because we are aware that one technology won’t help  everyone. We have an access to four different stimulation models and we select them individually for each patient. An accurate selection is done with respect to individual abilities of the nervous system and its plasticity. It is determined by how long a tinnitus sufferer has lived with it, how and at which level of the nervous system the hearing loss generated.

Choising technology to diagnostics results 

 

We devote 4 hours of our time to each patient the same day. The time provided includes audiology and neurobiology consultation, advanced diagnostics, discussion of the patient’s test results, and selection of technology according to a tinnitus model. A patient’s medical tests, such as complete blood count, magnetic resonance imaging (MRI) and functional magnetic resonance imaging (fMRI), may appear helpful in diagnosing the cause of sudden hearing loss (which led to hiss in the nervous system perceived as tinnitus). The price of a single 2-hour appointment includes preliminary diagnosis and final consultation (interpretation of test results, selection of the most appropriate technology, balanced diet and physical activity program adequate to a particular tinnitus therapy).  

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We devote 4 hours of our time to each patient the same day. The time provided includes audiology and neurobiology consultation, advanced diagnostics, discussion of the patient’s test results, and selection of technology according to a tinnitus model. A patient’s medical tests, such as complete blood count, magnetic resonance imaging (MRI) and functional magnetic resonance imaging (fMRI), may appear helpful in diagnosing the cause of sudden hearing loss (which led to hiss in the nervous system perceived as tinnitus). The price of a single 2-hour appointment includes preliminary diagnosis and final consultation (interpretation of test results, selection of the most appropriate technology, balanced diet and physical activity program adequate to a particular tinnitus therapy)

 

Rule of 4 one 

- 1 hour  preliminary audiology consultation 

- 1 hour  advance hearing and placticity diagnosic 

- 1 hour  final audiology consultation with interpretation of test results , selection technology

- 1 hour diet and physical activity consultation for increase BDNF factor in nervous system 

Which of audiology and neurobiology diagnostics measurment  we preform to select technology to your tinnitus placticity model ?

 

  • High Frequency Audiometry (125 Hz - 20 kHz ) for sudden hearing loss range tinnitus diagnosis 
  •  Tinnitus Tone Test for analysis which hair cell in cochlear died sudden and which progressively
  •  Horizontal fibers hiperactivity test - for hiperactive auditory cortex horizontal fibers diagnosis 
  •  Corpus callosum hiperactivity fibers test
  •  ABR neurodiagnostics with ABR training test for sudden  hidden hearing loss ( cochlear spiral ganglion cells, ribbon synapse loss) 
  • ASSR / EEG brain measurments
  • Co border frequency test - for  enhanced synchronization model tinnitus diagnostis 
  • SSA test - Specyfic Stimulation Adaptation memory 

 

 

 

An example of a standard clinical pathway

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    Preliminary audiology consultation

    Early diagnosis, selection of diagnostic tests

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  • od2

    Diagnostics

    Hearing tests, nervous system plasticity

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    Selection of technology

    rTMS, ARC – CR, neurologic music therapy

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    Physical activity and diet program

    In order to prepare patient's nervous system to therapy and improve its plasticity

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    Beginning of the therapy.

    We send details of your individual therapy by courier or airmail. You can also visit us in our clinic and pick it up personally.

An alternative pathway, shorter than the regular one

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    Selection of physical activity and diet

    Increasing the level of neurotrophic proteins in the nervous system guarantees tinnitus reduction of 30-50%.

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    Reduction of hyperactive synapses

    Mute tinnitus

 The easiest and cheapest way  to reduce your  tinnitus is to start with  downloading instructions and a program of diet and physical activity that each of our patients receives durring  consultations and diagnosis in our clinics before starting any treatment.  Proper diet and physical activity already contribute to significant reduction of your tinnitus  by strong correlations between diet and physical activity  and the concentration of BDNF neurotrophins protein in the nervous system ( BDNF reduce hyperactive  synapses state  by closing to much  calcium channels at synapses of Calyx of Held ) . This is the first and one of the most important steps that will bring you considerable relief . And if you notice an improvement after using diet and physical activity who knows maybe it will  be end of  your adventure with  tinnitus.  If not you have allready created great placticity environment  which contribute with great treatment results , so you can start using your technology with  the bigest stimulation infulance on your hiperactive nervous system. 

Media

Adam Pabiś talks about curring tinnitus on Poland's morning TV show "Pytanie na Śniadanie"

Kinetic - curing tinnitus

How many people you are able to help when it comes to reducing tinnitus?

We are open to help anyone who walks through the door of our clinic. Keeping a healthy diet and maintaining physical activity isn’t expensive, yet it generates significant changes in our nervous system. We don’t hold the view that only technology is able to reduce tinnitus. We as patients can do it too, if we know how activity of synapses works, how to keep balanced diet and do proper physical exercises aimed at tinnitus reduction.

Why your technologies of tinnitus reduction aren’t available in other clinics?

There is a lot of laryngologists in the world, the number of audiologists is fewer, and audiologists familiar with the nervous system (also known as neurobiologists) are almost nonexistent. In order to work on tinnitus treatment you must have specialized knowledge in neurobiology. We provide 3-hour-long diagnostics and consultation session. It’s much longer than a typical medical appointment. Other medical centers can’t devote that much time for one patient; therefore, the consultation isn’t thorough, diagnostics and selection of treatment technology isn’t precise. Specialists’ approach towards tinnitus itself is another factor. Almost always when one of technologies doesn’t bring noticeable effects, the blame lies with a specialist, his bad approach, lack of specialized knowledge in matching and recognizing activity of the nervous system. Being a specialist is not enough! At the same time, you really need to be a devoted fan of audiology and neurobiology to continue your personal development in order to get better and help others. In Poland, neurobiology as a field of study has been present for 4 years now, so it’s safe to say there’s still a lack professionals and appropriate approach. We don’t want to risk lowering effectiveness of our therapies by making them available for unqualified specialists with doubtful diagnostic methods. By contrast, in our clinics we control the work of our specialists and their knowledge. We are certain that in near future we will be able to organize training courses and training sessions regarding our technologies and making them available for other companies around the world.

Most of your therapies don’t have any clinical research that would confirm their effectiveness. How do you know that your technologies are effective?

Numerous studies have been done on effectiveness of our therapies, but they are more likely to be found in neurobiological sciences and less likely in audiology section. For this reason, we made them available on our website and ready to download. Unfortunately, most of the research are complex and written in a scientific language, because they relate to the nervous system which constitutes 80 % of the auditory pathway. An audiologist or laryngologist probably isn’t even aware that multitude of commonly asked questions can be found in neurobiology. Patients tend to have similar approach. Therefore, no results will be found when typing only words such as ‘tinnitus treatment’, ‘tinnitus methods’. The only way to be successful in your search is to use scientific terminology connected with treatment process, for instance: ‘Tinnitus as a syndrome for lack of adaptation of the nervous system, leading to activity decline of cytoskeletal proteins Arc/Arg 3.1.’ The research itself also describe how the nervous system works. If specialists or patients expands their knowledge in this field, they will understand why our technology is used in certain cases and why the patient has to keep a healthy diet, and maintain physical activity.

Do I have to come to your clinic in order to obtain treatment technology?

Since the opening of our first clinic we have learnt that sometimes we might be miles away from our patients. In the past, each patient had to visit us in one of our clinics at least once. Now, we have created an online system which enables diagnostics and consultation with a selected audiologist. At first, we open online consultation and then we move onto tests available on the website. If it turns out that a necessary examination is, for example, neurodiagnostics which isn’t perforemed outside of clinic, a patient needs to show up in person. If not, we can start a therapy and send all details with a completely programmed device for the whole duration of a therapy.

Why you don’t use drug treatment? What’s your opinion on the current works on drug medications? Can it help a wider group of people?

I believe it can, especially if study groups adjust the drugs they’ve been working on to a patient’s tinnitus plasticity model. However, we can’t forget that the main problem of today’s diagnostics and tinnitus treatment is wrong and ineffective use of therapy methods and unsuitable match to a tinnitus type. Similarly, high frequency audiometry test is performed by a few clinics.

Are you open on Saturdays?

Of course. Should the need arise, our clinics are open from 8 am till 4:30 pm on Saturdays as well. You can make an appointment at the convenient time for you, but please remember you have to be prepared for 3- or even 4-hour consultation and diagnostics.

What are the required medical tests to start a treatment and how much do they cost?

High frequency tonal audiometry is the very first medical test we conduct and it’s obligatory for every patient, mainly because nobody has done it before. We have been running our clinics for two years now and we’ve never had a patient who would bring this particular test results on a first appointment with an audiologist. Second required is a tinnitus test to characterize plasticity model of the nervous system that was triggered by hearing loss. Should the need arise, we also perform auditory brainstem response test (ABR) or auditory steady state response test (ASSR).

Why previously used methods weren’t effective?

Technologies created in the past were able to help some people. Every specialist thinks there’s only one type of tinnitus and tends to evaluate each tinnitus patient in the same way which is the main reason for low effectiveness of treatment. It seems pharmacologists have similar approach that’s why an effective drug still doesn’t exist. We have distinguished four types of tinnitus causes. An important aspect in how tinnitus generates depends on how long a patient has already lived with it. Acoustic trauma and high pressure are considered irrelevant. We have discovered that a patient who’s been suffering from tinnitus for two years shouldn’t be treated in the same way as a patient who’s had this disorder for four or ten years. Our discovery made us more precise in terms of selecting a therapy for a particular type of tinnitus. We consider this revolutionary, because we can be 100% certain which technology will surely be effective and which not, if we know how the nervous system reacted.

What are the differences in therapies you offer? How do I know which one is the best for me?

It’s not the patients, but our specialists who are responsible for a therapy selection. It’s not so hard, though: If you’ve had your tinnitus for two or three years, we will choose Synaptic Adaptation Arc Therapy for you. It’s the most suitable one, because of the spontaneous activity of synapses, the fact that the nervous system still hasn’t given up on the connections between cells, so the acoustic stimulation is continues to have an impact on upper neurons in the auditory pathway. If a patient has lived with tinnitus for over 4 years, the nervous system isn’t able to connect effectively with unstimulated cells. As a result, the nervous system makes low-frequency connections neighboring frequencies in order to acquire stimulation from auditory cells. Acoustic stimulation won’t work in a short period of time and one of the options is to use stimulation until the nervous system is fully reconstructed. Therefore, if we are very particular about the duration of a therapy, it’s better to choose rTMS which can directly depolarize neurons of the auditory cortex. A frequent symptom of such plasticity is sound hypersensitivity. Too many neurons connect with one cell; therefore, a clearly heard signal becomes amplified. Models are matched in a similar manner, which will move a signal responsible for influencing simulation structure.

Do I have to keep a healthy diet and do physical exercises in every case?

Yes. Sudden hearing loss in itself is a sign of something bad happening with your health and you need to implement changes not to make it worse. In addition, neither a drug nor a nanotechnology that would increase neurotrophic proteins, serotonin and cytoskeletal proteins Arc/ Arg 3.1 were invented. Thus, we have to use natural correlations present in diet and physical activity to increase those factors. A diet, physical activity and the factors that need to be on the highest level indicate if a therapy will bring any effects. We can’t influence something which is not plasticized; therefore, we need to plasticize our nervous system with those indicators. It will make a structure change faster and in a beneficial way for us. Depression informs us that the nervous system lacks plasticity, so we won’t observe any changes during therapy or stimulation. At first, we need to increase all the above mentioned factors which will be favorable for the changes and healing from depression. Except tinnitus treatment, we also focus on other disorders which are constantly putting off the beginning of a therapy. A patient feels considerably stronger when eating properly and exercising physically and the hiss becomes more silent, so we are given the green light to start a treatment. The proteins start to work, they are on the highest level, along with the maximum possibilities of therapy effectiveness.

When will the first effects of a therapy become noticeable?

It’s an individual aspect. You need to remember our goal isn’t tinnitus reduction but making the process last longer and get rid of the negative symptom of the nervous system called tinnitus. For instance, in synaptic adaptation therapy we want to adjust the size and weight of the synapses to the reduced stimulation. Sometimes a patient informs us that tinnitus was reduced for a week or so but it returned again and sometimes it became quieter after removal of a device or during the process of wearing it. The effects can vary, but sometimes we need to wait till the end of a therapy to notice them, and there’s nothing wrong in that. Everyone has different SSA levels (stimulus-specific adaptation).

What happens when the therapy doesn’t bring any effects?

We are trying to find an answer why. Sometimes it turns out that patient’s tinnitus has lasted longer than he/she thought, which means a different therapy should have been used. Multiple of complications in life might have an impact on a treatment duration, such as illness, living a stressful life, wrong diet and lack of physical activity. As a result, plasticity of the nervous system lowers and simulation is less effective. In the process of looking for a cause, sometimes it turns out the problem lies in an improper diet and low physical activity. It’s easy to notice which patient has been conscientious, and who hasn’t been eating healthily and exercising physically. We can distinguish many factors, but our goal is to find a cause and focus on making it more effective. If a patient tells us about his/her depression in the middle of a therapy, it’s hard to have noticeable results. As a consequence, we terminate an ongoing therapy, a patient needs to consult a dietician in terms of a diet plan and in order to cure depression as soon as possible. Please note that technology isn’t enough; what we do counts as well.

Do a proper diet and physical activity have such a great impact?

Of course, they do. Neurons and their activity depend upon glucose, proteins, and other neurotransmitters which concentration is determined by correlations between diet and physical activity. This significant factor is often omitted in everyday life by most of us. Some patients admit their tinnitus was reduced by 50%, they’re satisfied and refuse further treatment.