Adding on: this hissing I'm starting to think is actually a form of TTTS and not so much a tone, it has a physical sensation hard to explain. But often now the hiss sounds more like a tiny insect trying to flap it's wings. So I'm starting to aim more at the tensor tympani muscle high dose of MAG almost completely eliminated it B4 the setback
I'm at 450mg and I'm eating foods high in magnesium like avocado and spinach but I'm careful not to over do it. Before my setback the hiss turned into what sounded like a small insect trying to flap it's wings which lead me to believe it wasn't a tone and more of the tensor tympani muscle constantly flexing (hissing) If I calm this muscle I'm noticing reactivity calms with it
There is the option of getting the nerve completely burned off but I feel I'm not yet at that point. I'm now focusing on everything that can help relax it naturally
so some people get the nerve removed to stop TTTS/MEM symptoms of thumping or spasms in the ear. But this comes with the risk of developing hyperacusis cause the nerve that is removed is what protects and dampens your ears from loud sudden sounds.
For me the spasms are not bad, they only happen when something like a remote falls on the ground but unfortunately for others it can be non stop all day with little to no relief @ErikaS some describe the noise as someone constantly tapping a microphone in your ear or for others a loud thump. For me My ears spasms but magnesium has helped alot
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