Causes of Tinnitus

A Comprehensive Exploration of its Causes and Therapeutic Treatments

Tinnitus, the perception of phantom sounds in the ears without any external source, has long been an enigmatic and challenging condition. As we embark on a comprehensive exploration of tinnitus, we delve into the intricate web of factors that contribute to its onset and persistence.

Knowing the specific cause (or multiple causes) of your tinnitus is important because it gives you a roadmap towards reaching your goal. It gives you a direction to follow so you are not wasting time and resources attempting to solve a cause that you don’t have. And you can then focus on finding treatments and cures for the causes that you do have.

This exploration extends to the intriguing connection between tinnitus and stress, shedding light on how psychological factors can amplify the perception of phantom sounds. Understanding the intricate relationship between the mind and body, we uncover how stress and anxiety can significantly impact tinnitus and how individuals can embrace effective coping strategies to find relief.

Together, this comprehensive exploration shines a light on the diverse facets of tinnitus and the transformative power of therapeutic interventions. As we navigate the intricate landscape of this auditory condition, we celebrate the potential for healing, relief, and improved well-being that lies within each individual affected by tinnitus.

Exploring the Top 10 Diverse Causes of Tinnitus

Causes of Tinnitus

Although commonly associated with age-related factors and over-exposure to loud sounds, tinnitus is a multifaceted condition with a much wider range of underlying causes. Here we’ll shed light on the diverse array of factors that can contribute to the development of tinnitus.

There are many causes of tinnitus that result in ringing in the ears or other unpleasant recurring internal sounds. Below you’ll find the top 10 most common leading causes of tinnitus, each with a brief description, and listed in alphabetical order. Follow the title link in each cause to explore in longer form with more details and information about tinnitus treatments and coping strategies.

1) Age Related Hearing Loss (Presbycusis)

As we age, our auditory system undergoes natural wear and tear, leading to a gradual decline in hearing sensitivity. This age-related hearing loss, known as presbycusis, can trigger tinnitus due to the reduced auditory input and altered neural activity in the auditory pathways.

2)  Cardiovascular Conditions

Disorders of the cardiovascular system, such as hypertension or atherosclerosis, can result in altered blood flow to the structures in the ear. Insufficient blood supply and increased pressure may contribute to tinnitus in some cases. Migraines are sometimes a symptom of a cardiovascular issue.

3) Earwax Impaction

Accumulation of excessive earwax in the ear canal can cause physical blockages, leading to tinnitus. The wax can amplify internal sounds, creating the perception of ringing or buzzing.

4) Head and Neck Injuries

Traumatic head or neck injuries can have a profound impact on the auditory system, leading to tinnitus. Injuries that affect the cranium, cochlea, auditory nerve, or brainstem can disrupt the transmission of auditory signals, resulting in phantom sounds. Migraines and tinnitus are commonly symptoms of a head or neck injury.

5) Meniere’s Disease

Meniere’s disease is a disorder of the inner ear that involves a buildup of fluid, leading to vertigo, hearing loss, and tinnitus. The exact cause of Meniere’s disease is not fully understood, but it is thought to involve a combination of genetic and environmental factors. Learn about Tinnitus caused by Meniere’s Disease; plus treatments and coping strategies for managing symptoms, and ultimately feeling relief.

6) Neurological Conditions

Certain neurological conditions, such as multiple sclerosis, acoustic neuroma (a non-cancerous benign tumor), and other brain tumors, can affect the auditory system and manifest as tinnitus. The underlying mechanisms in these cases are complex and can vary based on the specific condition. Migraines can be a symptom of a neurological condition.

7) Noise-Induced Hearing Loss, Internal damage

Exposure to loud noises, whether from industrial machinery, concerts, firearms, or personal listening devices, can lead to permanent damage to the hair cells in the inner ear. This damage results in noise-induced hearing loss, often accompanied by tinnitus. The severity of tinnitus can be proportional to the intensity and duration of noise exposure.

8) Ototoxic Medications

Certain medications, such as some antibiotics, chemotherapy drugs, and non-steroidal anti-inflammatory drugs (NSAIDs), have the potential to damage the delicate structures of the inner ear. This damage can disrupt normal auditory processing and trigger tinnitus as a side effect.

The damage they cause can be temporary or permanent, and the severity of the effects may vary depending on the individual and the dosage of the medication. Certain medications are known to cause migraines as a side effect.

Some examples of ototoxic medications include:

  • Aminoglycoside antibiotics (e.g., gentamicin, streptomycin)
  • Loop diuretics (e.g., furosemide)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Certain chemotherapy drugs (e.g., cisplatin, carboplatin)
  • Salicylates (e.g., aspirin) in high doses

9) Stress and Anxiety

Whether or not stress and anxiety are a direct cause of tinnitus, they can exacerbate existing symptoms. Stress and anxiety are also a leading cause of migraine headaches as well as a host of other medical conditions such as acid reflux, abdominal cramping, constipation or loose bowels, and various tense muscles leading to aches and cramps. Migraines and emotional distress can heighten one’s sensitivity to tinnitus, making it more bothersome and intrusive.

10) Temporomandibular Joint (TMJ) Disorders

The temporomandibular joint connects the jawbone to the skull. TMJ disorders, often caused by clenching or grinding of teeth, can affect the auditory system through shared nerve pathways, potentially leading to tinnitus. Symptoms may include a stiffness are the jaw area, dental problems from clenching and/or grinding teeth, and migraines.


The journey of exploring tinnitus has led us through a myriad of causes shedding light on the intricate nature of this enigmatic condition. From age-related hearing loss to head and neck injuries, neurological conditions, and the impact of stress and anxiety, we have unveiled the diverse factors that contribute to the perception of phantom sounds in the ears.

In the face of tinnitus, the road to relief may be intricate but with the guidance of specialized therapeutic techniques and the support of compassionate professionals, individuals can navigate this journey with hope and resilience.

Embracing the power of self-awareness, coping strategies, and personalized therapeutic approaches, those affected by tinnitus can find solace in knowing that they hold the key to unlocking their own healing and reclaiming a harmonious connection to the world of sound.

Tinnitus Relief

Turning Down Tinnitus book by Daniel Sweet.

Want to know more? Ready to find relief from the relentless maddening sounds of tinnitus? Learn more in the book titled, Turning Down Tinnitus. A self help reference book full of ways to reduce the volume and find relief. This works for you regardless of tinnitus cause, type, volume, your age, condition of health, etc. Select the version you want then click the link for instant access.

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Daniel Sweet, NLP
Tinnitus Relief Specialist