Headphones and Tinnitus. The views on whether a person with tinnitus should listen to music through headphones are controversial. Some people show no adverse affects while others do even when the volume level is kept low. We are all different so the only way a one can know is to experiment for themselves if they want to. In my opinion, when the tinnitus was caused by exposure to loud noise/music and it has become intrusive - by this I mean a person having to seek help at ENT, then they shouldn’t listen to music through headphones no matter how low the volume is set. Most music has syncopation throughout its frequency range, so it’s constantly changing in pitch, rhythm and timbre. The beat of the music and volume can also change while listening. This evokes pleasure and can stir our emotions. This happens whether we listen to music loud or soft, although certain types of music does sound better played at a higher volume than others, and vice versa. Once the Cochlear in the inner ear becomes damaged by noise exposure, it is much more sensitive to sound. This is one of the reasons hyperacusis (sensitivity to sound) is often experienced with noise-induced tinnitus. The wearing of WNGs (white noise generators) as part of TRT treatment can often cure the condition. I have covered Hyperacusis and Habituation in a post further down in the forum. The organ of the Corti, which is attached to the Cochlear, has approximately 20,000 hair cells. These hair cells move to the vibration of sound and are just one of the components in the auditory system that enable us to hear. Someone that already has a sensitive auditory system due to noise-induced tinnitus and listens to music through headphones at a low volume, risks irritating the Cochlear further; this can make the tinnitus louder and more intrusive. In my opinion, it can be misleading when some health professionals tell tinnitus patients, listening to music through headphones is fine as long as long as the volume is kept low. These health professionals mean well and know a lot about the anatomy of the ear and therefore, it is not my intention to try and undermine their abilities or expertise. However, It must be said, that many of them have never experienced intrusive tinnitus. This leads me to say, one of my ENT consultant’s who is an Audiovestubular consultant, and someone that I have a lot of respect for, once told me that I know more about tinnitus than she/he. This person explained, for the simple reason they had never experienced it. I have spoken to people and corresponded with them by email and at Internet forums, complaining their tinnitus has become worse after listening to music through headphones even though the volume was kept low. My advice to anyone that has tinnitus that was caused by exposure to loud noise is not to listen to music through headphones, as the auditory system is more sensitive. White noise generators. Some may question the use white noise generators and in-ear types that emit white noise directly into the ear. White noise generators don’t usually irritate the auditory system due to the volume being kept low and its frequency range remains constant, so there is no syncopation within it unlike music. Although white noise generators can be bought privately to treat tinnitus I don’t advise anyone to do so, unless a Hearing Therapist/Audiologist has first tested their auditory system for suitability. A person must also be shown how to use these devices correctly, as improper use can make the tinnitus worse. Furthermore, they are normally used in conjunction with Tinnitus Retraining Therapy to get maximum benefit. Michael PS. I also don't advise listening to white noise, pink noise, brown, noise etc through headphones even at low volume. It is best to always be under the care of an ENT clinic /Hearing Therapist.