Tinnitus Spike After TMS Treatment

SimplyIzzy

Member
Author
Aug 3, 2013
2
Tinnitus Since
07/2013
Hi everyone,

I've had tinnitus in my left ear for over 10 years. It was probably caused by mild hearing loss, though it was so minor that my audiologist said I didn't need a hearing aid. It was tough at first, but I was able to habituate after a few months. Eventually, I hardly noticed it unless I was in a completely quiet room or someone brought it up.

A few weeks ago, I started TMS treatment for depression. Around the 14th or 15th session, I had a fill-in technician instead of my regular one. I left that session with a headache and felt woozy. The next morning, I woke up with my right ear screaming. It was a completely new sound, louder and much higher-pitched than what I had in my left ear.

Most of the sessions had been targeting the right prefrontal cortex, but the last few added an anxiety protocol that used a different type of pulse over the left side, just above the ear. I'm not sure which one triggered it, but something definitely changed. I used foam earplugs during each session and never noticed any ear irritation or pain during or afterward.

Since then, I've been dealing with a lot: panic attacks, high anxiety, and barely any sleep. The TMS clinic has been really unhelpful. They never mentioned tinnitus as a possible side effect, only headaches and seizures. When I contacted them, they were vague and didn't explain much. They sent in a prescription for a benzodiazepine without explaining why. Later, they offered to try a tinnitus protocol, but honestly, I don't want anything to do with TMS anymore. The machine they used was a BrainsWay Deep TMS with the H-coil.

I went to the ER and ended up being hospitalized for a few days because the anxiety and suicidal thoughts became overwhelming. I'm back home now, trying to hold it together. They started me on Gabapentin, but I don't think it's helping, and I'm nervous about medications in general because I don't want to make the tinnitus worse.

I had an audiogram done after the spike started. It was identical to one I had back in January, when I was dealing with vertigo, so it doesn't look like there's any new hearing loss or acoustic trauma. I'm going to be seeing a specialist soon for a more detailed hearing test that includes extended frequency ranges.

Right now, I'm in week 3. The new tinnitus is very high-pitched, possibly reactive, but it's hard to tell. It seems to change a lot. There have been short stretches when it's almost gone, maybe for a few hours, but usually only when I'm in a very quiet room, like with just my water fountain running in the corner. If I go outside or turn on the fan or AC in the car, the tinnitus seems to rise above it. Then again, there have been one or two afternoons when I was out and about and it didn't really bother me. It just seems completely unpredictable. It has been noticeably present at least 90 percent of the time since it started.

Sleep has been a huge issue. I have trouble falling asleep and staying asleep. I usually wake up after two or three hours, and then I'm up for most of the night.

I feel like I went into TMS trying to treat one problem and came out with a much worse one. If anyone has been through something similar or has suggestions, I'd really appreciate it. Even just hearing from people who understand helps.
 
Your new tinnitus is very similar to the one I've been suffering from for 15 months. I've done some research on rTMS and even had an appointment with a neurophysiologist, who's still waiting for me. He performed an EEG on me.

I've never trusted the generic way the treatment is usually administered, so I combined the consultation with my own online research using AI.

Brain mapping is essential for applying the protocols precisely to the appropriate areas. My question is, did you have a quantitative qEEG?
 
Tinnitus doesn't always come from hearing loss. It's entirely possible that the tinnitus was already there, but with reduced hearing you're less able to mask it with background noise.

Yes, I had everything you describe — panic, walking down a street and suddenly crying, feeling panicky, and more. Highly unpleasant. Keep in mind that tinnitus spikes come with the territory, but over time you'll notice the tinnitus change, usually for the better.
 
Your new tinnitus is very similar to the one I've been suffering from for 15 months. I've done some research on rTMS and even had an appointment with a neurophysiologist, who's still waiting for me. He performed an EEG on me.

I've never trusted the generic way the treatment is usually administered, so I combined the consultation with my own online research using AI.

Brain mapping is essential for applying the protocols precisely to the appropriate areas. My question is, did you have a quantitative qEEG?
There was no EEG beforehand. The placement appeared to be based on some measurements of my head and a cap that they had me wear. I wish I had done more research ahead of time. The clinic seemed very reputable based on reviews, and it appeared safe based on my discussion with their staff.

As of today, the symptoms are still the same, with my tinnitus screaming at me as I type this. Habituation feels more challenging than it was when I first developed tinnitus years ago, as the pitch is hard to mask or find peace with.
 

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