Dr. Alex Jimenez, El Paso's Chiropractor
I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. Call the office or myself. Office 915-850-0900 - Cell 915-540-8444 Great Regards. Dr. J

Tinnitus and its Alternative Treatment

Tinnitus is defined as the perception of sound without an external acoustic stimulus. It is a prevalent complaint in ENT offices, but the etiology of this condition has not yet been elucidated fully. However, it is believed that the root cause of the sound is perceived without any external stimulation is due to abnormal neural activity along the hearing path from the cochlear apparatus to the auditory cortex. In addition, tinnitus accompanies a wide array of conditions like sleep disturbances, stress, and reduced work efficiency. Furthermore, its treatment is complex, and 5-15% of those patients with tinnitus treatment report that the symptoms are still present. Therefore, alternative therapies such as supplements and acupuncture have been proposed to reduce tinnitus symptoms positively.

Acupuncture Therapy as Tinnitus Treatment:

Acupuncture as tinnitus treatment has been extensively reported in books. Indeed, acupuncture’s effectiveness in treating tinnitus relies on the electric stimulations promoted by the needles, which initiates action potentials to rebalance the body’s systems. 

A study with the objective to determine acupuncture efficacy to reduce tinnitus symptoms was performed in 105 patients. This study compared the effects of two types of acupuncture, verum acupuncture and sham acupuncture, for five weeks, twice weekly. In addition, the study used the Tinnitus Handicap Inventory (THI) questionnaire and the visual analog scale to measure the treatment’s efficacy.

THI: 

The Tinnitus Handicap Inventory is a survey of 25 questions that is answered by the patient with a scoring system of 3 options:

Yes (4 points)

Sometimes (2 points) 

No (0 points)

After answering the 25 items, the points are added, and the result classifies the degree of tinnitus as grade 1 (0–16 points), grade 2 (18–36 points), grade 3 (38–56 points), grade 4 (58–76 points), or grade 5 (78–100 points). This survey is associated with the quality of life of the patient.

VSA

The Visual Analog Scale is a verbally administered scale to determine the degree of discomfort caused by tinnitus. It is ranged by scores starting with 0, indicating no discomfort, up to 10, which means an unbearable amount of pain.

Furthermore, this study reported that the group with the lowest THI and VAS scores was the one who received verum acupuncture. Additionally, this study reported a three-month follow-up, which determined that the tinnitus symptoms increased after stopping the acupuncture sessions.

One of the most exciting findings in tinnitus acupuncture treatment is that the VAS score decreases from 9.56 to 2.88. This same finding is reported by many authors who used the THI score in their studies. Nevertheless, this study concluded that acupuncture therapy is highly effective in reducing tinnitus symptoms, and it can potentially increase the patient’s quality of life. However, the changes promoted by this treatment are temporary and seem to diminish over time. 

Ginkgo biloba:

Over time pharmaceutical treatments have been used to diminish the severity of tinnitus. Indeed, medications like calcium channel blockers, vasodilators, muscle relaxants, anticonvulsants, antihistamines, anesthetics, and even barbiturates form part of the tinnitus treatment. However, these medications have shown little to no effects when compared with placebo. 

Once again, the lack of an etiology makes tinnitus hard to treat. However, new research has pointed to oxidative stress as one of the proposed mechanisms for the development of tinnitus. In addition, the increase of glutamate as an excitatory neurotransmitter in combination with neurotoxicity leads to the inflammation and necrosis of dendrites. Consequently, dendrite damage and inflammation of the afferent cochlear Corti organ cells is due to the production of free radicals.

The literature strongly supports the use of Gingko Biloba to treat tinnitus due to its varied bioactive constituents such as phytochemicals including alkanes, lipids, sterols, benzoids, carotenoids, phenylpropanoids, carbohydrates, flavonoids, and terpenoids. Furthermore, the Gingko Biloba acts like a monoamine-oxidase inhibitor (MAOI), improving tinnitus symptoms caused by ischemia. This mechanism of action is mainly due to myricetin, quercetin, ginkgolide, and bilobalide terpenoids. In conclusion, Gingko Biloba can reduce tinnitus symptoms by regulating vascular tone, and it acts as a scavenging agent of primary and secondary free radicals.

Despite all the medical research in tinnitus, no recommended treatment can reduce all the symptoms. Indeed, this is associated with tinnitus being a multifactorial disease and should be carefully evaluated to determine its treatment. The conclusion of many experts on this topic determines that the treatment should be a combination of sustainable and secure treatments. Therefore, Ginkgo Biloba and acupuncture studies can be used together to improve tinnitus outcomes in a conservative measure. – Ana Paola Rodríguez Arciniega, MS

References:

Mahmoudian Sani, M. R., Hashemzadeh-Chaleshtori, M., Asadi-Samani, M., & Yang, Q. (2017). Ginkgo biloba in the treatment of tinnitus: An updated literature review. International Tinnitus Journal21(1), 58-62.

Kuzucu, I., & Karaca, O. (2020). Acupuncture Treatment in Patients with Chronic Subjective Tinnitus: A Prospective, Randomized Study. Medical acupuncture32(1), 24–28. https://doi.org/10.1089/acu.2019.1367

Additional Online Links & Resources (Available 24/7)

 

Online Appointments or Consultations: https://bit.ly/Book-Online-Appointment

 

Online Physical Injury / Accident Intake Form: https://bit.ly/Fill-Out-Your-Online-History 

 

Online Functional Medicine Assessment: https://bit.ly/functionmed

 

Again, I Welcome You 👊🏻.

Our Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries.

We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training, and Rehabilitation Systems for all ages.

As an extension to effective rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises, and advanced agility treatment options. We have teamed up with the cities premier doctors, therapists,s, and trainers to provide high-level competitive athletes the possibilities to push themselves to their highest abilities within our facilities.

We’ve been blessed to use our methods with thousands of El Pasoans over the last three decades allowing us to restore our patients’ health and fitness while implementing researched non-surgical methods and functional wellness programs.

Our programs are natural and use the body’s ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, unwanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living.

With a bit of work, we can achieve optimal health together, no matter the age or disability.

Join us in improving your health for you and your family.

It’s all about: LIVING, LOVING & MATTERING! 🍎

Welcome & God Bless

EL PASO LOCATIONS

Central:
6440 Gateway East, Ste B
Phone: 915-850-0900

East Side:
11860 Vista Del Sol, Ste 128
Phone: 915-412-6677

Clinic Location 1

Address: 11860 Vista Del Sol Dr Suite 128
El Paso, TX 79936
Phone
: (915) 412-6677
EmailSend Email
Webwww.DrAlexJimenez.com

Clinic Location 2

Address: 6440 Gateway East, Building B
El Paso, TX 79905
Phone: (915) 850-0900
EmailSend Email
Webwww.ElPasoBackClinic.com

Clinic Location 3

Address: 1700 N Zaragoza Rd # 117
El Paso, TX 79936
Phone: (915) 850-0900
EmailSend Email
Webwww.ChiropracticScientist.com

Push As Rx Crossfit & Rehab

Address: 6440 Gateway East, Building B
El Paso, TX 79905
Phone
: (915) 412-6677
EmailSend Email
Webwww.PushAsRx.com

Push 24/7

Address: 1700 E Cliff Dr
El Paso, TX 79902
Phone
: (915) 412-6677
EmailSend Email
Webwww.PushAsRx.com

🔴 Rated Top El Paso Doctor & Specialist by ✔️ RateMD* | Years 2014,2015,2016,2017,2018,2019

Call (915) 850-0900 Today!

EVENTS REGISTRATION: Live Events & Webinars* ❗️

(Come Join Us & Register Today)

Additional Online Links & Resources (Available 24/7)

  1. Online Appointments or Consultations:  https://bit.ly/Book-Online-Appointment
  2. Online Physical Injury / Accident Intake Form: https://bit.ly/Fill-Out-Your-Online-History
  3. Online Functional Medicine Assessment: https://bit.ly/functionmed

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 Read More…

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG* 

email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico