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Is acupuncture effective for sever tinnitus?

We have been asked many times about tinnitus, and our most recent reply has been:

We tend to be very conservative in the advice we give about tinnitus.

One recent response said:

We used to be a great deal more downbeat about the treatment of tinnitus than we are now because our experience in practice was that it could prove intractable to treatment. However, as our factsheet shows http://www.acupuncture.org.uk/a-to-z-of-conditions/a-to-z-of-conditions/tinnitus.html and as some recent personal experience in clinic has shown too, there may be some hope.The problem with measuring the success of treatment for tinnitus is that its appearance and disappearance can be entirely random. If you read the tinnitus association's magazine you will see stories along the lines of 'I tried everything and then x worked' and an equal number of stories which say 'I had tinnitus for five years and then one day it just went.'  Research trials tend to be quite reliable - it would be a remarkable coincidence if half the trial participants experienced a spontaneous improvement - but one-off cases could be a coincidence, with acupuncture just happening to be the therapy of choice when the change happened.The available evidence, however, suggests that it might be worth a try with the proviso that progress is reviewed at regular intervals, and some kind of objective measure can be found, i.e. how much it interferes with a radio set at a particular level. It might also repay investigation of what makes it worse and what makes it better. A long n-1 case study this expert conducted had very little impact on the condition but did increase the sufferer's ability to deal with it.The best advice is to visit a BAcC member local to you  for an informal face to face assessment of what may be possible. There are one or two clearly recognisable syndromes within Chinese medicine which might offer considerable confidence that muting the problem may be possible, but even a general balancing of the system may bear fruit.

Invariably we check for more evidence when we are asked a question to which we have responded before, and the evidence trail for the fact sheet stops some time ago. We found a number of small studies like this onehttps://www.ncbi.nlm.nih.gov/pubmed/26747258which seem on the face of it to encourage the belief that there is a recognised connection between acupuncture treatment and symptom relief. There is also a systematic review, a 'trial of all trials' beloved of researchers because it aggregates to a much more powerful study than the individual ones.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3493359/This draws the usual sorts of conclusion about the need for more and better trials, but the authors do conclude that acupuncture is worth trying as a safe alternative which seemed to have shown some success in addressing the problem.The advice we gave before, though, holds good. Each case is unique and different, as is each treatment plan, and the best advice you can get will always come from someone who can see your problem in its overall context.

So, in answer to your question, there is some evidence that acupuncture treatment may help tinnitus, but not yet enough for us to say with any certainty that a result is guaranteed.As far as specialists are concerned, by its very nature Chinese medicine is generalist. Indeed in ancient China specialists were regarded as decidedly inferior because they only treated single conditions. From the Chinese medicine perspective it is the patient who has the problem, not the problem which is the primary focus. Each manifestation of a problem is unique and different, and twenty people with the same named problem might be treated in twenty different ways.On this basis we are happy to recommend any of our members to offer the same exemplary level of care, and using the postcode search on our home page www.acupuncture.org.uk will direct you to the geographically closest.

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