Tinnitus is a subjective sensation, and its pathogenesis is unclear. It may be due to vascular ischemia in the inner ear, abnormal increase in auditory nerve firing activity, imbalance in calcium internal environmental homeostasis, etc. Clinically, physicians are not yet able to objectively determine whether a patient does have tinnitus. The etiology of tinnitus is also very complex and can be caused by both ear and systemic diseases. Moreover, sometimes tinnitus occurs without any possible cause being found at all. A common question asked by outpatients is: What is the cause of my tinnitus? Is it neurological tinnitus? Is it incurable? Will tinnitus lead to deafness after a long period of time? There are no specific medications for tinnitus, so doctors are often unable to help tinnitus patients. Therefore, doctors are often unable to help tinnitus patients. The answers they get are often: “tinnitus is not curable”, “there is no good way”, “try taking some medicine”, etc. Tinnitus is often accompanied by psychological and vegetative symptoms; people with normal hearing can also have chronic tinnitus; and in some cases, tinnitus remains long after recovery from inner ear disease. It is customary to treat tinnitus clinically with medications, such as vasodilators, neurotrophic drugs, and drugs to regulate the vegetative nerves. Tinnitus can be caused by Meniere’s disease, auditory neuroma, otosclerosis, hypertension, hyperlipidemia, cervical spondylosis, etc. It is necessary to treat these primary diseases first. The so-called objective tinnitus caused by abnormalities in the muscular activity or vascular structure and function of the middle ear will disappear quickly after the middle ear disease is cured. Tinnitus habituation therapy is only considered when the cause is unknown or when tinnitus remains after the cause is cured. Tinnitus habituation therapy, also known as tinnitus habituation therapy, refers to the adaptation or habituation to tinnitus. The main components of this therapy include relaxation training, psychological adjustment, noise masking and distraction. Tinnitus habituation therapy requires tinnitus patients to persist in training for 1 to 2 years to achieve full adaptation or habituation. Is tinnitus a sign of deafness, dementia or stroke? In this regard, doctors should not only conduct the necessary examinations for patients, but also provide patient and detailed explanations and guidance. For example, the doctor should explain the physiology of hearing and the possible causes of tinnitus; instruct the patient to ignore, get used to, forget and adapt to tinnitus, and strive to live peacefully with tinnitus; eliminate the patient’s misconception that tinnitus is incurable and has to be endured for life, and build up confidence that tinnitus can be cured. Relaxation training Mental or emotional tension can cause tinnitus, and tinnitus can also aggravate emotional tension. Tinnitus is often accompanied by tension, anxiety or depression. Tinnitus treatment emphasizes relaxation training, which is aimed at relaxing the patient’s body and mind, and is therefore also called relaxation therapy. The method is to sit quietly or lie down with eyes closed and control the tension of the nerves and muscles with your mind, starting with the scalp, forehead and facial muscles, and gradually relaxing the muscles of the upper and lower limbs, chest and even the whole body. Tinnitus masking Masking tinnitus with external noise is called tinnitus masking therapy. Commonly used external noise generating devices include tinnitus masking devices, hearing aids, walkman, home video recorders, etc. The noise emitted can be white noise with various frequency components or narrow band noise with a central frequency. The latter has the best masking effect. However, since many people have difficulty matching tinnitus tones, the noise produced by tinnitus maskers is mostly white noise. Incomplete masking means that the tinnitus is not completely masked by low-intensity noise, and the noise intensity is as strong as just heard, not too strong. The purpose is to allow the patient to gradually get used to and adapt to external noise similar to tinnitus and to avoid aggravating the noise or causing new damage. It is recommended to mask for at least 6 hours a day, with each masking not exceeding 1 hour and resting for 10 to 20 minutes before the next masking. Since the noise intensity is very low, it is possible to mask while working, studying and other activities. Shift your attention This is a very crucial step, that is, no matter when and where and under what circumstances, once you think of tinnitus, you can immediately shift your attention to other things, such as listening to music, reading books, newspapers, etc., to distract your attention from tinnitus, so that it will soon become unimportant and not annoying.