Tinnitus, hearing, bruxism, dizziness, and the gut-brain axis: a comprehensive evaluation to understand your individual case.
Tinnitus is the perception of sound in the absence of an external acoustic source. It may be experienced as ringing, buzzing, hissing, rushing, clicking, pulsation, cicadas, or other sounds. It can occur in one ear, both ears, or be perceived centrally within the head.
Tinnitus is not a standalone disease, but a symptom that can stem from various interrelated mechanisms—including auditory changes, muscular and somatosensory triggers, emotional stress, metabolic factors, sleep disorders, and central nervous system hyperactivity. A thorough, comprehensive evaluation identifies the specific factors contributing to each unique case.
Because tinnitus is multifactorial, there is no one-size-fits-all solution. The journey begins with identifying the root causes associated with your tinnitus, establishing a specific clinical strategy grounded in science and without false promises of overnight cures.
The initial assessment with Dr. Tatiana lasts approximately 2 hours and is conducted with clinical depth and individualized attention. During this session, clinical symptoms, medical history, prior diagnostic exams, and potential triggers associated with tinnitus are thoroughly analyzed.
The appointment also includes screening for head and neck myofascial trigger points, lifestyle and dietary habit analysis, individualized counseling, scientifically validated questionnaires, and identifying factors that sustain or amplify symptom distress.
At the conclusion of the evaluation, you receive clear guidance and tailored recommendations, including any complementary diagnostic exams, referrals to interdisciplinary team specialists, and customized therapeutic protocols.
Clinical and therapeutic modalities designed to investigate, modulate, and alleviate the impact of tinnitus and related factors.
In-depth investigation of auditory complaints, tinnitus characteristics, and vestibular balance, utilizing state-of-the-art procedures and personalized clinical monitoring to identify underlying causes and systemic impacts.
Essential diagnostic audiological battery to accurately assess hearing thresholds, speech recognition clarity, and middle ear compliance and acoustic reflex dynamics.
Specialized psychoacoustic testing to characterize the exact pitch frequency and loudness intensity of tinnitus, as well as measure minimum masking levels (MML) and residual inhibition (RI).
Central auditory skill retraining and neuroauditory stimulation to modulate cortical activity, harness neuroplasticity, and accelerate tinnitus habituation.
Targeted central nervous system neuromodulation aimed at dampening sound perception pathways and relieving auditory cortex hyperexcitability.
Low-level laser therapy (LLLT) and biostimulatory protocols for cellular energy modulation, tissue relaxation, and auditory pathway microcirculation support.
Cognitive Behavioral Therapy protocols focused on reframing emotional reactions to tinnitus, reducing autonomic hyperarousal, and managing associated anxiety and stress.
Precise assessment of facial and neck musculature with surface electromyography (sEMG) and targeted myofascial release for somatosensory tinnitus and bruxism.
Dr. Tatiana is a certified clinical specialist and instructor for the Therapy Tinnitus method in Rio Grande do Sul since 2023.
