Tinnitus, often described as a persistent ringing or buzzing sound in the ears, affects millions of people worldwide. While it is a common symptom, tinnitus is not a one-size-fits-all experience. Tinnitus can be classified into two broad categories: subjective tinnitus and objective tinnitus. Understanding the difference between these two types of tinnitus is crucial for accurate diagnosis and effective management. In this blog, we will delve into the nuances of subjective and objective tinnitus, shedding light on their distinctive characteristics and potential underlying causes.

Subjective Tinnitus

Subjective tinnitus is the most prevalent form of tinnitus, accounting for approximately 95% of reported cases. It is a perception of sound in the absence of any external source. Only the affected individual can hear the sounds associated with subjective tinnitus, making it a highly personal experience. The sounds can manifest as ringing, buzzing, hissing, whistling, or even music-like tones. They may be constant or intermittent, and their loudness and pitch can vary significantly.

The cause of subjective tinnitus is multifaceted. It can arise from damage to the delicate sensory hair cells within the inner ear, exposure to loud noises, age-related hearing loss, certain medications, earwax buildup, or underlying health conditions such as hypertension, otosclerosis, or temporomandibular joint disorder (TMJ). Stress, anxiety, and depression can also exacerbate subjective tinnitus symptoms, making it a complex condition to manage.

Objective Tinnitus

While subjective tinnitus is an internal auditory perception, objective tinnitus differs in that it is audible to both the affected individual and others, including healthcare professionals. Objective tinnitus is relatively rare, accounting for about 5% of reported cases, and is typically associated with an underlying physical cause.

Objective tinnitus often stems from structural abnormalities or irregular blood flow in the head and neck region. Pulsatile tinnitus is a common form of objective tinnitus characterized by rhythmic sounds synchronized with the individual’s heartbeat. It is typically caused by malformed blood vessels near the ear, such as the carotid artery or jugular vein, that transmit sounds to the auditory system. Other potential causes of objective tinnitus include muscle spasms, middle ear abnormalities, or certain tumors.

Diagnosis and Management

Proper diagnosis is crucial for determining the appropriate course of action for tinnitus management. In both subjective and objective tinnitus cases, a thorough evaluation by an audiologist or an otolaryngologist is essential. A comprehensive medical history, physical examination, and audiological assessments are typically conducted to identify potential underlying causes and develop an individualized treatment plan.

Treatment approaches for subjective and objective tinnitus can overlap, focusing on symptom management and improving quality of life. Common interventions include sound therapy, cognitive-behavioral therapy, stress reduction techniques, and the use of hearing aids to provide relief from the perceived sounds. In cases where objective tinnitus is caused by an identifiable physical issue, such as a vascular abnormality, surgical or medical interventions may be considered.

It’s important to note that tinnitus management may not always result in completely eliminating symptoms, as the underlying causes can vary and some cases may be chronic. However, with proper support and guidance, individuals can learn to cope with tinnitus and minimize its impact on their daily lives.

Preventing Tinnitus

In addition to the aforementioned treatment options, there are several self-care practices that individuals can incorporate into their routines to manage tinnitus effectively. These include:

  • Taking a hemp extract or cannabidiol like Organica Naturals CBD may help to relieve tinnitus symptoms in some users
  • Protecting hearing: Limit exposure to loud noises and use ear protection, such as earplugs or earmuffs, in noisy environments.
  • Maintaining a healthy lifestyle: Engage in regular exercise, practice stress-reduction techniques like meditation or yoga, and ensure a balanced diet to promote overall well-being.
  • Creating a soothing environment: Background noise or gentle sounds, such as nature sounds or white noise machines, can help mask the perception of tinnitus and provide a sense of relaxation.
  • Avoiding stimulants: Reduce or avoid the consumption of substances known to exacerbate tinnitus, such as caffeine, nicotine, and alcohol.
  • Seeking support: Joining support groups or seeking counseling can provide valuable emotional support and allow individuals to connect with others who are facing similar challenges.

Remember, everyone’s experience with tinnitus is unique, and what works for one person may not work for another. It may take time and experimentation to find the most effective management strategies that suit an individual’s needs.


Subjective tinnitus and objective tinnitus represent two distinct categories within the realm of tinnitus experiences. Understanding the differences between these types of tinnitus helps healthcare professionals tailor their diagnostic approaches and treatment strategies to provide adequate relief and support for those living with this often-challenging condition.

If you or someone you know experiences tinnitus symptoms, seeking professional advice from an audiologist or otolaryngologist is strongly recommended. By working closely with healthcare providers and adopting appropriate management techniques, individuals can find relief and improve their overall well-being.